Operational Skill Transfer Model for Emergency Nursing from High-Risk Industrial Environments

Emergency nursing in acute care settings increasingly requires rapid decision-making, technical precision, and high-stakes coordination skills often cultivated in high-risk industrial environments such as oil and gas, aviation, and nuclear sectors. This paper proposes an Operational Skill Transfer Model (OSTM) designed to adapt and integrate critical competencies from these high-risk industries into emergency nursing practice. The model emphasizes cross-sectoral knowledge transfer, focusing on risk mitigation, incident response, team communication, and situational awareness. Drawing from the principles of Crew Resource Management (CRM), human factors engineering, and safety-critical systems, the OSTM framework identifies transferable skill sets such as structured communication (SBAR), root cause analysis, emergency triage protocols, and simulation-based learning. The model highlights how these competencies can strengthen preparedness, reduce errors, and improve patient outcomes in high-pressure clinical environments. A multi-phase methodology, involving expert interviews, observational studies, and curriculum mapping, underpins the development of the model. Findings indicate that structured onboarding programs, interprofessional drills, and scenario-based simulations rooted in industrial safety protocols can significantly enhance emergency nurses’ operational readiness and resilience. The model also includes an organizational readiness assessment tool to evaluate institutional capacity to support such transitions. By establishing clear pathways for skill translation and contextual adaptation, the OSTM offers a blueprint for healthcare institutions seeking to elevate emergency nursing standards through innovative cross-industry strategies. This research contributes a novel, evidence-informed framework that bridges the gap between healthcare and high-reliability industrial systems. The proposed model is particularly relevant in contexts marked by resource constraints, escalating patient acuity, and workforce shortages. Implementing the OSTM can lead to a paradigm shift in emergency nursing education and practice, supporting safer, faster, and more coordinated responses to critical incidents. It also reinforces the need for continuous professional development that transcends traditional clinical boundaries, empowering nurses to adopt high-performance mindsets in dynamic healthcare environments.