Designing a standardised emergency nurse career pathway for use across rural, regional and metropolitan New South Wales, Australia: A consensus process.

Curtis, K; Murphy, M; Kourouche, S; Hughes, D; Casey, L; Gawthorne, J; Berendsen-Russell, S; Couttie, T; Skelly, D; Williams, N; Shaban, RZ; Fry, M; Kloger, R; Rheinberger, J; Aggar, C; Considine, J

Designing a standardised emergency nurse career pathway for use across rural, regional and metropolitan New South Wales, Australia: A consensus process.

Curtis, K Murphy, M Kourouche, S Hughes, D Casey, L Gawthorne, J Berendsen-Russell, S Couttie, T Skelly, D Williams, N Shaban, RZ Fry, M

Kloger, R Rheinberger, J Aggar, C Considine, J

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Australas Emerg Care, 2024, pp. S2588-994X(24)00021-6
Issue Date:: 2024-03-26

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Field	Value	Language
dc.contributor.author	Curtis, K
dc.contributor.author	Murphy, M
dc.contributor.author	Kourouche, S
dc.contributor.author	Hughes, D
dc.contributor.author	Casey, L
dc.contributor.author	Gawthorne, J
dc.contributor.author	Berendsen-Russell, S
dc.contributor.author	Couttie, T
dc.contributor.author	Skelly, D
dc.contributor.author	Williams, N
dc.contributor.author	Shaban, RZ
dc.contributor.author	Fry, M https://orcid.org/0000-0003-1265-7096
dc.contributor.author	Kloger, R
dc.contributor.author	Rheinberger, J
dc.contributor.author	Aggar, C
dc.contributor.author	Considine, J
dc.date.accessioned	2024-06-05T03:46:59Z
dc.date.available	2024-03-10
dc.date.available	2024-06-05T03:46:59Z
dc.date.issued	2024-03-26
dc.identifier.citation	Australas Emerg Care, 2024, pp. S2588-994X(24)00021-6
dc.identifier.issn	2589-1375
dc.identifier.issn	2588-994X
dc.identifier.uri	http://hdl.handle.net/10453/179419
dc.description.abstract	BACKGROUND: Emergency nurses are the first clinicians to see patients in the ED; their practice is fundamental to patient safety. To reduce clinical variation and increase the safety and quality of emergency nursing care, we developed a standardised consensus-based emergency nurse career pathway for use across Australian rural, regional, and metropolitan New South Wales (NSW) emergency departments. METHODS: An analysis of career pathways from six health services, the College for Emergency Nursing Australasia, and NSW Ministry of Health was conducted. Using a consensus process, a 15-member expert panel developed the pathway and determined the education needs for pathway progression over six face-to-face meetings from May to August 2023. RESULTS: An eight-step pathway outlining nurse progression through models of care related to different ED clinical areas with a minimum 172 h protected face-to-face and 8 h online education is required to progress from novice to expert. Progression corresponds with increasing levels of complexity, decision making and clinical skills, aligned with Benner's novice to expert theory. CONCLUSION: A standardised career pathway with minimum 180 h would enable a consistent approach to emergency nursing training and enable nurses to work to their full scope of practice. This will facilitate transferability of emergency nursing skills across jurisdictions.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation	Medical Research Future FundAPP2017845
dc.relation	Northern Sydney Local Health District (Formerly Northern Sydney and Central Coast Area Health Service)
dc.relation.ispartof	Australas Emerg Care
dc.relation.isbasedon	10.1016/j.auec.2024.03.002
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing, 1117 Public Health and Health Services
dc.subject.classification	Nursing
dc.subject.classification	3202 Clinical sciences
dc.subject.classification	4203 Health services and systems
dc.subject.classification	4205 Nursing
dc.title	Designing a standardised emergency nurse career pathway for use across rural, regional and metropolitan New South Wales, Australia: A consensus process.
dc.type	Journal Article
utslib.location.activity	Australia
utslib.for	1110 Nursing
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.date.updated	2024-06-05T03:46:57Z
pubs.publication-status	Published online

Abstract:

BACKGROUND: Emergency nurses are the first clinicians to see patients in the ED; their practice is fundamental to patient safety. To reduce clinical variation and increase the safety and quality of emergency nursing care, we developed a standardised consensus-based emergency nurse career pathway for use across Australian rural, regional, and metropolitan New South Wales (NSW) emergency departments. METHODS: An analysis of career pathways from six health services, the College for Emergency Nursing Australasia, and NSW Ministry of Health was conducted. Using a consensus process, a 15-member expert panel developed the pathway and determined the education needs for pathway progression over six face-to-face meetings from May to August 2023. RESULTS: An eight-step pathway outlining nurse progression through models of care related to different ED clinical areas with a minimum 172 h protected face-to-face and 8 h online education is required to progress from novice to expert. Progression corresponds with increasing levels of complexity, decision making and clinical skills, aligned with Benner's novice to expert theory. CONCLUSION: A standardised career pathway with minimum 180 h would enable a consistent approach to emergency nursing training and enable nurses to work to their full scope of practice. This will facilitate transferability of emergency nursing skills across jurisdictions.

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http://hdl.handle.net/10453/179419