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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Chen, Shu-Shin Chen, Jih-Chang Ng, Chip-Jin Chen, Ping-Ling Lee, Pi-Hsia Chang, Wen-Yin |
| Spatial Coverage | Taiwan |
| Description | Country affiliation: Taiwan Author Affiliation: Chen SS ( Nursing Department, Taoyuan Armed Forces General Hospital, Taipei, Taiwan.) |
| Abstract | OBJECTIVES: To gain an understanding of the accuracy of acuity assessment made by emergency department (ED) triage nurses, to compare the differences between the characteristics of triage nurses according to hospital variables and the accuracy of acuity ratings, and to explore the influence of nursing variables on the judgement of triages. METHODS: A cross-sectional questionnaire survey was conducted at the EDs of hospitals in northern Taiwan. Ten adult emergency case scenarios and a demographic sheet with high validity were developed to survey 279 triage nurses. Data were collected from April to October 2006. All data were analysed using percentage, mean, SD, independent t test, one-way ANOVA and a stepwise logistic regression analysis. RESULTS: The average score of rating accuracy was 5.62 points (out of a possible total of 10 points), which was considered low. Approximately 24.3% (n=68) of nurses' triage ratings were under-triaged and 19.7% (n=55) were over-triaged. Factors included years of ED experience, hours of triage education, level of hospital and triage mode of delivery. These factors were identified as significantly affecting the accuracy of nurses' judgement (p<0.05; adjusted R(2)=40.0%). CONCLUSION: The scores of accuracy ratings for triage nurses can be improved if factors contributing to inaccuracy can be altered. The findings of this study can be used to guide improvements. |
| File Format | HTM / HTML |
| ISSN | 14720205 |
| Issue Number | 6 |
| Volume Number | 27 |
| e-ISSN | 14720213 |
| Journal | Emergency Medicine Journal |
| Language | English |
| Publisher | BMJ Publishing Group Ltd |
| Publisher Date | 2010-06-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Emergency Discipline Medicine Clinical Competence Emergency Nursing Triage Adult Emergency Service, Hospital Health Care Surveys Humans Judgment Nursing Assessment Nursing Staff, Hospital Regression Analysis Questionnaires Taiwan Journal Article Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Emergency Medicine Critical Care and Intensive Care Medicine |
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