Faculty of Nursing, Universitas Indonesia, Indonesia.
J Pak Med Assoc. 2024 May;74(5 (Supple-5)):S31-S35. doi: 10.47391/JPMA.Ind-RInC-09.
To identify the effectiveness of an android-based paediatric assessment triangle application in emergency diagnostics.
The action research study was conducted in the emergency department of a hospital under the Ministry of Defence, Indonesia, located within the Ministry of Defence Rehabilitation Centre Complex, from April to December 2020 after approval from the ethics review committee of the Faculty of Nursing, Universitas Indonesia, Indonesia, employing quantitative and qualitative methods consisting of planning, acting, observing and reflecting stages. Emergency department nurses with at least D3 nursing graduation who were able to identify emergency status in children were included. The subjects were given training on paediatric assessment triangle application before using it in their professional life. The difference was noted through pre- and post-intervention tests. Qualitative data was collected using focus group discussion and system usability scale.
Of the 9 nurses, 5(55.6%) were males, 4(44.4%) were females, 8(88.9%) were aged 26-35 years, and 2(22.2%) had professional experience 1-2 years. The mean baseline score was 36.1±11.4, while the mean post-intervention score was 70.9±14.4. The fastest application completion time was 13 seconds, while the slowest was 52 seconds. Qualitative data led to the emergence of 4 themes: time required to complete the application; preference for connectivity with the hospital's electronic record system; assessment of children's clinical status; and, unfamiliarity with the computerised system. The mean system usability scale score was 72.22±11.35 (range: 52.5-92.5).
Paediatric assessment triangle application could be a valid tool for identifying emergency severity in patients during the triage process.
确定基于安卓的儿科评估三角应用在急诊诊断中的有效性。
本行动研究于 2020 年 4 月至 12 月在印度尼西亚国防部下属医院的急诊部进行，该医院位于国防部康复中心综合大楼内，在印度尼西亚万隆印尼大学护理学院伦理审查委员会批准后，采用包括计划、行动、观察和反思阶段的定量和定性方法。研究纳入了至少具有 D3 护理学位且能够识别儿童急诊状况的急诊部护士。在将儿科评估三角应用于其专业生活之前，对护士进行了培训。通过干预前后的测试来记录差异。使用焦点小组讨论和系统可用性量表收集定性数据。
9 名护士中，5 名（55.6%）为男性，4 名（44.4%）为女性，8 名（88.9%）年龄在 26-35 岁之间，2 名（22.2%）具有 1-2 年的专业经验。基线评分平均为 36.1±11.4，干预后评分平均为 70.9±14.4。最快的应用完成时间为 13 秒，最慢的为 52 秒。定性数据产生了 4 个主题：完成应用所需的时间；与医院电子病历系统连接的偏好；儿童临床状况的评估；以及对计算机化系统的不熟悉。系统可用性量表的平均得分为 72.22±11.35（范围：52.5-92.5）。
儿科评估三角应用可以成为在分诊过程中识别患者严重程度的有效工具。
