College of Nursing, Yonsei University, Seoul, Republic of Korea; Severance Hospital, Yonsei University Health System, Seoul, Republic of Korea.
College of Nursing, Yonsei University, Seoul, Republic of Korea.
Nurse Educ Today. 2025 Jan;144:106452. doi: 10.1016/j.nedt.2024.106452. Epub 2024 Oct 9.
Accurate triage decisions by emergency room nurses are pivotal for patient prognosis and efficient utilization of resources. This study aimed to identify teaching methods, contents, intervention characteristics, and initial consideration of educational design for the development of triage education, targeting triage nurses.
A scoping review.
PubMed, CINAHL, Web of Science, Embase, and RISS were searched for studies in either English or Korean, regardless of publication year.
The review was conducted according to the Joanna Briggs Institute guidelines. Studies published before November 15, 2023 were selected, based on the following index terms in each database: nurses, triage, education, and emergency services, hospital.
Of the 20 studies included in this review, five focused on severity classification of patients with cardiovascular diseases, one addressed infectious diseases, two examined pediatric patients, one explored patients with trauma, and the remaining eleven were not limited to specific diseases. Eleven studies (55 %) employed face-to-face (offline) education, whereas six (30 %) used non-face-to-face (online) education. The teaching methods were classified as teacher-centered learning and student-centered learning. The educational strategies included in-person lectures, online classes, demonstrations, simulations, mobile technology or web-based programs, group discussions, role-plays, and flipped learning. Outcome variables, such as triage accuracy, knowledge, performance ability, self-efficacy, satisfaction, wait time, and competency were measured as intervention effects.
This review demonstrates the key characteristics and contents of triage education interventions, along with key considerations in the initial design stages. Triage education covers a wide range of contents and diverse teaching methods pertinent to severity classification in triage practice. Effective educational programs hinge on the meticulous planning of objectives, optimal selection of the target population, needs assessment, and suitable teaching methods and materials. Future triage education for emergency room nurses should be tailored to specific participants while anticipating and planning all potential circumstances of implementation.
急诊室护士准确分诊对患者预后和资源的有效利用至关重要。本研究旨在确定分诊教育的教学方法、内容、干预特点和初步教学设计要点，以针对分诊护士。
范围综述。
在 PubMed、CINAHL、Web of Science、Embase 和 RISS 中，以英文或韩文检索了研究，无论发表年份如何。
根据 Joanna Briggs 研究所的指南进行了综述。根据每个数据库中的以下索引项，选择截至 2023 年 11 月 15 日之前发表的研究：护士、分诊、教育和急诊服务、医院。
在本综述中纳入的 20 项研究中，有 5 项侧重于心血管疾病患者的严重程度分类，1 项涉及传染病，2 项研究儿科患者，1 项探讨创伤患者，其余 11 项不限于特定疾病。11 项研究（55%）采用面对面（离线）教育，而 6 项（30%）采用非面对面（在线）教育。教学方法分为以教师为中心的学习和以学生为中心的学习。所采用的教育策略包括现场讲座、在线课程、演示、模拟、移动技术或基于网络的程序、小组讨论、角色扮演和翻转学习。分诊准确性、知识、绩效能力、自我效能、满意度、等待时间和能力等作为干预效果的结果变量进行了测量。
本综述展示了分诊教育干预的关键特征和内容，以及在初步设计阶段的关键考虑因素。分诊教育涵盖了广泛的内容和多样化的教学方法，与分诊实践中的严重程度分类相关。有效的教育计划取决于目标的精心规划、目标人群的最佳选择、需求评估以及合适的教学方法和材料。未来针对急诊室护士的分诊教育应根据特定参与者进行定制，并预测和规划实施的所有潜在情况。
