국내 응급실에서 간호사의 중증도 분류역량에 영향을 주는 요인
Factors Affecting Triage Competency for Nurses Working in Korean Emergency Departments
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초록
본 연구의 목적은 국내 응급실 간호사의 중증도 분류 역량에 영향을 주는 요인을 확인하기 위한것이다. 우리는 2016년 8월부터 2017년 5월까지 국내 18개 응급의료센터 수집한 225개의 원 자료를2차 분석하였다. 자료는 서술적 분석, t-test, one-way ANOVA, 다중회귀분석의 방법으로 분석되었다. 대상자의 중증도 분류 역량은 연령(F=5.23, p=.002), 임상경험(F=7.79, p<.001), 응급실 경험(F=4.88, p=.003)에 따라 유의한 차이를 보였다. 대상자의 중증도 분류 역량에 영향을 주는 요인은 대안이나선택지 탐색(β=.33, p<.001), 가치와 목적에 대한 검토(β=.29, p<.001), 중증도 분류 경험(β=.15, p=.008), 지식(β=.14, p=.015), 응급실 경험(β=.13, p=.023) 순 이었다. 이러한 요인들이 중증도 분류역량의 36.4%를 설명하였다. 응급실 간호사의 중증도 분류 역량을 향상시키기 위해서 본 연구에서확인된 다양한 요인들을 고려한 전략적인 중재가 필요할 것이다.
Abstract
This study identified factors that influenced triage competency among nurses working in emergency departments in Korea. As such, we conducted a secondary analysis of 225 original questionnaires collected from 18 emergency centers in Korea from August 2016 to May 2017. Relevant data were analyzed via descriptive statistics, t-tests, one-way ANOVA, and a multiple linear regression. Among respondents, we found that the level of triage competency significantly differed based on age (F=5.23, p =.002), nursing experience (F=7.79, p<.001), and emergency department experience (F=4.88, p=.003). Meanwhile, the factors that influenced triage competency included the search for alternatives or options (β=.33, p<.001), canvassing of objectives and values (β=.29, p<001), triage experience (β=.15, p=.008), triage knowledge (β=.14, p=.015), and emergency department experience (β=.13, p=.023); these factors accounted for 36.4% of the variance in triage competency. Strategic interventions aimed at enhancing triage competency among emergency nurses should be developed in consideration of these factors.
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