Clinical Skills Performed By Iranian Emergency Nurses: Perceived Competency Levels and Attitudes Toward Expanding Professional Roles

Higher perceived competency levels were significantly associated with more frequent performance of clinical skills. This has implications for nurse managers and educators who may consider offering more frequent experiential and educational opportunities to emergency nurses. Expansion of nurses' roles could also result in increased experience in clinical skills and higher levels of competency. Research is needed to investigate nurses' clinical competence using direct and observed measures.Contribution to Emergency Nursing Practice
- Emergency nurses in Iran take part in an extensive variety of activities with different levels of perceived competence and are willing to perform more advanced practice roles, some of which are described in Iran and other countries as falling into physicians' scope of practice.
- Nurse educators and clinicians must collaborate to establish models for clinical education that take into account current activities that are practiced with low levels of competence.
- Health care regulatory authorities are needed to provide guidance programs to support emergency nurses to be knowledgeable about relevant policies, procedures, and laws that inform their scope of practice and legal boundaries.
- Health care regulatory authorities, nurse educators, and clinicians should collaborate to support the ongoing advancement of emergency nursing roles and guide safe nursing practice.