Análisis de las competencias específicas de la Enfermería de urgencias pre-hospitalarias en España

  1. Ana Vázquez-Casares 1
  2. Javier Vidal-García 2
  1. 1 Máster en Investigación en Psicología y Ciencias de la Educación. Departamento de Enfermería y Fisioterapia. Área de Enfermería. Facultad de Ciencias de la Salud. Universidad de León
  2. 2 Doctor por la Universidad de Salamanca. Departamento de Psicología, Sociología y Filosofía. Área de Métodos de Investigación y Diagnóstico en Educación. Facultad de Educación. Universidad de León
Revista:
Metas de enfermería

ISSN: 1138-7262

Any de publicació: 2020

Volum: 23

Número: 5

Pàgines: 61-70

Tipus: Article

DOI: 10.35667/METASENF.2019.23.1003081596 DIALNET GOOGLE SCHOLAR

Altres publicacions en: Metas de enfermería

Resum

Objective: to explore the importance assigned by pre-hospital emergency nursing professionals to competence in their position, as well as to the training needed to acquire said skills. Method: a descriptive cross-sectional study on pre-hospital care nursing professionals from the emergency managements throughout Spain. An ad-hoc self-administered online questionnaire was designed, considering literature and criteria by experts, and consisting of 60 skills distributed into 10 domains (each skill was valued through a Likert scale from 1 to 5 (best valued)). Independent variables: age, gender, type of setting where the activity of care is conducted, training level in emergencies, duration of the post-graduate degree, and work experience. Bivariate analysis was conducted with non-parametric tests (Mann-Whitney’s U and Kruskal-Wallis test). Results: in total, 91 answers were retrieved. The three best valued skills were: “Conducting life support manoeuvres” (mean: 4.85), “Having a cooperative attitude for team work”” (mean: 4.77) and “Demand for permanent professional training and update” (mean: 4.74). The importance assigned showed significant differences according to gender in eight skills, depending on type of care setting where they conducted their professional activity in seven skills, and according to the duration of postgraduate training in four skills. Postgraduate training level was considered essential. Conclusions: the importance assigned combines, with a higher score, the technical skill of conducting life support manoeuvres, the non-technical skill of a cooperative attitude with the team, and the demand for permanent training. Efficacy in performance demands training beyond Degree.

Referències bibliogràfiques

  • Aftyka A, Rudnicka-Droak E, Rybojad B. A comparison of ambulance responses to incidents of Medical Emergency Teams led by nurses and paramedics- A retrospective single-center study. Int. J. Nurs. Stud. 2014; 51(4):555-61.
  • Enfermeiros OD. Regulamento da Competência Acrescida Diferenciada em Emergência Extra-Hospitalar. Diário da República: 16 de abril de 2018. p. 10757-64.
  • Franco LFE, Perán MAN. Emergency Nursing in Spain. J. Emerg. Nurs. 2014; 40(6):627-8.
  • Medina Aragón FJ, Gallardo González R, Gómez Salgado J. La vía Máster Oficial para Enfermería de Urgencias, Emergencias y Cuidados Críticos. Emergencias. 2009; 21:283-6.
  • Reay G, Norris JM, Nowell L, Hayden KA, Yokom K, Lang ES, et al. Transition in Care from EMS Providers to Emergency Department Nurses: A Systematic Review. Prehospital Emergency Care. 2019; 1-13.
  • Nilsson J, Johansson S, Nordström G, Wilde-Larsson B. Development and Validation of the Ambulance Nurse Competence Scale. J. Emerg. Nurs. 2020; 46(1):34-43.
  • Galao Malo R. Enfermería de Práctica Avanzada en España: Ahora es el momento. Index Enferm. 2009; 18:221-3.
  • Goodman C, Morales Asensio JM. dlT-A. La contribución de la enfermera de Práctica Avanzada como respuesta a las necesidades cambiantes de salud de la población. Metas Enferm. 2013; 16(9):20-5.
  • Comellas-Oliva M. Construcción de la enfermera de práctica avanzada en Catalunya (España). Revista Brasileira de Enfermagem. 2016; 69:991-5.
  • Real Decreto 836/2012, de 25 de mayo, por el que se establecen las características técnicas, el equipamiento sanitario y la dotación de personal de los vehículos de transporte sanitario por carretera, Boletín Oficial del Estado (BOE), de 25 de mayo de 2012.
  • Bam V, Diji AK-A, Asante E, Lomotey AY, Adade P, Akyeampong BA. Self-assessed competencies of nurses at an emergency department in Ghana. Afr. J. Emerg. Med. 2020; 10(1):8-12.
  • Sjölin H, Lindström V, Hult H, Ringsted C, Kurland L. What an ambulance nurse needs to know: a content analysis of curricula in the specialist nursing programme in prehospital emergency care. Int Emerg Nurs. 2015 Apr; 23(2):127-32.
  • Wihlborg J, Edgren G, Johansson A, Sivberg B. The desired competence of the Swedish ambulance nurse according to the professionals- A Delphi study. Int Emerg Nurs. 2014; 22(3):127-33.
  • Nilsson T, Lindström V. Nursing students’ perceptions of learning nursing skills in the ambulance service. Nurse Educ. Pract. 2017; 24:1-5.
  • Andersson H, Kerstin N. Questioning Nursing Competences in Emergency Health Care. Journal of emergency nursing: JEN: official publication of the Emergency Department Nurses Association. 2009; 35(4):305-11.
  • McCarthy G, Cornally N, Mahoney CO, White G, Weathers E. Emergency nurses: Procedures performed and competence in practice. Int Emerg Nurs. 2013; 21(1):50-7.
  • Van den Berg B, Breuer J, van der Boon D, van de Lint L. Going Dutch: Emergency Nursing in the Netherlands. J. Emerg. Nurs. 2014; 40(5):500-4.
  • García-Menéndez M, Toranzo-Cepeda T. Enfermería de Urgencias (1): Pasado, presente y futuro de la enseñanza en Enfermería de urgencias y Emergencias. Emergencias. 2012; 24:332-4.
  • Axelsson C, Herrera MJ, Bång A. How the context of ambulance care influences learning to become a specialist ambulance nurse a Swedish perspective. Nurse Education Today. 2016; 37:8-14.
  • Arcos González P, Castro Delgado R, Martín Reyes D. Use of out-of-hospital emergency medical services in Spain. Emergencias. 2014; 26(1):13-8.
  • Andersson H, Sundstrom BW, Nilsson K, Jakobsson Ung E. Competencies in Swedish emergency departments- The practitioners’ and managers’ perspective. Int Emerg Nurs. 2014; 22(2):81-7.
  • Andersson H, Jakobsson E, Furåker C, Nilsson K. The everyday work at a Swedish emergency department - The practitioners’ perspective. Int Emerg Nurs. 2012; 20(2):58-68.
  • Griffin M, Melby V. Developing an advanced nurse practitioner service in emergency care: attitudes of nurses and doctors. J Adv Nurs. 2006; 56(3):292-301.
  • Sánchez-Bermejo R, Gorjón-Peramato E, Garví-García M, Morillo-Rodríguez J, Ávila-Martín G, Gómez-Urquiza JL. La perspectiva de la formación universitaria sobre la Enfermería de urgencias y emergencias: la opinión del alumnado. Metas Enferm. 2020; 23(3):16-23.
  • Oliveira AdSdS, Martins JCA. Ser enfermeiro em Suporte Imediato de Vida: Significado das Experiências. Revista de Enfermagem Referência. 2013; serIII:115-24.
  • Miranda FBG, Mazzo A, Alves Pereira-Junior G. Construction and validation of competency frameworks for the training of nurses in emergencies. Rev Latino-am Enfermagem. 2018; 26.
  • Ortega MdCB, Cecagno D, Llor AMS, Siqueira HCHd, Montesinos MJL, Soler LM. Academic training of nursing professionals and its relevance to the workplace. Rev Latino-am Enfermagem. 2015; 23:404-10.
  • Van Schuppen H, Bierens J. Understanding the prehospital physician controversy. Step 1: comparing competencies of ambulance nurses and prehospital physicians. Eur J Emerg Med 2011; 18(6):322-7.
  • Meretoja R, Leino-Kilpi H, Kaira A-M. Comparison of nurse competence in different hospital work environments. J Nurs Manag 2004; 12(5):329-36.
  • Carrillo Algarra AJ, García Serrano L, Yabrudy Wilches N, Cárdenas Orjuela CM, Díaz Sánchez IR. La filosofía de Patricia Benner y la práctica clínica. Enferm Global. 2013; 12(4).
  • Orden CIN/2134/2008, de 3 de julio, por la que se establecen los requisitos para la verificación de los títulos universitarios oficiales que habiliten para el ejercicio de la profesión de Enfermero. Pub. L. No. Boletín Oficial del Estado (BOE), núm. 174 de 3 de julio de 2008.
  • Oltra-Rodríguez E, Rich-Ruiz M, Orts-Cortés MI, Sánchez-López D, González-Carrión P. Competencias de investigación en las especialidades de Enfermería. Enferm Clin 2013; 23(5):225-30.
  • Orellana Yánez A, Paravic Klijn T. Enfermería basada en la evidencia: barreras y estrategias para su implementación. Ciencia y Enfermería. 2007; 13:17-24.
Fuente de los datos: Dialnet