College of Nursing, Chonnam National University, Gwangju, Republic of Korea.
Department of Nursing, Changwon National University, Changwon, Republic of Korea.
Asian Nurs Res (Korean Soc Nurs Sci). 2021 Oct;15(4):255-264. doi: 10.1016/j.anr.2021.08.001. Epub 2021 Aug 8.
Since 2016, the Korean Triage and Acuity Scale (KTAS) algorithm has been applied to the triage process in the emergency departments (EDs) of Korea. This study aimed to investigate the facilitators of and barriers to a well-run triage function based on how Korean emergency nurses perceived the triage process and their experiences with it.
Data were collected using focus group interviews from June 2018 to January 2019. Twenty emergency nurses were divided into two junior and four senior groups based on their level of clinical experience. All interviews were recorded as they were spoken and transcribed. Data were analyzed using qualitative content analysis.
The participants recognized the need for the KTAS algorithm to efficiently classify emergency patients and were working on it properly. According to the data, we extracted 4 themes and 20 subthemes. Four themes were as follows: (1) awareness about the necessity of triage, (2) facilitators to triage process, (3) barriers to triage process, and (4) suggestions for the establishment and development of triage.
From the findings of this study, various vulnerabilities of the triage process were identified, and solutions were suggested from the emergency nurses' perspective. Educational, staffing, financial support, and periodic updates of the KTAS are needed to promote the triage process in the future.
自 2016 年以来，韩国分诊与 acuity 量表（KTAS）算法已应用于韩国急诊科的分诊流程。本研究旨在根据韩国急诊护士对分诊过程的看法及其分诊经验，探讨良好运行分诊功能的促进因素和障碍因素。
数据采集于 2018 年 6 月至 2019 年 1 月，通过焦点小组访谈收集。根据临床经验水平，20 名急诊护士分为两组初级和四组高级。所有访谈均进行了录音并进行了转录。采用定性内容分析法对数据进行分析。
参与者认识到需要 KTAS 算法来有效分类急诊患者，并正在妥善处理。根据数据，我们提取了 4 个主题和 20 个子主题。四个主题如下：（1）对分诊必要性的认识，（2）分诊流程的促进因素，（3）分诊流程的障碍，（4）分诊建立和发展的建议。
本研究发现分诊流程存在各种漏洞，并从急诊护士的角度提出了解决方案。未来需要在教育、人员配备、财务支持和 KTAS 的定期更新方面促进分诊流程。
