Stephens G S, Pokorny M E, Bowman J M
Duke University Medical Center Life Care Program, Durham, North Carolina, USA.
J Nurs Staff Dev. 1997 Jul-Aug;13(4):189-92.
This correlational study examined the effects of inservice education on the initiation of triage protocols by emergency room nurses for patients experiencing cardiac symptom distress. The study used a pretest/posttest design with a convenience sample of 40 patients who were experiencing cardiac symptom distress. Chart reviews were conducted on 20 patients seen in the emergency room with suspected myocardial infarction. Then emergency room nurses had an inservice program on institution of triage protocols, and 20 more patient charts were reviewed. The study revealed two statistically significant findings. First, the staff nurses incorporated pain and symptom distress measurement tools in physical assessments more frequently after inservice education sessions than before inservice education sessions. Second, the staff nurses documented the use of triage protocols more frequently after the inservice education sessions than before the sessions. These findings suggest that nursing inservice education positively affects nursing care for patients with suspected myocardial infarction.
这项相关性研究考察了在职教育对急诊室护士针对出现心脏症状困扰的患者启动分诊方案的影响。该研究采用了前测/后测设计，以40名出现心脏症状困扰的患者作为便利样本。对急诊室中20名疑似心肌梗死的患者进行了病历审查。然后，急诊室护士参加了关于分诊方案制定的在职培训项目，之后又对另外20名患者的病历进行了审查。该研究发现了两个具有统计学意义的结果。第一，与在职教育课程之前相比，在职教育课程之后，注册护士在体格检查中更频繁地纳入疼痛和症状困扰测量工具。第二，与课程之前相比，在职教育课程之后，注册护士更频繁地记录分诊方案的使用情况。这些结果表明，护理在职教育对疑似心肌梗死患者的护理产生了积极影响。
