Sánchez-Bermejo Raúl
Servicio de Urgencias, Hospital General Nuestra Señora del Prado, Talavera de la Reina, Toledo, España. En representación de Grupo Nacional de Triaje de SEMES.
Emergencias. 2015;27(2):103-108.
To describe the opinions of Spanish nurses on hospital emergency department (ED) triage and to compare their level of satisfaction with different triage systems.
Descriptive survey-based study of the opinions of nurses working in Spanish EDs. The online questionnaire was self-administered by the respondents. Items covered demographic data, degrees of experience and training, level of satisfaction, and aspects related to triage in general and to the type of triage used in the respondent's hospital.
Valid responses were received from 833 of the 857 nurses contacted (97.2% response rate); the nurses worked at 161 hospitals. Eighty hospitals (49.7%) used the Andorran Triage System adapted as the Spanish Triage System (ATM-STS) and 49 (30.4%) used the Manchester Triage System (MTS). The mean (SD) age of respondents was 38.5 (7.8) years; 652 (78.3%) of the respondents were women. Nurses were responsible for triage in 140 (87%) of the hospitals. Four hundred nurses (48.0%) believed triage is a full-team responsibility and 367 (44.0%) believed it was a nursing responsibility. Six hundred three (77.2%) had received specific training in triage. Seven hundred nine (85.1%) believed that triage always or almost always ensures better care for patients with the most serious emergencies, 681 (81.7%) believed that the triage nurse's opinion is taken into consideration, and 663 (79.6%) believed that patients are seen by a physician according to the assigned triage level. Nurses feel supported and generally respected by other nurses. Two hundred thirty (26.7%) would change the triage system they use, but only 100 (43.5%) could name a system they would switch to.
Triage is performed by nurses in most of the hospitals, although nearly half of the respondents believe this responsibility should be shared with doctors. Nurses have a good opinion of triage and are generally satisfied with it, but there is variation according to the system implemented in their hospital.
描述西班牙护士对医院急诊科分诊的看法，并比较他们对不同分诊系统的满意度。
基于描述性调查研究西班牙急诊科护士的看法。在线问卷由受访者自行填写。问卷内容包括人口统计学数据、经验和培训程度、满意度，以及与分诊总体相关的方面和受访者所在医院使用的分诊类型。
在联系的857名护士中，有833人给出了有效回复（回复率为97.2%）；这些护士在161家医院工作。80家医院（49.7%）采用改编后的安道尔分诊系统作为西班牙分诊系统（ATM-STS），49家医院（30.4%）采用曼彻斯特分诊系统（MTS）。受访者的平均（标准差）年龄为38.5（7.8）岁；652名（78.3%）受访者为女性。140家（87%）医院的护士负责分诊。400名护士（48.0%）认为分诊是整个团队的责任，367名护士（44.0%）认为这是护理工作的责任。603名（77.2%）护士接受过分诊方面的专门培训。709名（85.1%）护士认为分诊总是或几乎总是能确保为最严重紧急情况的患者提供更好的护理，681名（81.7%）护士认为分诊护士的意见会被考虑，663名（79.6%）护士认为患者会根据分配的分诊级别由医生诊治。护士感到得到其他护士的支持且普遍受到尊重。230名（26.7%）护士会改变他们使用的分诊系统，但只有100名（43.5%）能说出他们会改用的系统。
大多数医院的分诊工作由护士执行，尽管近一半的受访者认为这项责任应由医生共同承担。护士对分诊评价良好且总体上对其满意，但根据所在医院实施的系统存在差异。
