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提高南非农村医院急诊科护士分诊知识和实践技能的策略。

Strategies to Enhance Knowledge and Practical Skills of Triage amongst Nurses Working in the Emergency Departments of Rural Hospitals in South Africa.

机构信息

Department of Nursing Science, University of Limpopo, Mankweng 0727, South Africa.

Faculty of Health Science, University of Limpopo, Mankweng 0727, South Africa.

出版信息

Int J Environ Res Public Health. 2021 Apr 23;18(9):4471. doi: 10.3390/ijerph18094471.

Abstract

Lack of knowledge and practical skills on triage remains a global problem, especially within rural hospitals, and very little is known about enhancing the knowledge and skills of emergency nursing staff in rural hospitals of South Africa. The objective was to describe the perceived strategies for enhancing knowledge and practices of triage among nurses working in the emergency departments (EDs) of rural hospitals in South Africa. A descriptive qualitative research design was applied to achieve the research objective. A non-probability sampling method was applied to select 17 professional nurses from rural hospitals. An unstructured face-to-face interview method was used to collect data. Data collected were analyzed using Tesch's method of data analysis. The study findings highlighted the academic needs of nurses working in the ED of rural hospitals. Two themes emerged from this study; (1) The consistent description of the importance of triage training for emergency unit staff, and (2) The description of measures to enhance triage practices amongst emergency unit staff. Findings indicated that triage knowledge and practice remains a challenge, but with formulated strategies like continuous training by workshops, refresher courses, and offering a training module on triage, evaluation of developed guidelines and benchmarks is often enhanced. The study describes the strategies to enhance the conversion of knowledge and practice of triage amongst nurses working in the ED of rural hospitals. The paper argues that the knowledge and practical skills of nurses working in ED are enhanced through the provision of continuous training as workshops, triage module, evaluating the developed guidelines to implement triage, and benchmarking with other hospitals.

摘要

在分诊方面缺乏知识和实践技能仍然是一个全球性问题,特别是在农村医院,而对于提高南非农村医院急诊护理人员的知识和技能知之甚少。本研究旨在描述在南非农村医院急诊科工作的护士对增强分诊知识和实践的感知策略。采用描述性定性研究设计来实现研究目标。采用非概率抽样方法从农村医院选择了 17 名专业护士。采用非结构化面对面访谈方法收集数据。使用 Tesch 的数据分析方法分析收集的数据。研究结果突出了在农村医院急诊部门工作的护士的学术需求。本研究提出了两个主题;(1)一致描述了对急诊单位工作人员进行分诊培训的重要性,以及(2)描述了提高急诊单位工作人员分诊实践的措施。研究结果表明,分诊知识和实践仍然是一个挑战,但通过制定策略,如通过研讨会、进修课程为急诊单位工作人员提供持续培训,以及提供分诊培训模块,对制定的准则和基准进行评估,通常可以提高分诊的知识和实践。本研究描述了在农村医院急诊部门工作的护士增强分诊知识和实践转化的策略。本文认为,通过提供持续培训,如研讨会、分诊模块、评估制定的准则以实施分诊以及与其他医院进行基准比较,可以提高急诊部门护士的知识和实践技能。

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