Göransson Katarina E, von Rosen Anette
Department of Emergency Medicine, Karolinska University Hospital Solna, Stockholm, Sweden.
Int Emerg Nurs. 2010 Jan;18(1):36-40. doi: 10.1016/j.ienj.2009.10.001. Epub 2009 Nov 14.
Emergency department triage is a prerequisite for the rapid identification of critically ill patients and for allocation of the correct acuity level which is pivotal for medical safety. The patient's first encounter with a medical professional in the emergency department is often with the triage nurse.
To identify patient experience of the triage encounter.
A questionnaire focusing on the patient-triage nurse relationship in terms of satisfaction with the medical and administrative information, privacy and confidentiality in the triage area as well as triage nurse competence and attitude was answered by 146 participating patients.
The majority of patients perceived that while they were triaged immediately upon arrival to the emergency department, they were often given limited information about the waiting time. Although almost a quarter of the patients did not wish to have information about their medical condition from the triage nurse, 97% of the patients considered the triage nurse to be medically competent for the triage task.
Patients were generally satisfied with the reception and care given by the triage nurses, but less satisfied about information about expected waiting time. We suggest therefore, that patients should be routinely informed about their estimated waiting time to be seen by the doctor in addition to their triage level.
急诊科分诊是快速识别重症患者以及分配正确急症等级的前提条件,而这对医疗安全至关重要。患者在急诊科首次接触医疗专业人员通常是分诊护士。
确定患者对分诊过程的体验。
146名参与调查的患者回答了一份问卷,该问卷聚焦于患者与分诊护士的关系,涉及对医疗和行政信息的满意度、分诊区域的隐私和保密情况以及分诊护士的能力和态度。
大多数患者认为,尽管他们到达急诊科后立即接受了分诊,但关于等待时间的信息通常提供得很少。虽然近四分之一的患者不希望从分诊护士那里了解自己的病情,但97%的患者认为分诊护士具备分诊任务所需的医疗能力。
患者总体上对分诊护士的接待和护理感到满意,但对预期等待时间的信息不太满意。因此,我们建议,除了告知患者分诊等级外,还应常规告知他们预计等待医生诊治的时间。