Challenges Encountered by Nurses in Emergency Department as Basis for Improvement of Competency and Training Plan

Ma. Mayumi Amar Badajos

doi:10.36948/ijfmr.2025.v07i03.46895

Challenges Encountered by Nurses in Emergency Department as Basis for Improvement of Competency and Training Plan

Author(s)	Ms. Ma. Mayumi Amar Badajos
Country	Philippines
Abstract	Early detection of clinical deterioration is essential for enhancing patient outcomes and minimizing the occurrence of preventable adverse events. This study explored the experiences of emergency department nurses in recognizing and managing clinical deterioration, with the objective of gaining deeper insight into their perspectives, practices, and the challenges they encounter. The findings are intended to inform policy and practice enhancements within the emergency care settings of three municipal hospitals in Southern Palawan. The specific objectives of the study were to: (1) describe the socio-demographic profile of nurses in the emergency departments; (2) assess the challenges they face in identifying signs of clinical deterioration; (3) analyze the relationship between their demographic characteristics and the challenges encountered; and (4) develop a context-specific competency and training plan tailored to their needs. A descriptive research design was employed, involving 45 nurses aged between 22 and over 50 years, selected through a cluster sampling technique. Both descriptive and inferential statistical analyses were utilized to interpret the data. Results indicated a notable concentration of younger professionals in emergency departments, with 66.67% of respondents aged between 20 and 29 years. Furthermore, 40.00% of participants reported having 2 to 5 years of clinical experience. In terms of educational attainment, the majority (86.67%) held a Bachelor’s Degree in Nursing, reflecting a well-established foundational level of professional preparation within the nursing workforce. In response to the identified challenges, the study recommends the implementation of a comprehensive and localized training and competency development program. This proposed intervention aims to address existing gaps, support continuous professional development, and promote the well-being of emergency nurses across the three municipal hospitals in Southern Palawan. The outcomes of this study offer valuable insights for health policymakers and stakeholders seeking to strengthen the provincial healthcare system through more adaptive and sustainable nursing practices.
Keywords	clinical deterioration, emergency department nurses, emergency care settings, training and competency, municipal hospitals, nursing practice
Published In	Volume 7, Issue 3, May-June 2025
Published On	2025-06-03
DOI	https://doi.org/10.36948/ijfmr.2025.v07i03.46895
Short DOI	https://doi.org/g9m27x

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Challenges Encountered by Nurses in Emergency Department as Basis for Improvement of Competency and Training Plan

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