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Background: Accident and emergency nursing care is urgent. Therefore, nurses must have specific competencies in performing their tasks.
Objectives: The objectives of the study were: 1) to evaluate self-competency of 93 nurses at Emergency and Trauma Units (ETUs) in 9 community hospitals, Chumphon Province, 2) to develop a competency enhancement program, and 3) to evaluate the program implementation.
Methods: This research and development study was divided into 3 phases aligned with the objectives. The sample was selected by a purposive sampling technique and included 16 professional nurses working in one community hospital in Chumphon Province. The evaluation was performed by the nurses themselves, the physicians and the nurses’ supervisors. The tools included questionnaire about Core competencies and technical knowledge competencies verified by five experts with content validity index of .97 and reliability of .98 . Phase1 data were analyzed by descriptive statistics while Phase 3 data were analyzed by percentage, mean, Paired t-test, and Inter- Rater Reliability.
Results: 1) Ninety three nurses at the Emergency and Trauma Units in 9 community hospitals in Chumphon Province rated their two competencies at a high level (= 4.08, SD =0.79 and =4.20, SD =0.84). The competency of 16 nurses at the community hospital after participating in the program was statistically significantly higher than before (p<.001). The physicians and nurses’ supervisors evaluated two competencies after participating in the program and were statistically significantly higher than before (p<.001). Before participating in the program an Inter-Rater Reliability between physician and nurse supervisor was .75. After participating in the program the Inter-Rater Reliability between physician and nurse supervisor of .87.
Conclusions: This program can help develop competencies of the professional nurses at Emergency and Trauma Units (ETUs) of community hospitals in Chumphon Province.
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