Australasian emergency care · 2026
Effect of a structured framework on Thai emergency nursing workforce capability: A quasi-experimental study.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Chuajedton Phornsawan, Suthipong Chittraphorn, Curtis Kate, Van Gulik Nantanit, Dhuvakham Warangkhana, Wiangosot Sophit, Pintatham Kriangsak, Shaban Ramon Z, Considine Julie
Аннотация
AIM: To examine the effect of the HIRAID™ Emergency Nursing Framework ((History including Infection risk, Red flags, Assessment, Interventions, Diagnostics, reassessment and communication) on emergency nursing workforce capability in a Thai emergency department (ED).
METHODS: In this quasi-experimental study, ED and observation unit nursing and medical staff were surveyed before and after HIRAID™ implementation at Chiangrai Prachanukroh Hospital, Thailand. Validated surveys were used to measure nurses' confidence in patient assessment and communication; nurses' satisfaction with nurse-to-nurse communication; medical staff satisfaction with nurse-to-doctor communication; and perceptions of the practice environment. Data were analysed using descriptive and inferential statistics.
RESULTS: Forty-nine nurses (49 pre/48 post: same sample) and 44 doctors (24 pre/20 post: different samples) completed the surveys. There were significant improvements in nurses' confidence in physical assessment, reassessment decisions, performing nursing handover, and nursing documentation. Nurses' satisfaction with nurse-to-nurse communication improved significantly across all measures, but medical staff satisfaction with nurse-to-doctor communication did not change. There were improved perceptions of resources, teamwork and respect for nursing.
CONCLUSION: The HIRAID™ Emergency Nursing Framework improved emergency nursing workforce capability, specifically nurses' confidence in assessment, reassessment decisions and communication; satisfaction with nurse-to-nurse communication, and perceptions of their practice environment.
METHODS: In this quasi-experimental study, ED and observation unit nursing and medical staff were surveyed before and after HIRAID™ implementation at Chiangrai Prachanukroh Hospital, Thailand. Validated surveys were used to measure nurses' confidence in patient assessment and communication; nurses' satisfaction with nurse-to-nurse communication; medical staff satisfaction with nurse-to-doctor communication; and perceptions of the practice environment. Data were analysed using descriptive and inferential statistics.
RESULTS: Forty-nine nurses (49 pre/48 post: same sample) and 44 doctors (24 pre/20 post: different samples) completed the surveys. There were significant improvements in nurses' confidence in physical assessment, reassessment decisions, performing nursing handover, and nursing documentation. Nurses' satisfaction with nurse-to-nurse communication improved significantly across all measures, but medical staff satisfaction with nurse-to-doctor communication did not change. There were improved perceptions of resources, teamwork and respect for nursing.
CONCLUSION: The HIRAID™ Emergency Nursing Framework improved emergency nursing workforce capability, specifically nurses' confidence in assessment, reassessment decisions and communication; satisfaction with nurse-to-nurse communication, and perceptions of their practice environment.