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心血管急诊科和重症监护病房护士的分诊决策水平及情感因素:一项横断面研究。

Triage decision-making levels and affective factors of nurses working in cardiovascular emergency department and intensive care units: a cross-sectional study.

作者信息

Turen Sevda, Cetinkaya Isik Filiz

机构信息

Department of Nursing, Faculty of Health Sciences, Istanbul Arel University, Istanbul, Turkey.

Health Sciences University Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training Research Hospital, Istanbul, Turkey.

出版信息

BMC Nurs. 2025 Jul 29;24(1):986. doi: 10.1186/s12912-025-03619-3.

Abstract

BACKGROUND

Emergency department (ED) and intensive care units (ICUs) are areas where triage is frequently applied. This study was conducted to evaluate the triage decision-making levels and affective factors of nurses working in adult cardiovascular ED and ICUs.

METHODS

This is a cross-sectional study conducted in a tertiary cardiovascular healthcare center. The triage decision-making levels of nurses were assessed by the "Triage Decision Making Inventory (TDMI)".

RESULTS

The mean age of the nurses (n = 110) was determined as 28.39 ± 4.71 years, the duration of working in ED/ICUs was determined as 45.47 ± 29.17 months and the duration of professional experience was determined as 65.35 ± 48.46 months. The majority of the nurses in the study were female (77.3%), single (61.8%), bachelor's degree graduates (76.4%) and night - day shift workers (76.4%). The mean TDMI total score of the nurses was determined as 171.12 ± 21.02. A statistically significant association was found between the nurses' age, duration of professional experience, gender, working type, receiving triage training after graduation and considering themselves competent in triage and their triage decision-making levels (p < 0.05).

CONCLUSION

It was determined that the triage decision-making levels of nurses working in adult cardiovascular ED and ICUs were high, but the majority of them did not consider themselves competent in triage. According to the results of this study, it is recommended that triage training of nurses be supported by institutions and triage roadmaps be created in clinics.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

急诊科(ED)和重症监护病房(ICU)是经常应用分诊的区域。本研究旨在评估在成人心血管急诊科和重症监护病房工作的护士的分诊决策水平及影响因素。

方法

这是一项在三级心血管医疗中心进行的横断面研究。护士的分诊决策水平通过“分诊决策量表(TDMI)”进行评估。

结果

护士(n = 110)的平均年龄为28.39 ± 4.71岁,在急诊科/重症监护病房的工作时长为45.47 ± 29.17个月,专业工作经验时长为65.35 ± 48.46个月。研究中的大多数护士为女性(77.3%)、单身(61.8%)、本科学历毕业生(76.4%)且为夜班 - 白班轮班工作者(76.4%)。护士的TDMI总分平均值为171.12 ± 21.02。发现护士的年龄、专业工作经验时长、性别、工作类型、毕业后接受分诊培训以及自认为具备分诊能力与他们的分诊决策水平之间存在统计学显著关联(p < 0.05)。

结论

确定在成人心血管急诊科和重症监护病房工作的护士的分诊决策水平较高,但他们中的大多数人并不认为自己具备分诊能力。根据本研究结果,建议机构支持护士的分诊培训,并在临床制定分诊路线图。

临床试验编号

不适用。

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