{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:20:17Z","timestamp":1760145617740,"version":"build-2065373602"},"reference-count":32,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,8,21]],"date-time":"2024-08-21T00:00:00Z","timestamp":1724198400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emergency Care and Medicine"],"abstract":"<jats:p>Background: Nurses in intra-hospital emergency teams are required to be competent in responding to situations of clinical deterioration and emergency. This study aimed to map the extent, variety, and nature of the literature on the competences of the intra-hospital emergency teams nurse. Methods: A scoping review based on the principles of the Joanna Briggs Institute. The search of the databases was conducted in July and August 2023, and the search strategy was adjusted. The analysis of the relevance of the articles, data extraction, and synthesis were conducted by two reviewers. Discrepancies were resolved by a third reviewer. The data were extracted using the competency outcomes and performance assessment (COPA) model. Results: Fourteen results were analyzed, and the competences organized by the domains of the COPA model which are considered by some authors to be advanced or specialized are as follows: assessment and intervention, communication, critical thinking, teaching, human caring relationships, management, leadership, and knowledge integration. Other competences, such as self-confidence, ability to remain calm, concentration, quick reaction, and a sense of humor, were mentioned. Conclusions: The results highlighted the competences of the intra-hospital emergency team nurse. This knowledge could contribute to educational programs and shape the competency profile of intra-hospital emergency team nurses.<\/jats:p>","DOI":"10.3390\/ecm1030027","type":"journal-article","created":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T10:01:51Z","timestamp":1724666511000},"page":"260-274","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Competence Profile of the Intra-Hospital Emergency Team Nurse: A Scoping Review"],"prefix":"10.3390","volume":"1","author":[{"given":"Isabel","family":"Rabiais","sequence":"first","affiliation":[{"name":"Atl\u00e2ntica School of Health, Atlantic University, 2730-036 Barcarena, Portugal"},{"name":"Centre for Interdisciplinary Research in Health, Universidade Cat\u00f3lica Portuguesa, 1649-023 Lisbon, Portugal"}]},{"given":"Lisete","family":"Pereira","sequence":"additional","affiliation":[{"name":"Hospital do Divino Esp\u00edrito Santo em Ponta Delgada, 9500-370 Ponta Delgada, Portugal"}]},{"given":"Nuno","family":"Moniz","sequence":"additional","affiliation":[{"name":"Hospital do Divino Esp\u00edrito Santo em Ponta Delgada, 9500-370 Ponta Delgada, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5667-749X","authenticated-orcid":false,"given":"Ant\u00f3nio","family":"Almeida","sequence":"additional","affiliation":[{"name":"Atl\u00e2ntica School of Health, Atlantic University, 2730-036 Barcarena, Portugal"}]},{"given":"Paulo","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Atl\u00e2ntica School of Health, Atlantic University, 2730-036 Barcarena, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5162-2980","authenticated-orcid":false,"given":"Sandy","family":"Severino","sequence":"additional","affiliation":[{"name":"Atl\u00e2ntica School of Health, Atlantic University, 2730-036 Barcarena, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9708-5690","authenticated-orcid":false,"given":"Lu\u00eds","family":"Sousa","sequence":"additional","affiliation":[{"name":"Atl\u00e2ntica School of Health, Atlantic University, 2730-036 Barcarena, Portugal"},{"name":"Comprehensive Health Research Centre, University of Evora, 7000-801 \u00c9vora, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2626-8561","authenticated-orcid":false,"given":"Helena","family":"Jos\u00e9","sequence":"additional","affiliation":[{"name":"Atl\u00e2ntica School of Health, Atlantic University, 2730-036 Barcarena, Portugal"},{"name":"Health Sciences Research Unit: Nursing (UICISA: E), 3004-011 Coimbra, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,21]]},"reference":[{"key":"ref_1","first-page":"e27555","article-title":"Caracteriza\u00e7\u00e3o Do Fluxo ativa\u00e7\u00e3o Da Equipa De Emerg\u00eancia m\u00e9dica Intra-Hospitalar","volume":"2","author":"Rocha","year":"2022","journal-title":"Servir"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.aucc.2022.12.003","article-title":"The Role of the Intensive Care Nurse in the Medical Emergency Team: A Constructivist Grounded Theory Study","volume":"36","author":"Weatherburn","year":"2023","journal-title":"Aust. Crit. Care"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e05","DOI":"10.17533\/udea.iee.v36n2e05","article-title":"Rapid Response Team: What Factors Interfere with Its Performance","volume":"36","author":"Moreira","year":"2018","journal-title":"Investig. Educ. Enferm."},{"key":"ref_4","unstructured":"Coimbra, N. (2021). Enfermagem Baseada na Evid\u00eancia. Enfermagem de Urg\u00eancia e Emerg\u00eancia, Lidel."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.resuscitation.2021.02.010","article-title":"European Resuscitation Council Guidelines 2021: Adult Advanced Life Support","volume":"161","author":"Soar","year":"2021","journal-title":"Resuscitation"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"7510","DOI":"10.1001\/jama.2021.7510","article-title":"Rapid Response Teams as a Patient Safety Practice for Failure to Rescue","volume":"326","author":"Fischer","year":"2021","journal-title":"JAMA"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Chalwin, R., Giles, L., Salter, A., Kapitola, K., and Karnon, J. (2020). Re-Designing a Rapid Response System: Effect on Staff Experiences and Perceptions of Rapid Response Team Calls. BMC Health Serv. Res., 20.","DOI":"10.1186\/s12913-020-05260-z"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"103136","DOI":"10.1016\/j.iccn.2021.103136","article-title":"Development of a Comprehensive Model for the Role of the Rapid Response Team Nurse","volume":"68","author":"Won","year":"2022","journal-title":"Intensive Crit. Care Nurs."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1111\/jnu.12252","article-title":"Rapid Response Teams: Is It Time to Reframe the Questions of Rapid Response Team Measurement?","volume":"48","author":"Salvatierra","year":"2016","journal-title":"J. Nurs. Scholarsh."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"519","DOI":"10.5694\/mja14.01088","article-title":"Rapid Response Systems","volume":"201","author":"Hillman","year":"2014","journal-title":"Med. J. Aust."},{"key":"ref_11","unstructured":"Cardo, M.J. (2017). Equipa de Emerg\u00eancia Intra-Hospitalar: An\u00e1lise das Ativa\u00e7\u00f5es E da Perce\u00e7\u00e3o da sua Import\u00e2ncia Pelos Enfermeiros, Disserta\u00e7\u00e3o de Mestrado, Instituto Polit\u00e9cnico de Leiria\u2014Escola Superior de Sa\u00fade de Leiria. Available online: https:\/\/iconline.ipleiria.pt\/bitstream\/10400.8\/2987\/1\/Equipa%20de%20Emerg\u00eancia...%2Bmarisa%20cardo.pdf."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1001\/jama.295.3.324","article-title":"The 100 000 Lives Campaign","volume":"295","author":"Berwick","year":"2006","journal-title":"JAMA"},{"key":"ref_13","unstructured":"Gabinete do Secret\u00e1rio de Estado Adjunto e da Sa\u00fade (2024, April 02). Despacho n.\u00ba 9639\/2018. Di\u00e1rio da Rep\u00fablica n.\u00ba 198, S\u00e9rie II de 2018-10-15. Available online: https:\/\/diariodarepublica.pt\/dr\/detalhe\/despacho\/9639-2018-116654166."},{"key":"ref_14","unstructured":"Grupo T\u00e9cnico para a Reforma da Organiza\u00e7\u00e3o Interna dos Hospitais (2024, April 02). A Organiza\u00e7\u00e3o Interna e a Governa\u00e7\u00e3o Dos Hospitais. Available online: https:\/\/www.spmi.pt\/wp-content\/uploads\/RelatorioFinalGTHospitaisVersaoFinal2.pdf."},{"key":"ref_15","unstructured":"Dire\u00e7\u00e3o-Geral da Sa\u00fade (2024, April 02). Cria\u00e7\u00e3o E Implementa\u00e7\u00e3o de uma Equipa de Emerg\u00eancia M\u00e9dica Intra-Hospitalar (IMET) (Circular Normativa N.\u00ba 15\/DQS\/DQCO). Available online: https:\/\/www.dgs.pt\/?ci=594&ur=1&newsletter=262."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"2043","DOI":"10.21037\/apm-22-566","article-title":"Competency Expectations of Nurses in Rapid Response Teams: An Interview-Based Qualitative Study","volume":"11","author":"Yuan","year":"2022","journal-title":"Ann. Palliat. Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"3560","DOI":"10.1111\/jocn.16183","article-title":"Balancing Responsibilities, Rewards And Challenges: A Qualitative Study Illuminating The Complexity of Being A Rapid Response Team Nurse","volume":"32","author":"Bunkenborg","year":"2022","journal-title":"J. Clin. Nurs."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Aromataris, E., and Munn, Z. (2020). Chapter 11: Scoping Reviews. JBI Manual for Evidence Synthesis (2020 Version), Joanna Briggs Institute.","DOI":"10.46658\/JBIRM-20-02"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 Statement: An Updated Guideline For Reporting Systematic Reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"ref_20","unstructured":"Ordem dos Enfermeiros (2024, April 02). Regulamento N.\u00ba 190\/2015: Regulamento do Perfil de Compet\u00eancias do Enfermeiro de Cuidados Gerais; Di\u00e1rio da Rep\u00fablica n.\u00ba 79, S\u00e9rie II de 2015-04-23. Available online: https:\/\/diariodarepublica.pt\/dr\/detalhe\/regulamento\/190-2015-67058782."},{"key":"ref_21","first-page":"312","article-title":"The COPA Model: A Comprehensive Framework Designed to Promote Quality Care and Competence for Patient Safety","volume":"30","author":"Lenburg","year":"2009","journal-title":"Nurs. Educ. Perspect."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.nedt.2018.05.009","article-title":"What Nurses Involved in A Medical Emergency Teams Consider the Most Vital Areas of Knowledge and Skill When Delivering Care to the Deteriorating Ward Patient: A Nurse-Oriented Curriculum Development Project","volume":"67","author":"Currey","year":"2018","journal-title":"Nurse Educ. Today"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1097\/01.NURSE.0000526885.10306.21","article-title":"Rapid response teams: What\u2019s the latest?","volume":"47","author":"Jackson","year":"2017","journal-title":"Nursing"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.iccn.2015.08.008","article-title":"Tasks completed by nursing members of a teaching hospital Medical Emergency Team","volume":"32","author":"Topple","year":"2016","journal-title":"Intensive Crit. Care Nurs."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1136\/bmjqs.2008.029876","article-title":"The impact of the medical emergency team on the resuscitation practice of critical care nurses","volume":"20","author":"Santiano","year":"2011","journal-title":"BMJ Qual. Saf."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"e13","DOI":"10.1136\/qshc.2008.030494","article-title":"How RNs rescue patients: A qualitative study of RNs\u2019 perceived involvement in rapid response teams","volume":"19","author":"Leach","year":"2010","journal-title":"BMJ Qual. Saf."},{"key":"ref_27","first-page":"31","article-title":"Rescuing the Deteriorating Patient","volume":"17","author":"Matthew","year":"2010","journal-title":"Aust. Nurs. J."},{"key":"ref_28","first-page":"312","article-title":"Medical Emergency Team Implementation: Experiences of a Mentor Hospital","volume":"17","author":"Jamieson","year":"2008","journal-title":"Med. Surg. Nurs."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1097\/00152193-200601000-00037","article-title":"Learn Why Bedside Nurses Are Embracing This Lifesaving Innovation","volume":"36","author":"Scholle","year":"2006","journal-title":"Nursing"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1016\/j.jen.2005.06.025","article-title":"Experienced Critical Care Nurse-led Rapid Response Teams Rescue Patients on In-patient Units","volume":"31","author":"Repasky","year":"2005","journal-title":"J. Emerg. Nurs."},{"key":"ref_31","unstructured":"Penedo, J., Ribeiro, A., Lopes, H., Pimentel, J., Pedrosa, J., S\u00e1, R., and Moreno, R. (2024, April 02). Avalia\u00e7\u00e3o Nacional da Situa\u00e7\u00e3o das Unidades de Cuidados Intensivos, Available online: https:\/\/www.sns.gov.pt\/wp-content\/uploads\/2016\/05\/Avalia\u00e7\u00e3o-nacional-da-situa\u00e7\u00e3o-das-unidades-de-cuidados-intensivos.pdf."},{"key":"ref_32","unstructured":"Mesa do Col\u00e9gio da Especialidade em Enfermagem M\u00e9dico-Cir\u00fargica da Ordem dos Enfermeiros (2024, April 02). Parecer N.\u00ba 09\/2017: Transporte da Pessoa em Situa\u00e7\u00e3o Cr\u00edtica. Available online: https:\/\/www.ordemenfermeiros.pt\/media\/8249\/parecer_09_2017_mceemc_transportepessoasituacacritica.pdf."}],"container-title":["Emergency Care and Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2813-7914\/1\/3\/27\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:40:35Z","timestamp":1760110835000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2813-7914\/1\/3\/27"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,21]]},"references-count":32,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,9]]}},"alternative-id":["ecm1030027"],"URL":"https:\/\/doi.org\/10.3390\/ecm1030027","relation":{},"ISSN":["2813-7914"],"issn-type":[{"type":"electronic","value":"2813-7914"}],"subject":[],"published":{"date-parts":[[2024,8,21]]}}}