Research plan for developing trauma core competencies for nurses in Thailand.
The aim of this research plan was identification and development of core competencies for emergency trauma nurses in Thailand. The research plan was undertaken in three phases. Phase I: a national survey of the critical dimensions of care; Phase II: development of a 64 item tool; and Phase III: efficiency study with emergency nurses representing Level-1, Regional, Community and Rural facilities. Six dimensions of competency were identified: cooperation, decision-making, leadership, problem-solving, teamwork, and technical knowledge with a content validity index (CVI) of 1.00 and internal consistency (Cronbach's alpha) of 0.98 (N=485 RNs in 29 hospitals). Analysis of the first year pilot study data using a 5 point likert scale (N=285 RNs in 16 hospitals), nurses rated themselves as 4.18 (SD=0.69) and their peers at 4.00 (SD=0.68). Head nurse evaluations averaged 3.98 (SD=0.55). ANOVA demonstrated no statistical significance (p=0.09) between groups. The results of the preliminary studies demonstrated appropriateness of the core competency items, but refinement is required prior to national distribution.
Unhasuta
Krongdai
K
Surgical Nursing Department, Faculty of Nursing, Mahidol University, Bangkok, Thailand. nskuh@mahidol.ac.th
Robinson
Marylou V
MV
Magilvy
Kathy
K
D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D004509:Education, Nursing, Continuing / Q000458:organization & administration*; D004521:Educational Measurement; D016529:Emergency Nursing / Q000193:education / Q000458:organization & administration; D004650:Employee Performance Appraisal; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020380:Needs Assessment / Q000458:organization & administration; D024802:Nurse's Role / Q000523:psychology; D015402:Nursing Education Research; D015403:Nursing Evaluation Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology; D010865:Pilot Projects; D012647:Self-Assessment; D011795:Surveys and Questionnaires; D013785:Thailand / Q000453:epidemiology; D014194:Traumatology / Q000193:education / Q000458:organization & administration; D014947:Wounds and Injuries / Q000453:epidemiology / Q000451:nursing