Andersson Anna-Karin, Omberg Monica, Svedlund Marianne
Ostersund County Hospital, Ostersund, Sweden.
Nurs Crit Care. 2006 May-Jun;11(3):136-45. doi: 10.1111/j.1362-1017.2006.00162.x.
Triage, as a concept, is relatively new in Sweden and means 'sorting'. The triage process was developed to grade patients who needed immediate care. Triage is currently important for the emergency treatment system, and nurses are expected to work with it professionally. The aim of this study is to describe how nurses implement triage when patients arrive at the emergency department of a county hospital, situated in a rural area of Sweden, as well as to highlight the factors considered when prioritizing, in connection with nurses' decision-making. The method used was observations of 19 nurses, with minimal disturbance in their triage work, followed by a short tape-recorded interview, during which the nurses were asked to reflect upon their decision of priorities. Qualitative content analysis of data has been used. The results were divided into two areas, internal factors and external factors. The internal factors reflect the nurse skills and personal capacity. The external factors reflect work environment, including high workload and practical arrangements, and should always be perceived and taken into consideration. Using these factors as a basis, the patients' clinical condition, clinical history, various examinations and tests form an assessment, which subsequently results in a prioritization.
作为一个概念，分诊在瑞典相对较新，意思是“分类”。分诊流程是为了对需要立即治疗的患者进行分级而制定的。目前，分诊对急诊治疗系统很重要，并且期望护士能够专业地进行分诊工作。本研究的目的是描述当患者到达瑞典农村地区一家县医院的急诊科时，护士是如何实施分诊的，以及强调在与护士决策相关的优先排序时所考虑的因素。所采用的方法是对19名护士进行观察，尽量减少对其分诊工作的干扰，随后进行简短的录音访谈，期间要求护士反思他们的优先排序决策。已对数据进行定性内容分析。结果分为两个方面，内部因素和外部因素。内部因素反映护士的技能和个人能力。外部因素反映工作环境，包括高工作量和实际安排，并且应该始终被认识到并加以考虑。以这些因素为基础，对患者的临床状况、临床病史、各种检查和测试进行评估，随后得出优先排序。
