福建省三级甲等医院急诊预检分诊护士能力现状及影响因素探讨分析研究 高级护理专业 .pdfVIP

福建省三级甲等医院急诊预检分诊护士

能力现状及影响因素探讨

摘要：目的研究福建省三级甲等医院急诊科预检分诊护士决策水平，研究有关要素。

方法使用横断面调查方式，使用预检分诊护士普通问卷、急诊科预检分诊普通资料问

卷、预检分诊决策量表、护士病情分级水平评估表在2019年1月至3月期间对福建省

三级甲等医院124名急诊科预检分诊护士进行研究。结果填写问卷的124名护士中

只有69人（55.7%接受过专门的预检分诊相关培训，且多为接受科室内培训（95.7%；

仅有12人（9.7%为固定的预检分诊护士，其余112人（90.3%均还需承担其他工

作；124名急诊科预检分诊护士的病情分级能力得分为（2.86±1.02结论（1福

建省三级甲等医院预检分诊护士病情分级水平基本位于平均水平；（2影响预检分诊

护士病情分级能力的主要因素为直觉、认知行为、经验及技术信息。

关键词：预检分诊；护士；病情分级能力；影响因素

Englishsubject:TheCurrentSituationofTriagenursesCompetencyand

RelatedFactorsintheEmergencyDepartmentinThree-ledgeradeAhospitals

inFujianProvince.

Abstract：Objective:Toinvestigatethecurrentsituationofdecision-making

abilityofpre—examinationtriagenursesintheemergencydepartmentofgrade

ahospitalinfujianprovinceandanalyzetherelevantfactors.Methods:By

usingthemethodofcross-sectionalsurvey,124nursesofpre-examination

triageintheemergencydepartmentoffujianprovincewerestudiedfromJanuary

toMarch2019byusingDemographicDataRecordingForm,EmergencyDepartment

TriageeneralInformationQuestionnaire,TriageDecisionMakingInventory

andTriageCompetencyAssessmentTool.Results:Amongthe124nurseswho

filledinthequestionnaire,only69(55.7%)hadreceivedspecialtraining

relatedtoprescreeningandtriage,andmostofthemhadreceivedin-department

training(95.7%).Only12(9.7%)werefixedpre-examinationtriagenurses,and

theremaining112(90.3%)wererequiredtoundertakeotherwork.Thegrading

abilityscoreof124pre-triagenursesintheemergencydepartmentwas(2.86

1.02).Correlationanalysisshowedthattherewerethreefactorsthatfinally

enteredtheregressionequation,namely,theintuitivedimension(=0.345),the

cognitivebehavioraldimension(=0.467),andtheempiricalandtechnical

informationdimension(=0.236).

Conclusions:(1)theconditiongradinglevel