Which Procedures Do Emergency Nurses Do Except for Their Duties and Authority and Why?
Abstract
Objective: The study was carried out in order to determine the situation of emergency department nurses performing medical practices that fall beyond their job description.
Method: The current study was completed with 250 emergency department nurses. In the study, the data were collected by sharing the online data collection form developed by the researchers using the Google Drive program on the social networking sites of the Turkish Nurses Association and the Turkish Surgical Nurses Association.
Results: Almost all of the participants (99.2%) stated that they have been doing some medical procedures that fall beyond their job description. It was determined that 90.4% of emergency nurses applied suturization and 84.4% applied plaster-splint. Approximately 1/3 of the participants did not state any reason for emergency department nurses performing medical procedures outside of their job description, while approximately 1/3 indicated the lack of physician as the reason. Majority of the emergency department nurses (60.8%) stated that they were partially confident in performing medical practices that fall beyond their job description. The emergency department nurses participating in the study stated that if they refused to perform some medical procedures that are not included in their job descriptions, they received backlash from the physicians (78.0%), and the hospital management (67.6%).
Conclusion: Emergency department nurses perform some medical procedures that fall beyond their job description and consider this to be an important problem. For the solution of this problem, further studies investigating the subject with all its dimensions on a large sample are needed.
Keywords
Emergency nursing, emergency department, duty, nursing practice, authority
Supporting Institution
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Thanks
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