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Emergency nurses' perceptions of their roles and practices during epidemics: a qualitative study

25 April 2019
Volume 28 · Issue 8

Abstract

Background:

although emergency nurses have a pivotal role in the public health response to epidemics, little is known about their responsibilities and practice in terms of epidemic management.

Aims:

this study aimed to explore how emergency nurses understand and perform their professional roles and practice during epidemics.

Methods:

a qualitative descriptive study design was used. Data were collected from 24 participants through semistructured interviews and subjected to thematic analysis.

Findings:

the analysis yielded two overarching themes: expansion in the practice of emergency care; and the altered role of emergency nurses.

Conclusion:

emergency nurses perceive their practice during the management of an epidemic expanded in that they shouldered a greater responsibility in the control of infectious diseases. This expansion led to role ambiguity among them.

Emergency departments (EDs) provide the general public with access to medical services and are often considered an interface between the healthcare system and the community (Boyle et al, 2015). The availability and accessibility of EDs leads to a surge in demand on them during an epidemic, which challenges their capacity to deal with it (Beysard et al, 2018). During an epidemic, the function of an ED is expected to expand beyond the provision of emergency care to play a role in public health services (Lam et al, 2016).

The increase in demand on emergency services during an epidemic also increases the importance of the pivotal role played by emergency nurses in a public health response, as they have close, frequent contact with people using emergency healthcare services (Venkat et al, 2015). To ensure the smooth provision and functioning of services during an epidemic, these professionals must competently adjust to the demands of emergency services and demonstrate nurses' ability to respond to disease situations using their skills, abilities and knowledge of infection prevention and control and disease management.

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