The Australasian Triage Scale: Examining emergency department nurses' performance using computer and paper scenarios
| Autor: | Sandra Ann Levasseur, Elmer Virgil Villanueva, Julie Considine |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Quality Assurance Health Care business.industry media_common.quotation_subject Australia Computer based MEDLINE Fidelity Emergency department Emergency Nursing medicine.disease Triage Mode of delivery Nursing Intensive care Scale (social sciences) Emergency Medicine Humans Medicine Computer Simulation Medical emergency Child business media_common |
| Zdroj: | Annals of Emergency Medicine. 44:516-523 |
| ISSN: | 0196-0644 |
| DOI: | 10.1016/j.annemergmed.2004.04.007 |
| Popis: | The purpose of this study is to examine emergency nurses' performance using triage scenarios characterized by type of patient population (adult versus pediatric) and mode of delivery (paper versus computer).A combination of paper-based (script alone) and computer-based (script plus still photographs) triage scenarios were used. Of the 28 scenarios used, half were written and half were computer based. Within each subgroup, there were 7 adult and 7 pediatric scenarios. Participants were asked to allocate an Australasian Triage Scale category for each triage scenario.One hundred sixty-seven participants completed a total of 2,349 adult scenarios, and 161 participants completed 2,265 pediatric scenarios. Sixty-one percent of the triage decisions made by the nurses were "expected" triage decisions, 18% were "undertriage," decisions, and 21% were "overtriage" decisions. Nurse triage allocation decisions for the scenarios containing still photographs delivered by computer demonstrated a higher average agreement percentage of 66.2% (kappa=0.56; tau b =0.77; P.0001) compared with the average agreement percentage of 55.4% (kappa=0.42; tau b =0.75; P.0001) using paper-based (text-only) scenarios.The mode of delivery appeared to have an effect on the nurses' triage performance. It is unclear whether the use of simple still photographs used in the computer mode of delivery resulted in a higher incidence of expected triage decisions and, thus, improved performance. The use of cues such as photographs and video footage to enhance the fidelity of triage scenarios may be useful not only for the education of triage nurses but also the conduct of research into triage decisionmaking. However, further exploration and research in this area are warranted. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect