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2023年埃塞俄比亚亚的斯亚贝巴部分公立医院成人急诊科护士的分诊知识、感知技能及相关因素:多中心横断面研究

Triage knowledge, perceived skills, and associated factors among nurses working in adult emergency departments of selected public hospitals in Addis-Ababa, Ethiopia, 2023: multicenter cross-sectional study.

作者信息

Bahre Willi, Mengist Bete, Bitsa Yihdego, Woldemariam Guesh Teklu, Kebede Sofia, Wubete Andualem, Halefom Mearg Alemu, Bantie Abere Tilahun

机构信息

Department of Nursing, College of Medicine and Health Sciences, Adigrat University, Adigrat, Ethiopia.

Cure International Hospital, Addis-Ababa, Ethiopia.

出版信息

Ann Med Surg (Lond). 2024 Oct 28;86(12):7029-7036. doi: 10.1097/MS9.0000000000002703. eCollection 2024 Dec.

Abstract

BACKGROUND

Triage is an essential function in the emergency department. Knowledge of nurses working in triage has been cited as an influential factor in triage decision-making. As there are increased numbers of clients with life-threatening traumatic injuries and medical patients in the emergency department in Addis-Ababa, triage knowledge and skill are essential competencies required for the nurses working in the emergency department.

OBJECTIVE

To assess nurses' knowledge and perceived skills towards triage and associated factors among nurses working in the adult emergency department of selected public hospitals in Addis-Ababa, Ethiopia, 2023.

METHODS

A multicentre cross-sectional study design was used. Three hospitals were purposefully selected. A census sampling technique was used to obtain the required sample size. Data was collected by an open data kit (ODK) version 2022.1.2. Then, it was exported to SPSS version 27 for final analysis. Bivariate analysis at a -value of 0.25 and multivariable analysis at a -value of 0.05 were applied. Results were presented using tables, figures, and texts.

RESULTS

A total of 384 participants were included in this study. The proportions of poor triage knowledge and perceived poor triage skills among nurses were 58.1 and 50.3%, respectively. Educational level, triage experience, training experience, and the availability of triage equipment were significant predictors of triage knowledge and perceived triage skill, respectively.

CONCLUSION AND RECOMMENDATION

The triage knowledge and skill levels were found to be low. As nurses' knowledge about triage is a key tool in triage decision-making, there is a need to improve nurses' knowledge and skills in triaging at the ED.

摘要

背景

分诊是急诊科的一项重要职能。在分诊决策中,从事分诊工作的护士的知识被认为是一个影响因素。由于亚的斯亚贝巴急诊科中危及生命的创伤患者和内科患者数量不断增加,分诊知识和技能是急诊科护士必备的核心能力。

目的

评估2023年埃塞俄比亚亚的斯亚贝巴部分公立医院成人急诊科护士的分诊知识、自我感知的分诊技能及相关因素。

方法

采用多中心横断面研究设计。有目的地选择了三家医院。使用普查抽样技术来确定所需的样本量。通过开放数据工具包(ODK)2022.1.2版本收集数据。然后,将其导出到SPSS 27版本进行最终分析。应用p值为0.25的双变量分析和p值为0.05的多变量分析。结果以表格、图表和文字形式呈现。

结果

本研究共纳入384名参与者。护士中分诊知识不足和自我感知分诊技能较差的比例分别为58.1%和50.3%。教育水平、分诊经验、培训经验和分诊设备的可用性分别是分诊知识和自我感知分诊技能的重要预测因素。

结论与建议

发现分诊知识和技能水平较低。由于护士的分诊知识是分诊决策的关键工具,因此有必要提高急诊科护士的分诊知识和技能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/597d/11623904/3a0c98ffa69e/ms9-86-7029-g001.jpg

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