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

A structured framework improves clinical patient assessment and nontechnical skills of early career emergency nurses: a pre–post study using full immersion simulation

“…These outcomes extend previous reports that the application of the HIRAID assessment framework increased self‐efficacy and reduced anxiety, when conducting patient assessments in an immersive simulated setting (Munroe et al . ).…”

Optimising implementation of a patient‐assessment framework for emergency nurses: A mixed‐method study

“…Additional strategies within the educational intervention are also needed to enhance emergency nurses’ beliefs about the consequences of the intervention and their willingness to use it in their clinical practice. Emergency nurses may for example be persuaded to use the HIRAID assessment framework in their clinical practice, by informing them of existing evidence on the effectiveness of the HIRAID assessment framework in improving emergency nursing assessment in the simulated setting (Munroe, Buckley et al., ; Munroe, Curtis et al., ). The idea of needing to change nurses’ beliefs is supported by the transformative learning theory, which stipulates that to successfully engage clinicians and change their behaviours based on sound research knowledge, their attitudes and beliefs towards the proposed new knowledge must be learned, shaped and transformed (Matthew‐Maich, Ploeg, Jack, & Dobbins, ).…”

“…The application of the KTA Cycle in the present study is illustrated in Figure . The Knowledge Creation phase represents the development and testing of the HIRAID assessment framework in the simulated setting as previously reported (Munroe, Buckley et al., ; Munroe, Curtis et al., ). The Action Cycle displays how the HIRAID education workshop was devised to test the effects of the HIRAID assessment framework in the simulated setting and the methods used in this study to identify facilitators and barriers and select additional and/or alternate interventions to optimise future implementation of the framework into emergency nursing practice.…”

“…Following ethics approval from the relevant Human Research and Ethics Committee (HREC approval: LNR/13/WMEAD/44), in December 2013 emergency nurses were invited to participate in the study through an expression of interest placed in six New South Wales (NSW) Hospital EDs in Australia. Sample size and participant inclusion criteria were determined by outcomes measured in the studies conducted parallel to this mixed methods study with a primary quantitative drive (Munroe, Buckley et al., ; Munroe, Curtis et al., ). As the HIRAID assessment framework was originally devised to provide new nurses to the ED with a structured approach to patient assessment, Registered Nurses with <3 years post‐registration experience currently working in an emergency department were selected to participate.…”

“…This paper presents research conducted in parallel to the evaluation of HIRAID, which used full immersion simulation to evaluate the effect of HIRAID on emergency nursing practice (Munroe, Buckley et al., ; Munroe, Curtis et al., ). Education and application of the HIRAID assessment framework by early career emergency nurses was demonstrated to improve the quality of patient assessment (Munroe, Curtis et al., ), as well as reduce anxiety and increase self‐efficacy in assessment performance (Munroe, Buckley et al., ) which are closely associated with clinical performance (Cheung & Au, ; Hollingsworth & Ford‐Gilboe, ). These findings demonstrate the potential of this framework to improve the quality of emergency nursing assessments and subsequent patient care in the clinical setting.…”