Activities and interventions in A&E Departments Sample Clauses

Activities and interventions in A&E Departments. When considering A&E nursing, ten studies (Table 2.2) investigated nursing activities and interventions (Xxxxx & Xxxxxxxx 1993, Xxxxxx & Xxxxxx 1993, Xxxxxxxxxxxxx et al 1998, Xxxx & Xxxxxxx 2000, Xxxx 2001, Xxxxxxxxx 2004, Xxxxxxx et al 2005, Xxxxxxxxx et al 2012, XxXxxxxx et al 2013, Xxxxxxx 2013). Firstly, Xxxxx & Xxxxxxxx (1993) reported activities and interventions using non- participant observation and a convenience sample of RNs (n=11). The data collection tool used included 41 activities specific to A&E nursing and were categorised into four main headings; (1) practice (2) assessment (3) education, and (4) research. The study concluded that the activities associated with patient “assessment” were the most frequently observed activities and included; verbal communication (110 observations), documentation (104 observations) and nursing assessment (87 observations). However, the sample size used in this study was small and specific to a large trauma centre in the United States, making it difficult to generalise or transfer to children’s A&E nursing within the UK. Additionally, this study did not distinguish those activities specific to the care of children and was also undertaken over 20 years ago, suggesting that the application of these findings to A&E nursing today would be impractical due to the many changes which have occurred with advanced nursing roles and new healthcare initiatives (Xxxxxxx & Xxxxx 2005). In contrast, Xxxxxx & Xxxxxx (1993) acknowledged the need to evaluate the skills and competencies required when caring for children in A&E Departments and how these differ to those necessary when caring for adult patients. The findings were not dissimilar to concerns reported by the RCPCH and RCN (2010); for example, there was recognition that pre-registration nurse training did not equip RNs with the necessary skills to care for children in A&E Departments. Although, this study did include a list of 47 skills associated with nursing, the main aim of the study was to measure nurses’ perception of self-efficacy in undertaking common skills in preference to distinguishing those most important when caring for children in A&E Departments. The activities of A&E nurses were also investigated by Xxxxxxxxxxxxx et al (1998) using a convenience sample of RNs (n=17) and non-participant observation. The researchers found that nurses spent more time undertaking indirect care activities (e.g. charting) compared to direct care activities (e.g. history and p...
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