Effects of Using Nursing Competency Program for Caring Trauma Fast Track Patients of Emergency Nurse in Emergency Department

Abstract

Background: Trauma Fast Track (TFT) patients is a group that needs to receive treatment and care quickly and correctly. Emergency nurses (EN) must be competency in caring for TFT to ensure patient safety and reduce potential complications. Objective: To study the results of using the nursing competency program for caring TFT in emergency department. Method: It was a quasi experimental research design (one group pre posttest designs). The samples consisted of 31 ENs and 33 TFTs from January April 2024. The questionnaire for nurses comprised 3 parts: 1) demographic information 2) knowledge questionnaire for caring TFT was performed with Cranbreh's alpha value of .81, and 3) nurses practice questionnaire for caring TFT was performed with Cranbreh's alpha value of .78. Result: The results were found that most nurses were female, 28 cases (90.3%), age between 22-25 years old with average age of 31.7 years. The most common causes of TFT were traffic accidents 16 cases (48.1%) Body assault, 11 cases (33.4%), and 6 cases were falls (18.5%). Knowledge scores before and after implementing were shown mean 21.48, 28.58 respectively and practice scores before and after implementing were shown mean 32.87, 45.00 respectively. The comparison of knowledge score results revealed t = 12.607 (df) = 30 and p-value < .001 and practice results revealed t = 7.592 (df) = 30 and p-value < .001. Therefore, it could be concluded that the level of knowledge scores and practice scores after program implementation were higher than the knowledge scores and practice scores before using the program were statistically significant higher p = .01. Conclusion: This nursing competency program could increase the ENs'knowledge and practice.