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Designing a standardised emergency nurse career pathway for use across rural, regional and metropolitan New South Wales, Australia: A consensus process
Journal article   Open access   Peer reviewed

Designing a standardised emergency nurse career pathway for use across rural, regional and metropolitan New South Wales, Australia: A consensus process

Kate Curtis, Margaret Murphy, Sarah Kourouche, Dot Hughes, Louise Casey, Julie Gawthorne, Saartje Berendsen-Russell, Tracey Couttie, Donna Skelly, Noelene Williams, …
Australasian emergency care, Vol.27(3), pp.198-206
01/09/2024
DOI: https://doi.org/10.1016/j.auec.2024.03.002
PMID: 38538382
Appears in  Recent Faculty of Health Publications
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Abstract

Emergency nursing Emergency service Hospital Education Professional Staff development Nursing Advanced practice nursing Career progression Behaviour change Acute care Clinical health not elsewhere classified
Background Emergency nurses are the first clinicians to see patients in the ED; their practice is fundamental to patient safety. To reduce clinical variation and increase the safety and quality of emergency nursing care, we developed a standardised consensus-based emergency nurse career pathway for use across Australian rural, regional, and metropolitan New South Wales (NSW) emergency departments. Methods An analysis of career pathways from six health services, the College for Emergency Nursing Australasia, and NSW Ministry of Health was conducted. Using a consensus process, a 15-member expert panel developed the pathway and determined the education needs for pathway progression over six face-to-face meetings from May to August 2023. Results An eight-step pathway outlining nurse progression through models of care related to different ED clinical areas with a minimum 172 h protected face-to-face and 8 h online education is required to progress from novice to expert. Progression corresponds with increasing levels of complexity, decision making and clinical skills, aligned with Benner’s novice to expert theory. Conclusion A standardised career pathway with minimum 180 h would enable a consistent approach to emergency nursing training and enable nurses to work to their full scope of practice. This will facilitate transferability of emergency nursing skills across jurisdictions.

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