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[医院急诊科分诊护士的能力]

[Competence of triage nurses in hospital emergency departments].

作者信息

Martínez-Segura Estrella, Lleixà-Fortuño Mar, Salvadó-Usach Teresa, Solà-Miravete Elena, Adell-Lleixà Mireia, Chanovas-Borrás Manel R, March-Pallarés Gemma, Mora-López Gerard

机构信息

Servicio de Urgencias, Hospital Verge de la Cinta, Tortosa, Tarragona, España. Departamento de Enfermería, Campus Terres de l'Ebre, Universitat Rovira i Virgili, Tortosa, Tarragona, España.

Departamento de Enfermería, Campus Terres de l'Ebre, Universitat Rovira i Virgili, Tortosa, Tarragona, España. Hospital de la Santa Creu, Tortosa, Tarragona, España.

出版信息

Emergencias. 2017 Jun;29(3):173-177.

Abstract

OBJECTIVES

To identify associations between sociodemographic characteristics variables and competence levels of triage nurses in hospital emergency departments.

MATERIAL AND METHODS

Descriptive, cross-sectional, multicenter study of triage nurses in hospital emergency departments in the southwestern area of Catalonia (Ebre River territory). We used an instrument for evaluating competencies (the COM_VA questionnaire) and recording sociodemographic variables (age, sex, total work experience, emergency department experience, training in critical patient care and triage) and perceived confidence when performing triage. We then analyzed the association between these variables and competency scores.

RESULTS

Competency scores on the COM_VA questionnaire were significantly higher in nurses with training in critical patient care (P=.001) and triage (P=0.002) and in those with longer emergency department experience (P<.0001). Perceived confidence when performing triage increased with competency score (P<.0001) and training in critical patient care (P<.0001) and triage (P=.045).

CONCLUSION

The competence of triage nurses and their perception of confidence when performing triage increases with emergency department experience and training.

摘要

目的

确定社会人口学特征变量与医院急诊科分诊护士能力水平之间的关联。

材料与方法

对加泰罗尼亚西南部地区(埃布罗河流域)医院急诊科分诊护士进行描述性、横断面、多中心研究。我们使用了一种能力评估工具(COM_VA问卷),记录社会人口学变量(年龄、性别、总工作经验、急诊科工作经验、危重症患者护理培训和分诊培训)以及分诊时的感知信心。然后分析这些变量与能力得分之间的关联。

结果

接受过危重症患者护理培训(P = 0.001)和分诊培训(P = 0.002)的护士以及急诊科工作经验较长的护士在COM_VA问卷上的能力得分显著更高(P < 0.0001)。分诊时的感知信心随能力得分(P < 0.0001)、危重症患者护理培训(P < 0.0001)和分诊培训(P = 0.045)的增加而增加。

结论

分诊护士的能力以及他们在分诊时的信心感知随着急诊科工作经验和培训的增加而提高。

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