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                <text>International Emergency Nursing Vol. 61 March 2022&#13;
Self-reported clinical competence before entering advanced level training in acute and prehospital emergency care among registered nurses in Sweden</text>
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                <text>The goal of healthcare is to provide safe, high quality care, and this places nurses’ competence in focus since nurses represent the majority of&#13;
healthcare workers around the globe [1,2]. The clinical context of nursing is rapidly changing due to new medical advances and technologies [3] and an ageing population with complex and chronic comorbidities [4,5]. In addition, there has been a decrease in the length of hospital stay [3], an increased number of patients with acute diseases, and an increase of healthcare-associated infections [6]. These are all factors that increase the complexity of nursing within different clinical contexts especially when there are limited staff resources. Reports show that there is a shortage of nurses worldwide [1,2], and particularly&#13;
experienced nurses [3,7] and, in order to provide a high quality of care for patients with complex needs, clinical competence is crucial [8,9]. General clinical competence is described as “the ability to perform the task with desirable outcomes under the varied circumstances of the real world” [10]. To evaluate clinical competence is of great importance because quality of care and patient safety are all dependent on the nurse’s clinical competence [8,11,12]. However, there are limited knowledge of the clinical competence of registered nurses (RNs) in an increasingly complex healthcare context [13]. </text>
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                <text>Ann-Charlotte Falk , Veronica Lindstrom</text>
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                <text>Sri Wahyuni</text>
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                <text>International Emergency Nursing Vol. 61 March 2022</text>
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                <text>International Emergency Nursing Vol. 61 March 2022&#13;
Emergency trauma care during the COVID-19 pandemic: A phenomenological study of nurses’ experiences </text>
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                <text>Objective: This study aimed to explore nurses’ experiences in delivering emergency trauma care during the&#13;
COVID-19 pandemic at a level I trauma centre in Saudi Arabia.&#13;
Methods: A qualitative, descriptive phenomenological design was utilised, in which face-to-face, unstructured&#13;
interviews were carried out with emergency and trauma nurses at a level I trauma centre in Saudi Arabia. The study included nine registered emergency and trauma nurses who were interviewed twice from February to April 2021. The collected data were analysed using Colaizzi’s descriptive phenomenological method.&#13;
Results: The analysis of the data revealed an overarching theme that was about the inevitable change on the&#13;
ground due to the pandemic and two primary themes, each containing two subthemes: 1 dealing with an interrupted path of care; 1.1 experiencing additional complexity; 1.2 encountering extra demands; 2 optimising the path of care; 2.1 modifying the steps; and 2.2 transforming the system.&#13;
Conclusion: The COVID-19 pandemic imposed change on how trauma patients would be handled and treated. Nurses took an active and critical role in creating another form of change, which helped optimise the path of trauma care and accommodate urgent treatment needs of the injured patients. </text>
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                <text>Sri Wahyuni</text>
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                <text>International Emergency Nursing Vol. 61 March 2022</text>
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Editorial Board</text>
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