Knowledge and practices of triage amongst nurses working in the Emergency Departments of rural hospitals in Limpopo Province.
Knowledge and practices of triage amongst nurses working in the Emergency Departments of rural hospitals in Limpopo Province.
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DOI：
10.2174/1874944501912010439
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发表时间：
2019-01-01
期刊：
影响因子：
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通讯作者：
Mothiba, T. M.
中科院分区：
文献类型：
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作者：
Phukubye, T. A.;Mbombi, M. O.;Mothiba, T. M.
背景：许多医院死亡发生在入院 24 小时内。如果对患者进行有效分类、快速识别并立即开始治疗，其中一些死亡是可以避免的。分诊和紧急护理一直是林波波省农村地区医疗保健系统中薄弱且未被充分重视的组成部分，但如果组织得当，它可以挽救许多生命并降低最终的护理成本。关于乡村医院护士分诊知识的研究很少，也很少有资料。目的：本研究旨在评估在南非林波波省 Sekhukhune 区急诊科 (ED) 工作的护士的分诊知识和实践。方法：采用定量、非实验研究方法，84 名急诊科护士填写并提交了结构化调查问卷。通过对不属于主要研究的受访者预先测试数据收集工具，确保了有效性和可靠性。使用SPSS 25版、Excel计算机程序和评分方法对数据进行分析。结果：研究结果表明，分类知识与职称之间存在相关性（p 值=0.046）。研究发现，注册护士、专科护士和注册护士比辅助护士懂得更多。然而，研究发现，在有知识的护士中，61% 的分诊实践较差，而只有 30% 的护士表现出良好的实践。结论：该研究旨在确定急诊科护士的分诊知识和实践。结果表明，护士拥有有关分诊的知识，但很难将其事实知识转化为实践，因为他们在有关实践的问题上得分很低。此外，分诊知识与职称之间存在显着的正相关关系。该研究建议制定策略，以加强将事实知识转化为急诊室分诊的实践。这可以通过有关所有类别护士分流的可持续培训课程来实施。
Background: Many deaths in hospitals occur within 24 hours of admission. Some of these deaths could be prevented if the patients were effectively triaged, identified quickly, and treatment initiated without delay. Triage and emergency care have always been weak and under-emphasized components of healthcare systems in rural areas of Limpopo Province, and yet, if well organised, it could lead to saving many lives and reducing the ultimate costs of care. There have been few studies, and there is little information focusing on nurses' knowledge about triage in rural hospitals. Objective: This study aims to assess the knowledge and practices of triage amongst nurses working in the Emergency Departments (ED) of the Sekhukhune District, Limpopo Province, South Africa. Methods: By employing a quantitative, non-experimental research method, 84 nurses working in the Emergency Departments, completed and submitted structured questionnaires. The validity and reliability were ensured by pre-testing the data collection instrument on respondents who were not part of the main study. Data were analyzed by using the SPSS version 25, Excel computer programs and score methods. Results: The findings indicate that there is a correlation between triage knowledge and job title (p-value=0.046). Registered nurses, specialty nurses, and enrolled nurses, were found to know more than auxiliary nurses. However, the study discovered that, among the nurses with knowledge, 61% exercised poor triage practice, while only 30% showed evidence of good practice. Conclusion: The study aims at defining triage knowledge and practice amongst nurses in the Emergency Departments. The results indicate that nurses have knowledge regarding triage but have difficulty in converting their factual knowledge into practice, as they scored poorly on questions about the practice. In addition, there emerged a significantly positive relationship between triage knowledge and job titles. The study recommends the development of strategies to enhance the conversion of factual knowledge into practice regarding triage in the ED. This could be implemented through sustainable training courses regarding triage for all the categories of nurses.