Àrea d'Urgències, Hospital Clínic de Barcelona. Grupo "Urgències: procesos i patologies", IDIBAPS, Barcelona, España.
Emergencias. 2018 Jun;30(3):163-168.
To study the relation between nursing staff demographics and experience and their assignment of triage level in the emergency department.
One-year retrospective observational study in the triage area of a tertiary care urban university hospital that applies the Andorran-Spanish triage model. Variables studied were age, gender, nursing experience, triage experience, shift, usual level of emergency work the nurse undertakes, number of triage decisions made, and percentage of patients assigned to each level.
Fifty nurses (5 men, 45 women) with a mean (SD) age of 45 (9) years triaged 67 803 patients during the year. Nurses classified more patients in level 5 on the morning shift (7.9%) than on the afternoon shift (5.5%) (P=.003). The difference in the rate of level-5 triage classification became significant when nurses were older (β = 0.092, P=.037) and experience was greater (β = 0.103, P=.017). The number of triages recorded by a nurse was significantly and directly related to the percentage of patients assigned to level 3 (β = 0.003, P=.006) and inversely related to the percentages assigned to level 4 (β = -0.002, P=.008) and level 5 (β = -0.001, P=.017).
We found that triage level assignments were related to age, experience, shift, and total number of patients triaged by a nurse.
研究护理人员的人口统计学和经验与他们在急诊科分诊水平之间的关系。
这是一项在一家三级城市大学附属医院分诊区进行的为期一年的回顾性观察研究，该医院采用安道尔-西班牙语分诊模型。研究的变量包括年龄、性别、护理经验、分诊经验、班次、护士通常承担的急诊工作水平、分诊决策次数以及分配给每个级别的患者比例。
50 名护士（5 名男性，45 名女性），平均年龄（SD）为 45（9）岁，在一年期间共分诊了 67803 名患者。上午班的护士将更多的患者分类为 5 级（7.9%），而下午班的护士将更多的患者分类为 5 级（5.5%）（P=.003）。当护士年龄较大（β=0.092，P=.037）和经验更丰富（β=0.103，P=.017）时，这种 5 级分诊分类的差异变得显著。护士记录的分诊次数与分配给 3 级的患者比例显著且直接相关（β=0.003，P=.006），与分配给 4 级和 5 级的患者比例显著且负相关（β=-0.002，P=.008；β=-0.001，P=.017）。
我们发现分诊水平的分配与年龄、经验、班次以及护士分诊的患者总数有关。
