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Evaluation of nursing skills to promote health during pediatric consultations in emergency rooms

Abstract

Objective

To evaluate nursing skills in health promotion during assistance for children at emergency unit using the risk classification.

Methods

This cross-sectional study included nurses responsible for intake screening of children based on risk classification at an emergency unit. We classified the procedures conducted by the nurses according to the guidelines for intake with risk classification according to the health promotion competency framework in the Galway Consensus Conference Statement. In the skill analysis, nurses were followed-up by two observers. For interobserver reliability analysis we used the Kappa index measuring agreement ranging from 0 to 1 (with 0 showing no agreement and 1 showing total agreement).

Results

The competencies identified in nurse 1 had perfect agreement (K=10), in nurse 2 had moderate agreement (K=0.5), and in nurse 3 showed poor agreement (K=0.2). The Galway competencies showing the most agreement were assessment/diagnosis and partnership.

Conclusion

: Competencies for health promotion developed by the nurses who participated in the study were assessment/diagnosis, partnerships, planning and assessment.

Keywords
Pediatric nursing; User embracement; Nursing assessment; Triage; Health promotion

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