Content area
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.
MethodsA 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.
ResultsThe 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.
DiscussionThe 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.
Details
Ambulances;
Continuing education;
Emergency medical care;
Experts;
Clinical training;
Communication;
Emergency services;
Professional development;
Clinical skills;
Questionnaires;
Core competencies;
Ethics;
Competence;
Feedback;
Nurses;
Leadership;
Clinical outcomes;
Clinical competence;
Patients;
Health care;
Professional training;
Clinical decision making;
Nursing care;
Delphi method;
Clinical nursing;
Ambulance services;
Medical personnel;
Paramedics;
Holistic nursing;
Interpersonal communication;
Health services;
Decision making;
Attitudes;
Ambulance service;
Nursing;
Medical decision making;
Educational programs
; Rocco Gennaro 1 ; Carrodano, Sara 1 ; Romano, Daniela 2 ; Lommi, Marzia 3
; Ivziku, Dhurata 4 ; Stievano, Alessandro 5 1 Center of Excellence for Nursing Scholarship, OPI, Rome, Italy
2 Regional Health Emergency Company, Rome, Italy
3 Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, University of Rome “La Sapienza” Rome, Italy
4 Department of Health Professions, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy
5 Clinical and Experimental Medicine, University of Messina, Messina, Italy