Forsgren Susanne, Forsman Berit, Carlström Eric D
Department of Nursing, Health and Culture, University West, Trollhättan, Sweden.
Int Emerg Nurs. 2009 Oct;17(4):226-32. doi: 10.1016/j.ienj.2009.03.008. Epub 2009 Jun 5.
This article covers nurses' job satisfaction during triage at emergency departments in Western Sweden.
Data was collected from 74 triage nurses using a questionnaire containing 37 short form open questions. The answers were analyzed descriptively and by measuring the covariance. The open questions were analyzed by content analysis.
The results showed a high degree of job satisfaction (88%). Triage as a method, the interesting nature of the work, and a certain freedom in connection with the triage tasks contributed to job satisfaction (R(2) = 0.40). The nurses found their work interesting and stimulating, although some reported job dissatisfaction due to a heavy workload and lack of competence. Most of the nurses thought that Manchester triage (MTS) was a clear and straightforward method but in need of development.
The rational modelling structure by which the triage method is constructed is unable to distinguish all the parameters that an experienced nurse takes into account. When the model is allowed to take precedence over experience, it can be of hindrance and contribute to certain estimates not corresponding with the patient's needs. The participants requested regular exercises solving and discussing patient scenarios. They also wanted to participate on a regular basis in the development of the instrument.
本文探讨瑞典西部急诊科分诊过程中护士的工作满意度。
采用包含37个简短开放式问题的问卷，对74名分诊护士进行数据收集。对答案进行描述性分析并测量协方差。通过内容分析法对开放式问题进行分析。
结果显示工作满意度较高（88%）。分诊方法、工作的趣味性以及分诊任务中的一定自由度促成了工作满意度（R(2)=0.40）。护士们认为工作有趣且富有挑战性，尽管一些人因工作量大及能力不足而表示工作不满意。大多数护士认为曼彻斯特分诊法（MTS）清晰明了，但需要改进。
构建分诊方法的合理模型结构无法区分经验丰富的护士所考虑的所有参数。当模型优先于经验时，可能会产生阻碍，并导致某些评估与患者需求不符。参与者要求定期进行解决和讨论患者案例的练习。他们还希望定期参与该工具的开发。
