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Vol. 1 No. 2 (2024)

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February 6, 2026
Published
December 31, 2024

Copyright (c) 2024 Miad Ahmed AJbarah, Amal Ali Makki Hanshli, Reham Hussain Hamami, Jawaher Ali Makey Hanshali, Abbas Mohammed Ali Hakami, Salem Ali Alolayan, Manal Aiydh Alharthi, Seef Madallah A Alshrari, Kaseb Ayed Musallam Alsharari, Salha Abdullah Bahkeem, Fawzia Fawaz Hamdi Al-Haiti, Dohaya Fawaz Hamdi Alhayti

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This work is licensed under a Creative Commons Attribution 4.0 International License.

Nursing-Led Monitoring and Intervention in the Tech-Enabled ED: A Narrative Review of Competencies for Advanced Medical Devices

https://doi.org/10.64483/202412631
Miad Ahmed AJbarah
North Jubail Health Center / Jubail,Ministry Of Health, Saudi Arabia
Amal Ali Makki Hanshli
Prince Mohamed bin Nasser Hospital,Ministry Of Health, Saudi Arabia
Reham Hussain Hamami
Prince Mohamed bin Nasser Hospital,Ministry Of Health, Saudi Arabia
Jawaher Ali Makey Hanshali
Qaim aldash PHC,Ministry Of Health, Saudi Arabia
Abbas Mohammed Ali Hakami
Jazan Health Cluster - Ambulance Transport,Ministry Of Health, Saudi Arabia
Salem Ali Alolayan
King Salman Hospital - First Health Cluster, Ministry Of Health, Saudi Arabia
Manal Aiydh Alharthi
Hafr Al-Batin Health Cluster - Al-Qaisumah Hospital, manal,Ministry Of Health, Saudi Arabia
Seef Madallah A Alshrari
Al-Qurayyat General Hospital, Al-Qurayyat, Al-Jawf Health Cluster,Ministry Of Health, Saudi Arabia
Kaseb Ayed Musallam Alsharari
Al-Arizi Health Center, Al-Qurayyat, Al-Jawf Health Cluster,Ministry Of Health, Saudi Arabia
Salha Abdullah Bahkeem
Ministry Of Health, Saudi Arabia
Fawzia Fawaz Hamdi Al-Haiti
Al-Iskan Charitable Health Center, Hail Health Cluster, Ministry Of Health, Saudi Arabia
Dohaya Fawaz Hamdi Alhayti
Alhayt General Hospital, Hail Health Cluster, Ministry Of Health, Saudi Arabia

Corresponding Author(s) : Miad Ahmed AJbarah

maljbarah@moh.gov.sa

Saudi Journal of Medicine and Public Health, Vol. 1 No. 2 (2024)

Abstract

Background: The integration of advanced medical devices in emergency care has created a complex human-tech interface, with nurses as primary operators. Device competency is vital for patient safety, but challenges like alarm fatigue, usability issues in crises, and the need for quick data interpretation highlight a gap between technology and clinical application.


Aim: This narrative review aims to synthesize current evidence on the competencies required by emergency nursing staff to safely and effectively operate advanced medical devices, examining the interplay between nursing practice, emergency medicine workflows, and device design.


Methods: A comprehensive literature search was conducted across PubMed, CINAHL, Scopus, and IEEE Xplore databases for peer-reviewed articles published between 2010-2024. 


Results: The review identifies five core competency domains: technical-procedural (operation), analytical-interpretive (data synthesis), situational (crisis usability), interprofessional (communication), and adaptive (troubleshooting). Effective high-fidelity simulation and just-in-time training models show promise in improving competency. Persistent issues include pervasive alarm fatigue, often exacerbated by poor device design, and a frequent disconnect between device data and interdisciplinary clinical decision-making.


Conclusion: Nursing-led device management in the ED is a linchpin of patient safety. Competency must be reconceptualized beyond basic operation to encompass data interpretation and human factors. A tripartite alignment of robust, continuous nursing education, purposeful interprofessional collaboration, and human-centered device design is essential to mitigate risk and optimize outcomes in tech-enabled emergency care.

Keywords

Emergency Nursing, Clinical Competence, Medical Devices, Patient Safety, Human Factors Engineering
AJbarah, M. A., Amal Ali Makki Hanshli, Reham Hussain Hamami, Jawaher Ali Makey Hanshali, Abbas Mohammed Ali Hakami, Salem Ali Alolayan, … Dohaya Fawaz Hamdi Alhayti. (2024). Nursing-Led Monitoring and Intervention in the Tech-Enabled ED: A Narrative Review of Competencies for Advanced Medical Devices. Saudi Journal of Medicine and Public Health, 1(2), 2255–2260. https://doi.org/10.64483/202412631
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