Rankin James A, Then Karen L, Atack Lynda
Faculty of Nursing, University of Calgary, 2500 University Dr NW, Calgary, Alberta, Canada.
J Emerg Nurs. 2013 Jan;39(1):20-6. doi: 10.1016/j.jen.2011.07.004. Epub 2011 Sep 8.
Emergency nurses deal with increasing complexity of patients. In 2003 there were over 14 million ED visits in Canada. The Canadian Triage and Acuity Scale (CTAS) is a 5-level system used by ED triage nurses to classify patients. There is a need for standardized training for all triage systems. In an effort to improve access to CTAS training, a 6-week Web-based CTAS workshop was developed. We determined the impact of Web learning on the accuracy of the triage skills of registered nurses (RNs).
An experimental method was used in which 132 RNs were randomized to an intervention group (n = 65) or control group (n = 67). All RNs received exactly the same content and learning activities. The experimental group differed from the control group in 3 ways: a mandatory tutorial, awarding of marks for online discussion, and completion of a workplace project. Data were collected using standard instruments, chart audit, and interviews.
The Web course provided a standardized and effective educational experience that enhanced emergency nurses' triage accuracy. The mandatory online tutorial, online discussion, and workplace project increased the RNs' preparation for online learning, and these educational methods were successful in transferring triage learning to practice.
Web learning can help professionals maintain competency and support professional practice. Further research is needed to provide evidence for best practices in E-learning for RNs. The accuracy of the RN's triage assessment impacts patient health, hospital accreditation, and funding.
急诊护士应对的患者病情日益复杂。2003年，加拿大急诊就诊人数超过1400万。加拿大分诊与 acuity 量表（CTAS）是急诊分诊护士用于对患者进行分类的五级系统。所有分诊系统都需要标准化培训。为了改善获取CTAS培训的机会，开发了一个为期6周的基于网络的CTAS研讨会。我们确定了网络学习对注册护士（RN）分诊技能准确性的影响。
采用实验方法，将132名RN随机分为干预组（n = 65）或对照组（n = 67）。所有RN都接受完全相同的内容和学习活动。实验组与对照组在三个方面有所不同：强制性教程、在线讨论评分以及完成一个工作场所项目。使用标准工具、图表审核和访谈收集数据。
网络课程提供了标准化且有效的教育体验，提高了急诊护士的分诊准确性。强制性在线教程、在线讨论和工作场所项目提高了RN对在线学习的准备程度，并且这些教育方法成功地将分诊学习转化为实践。
网络学习可以帮助专业人员保持能力并支持专业实践。需要进一步研究为RN电子学习的最佳实践提供证据。RN分诊评估的准确性会影响患者健康、医院认证和资金。
