2.50
Hdl Handle:
http://hdl.handle.net/10755/162761
Type:
Presentation
Title:
Development of a Trauma Competency Assessment Tool
Abstract:
Development of a Trauma Competency Assessment Tool
Conference Sponsor:Emergency Nurses Association
Conference Year:2000
Author:Rea, Ruth, PhD, RN, C
P.I. Institution Name:University of Washington, Tacoma
Contact Address:1616 63rd Ave NE, Tacoma, WA, 98422, USA
Contact Telephone:(252) 692-5674
Co-Authors:Ruth E. Rea
Purpose: The purpose of this study was the development of a self-assessment tool identifying competencies which in practice could quickly identify knowledge deficits to be addressed by targeted interventions. The study's competency framework included domains of experience, professional activities, life-long learning, and education.

Design: A descriptive study was conducted using a two-part survey.

Setting: Two urban emergency departments participated: one which had been a Level II trauma center and had some experienced trauma nurses from its days of trauma designation ("Experienced ED") and a second one which had never been a trauma center and had mostly nurses who did not have trauma experience ("Inexperienced ED").

Sample: All nurses working at both EDs (N-86) were invited to participate. Return rate was 66.2% with 31 from the "Inexperienced ED" and 26 from the "Experienced ED". 16.1 % of nurses in the "Inexperienced ED" had <2 years of nursing experience, 40.0% had <2 years emergency experience and 48.3% <2 years trauma experience. In contrast, only 3.8% of nurses in the "Experienced ED" had <2 years of nursing experience, only 3.8% had <2 years emergency experience and only 16.0% had <2 years trauma experience.

Methodology: Surveys were distributed to all nurses in both EDs. Part I collected demographic information and framework-domain information. Part II consisted of 119 trauma-nursing tasks in 11 body-system groups for which nurses self-reported current skill levels using Benner's Novice-Expert steps in a five-point Likert scale (l=novice, 3=competent, 5=expert). Trauma Items were extracted from 343 skills previously verified by a national sample as relevant to emergency-nursing competencies.

Findings: In addition to the national verification, five trauma nursing experts provided content validity for the extracted trauma competencies and internal-consistency reliability was .99. Sixty-two tasks (52%) were scored less than competent by at least 10% of the Inexperienced ED nurses compared to 42 tasks (35%) by Experienced ED nurses. For 30 tasks selected as most critical to trauma care, less-than-competent scores by Inexperienced ED nurses ranged from 29.8%-58% compared to 11.5%-48% by Experienced ED nurses. The EDs differed significantly on overall mean competency scores (p=.045).

Conclusions: In addition to content validity provided by the expert panel, this study of the Trauma Assessment Tool demonstrated that nurses self-report competency levels along the novice-expert range, consistent with nursing/trauma experience levels. This tool potentially provides quick, easy-to-do assessment identifying targeted education and clinical interventions. Future analysis will focus on the impact of the framework's other domains. [Research Paper Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDevelopment of a Trauma Competency Assessment Toolen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162761-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development of a Trauma Competency Assessment Tool</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2000</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Rea, Ruth, PhD, RN, C</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Washington, Tacoma</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1616 63rd Ave NE, Tacoma, WA, 98422, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(252) 692-5674</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rrea@u.washington.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Ruth E. Rea</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The purpose of this study was the development of a self-assessment tool identifying competencies which in practice could quickly identify knowledge deficits to be addressed by targeted interventions. The study's competency framework included domains of experience, professional activities, life-long learning, and education.<br/><br/>Design: A descriptive study was conducted using a two-part survey.<br/><br/>Setting: Two urban emergency departments participated: one which had been a Level II trauma center and had some experienced trauma nurses from its days of trauma designation (&quot;Experienced ED&quot;) and a second one which had never been a trauma center and had mostly nurses who did not have trauma experience (&quot;Inexperienced ED&quot;).<br/><br/>Sample: All nurses working at both EDs (N-86) were invited to participate. Return rate was 66.2% with 31 from the &quot;Inexperienced ED&quot; and 26 from the &quot;Experienced ED&quot;. 16.1 % of nurses in the &quot;Inexperienced ED&quot; had &lt;2 years of nursing experience, 40.0% had &lt;2 years emergency experience and 48.3% &lt;2 years trauma experience. In contrast, only 3.8% of nurses in the &quot;Experienced ED&quot; had &lt;2 years of nursing experience, only 3.8% had &lt;2 years emergency experience and only 16.0% had &lt;2 years trauma experience.<br/><br/>Methodology: Surveys were distributed to all nurses in both EDs. Part I collected demographic information and framework-domain information. Part II consisted of 119 trauma-nursing tasks in 11 body-system groups for which nurses self-reported current skill levels using Benner's Novice-Expert steps in a five-point Likert scale (l=novice, 3=competent, 5=expert). Trauma Items were extracted from 343 skills previously verified by a national sample as relevant to emergency-nursing competencies.<br/><br/>Findings: In addition to the national verification, five trauma nursing experts provided content validity for the extracted trauma competencies and internal-consistency reliability was .99. Sixty-two tasks (52%) were scored less than competent by at least 10% of the Inexperienced ED nurses compared to 42 tasks (35%) by Experienced ED nurses. For 30 tasks selected as most critical to trauma care, less-than-competent scores by Inexperienced ED nurses ranged from 29.8%-58% compared to 11.5%-48% by Experienced ED nurses. The EDs differed significantly on overall mean competency scores (p=.045).<br/><br/>Conclusions: In addition to content validity provided by the expert panel, this study of the Trauma Assessment Tool demonstrated that nurses self-report competency levels along the novice-expert range, consistent with nursing/trauma experience levels. This tool potentially provides quick, easy-to-do assessment identifying targeted education and clinical interventions. Future analysis will focus on the impact of the framework's other domains. [Research Paper Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:33:41Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:33:41Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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