The impact of HIRAID on emergency nurses' self-efficacy, XXXX and perceived control: A simulated study.

@entity1 @entity148
INTRODUCTION: Emergency nurses must perform accurate and complete comprehensive @entity1 assessments to establish @entity1 treatment needs and expedite care. AIM: To evaluate the impact of a structured approach to emergency nursing assessment following triage, on novice emergency nurses' @entity148 , self-efficacy and perceptions of control. METHODS: Thirty eight early career emergency nurses from five Australian hospitals performed an initial @entity1 assessment in an immersive clinical simulated scenario, before and after undertaking training in HIRAID, an evidence-informed @entity1 assessment framework for emergency nurses. Immediately following each scenario the nurses completed a questionnaire scoring @entity148 , self-efficacy and perceptions of control levels. Paired sample t-tests and effect sizes were calculated. RESULTS: @entity1 @entity148 levels were lower after HIRAID training compared to before undertaking the training (Mean (SD)   =   53.26 (10.76) vs 47.46 (9.96), P   =   0.002). Self-efficacy levels in assessment performance increased (189.32 (66.48) vs 214.06 (51.35), P   =   0.001). There was no change in perceptions of control (31.24 (7.38) vs 30.98 (8.38), P   =   0.829). DISCUSSION: High levels of @entity148 and low levels of self-efficacy are known to be negatively correlated with clinical reasoning skills and performance. CONCLUSION: The effect of HIRAID training on reducing @entity148 and increasing self-efficacy has the potential to improve emergency nurses' assessment performance and the quality and safety of @entity1 care.
