Table 5 Expert estimation of the needed competence that achieved consensus
From: The general attributes and competence for nurses in a single responder unit: A modified Delphi study
Subcategory | Statement | Percent | Mean value | SD |
|---|---|---|---|---|
To have an appropriate formal competence | District nurse* | 73.33* | 2.87* | 0.50* |
To have appropriate professional experience | More than 5 years of professional experience in pre-hospital emergency care | 76.47 | 3.65 | 0.76 |
Broad professional experience is required; that you met different patients in varying situations | 94.12 | 3.88 | 0.47 | |
Extensive experience in situations where intensive work is required; for example, cardiac arrest and care of critically ill patients | 76.47 | 3.76 | 0.42 | |
To be able to increase one’s competence through internal education | If necessary, could be able to settle into several work roles at the same time | 88.24 | 3.82 | 0.51 |
To have personal suitability | Personal suitability is not as important a factor as formal competence and previous professional experience | 82.35 | 1.18 | 0.38 |
Formal competence, previous professional experience and personal suitability are all equally important factors | 70.59 | 3.41 | 1.03 | |
To have social skills | That the nurse has patience and can maintain a calm and safe approach to patients and relatives | 82.35 | 3.82 | 0.38 |
That the nurse can express herself verbally in a clear way, can prioritise the flow of information from different people and construct a mutual dialogue with the patient and next of kin | 82.35 | 3.82 | 0.38 | |
That the nurse has the ability to face mistrust on the part of the patient and relatives and transform it into trust and confidence and not allow herself to be provoked in the meeting with the patient and relatives | 82.35 | 3.82 | 0.38 | |
That the nurse has a clear patient perspective in her humble treatment of patients and relatives | 76.47 | 3.65 | 0.68 | |
To be able to create a good encounter alone | In the encounter within the SRU, you need to show commitment to the patient and relatives | 88.24 | 3.88 | 0.32 |
In the encounter within the SRU, you need to have a broad approach | 88.24 | 3.88 | 0.32 | |
In the encounter within the SRU, you need to be able to read people and situations | 94.12 | 3.94 | 0.24 | |
In the encounter within the SRU, you need to be able to convey calm and take time to meet the needs of the patient and next of kin | 88.24 | 3.88 | 0.32 | |
To be humble | Humility towards colleagues is important, they should not get the feeling that I, a nurse in the SRU, am in charge | 76.47 | 3.71 | 0.57 |
Humility in the face of the fact that I too may need help from others is important | 76.47 | 3.76 | 0.42 | |
In the SRU, it is important to show respect and humility towards each other’s different tasks and roles | 88.24 | 3.88 | 0.32 | |
To be able to work based on patient safety | Careful medical history taking, examination and assessment | 88.24 | 3.88 | 0.32 |
To work calmly and structured and double check what has been done | 76.47 | 3.76 | 0.42 | |
To be able to work based on one’s own safety | Based on a high level of safety thinking, work proactively and avoid ending up in risky situations | 88.24 | 3.88 | 0.32 |
To prevent threatening situations through one’s calm and humble behaviour and approach | 76.47 | 3.65 | 0.68 | |
Ability to establish contact with the alarm centre during risky assignments | 76.47 | 3.76 | 0.42 | |
To be able to handle vehicles and equipment in a safe manner | To work proactively and prepare for assignments by handling information management and communication before driving vehicles | 88.24 | 3.88 | 0.32 |
To work from a safety perspective and if necessary for information management and communication while driving stop for a while | 76.47 | 3.76 | 0.42 | |
To be able to communicate with different healthcare providers to reach one’s goal | Nurses in the SRU have the ability to create contact routes with different healthcare providers | 100 | 4.00 | 0.00 |
The nurse in the SRU needs to present her case to other healthcare providers in a way that will lead to the desired goal | 82.35 | 3.76 | 0.55 | |
Nurses in the SRU have the ability to utilise different resources and other people’s skills | 88.24 | 3.88 | 0.32 | |
To be able to document carefully | What has been said needs to be achieved through clear and accurate documentation | 82.35 | 3.82 | 0.38 |
Whether or not you agree with the patient and next of kin needs to be carefully documented | 76.47 | 3.76 | 0.42 | |
That the patient refuses to go in despite our and the physician’s recommendation needs to be carefully documented | 88.24 | 3.88 | 0.32 | |
To be able to master information and communication technology | Mastering effective verbal communication using radio communication system and telephone | 82.35 | 3.82 | 0.38 |
To be able to maintain one’s own competence | To share experiences and knowledge between ambulance colleagues | 70.59 | 3.65 | 0.59 |
To follow up the patient through the medical record after assignment | 82.35 | 3.82 | 0.38 | |
To be able to identify and present development needs and ideas | SRU staff need education days that are specifically targeted and adapted to SRU operations and work | 70.59 | 3.53 | 0.78 |
To obtain information and support for medical problems | Leaning towards medical treatment guidelines | 70.59 | 3.71 | 0.46 |
To retrieve information via internet pages, e.g., Swedish Poisons Information Centre | 70.59 | 3.59 | 0.69 | |
To discuss with the patient and next of kin | 76.47 | 3.65 | 0.68 |