The Survey of Performance and Relationship with Clinical Competency and Attitudes towards Professional Role Expansion of Emergency Nurses in Hospitals of East Azarbaijan Province 1393

Abstract

Abstract: Background: Emergency Nurses play an important role in the recognition and management of critically ill patients, so there competence in doing many of skills are crucial.in The performance review process, skills and nursing activities were assessed and strengths points and weaknesses, and improvement opportunities and progress his skills are identified. The aim of this study was to evaluate Performance, and relationship clinical competence and attitude towards expanding the professional role of emergency nurses in East Azarbaijan province. Methods: his is a descriptive study, sampling method was convenience and 450 questionnaires were distributed at 30 hospitals in East Azarbaijan province of Iran. The frequency of use of the skills and clinical competence and attitude toward expanding the role of nursing volunteers in the study were examined. Tools used in a three-part questionnaire that included demographic, the frequency of using performance and corresponding clinical competence level at 96 emergency nursing procedures in 5 domains, , respectively, based on a scale Likert 4 rank and the VAS (Visual Analogue Scale)and attitude to expand the professional role in 18-item Likert-scale 5. Data were analyzed with software SPSS 14V, descriptive, analysis statistics and Pearson correlation coefficient. The answers to the question, % 70 (319) was achieved. Results: Emergency nurses were engaged with a wide range of functions and in category of organization , workload competencies, diagnostic function and the helping role, with an average of 3/43±0/76, 3/25 ±0/82 and 3/17 ± 0/83 highest performing Performance Reported .and there clinical competence level valuated in this 3 field is very good. In the area of management situations and therapeutic intervention with an average of 2/ 7±0/94 and 2/6 ±0/97 had the lowest frequency of practice and level of clinical competence in these areas good. In reviewing items with in therapeutic intervention , insert chest tube, advanced airway management, in management situations , safety management at birth emergency child, use of pacemakers, in the area of diagnostic function items heart heard sounds, interpretation of ECG the lowest performance and the lowest level of competence reported. The most frequency of use in the area of therapeutic interventions and management situation in the care of trauma patients and the venous line insert. Participants were agreed to extend their professional roles (2.13 ± 0.92). A positive correlation between the perceived level of clinical competence and perform functions using Pearson correlation was found (r= 0.651 p = 0 <01). Conclusion: Due to the use of performance, nurses in emergency departments in East Azerbaijan province, reported the total clinical competencies in good level. Awareness training professionals in nursing from the clinical competence of nurses in emergencies, valuable information for the design of effective programs, and finally, improve the quality of nursing care provides, especially in the areas of management situations and therapeutic interventions that frequency of performance and level of competency was lower .