Main Article Content
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.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.Authors who publish with this journal agree to retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2. Department of Medical Services, Ministry of Public Health. Guidline for ER service delivery. 2nd edition. Nonthaburi: Printing house Samchai 2017; 2018. (in Thai).
3. Unhasuta K. Required competencies of accident nurses in caring for patients with accident problems. Thai Journal of Trauma. 2011;30.(2):73-7. (in Thai).
4. Nursing office. Ministry of Public Health. Guideline for the development of nursing service quality fo community hospitals that are considered general hospitals. 1st edition. Nonthaburi: Printing Sautawan Publishing; 2017. (in Thai).
5. National Institute of Emergency Medicine. Public Health Emergency Incident Command System: PHEICS. Nonthaburi: Medical and public health team: National Institute of Emergency Medical; 2016. (in Thai).
6. National Emergency Nurses Association. Emergency nursing core competencies. [Internet]. 2014 [cited 2018 Aug 14]; Available from: http://nena.ca/w/wpcontent/up loads/2014/11/NENA-CoreCompetencies.pdf.
7. Nursing Division office of the Permanent secretary. Guidelines for service: Service plan. Pathumthani: Sautawan publisher; 2018. (in Thai).
8. Benner P. From Novice to Expert. The Am J Nurs. 1982;82(3):402-7.
9. Lueluang W. Factors Influencing role practices of professional nurses at operating room in Regional hospitals, Northeast Region. [Thesis]. Khon khan: Khon khan University; 2012. (in Thai).
10. Gerdtz MF, Weiland TJ, Jelinek GA, Mackinlay C, Hill N. Perspectives of emergency department staff on the triage of mental health-related presentations: Implications for education, policy and practice. Emerg Med Australia. 2012; 24(5):492-500.
11. Somjai T. Relationships between personal factors, team work and effectiveness of paramedic team, community hospitals under jurisdiction of the Ministry of Public Health. [Thesis]. Bangkok: Chulalongkorn University; 2009. (in Thai).
12. Kumkong M. The importance of a continued training program in order to maintain and improve the competencies of the emergency room. Nurses. The Southern College Network Journal of Nursing and Public Health. 2014;1(1): 77-84. (in Thai).
13. Vibulwong P. Competency evaluation of participants from the emergency nurses training program at Boromarajonani Collage of Nursing Bangkok. Journal of Boromarajonani College of Nursing, Bangkok. 2017;33(2):135-45. (in Thai).
14. Chulyamitaporn R. The development of ethical decision making program for taking care of patients with the end of life by professional nurses at Phramongkutklao hospital. Journal of the Royal Thai Army Nurses. 2013;14(1):41-50. (in Thai).