{"title":"Identifying Key Competencies for Ambulance Nurses in Italy: Findings from a Modified Delphi Study.","authors":"Ippolito Notarnicola, Rocco Gennaro, Sara Carrodano, Daniela Romano, Marzia Lommi, Dhurata Ivziku, Alessandro Stievano","doi":"10.1016/j.jen.2024.10.006","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Prehospital emergency nursing is a critical domain requiring specialized competencies and robust clinical preparation. Nurses in this sector manage high-complexity situations necessitating a broad range of competencies. This study aimed to identify and validate the essential competencies required for specialized ambulance nurses in Italy using a modified Delphi methodology.</p><p><strong>Methods: </strong>A Delphi study was conducted with a panel of 10 experts, including clinical practitioners and academic professionals. The study involved 2 rounds of questionnaires designed to gather and refine expert opinions on the competencies necessary for ambulance nurses.</p><p><strong>Results: </strong>The experts identified a comprehensive set of 77 competencies across various domains, emphasizing advanced clinical competencies, decision-making abilities, communication, interpersonal competencies, and leadership. The first round highlighted 31 competencies from clinical experts and 46 from academic experts, with significant overlaps and some divergences. The second round achieved high consensus on many competencies, though some areas, such as holistic and spiritual competencies, showed varied levels of agreement.</p><p><strong>Discussion: </strong>The identified competencies underscore the complexity and dynamic nature of prehospital emergency nursing. The results provide a framework for developing targeted training programs to prepare nurses for the demands of this field. Continuing education emerged as a crucial element for maintaining and enhancing competencies in the evolving landscape of emergency health care.</p>","PeriodicalId":51082,"journal":{"name":"Journal of Emergency Nursing","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Emergency Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jen.2024.10.006","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
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Abstract
Introduction: Prehospital emergency nursing is a critical domain requiring specialized competencies and robust clinical preparation. Nurses in this sector manage high-complexity situations necessitating a broad range of competencies. This study aimed to identify and validate the essential competencies required for specialized ambulance nurses in Italy using a modified Delphi methodology.
Methods: A Delphi study was conducted with a panel of 10 experts, including clinical practitioners and academic professionals. The study involved 2 rounds of questionnaires designed to gather and refine expert opinions on the competencies necessary for ambulance nurses.
Results: The experts identified a comprehensive set of 77 competencies across various domains, emphasizing advanced clinical competencies, decision-making abilities, communication, interpersonal competencies, and leadership. The first round highlighted 31 competencies from clinical experts and 46 from academic experts, with significant overlaps and some divergences. The second round achieved high consensus on many competencies, though some areas, such as holistic and spiritual competencies, showed varied levels of agreement.
Discussion: The identified competencies underscore the complexity and dynamic nature of prehospital emergency nursing. The results provide a framework for developing targeted training programs to prepare nurses for the demands of this field. Continuing education emerged as a crucial element for maintaining and enhancing competencies in the evolving landscape of emergency health care.
期刊介绍：
The Journal of Emergency Nursing, the official journal of the Emergency Nurses Association (ENA), is committed to the dissemination of high quality, peer-reviewed manuscripts relevant to all areas of emergency nursing practice across the lifespan. Journal content includes clinical topics, integrative or systematic literature reviews, research, and practice improvement initiatives that provide emergency nurses globally with implications for translation of new knowledge into practice.
The Journal also includes focused sections such as case studies, pharmacology/toxicology, injury prevention, trauma, triage, quality and safety, pediatrics and geriatrics.
The Journal aims to mirror the goal of ENA to promote: community, governance and leadership, knowledge, quality and safety, and advocacy.
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