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Volume 18, Issue 1, Pages 3-7 (January 2010)


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Research plan for developing trauma core competencies for nurses in Thailand

Krongdai Unhasuta, RN, EdD (Assistant Professor)a1email address, Marylou V. Robinson, PhD, FNP (Assistant Professor)bCorresponding Author Informationemail address, Kathy Magilvy, PhD, FAAN (Professor, Associate Dean for Academic Programs, PhD Program Director)b

Received 26 May 2009; received in revised form 30 July 2009; accepted 11 August 2009.

Abstract 

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 α) 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.

a Surgical Nursing Department, Faculty of Nursing, Mahidol University, Bangkok 10700, Thailand

b College of Nursing, University of Colorado Denver, Aurora, CO, USA

Corresponding Author InformationCorresponding author. Address: University of Colorado Denver, Colorado, 13120 E. 19th Avenue, Mail Stop C288-19, Aurora, CO 80045, USA. Tel.: +1 303 724 8564; fax: +1 303 724 8559.

1 Tel.: +66 2 4197466 80x1755 6; fax: +66 2 4128415.

PII: S1755-599X(09)00055-X

doi:10.1016/j.ienj.2009.08.001


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