The primary objective of emergency pre-examination and triage is to provide the most appropriate clinical service to patients with acute and critical illnesses while ensuring the optimal utilization of limited medical...The primary objective of emergency pre-examination and triage is to provide the most appropriate clinical service to patients with acute and critical illnesses while ensuring the optimal utilization of limited medical resources.With the advancement of medical information technology,mobile technology,and information management,these features have been gradually incorporated into emergency pre-examination and triage and have shown promising outcomes.In this article,the benefits of implementing mobile technology and the current status of integrated information management to provide a reference for the future development and enhancement of emergency pre-examination and triage are reviewed.展开更多
<strong>Background:</strong> With an increasing number of patients who visit emergency outpatient units, a shortage of physicians and nurses in emergency units has become an issue in Japan. Triage nurses w...<strong>Background:</strong> With an increasing number of patients who visit emergency outpatient units, a shortage of physicians and nurses in emergency units has become an issue in Japan. Triage nurses who interview patients and their families before medical examinations feel stressed to determine the triage level in a limited time, necessitating the measures to alleviate stressors. <strong>Objective:</strong> To develop a triage nurse job stressor scale (TNJSS) for Japanese triage nurses in emergency outpatient units and to verify the reliability and validity of this scale. <strong>Methods:</strong> Anonymous, self-administered questionnaires were sent to nursing directors of 180 emergency and critical care centers randomly selected from 251 centers throughout Japan, requesting to distribute the questionnaire to nurses. <strong>Results:</strong> Based on the responses obtained from 363 nurses, the construct validity, internal consistency, and criterion-related validity were verified. A factor analysis of 44 items yielded five factors: “Lack of triage ability”, “Busy triage work”, “Patients without understanding of explanations”, “Complaints from patients waiting for treatment”, and “Lack of support to improve triage ability”. Cronbach’s α was 0.93 for the full scale and significant correlations were observed between the nurses’ stressor scores and scores for the Stress Response Scale-18 (<em>r</em> = 0.409;<em>p</em> < 0.01) and for the Nursing Job Stressor Scale (<em>r</em> = 0.410;<em>p</em> < 0.01). <strong>Conclusions:</strong> The TNJSS with a five-factor structure containing 44 items was determined to be a reliable and valid tool for evaluating Japanese triage nurse job stressors. The findings suggest the necessity to continuously educate and support triage nurses.展开更多
The SARS-CoV-2 infection has brought a great challenge in prevention and control of the national epidemic of coronavirus disease 2019(COVID-19)in China.During the COVID-19 epidemic,properly carrying out pre-examinatio...The SARS-CoV-2 infection has brought a great challenge in prevention and control of the national epidemic of coronavirus disease 2019(COVID-19)in China.During the COVID-19 epidemic,properly carrying out pre-examination and triage for patients with skin lesions and fever has become a practical problem encountered in hospitals for skin diseases and dermatology clinics in general hospitals.Some of the carriers of the SARS-CoV-2 and patients with COVID-19 in the early stage may not present with any symptoms of COVID-19,while certain other skin diseases can also cause fever.Therefore,to properly deal with the patients presenting at dermatology clinics,the Chinese Society of Dermatology organized experts to formulate principles and procedures for the pre-examination and triage of patients at dermatology clinics during the COVID-19 epidemic.展开更多
India is vulnerable to a large number of disasters.More than 58.6%of the landmass is prone to earthquakes of moderate to high intensity;over 40 million hectares(12%)of its land is prone to floods and river erosion;clo...India is vulnerable to a large number of disasters.More than 58.6%of the landmass is prone to earthquakes of moderate to high intensity;over 40 million hectares(12%)of its land is prone to floods and river erosion;close to 5.700 km,out of the 7.516 km long coastline is prone to cyclones and tsunamis;68%of its cultivable area is vulnerable to droughts;and,its hilly areas are at risk from landslides and avalanches.The WHO defines disaster as any occurrence that causes damage,ecological disruption,loss of human life,deterioration of health,and health services,on a scale sufficient to warrant an extraordinary response from outside the affected community or area.Roles of nurse during disaster management include to determine the magnitude of the event,define and understand the health needs of the affected groups,prepare the priorities and objectives,identify actual and potential public health problems at the earliest,and estimate resources needed to respond to the needs identified.展开更多
文摘The primary objective of emergency pre-examination and triage is to provide the most appropriate clinical service to patients with acute and critical illnesses while ensuring the optimal utilization of limited medical resources.With the advancement of medical information technology,mobile technology,and information management,these features have been gradually incorporated into emergency pre-examination and triage and have shown promising outcomes.In this article,the benefits of implementing mobile technology and the current status of integrated information management to provide a reference for the future development and enhancement of emergency pre-examination and triage are reviewed.
文摘<strong>Background:</strong> With an increasing number of patients who visit emergency outpatient units, a shortage of physicians and nurses in emergency units has become an issue in Japan. Triage nurses who interview patients and their families before medical examinations feel stressed to determine the triage level in a limited time, necessitating the measures to alleviate stressors. <strong>Objective:</strong> To develop a triage nurse job stressor scale (TNJSS) for Japanese triage nurses in emergency outpatient units and to verify the reliability and validity of this scale. <strong>Methods:</strong> Anonymous, self-administered questionnaires were sent to nursing directors of 180 emergency and critical care centers randomly selected from 251 centers throughout Japan, requesting to distribute the questionnaire to nurses. <strong>Results:</strong> Based on the responses obtained from 363 nurses, the construct validity, internal consistency, and criterion-related validity were verified. A factor analysis of 44 items yielded five factors: “Lack of triage ability”, “Busy triage work”, “Patients without understanding of explanations”, “Complaints from patients waiting for treatment”, and “Lack of support to improve triage ability”. Cronbach’s α was 0.93 for the full scale and significant correlations were observed between the nurses’ stressor scores and scores for the Stress Response Scale-18 (<em>r</em> = 0.409;<em>p</em> < 0.01) and for the Nursing Job Stressor Scale (<em>r</em> = 0.410;<em>p</em> < 0.01). <strong>Conclusions:</strong> The TNJSS with a five-factor structure containing 44 items was determined to be a reliable and valid tool for evaluating Japanese triage nurse job stressors. The findings suggest the necessity to continuously educate and support triage nurses.
基金Our work was supported by the Natural Science Foundation of Jiangsu Province(BK20191136)the Fundamental Research Funds for the Central Universities(3332019104)
文摘The SARS-CoV-2 infection has brought a great challenge in prevention and control of the national epidemic of coronavirus disease 2019(COVID-19)in China.During the COVID-19 epidemic,properly carrying out pre-examination and triage for patients with skin lesions and fever has become a practical problem encountered in hospitals for skin diseases and dermatology clinics in general hospitals.Some of the carriers of the SARS-CoV-2 and patients with COVID-19 in the early stage may not present with any symptoms of COVID-19,while certain other skin diseases can also cause fever.Therefore,to properly deal with the patients presenting at dermatology clinics,the Chinese Society of Dermatology organized experts to formulate principles and procedures for the pre-examination and triage of patients at dermatology clinics during the COVID-19 epidemic.
文摘India is vulnerable to a large number of disasters.More than 58.6%of the landmass is prone to earthquakes of moderate to high intensity;over 40 million hectares(12%)of its land is prone to floods and river erosion;close to 5.700 km,out of the 7.516 km long coastline is prone to cyclones and tsunamis;68%of its cultivable area is vulnerable to droughts;and,its hilly areas are at risk from landslides and avalanches.The WHO defines disaster as any occurrence that causes damage,ecological disruption,loss of human life,deterioration of health,and health services,on a scale sufficient to warrant an extraordinary response from outside the affected community or area.Roles of nurse during disaster management include to determine the magnitude of the event,define and understand the health needs of the affected groups,prepare the priorities and objectives,identify actual and potential public health problems at the earliest,and estimate resources needed to respond to the needs identified.
