Developing an integrated career and competence framework for whole systems approach to urgent and emergency care delivery

Journal article

Martin, A. and Manley, K. 2019. Developing an integrated career and competence framework for whole systems approach to urgent and emergency care delivery. International Emergency Nursing. https://doi.org/10.1016/j.ienj.2019.06.007
AuthorsMartin, A. and Manley, K.
Abstract

Background:
The impact of crowding in emergency departments on patient safety, staff wellbeing, residents’ education and performance of the wider healthcare systems is a global concern. Attention to whole systems healthcare strategies to improve service efficiency is growing, but staff are not well prepared to deliver care across organizational boundaries. Our study aimed to develop an integrated career and competence framework for whole systems urgent and emergency care.

Methods:
We used mixed methods underpinned by a sequential exploratory design to collect data from a purposive sample. The sample included participants with clinical and mentoring or supervisory expertise in urgent and emergency care settings (n=27) and university lecturers in emergency care programs (n=7).

Results:
The integrated career and competence framework provides a broad pathway for urgent and emergency care across contributing contexts. The framework illustrates what to expect of staff in urgent and emergency care contexts, irrespective of discipline.

Conclusion:
The integrated career and competence framework highlights the capacity of care contexts to support informed navigation of the healthcare system in pursuit for urgent care. This initiative benchmarks a step toward whole systems urgent and emergency care to relieve the pressure on emergency departments and to grow staff across the system toward integrated working.

KeywordsCareer and competence; crowding; integrated competence framework; staff development; urgent and emergency care; whole systems
Year2019
JournalInternational Emergency Nursing
PublisherElsevier
ISSN1755-599X
Digital Object Identifier (DOI)https://doi.org/10.1016/j.ienj.2019.06.007
FunderHealth Education Kent, Surrey and Sussex
Publication dates
Online19 Jul 2019
Publication process dates
Deposited10 Jul 2019
Accepted16 Jun 2019
Accepted author manuscript
Output statusPublished
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https://repository.canterbury.ac.uk/item/89034/developing-an-integrated-career-and-competence-framework-for-whole-systems-approach-to-urgent-and-emergency-care-delivery

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