调查急诊科分诊护士的专业能力及其决定因素：伊朗的一项多中心横断面研究。
Investigating the professional capability of triage nurses in the emergency department and its determinants: a multicenter cross-sectional study in Iran.
机构信息
Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.
Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran.
出版信息
BMC Emerg Med. 2023 Apr 1;23(1):38. doi: 10.1186/s12873-023-00809-7.
BACKGROUND
Planning to improve the professional capabilities of triage nurses requires determining the level of professional capabilities and its determinants. In this regard, the present study was conducted to determine the professional capability of triage nurses and its determinants for the first time in Iran.
METHODS
A descriptive cross-sectional multicenter study was conducted in 2022. The research population included all nurses working in triage units of emergency departments of seven selected hospitals in Fars Province, south of Iran. The samples were selected using convenience sampling. The data collection tools were the "Triage nurses' professional capability questionnaire in the emergency department" and a questionnaire to investigate determinants of triage nurses' professional capability. Descriptive and analytical (Pearson's correlation test and multiple linear regression analysis) were used for data analysis in the SPSS software version 27. P values ≤ 0.05 were considered significant.
RESULTS
Out of 580 participants, 342 (59%) were female. The professional capability of triage nurses was at a moderate level with a mean score of 124.11 ± 14.72. The mean score of clinical competence, psychological empowerment, and professional commitment was 71.56 ± 9.67, 19.86 ± 3.95, and 32.69 ± 3.54, respectively. The results of multiple linear regression analysis showed that 5 factors, including participation in educational courses (p < 0.001), having clinical experience and specialized knowledge in emergency department (p < 0.001), error registry and assessment system (p < 0.001), managers' support (p < 0.001), and recruiting experienced staff (p = 0.018) affected the nurses' professional capability.
CONCLUSION
In the present study, the triage nurses had moderate levels of professional capability. It is necessary that nursing managers develop effective plans to improve the professional capability of triage nurses in emergency departments to enhance the quality and effectiveness of emergency services.
背景
计划提高分诊护士的专业能力，需要确定其专业能力水平及其决定因素。为此，本研究首次在伊朗确定了分诊护士的专业能力及其决定因素。
方法
2022 年进行了一项描述性的横断面多中心研究。研究人群包括伊朗南部法尔斯省 7 家选定医院急诊部分诊单元工作的所有护士。采用便利抽样法选取样本。数据收集工具为“急诊部分诊护士专业能力问卷”和分诊护士专业能力决定因素问卷。使用 SPSS 软件版本 27 进行数据分析，采用描述性和分析性（Pearson 相关检验和多元线性回归分析）。P 值≤0.05 被认为具有统计学意义。
结果
在 580 名参与者中，342 名（59%）为女性。分诊护士的专业能力处于中等水平，平均得分为 124.11±14.72。临床能力、心理授权和专业承诺的平均得分为 71.56±9.67、19.86±3.95 和 32.69±3.54。多元线性回归分析结果显示，5 个因素，包括参加教育课程（p<0.001）、具有急诊临床经验和专业知识（p<0.001）、错误登记和评估系统（p<0.001）、管理者支持（p<0.001）和招聘有经验的员工（p=0.018），影响护士的专业能力。
结论
在本研究中，分诊护士的专业能力处于中等水平。护理管理者有必要制定有效的计划，以提高急诊部分诊护士的专业能力，提高急诊服务的质量和效果。
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