Considine Julie, Botti Mari, Thomas Shane
School of Nursing, Deakin University, Burwood, Victoria, Australia.
Acad Emerg Med. 2007 Aug;14(8):722-6. doi: 10.1197/j.aem.2007.04.015.
Accuracy of triage decisions is a major influence on patient outcomes. Triage nurses' knowledge and experience have been cited as influential factors in triage decision-making. The aim of this article is to examine the independent roles of factual knowledge and experience in triage decisions. All of the articles cited in this review were research papers that examined the relationship between triage decisions and knowledge and/or experience of triage nurses. Numerous studies have shown that factual knowledge is an important factor in improving triage decisions. Although a number of studies have examined the role of experience as an independent influence on triage decisions, none have found a significant relationship between experience and triage decision-making. Factual knowledge appears to be more important than years of emergency nursing or triage experience in triage decision accuracy. Many triage education programs are underpinned by the assumption that knowledge acquisition will result in improved triage decisions. A better understanding of the relationships between clinical decisions, knowledge, and experience is pivotal for the rigorous evaluation of education programs.
分诊决策的准确性对患者预后有重大影响。分诊护士的知识和经验被认为是分诊决策的影响因素。本文旨在探讨事实性知识和经验在分诊决策中的独立作用。本综述中引用的所有文章均为研究论文，研究了分诊决策与分诊护士的知识和/或经验之间的关系。大量研究表明，事实性知识是改善分诊决策的重要因素。尽管有多项研究探讨了经验作为分诊决策的独立影响因素的作用，但没有一项研究发现经验与分诊决策之间存在显著关系。在分诊决策准确性方面，事实性知识似乎比多年的急诊护理或分诊经验更重要。许多分诊教育项目的依据是这样一种假设，即知识获取将导致更好的分诊决策。更好地理解临床决策、知识和经验之间的关系对于严格评估教育项目至关重要。
