Hong Kong Accident and Emergency nurses' perceived competency in advanced practice and barriers to continuing education

Eliza M. L. WONG

Abstract

The purposes of this study were to examine nurses' perceived competency in advanced practice in caring for critically ill patients at Accident & Emergency Department of Hong Kong Public Hospitals, identify their perceived learning needs and to identify barriers to continuing education. Method: This is a descriptive study. A questionnaire was developed by the researcher specifically for this study, and was reviewed by a panel of experts to establish face and content validity. Questionnaires were distributed to a random sample of 88 registered nurses working at A & E Departments from 5 hospitals in Hong Kong. Sixty-three questionnaires (71.6% response rate) were returned. SPSS was used to analysis data. Results: Findings indicated that the overall perceptions of competency among A & E nurses were positive, although nurses perceived themselves to be less competent in psychosocial domain of practice, patients' behavioural problems, and X-ray interpretation. The majority of the respondents expressed that their continuing education need was a means to professional and career advancement.

Key words: Advanced practice, education needs, Hong Kong emergency nurses, perceived competency, specialty education