Faculty of Health and Social Studies, Department of Critical Care, HAN University of Applied Sciences, Utrecht, The Netherlands.
J Clin Nurs. 2011 Sep;20(17-18):2458-68. doi: 10.1111/j.1365-2702.2011.03698.x. Epub 2011 Jul 13.
The aim of this study was to evaluate the adherence to the 2004 guideline Triage in emergency departments three years after dissemination in Dutch emergency departments.
In 2004, a Dutch guideline Triage in emergency departments was developed. Triage is the first step performed by nurses when a patient arrives at an emergency department. It includes the prioritisation of patients to ensure that doctors see patients with the highest medical needs first. Although the national guideline was developed and disseminated in 2004, three years on there was no insight into the level of implementation of the guideline in practice.
A cross-sectional descriptive design.
In February 2007, data were collected from ward managers and triage nurses at all emergency departments in the Netherlands (n = 108), using a questionnaire that was based on the recommendations and performance indicators of the guideline.
In total, 79% of all 108 Dutch emergency departments responded. The main findings showed that over 31% of the emergency departments did not use a triage system. Emergency departments using the Manchester Triage System had a mean adherence rate of 61% of the guideline's recommendations and emergency departments using the Emergency System Index adhered to a mean of 65%.
The guideline Triage in emergency departments was disseminated in 2004, but results from this study indicate that an improvement in adherence to this guideline is required.
Adherence to guidelines is important to standardise practice to ensure that patients receive the appropriate treatment and to improve quality of care.
本研究旨在评估 2004 年荷兰急诊分诊指南在发布三年后在荷兰急诊部门的依从情况。
2004 年，荷兰制定了急诊分诊指南。分诊是护士在患者到达急诊部门时进行的第一步，包括对患者进行优先排序，以确保医生首先为最需要医疗的患者看病。尽管该国家指南是在 2004 年制定和传播的，但三年后，我们仍不清楚该指南在实践中的实施程度。
横断面描述性设计。
2007 年 2 月，使用基于指南建议和绩效指标的问卷，从荷兰所有急诊部门的病房经理和分诊护士那里收集数据（n=108）。
共有 108 个荷兰急诊部门中的 79%做出了回应。主要发现表明，超过 31%的急诊部门未使用分诊系统。使用曼彻斯特分诊系统的急诊部门对指南建议的依从率平均为 61%，使用紧急系统索引的急诊部门平均依从率为 65%。
2004 年发布了急诊分诊指南，但本研究结果表明，需要提高对该指南的依从性。
遵循指南对于标准化实践很重要，以确保患者得到适当的治疗并提高护理质量。
