Emergency nurses’ perceptions of the utility, adaptability and feasibility of
the emergency nursing framework HIRAIDTM for practice change in US: An
exploratory study
Dublin Core
Title
Emergency nurses’ perceptions of the utility, adaptability and feasibility of
the emergency nursing framework HIRAIDTM for practice change in US: An
exploratory study
the emergency nursing framework HIRAIDTM for practice change in US: An
exploratory study
Subject
Emergency nursing
Patient assessment
Education
Nursing
Patient outcomes
Implementation
Patient assessment
Education
Nursing
Patient outcomes
Implementation
Description
Background: Patient assessment is a core component of nursing practice and underpins safe, high-quality patient
care. HIRAIDTM
, an evidence-informed emergency nursing framework, provides nurses with a structured
approach to patient assessment and management post triage. In Australia, HIRAIDTM resulted in significant
improvements to nurse-led communication and reduced adverse patient events.
Objectives: First, to explore United States (US) emergency nurses’ perceptions of the evidence-informed emergency nursing framework, HIRAIDTM; second, to determine factors that would influence the feasibility and
adaptability of HIRAIDTM into nursing clinical practice in EDs within the US.
Methods: A cross-sectional cohort study using a survey method with a convenience sample was conducted. A 4-hour
workshop introduced the HIRAIDTM framework and supporting evidence at the Emergency Nurses Association’s
(ENA) conference, Emergency Nursing 2022. Surveys were tested for face validity and collected information on
nurse-nurse communication, self-efficacy, the practice environment and feedback on the HIRAIDTM framework.
Results: The workshop was attended by 48 emergency nurses from 17 US States and four countries. Most respondents reported that all emergency nurses should use the same standardised approach in the assessment of
patients. However, the greatest barriers to change were a lack of staff and support from management. The most
likely interventions reported to enable change were face-to-face education, the opportunity to ask questions and
support in the clinical environment.
Conclusion: HIRAIDTM is an acceptable and suitable emergency nursing framework for consideration in the US.
Successful uptake will depend on training methods and organizational support. HIRAIDTM training should
incorporate face-to-face interactive workshops.
care. HIRAIDTM
, an evidence-informed emergency nursing framework, provides nurses with a structured
approach to patient assessment and management post triage. In Australia, HIRAIDTM resulted in significant
improvements to nurse-led communication and reduced adverse patient events.
Objectives: First, to explore United States (US) emergency nurses’ perceptions of the evidence-informed emergency nursing framework, HIRAIDTM; second, to determine factors that would influence the feasibility and
adaptability of HIRAIDTM into nursing clinical practice in EDs within the US.
Methods: A cross-sectional cohort study using a survey method with a convenience sample was conducted. A 4-hour
workshop introduced the HIRAIDTM framework and supporting evidence at the Emergency Nurses Association’s
(ENA) conference, Emergency Nursing 2022. Surveys were tested for face validity and collected information on
nurse-nurse communication, self-efficacy, the practice environment and feedback on the HIRAIDTM framework.
Results: The workshop was attended by 48 emergency nurses from 17 US States and four countries. Most respondents reported that all emergency nurses should use the same standardised approach in the assessment of
patients. However, the greatest barriers to change were a lack of staff and support from management. The most
likely interventions reported to enable change were face-to-face education, the opportunity to ask questions and
support in the clinical environment.
Conclusion: HIRAIDTM is an acceptable and suitable emergency nursing framework for consideration in the US.
Successful uptake will depend on training methods and organizational support. HIRAIDTM training should
incorporate face-to-face interactive workshops.
Creator
Kate Curtis a,b,*
, Margaret Fry c,d
, Ramon Z. Shaban e,f,g
, Lisa Wolf h,i
, Altair Delao j
,
Monica Escalante Kolbuk k
, Belinda Kennedy l
, Julie Considine m
, Margaret Fry c,d
, Ramon Z. Shaban e,f,g
, Lisa Wolf h,i
, Altair Delao j
,
Monica Escalante Kolbuk k
, Belinda Kennedy l
, Julie Considine m
Source
https://pdf.sciencedirectassets.com/276922/1-s2.0-S1755599X23X00068/1-s2.0-S1755599X23001167/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjEJr%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJGMEQCIFY%2BDBN1fP%2F5yRWMenwjq1kWNtX8ac1%2BV3m8xLyaUluaAiBUOun9wHCJpw6CM9Odz1choXGWlkiTH2Gj%2BeizAgnFXyq8BQiC%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F8BEAUaDDA1OTAwMzU0Njg2NSIMOH8sDYDfH9LGRLp4KpAFF1emE3Fq6Gy0tv0t1FvscDEwoZ%2FJgESQekhwR88V%2Ba%2B7T7%2BipN%2FFNJHCtm1UFID89EKWZ6nIF5K8huOdDLziWBM6xT%2FqPK21r9uQOqKs6Z6q3HQChVtlrhFeGNb0YQxu3yCiHFWvnjJhdpIGooZX5yK1I0luc%2BKNP2FopcLMGhNdVIvwelH2ewvSv04HSYZUtl9m4CBJkUqecErXNSOzBb8c6wIh0H7D%2FPCNbYDm4D%2Bk3HAD4bMebtTRBuKPU0oTOVSs%2BS%2Bs2agJ4yCedjfu8Dma5mUWCZqzCKw8Bp20LSu07t9V5JoEqWHpw2gmsmMZcnotcme23eXbONFBW%2BZrE969xkZl3FiUXB4DYIzg%2Fomztua8eoTnawsg3KBbNLW7WsHmYU0u%2B7gpR98YR2hJffVk5sk%2Fu6ifcm3QmQSNwh%2Bebrx67KR%2B1I5eitW4wBNDJtM6u5XB1If9%2BuVwxBZNoPaxe6VNbRas2ujZs7Hkp47CQXiQUEFdqUEtifof3RAVF%2FI5vre0pY9lj4%2B89CkgSMx5fqm%2BurSU1nWLcS%2BBLOPBMiZ89Y5yp17mmF26wcXSvror8oBQil56eqyy2o1UCg7tNt39wiN5zLGQIhCYe6noGY9HsUYgpWnYoI9B0ZwIrpv5%2BPh9%2Bf%2BLSoHH7qwsE1Oh7AqAn1EIhx4T0zpdRTInnIIX%2BqcQTDLFhwh9ZzO0YqgWSNnCynb5TGxD9OjApreRFlNJB%2FXjF3LdNMZWMv3ELoN21RSQ%2B42gm8isW5zbvzZTqVCkdAmR7fPhwhkSEwR%2BDB70UooLdvOrW6c7niZy2Ij01nbd4R7cvcgWTU0wuoJbNkl7Oq7at1hXprmehlufpO68%2FTSMSGwUl4Jc4gww%2F6TIwgY6sgHT%2BOXRb9YQG2hvkIBIiQrILFkW8emOgNevPqrMfVsLMY%2F4JrrzRgXkJuKNER5PirzgfnqL5yY3GllNBzsnw%2B26xskXJff%2FhLM%2FmhyKvZAh%2F%2BjRldW%2BzDZveruRm5sGIS3tfwiu1hyv3h6ELmnzvJTOoY3roHgpk0VBgXmQRki02lDF1u0xKZVRcL6mPlwBt09hxxb1fYdU6qvBIC%2BRtmGT8JsWPUWdqSApq86RaAzUMuKz&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20250618T022932Z&X-Amz-SignedHeaders=host&X-Amz-Expires=300&X-Amz-Credential=ASIAQ3PHCVTYY6F5ONEK%2F20250618%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=e2989aa67b4745bcb28745917ae1ef55268efaf41c9d93c3752f51c59a6b66a2&hash=1bc58d014d2c896589fe861fa741a9cb64e0235e870eb2cd5b1f1708d3070c1a&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S1755599X23001167&tid=spdf-c93f60e3-c5fa-402b-b6f0-f41405411f24&sid=14b8a1eb7498d34787591540b87a02ee8336gxrqb&type=client&tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&rh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&ua=13025d5355575207525852&rr=95175c081a24b5db&cc=id
Publisher
a Emergency and Trauma Nursing RC Mills Building, Susan Wakil School of Nursing, Faculty of Medicine and Health, University of Sydney, Camperdown, NSW 2006,
Australia
b Emergency Services, Illawarra Shoalhaven Local Health District, Wollongong Hospital, Crown St, Wollongong, NSW, Australia c Emergency and Critical Care, Conjoint Clinical Chair, Northern Sydney Local Health District, Australia d University of Technology Sydney Faculty of Health School of Nursing and Midwifery, PO Box 123 Broadway, NSW 2007, Australia e Communicable Diseases Control and Infection Prevention, Sydney Institute for Infectious Diseases and Susan Wakil School of Nursing and Midwifery, Faculty of
Medicine and Health, University of Sydney, Camperdown, NSW 2006, Australia f Communicable Diseases Control, Public Health Unit, Centre for Population Health. Director and Chief Infection Control Practitioner Western Sydney LHD, Building 68, 5
Fleet Street, North Parramatta, NSW 2151, Australia g New South Wales Biocontainment Centre, Australia h Emergency Nursing Research, Emergency Nurses Association, Schaumburg, IL, USA i Elaine Marieb College of Nursing, University of Massachusetts, Amherst, MA, USA j Research, Emergency Nurses Association, 930 Woodfield Rd., Schaumburg, IL 60173, USA k Novice Nurse Education Programs, Emergency Nurses Association, 930 E. Woodfield Road, Schaumburg, IL 60173, USA l The University of Sydney, Rm 169, RC Mills, Camperdown, NSW 2006, Australia m Chair in Nursing (Eastern Health), Deakin University, 1 Gheringhap Street, Geelong, Victoria 3220, Australia
Australia
b Emergency Services, Illawarra Shoalhaven Local Health District, Wollongong Hospital, Crown St, Wollongong, NSW, Australia c Emergency and Critical Care, Conjoint Clinical Chair, Northern Sydney Local Health District, Australia d University of Technology Sydney Faculty of Health School of Nursing and Midwifery, PO Box 123 Broadway, NSW 2007, Australia e Communicable Diseases Control and Infection Prevention, Sydney Institute for Infectious Diseases and Susan Wakil School of Nursing and Midwifery, Faculty of
Medicine and Health, University of Sydney, Camperdown, NSW 2006, Australia f Communicable Diseases Control, Public Health Unit, Centre for Population Health. Director and Chief Infection Control Practitioner Western Sydney LHD, Building 68, 5
Fleet Street, North Parramatta, NSW 2151, Australia g New South Wales Biocontainment Centre, Australia h Emergency Nursing Research, Emergency Nurses Association, Schaumburg, IL, USA i Elaine Marieb College of Nursing, University of Massachusetts, Amherst, MA, USA j Research, Emergency Nurses Association, 930 Woodfield Rd., Schaumburg, IL 60173, USA k Novice Nurse Education Programs, Emergency Nurses Association, 930 E. Woodfield Road, Schaumburg, IL 60173, USA l The University of Sydney, Rm 169, RC Mills, Camperdown, NSW 2006, Australia m Chair in Nursing (Eastern Health), Deakin University, 1 Gheringhap Street, Geelong, Victoria 3220, Australia
Date
17 oktober 2023
Contributor
Fajar bagus W
Format
PDF
Language
English
Type
Text
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https://pdf.sciencedirectassets.com/276922/1-s2.0-S1755599X23X00068/1-s2.0-S1755599X23001167/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjEJr%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJGMEQCIFY%2BDBN1fP%2F5yRWMenwjq1kWNtX8ac1%2BV3m8xLyaUluaAiBUOun9wHCJpw6CM9Odz1choXGWlkiTH2Gj%2BeizAgnFXyq8BQiC%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F8BEAUaDDA1OTAwMzU0Njg2NSIMOH8sDYDfH9LGRLp4KpAFF1emE3Fq6Gy0tv0t1FvscDEwoZ%2FJgESQekhwR88V%2Ba%2B7T7%2BipN%2FFNJHCtm1UFID89EKWZ6nIF5K8huOdDLziWBM6xT%2FqPK21r9uQOqKs6Z6q3HQChVtlrhFeGNb0YQxu3yCiHFWvnjJhdpIGooZX5yK1I0luc%2BKNP2FopcLMGhNdVIvwelH2ewvSv04HSYZUtl9m4CBJkUqecErXNSOzBb8c6wIh0H7D%2FPCNbYDm4D%2Bk3HAD4bMebtTRBuKPU0oTOVSs%2BS%2Bs2agJ4yCedjfu8Dma5mUWCZqzCKw8Bp20LSu07t9V5JoEqWHpw2gmsmMZcnotcme23eXbONFBW%2BZrE969xkZl3FiUXB4DYIzg%2Fomztua8eoTnawsg3KBbNLW7WsHmYU0u%2B7gpR98YR2hJffVk5sk%2Fu6ifcm3QmQSNwh%2Bebrx67KR%2B1I5eitW4wBNDJtM6u5XB1If9%2BuVwxBZNoPaxe6VNbRas2ujZs7Hkp47CQXiQUEFdqUEtifof3RAVF%2FI5vre0pY9lj4%2B89CkgSMx5fqm%2BurSU1nWLcS%2BBLOPBMiZ89Y5yp17mmF26wcXSvror8oBQil56eqyy2o1UCg7tNt39wiN5zLGQIhCYe6noGY9HsUYgpWnYoI9B0ZwIrpv5%2BPh9%2Bf%2BLSoHH7qwsE1Oh7AqAn1EIhx4T0zpdRTInnIIX%2BqcQTDLFhwh9ZzO0YqgWSNnCynb5TGxD9OjApreRFlNJB%2FXjF3LdNMZWMv3ELoN21RSQ%2B42gm8isW5zbvzZTqVCkdAmR7fPhwhkSEwR%2BDB70UooLdvOrW6c7niZy2Ij01nbd4R7cvcgWTU0wuoJbNkl7Oq7at1hXprmehlufpO68%2FTSMSGwUl4Jc4gww%2F6TIwgY6sgHT%2BOXRb9YQG2hvkIBIiQrILFkW8emOgNevPqrMfVsLMY%2F4JrrzRgXkJuKNER5PirzgfnqL5yY3GllNBzsnw%2B26xskXJff%2FhLM%2FmhyKvZAh%2F%2BjRldW%2BzDZveruRm5sGIS3tfwiu1hyv3h6ELmnzvJTOoY3roHgpk0VBgXmQRki02lDF1u0xKZVRcL6mPlwBt09hxxb1fYdU6qvBIC%2BRtmGT8JsWPUWdqSApq86RaAzUMuKz&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20250618T022932Z&X-Amz-SignedHeaders=host&X-Amz-Expires=300&X-Amz-Credential=ASIAQ3PHCVTYY6F5ONEK%2F20250618%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=e2989aa67b4745bcb28745917ae1ef55268efaf41c9d93c3752f51c59a6b66a2&hash=1bc58d014d2c896589fe861fa741a9cb64e0235e870eb2cd5b1f1708d3070c1a&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S1755599X23001167&tid=spdf-c93f60e3-c5fa-402b-b6f0-f41405411f24&sid=14b8a1eb7498d34787591540b87a02ee8336gxrqb&type=client&tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&rh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&ua=13025d5355575207525852&rr=95175c081a24b5db&cc=id
Citation
Kate Curtis a,b,*
, Margaret Fry c,d
, Ramon Z. Shaban e,f,g
, Lisa Wolf h,i
, Altair Delao j
,
Monica Escalante Kolbuk k
, Belinda Kennedy l
, Julie Considine m, “Emergency nurses’ perceptions of the utility, adaptability and feasibility of
the emergency nursing framework HIRAIDTM for practice change in US: An
exploratory study,” Repository Horizon University Indonesia, accessed June 24, 2025, https://repository.horizon.ac.id/items/show/9543.
the emergency nursing framework HIRAIDTM for practice change in US: An
exploratory study,” Repository Horizon University Indonesia, accessed June 24, 2025, https://repository.horizon.ac.id/items/show/9543.