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Using the Five-Level Taiwan Triage and Acuity Scale Computerized System: Factors in Decision Making by Emergency Department Triage Nurses

机译:采用五级台湾分类和敏锐度计计算机化系统:急诊部门护士决策中的因素

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摘要

Triage classifies and prioritizes patients' care based on the acuity of the illness in emergency departments (EDs). In Taiwan, the five-level Taiwan Triage and Acuity Scale (TTAS) computerized system was implemented nationally in 2010. The purpose of this study was to understand which factors affect decision-making practices of triage nurses in the light of the implementation of the new TTAS tool and computerized system. The qualitative data were collected by in-depth interviews. Data saturation was reached with 16 participants. Content analysis was used. The results demonstrated that the factors affecting nurses' decision making in the light of the newly implemented computerized system sit within three main categories: external environmental, patients' health status, and nurses' experiences. This study suggests ensuring the patient's privacy while attending the triage desk, improving the critical thinking of triage nurses, and strengthening the public's understanding of the ED visits. These will make ED triage more efficient.
机译:基于急诊部门(EDS)中疾病的症,分隔对患者的护理进行分类和优先排序。在台湾,2010年全国实施五层台湾分类和敏锐度规模(TTA)计算机化系统。本研究的目的是了解鉴于新的实施方式影响分类护士的决策实践TTA工具和计算机化系统。通过深入的访谈收集定性数据。与16名参与者达到数据饱和度。使用内容分析。结果表明,影响护士的决策的因素在新实施的计算机化系统中坐在三大类:外部环境,患者的健康状况和护士的经历范围内。本研究表明,在参加分类台的同时确保患者的隐私,提高分类护士的批判性思维,加强公众对ED访问的理解。这些将使ED分类更有效。

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