응급실 초진 간호사의 한국형 응급 환자 분류도구 수행능력에 영향을 미치는 요인
Factors Influencing Triage Nurses' the Korean Triage and Acuity Scale Performance Ability
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연구목적: 본 연구는 응급실 초진 간호사의 한국형 응급환자 분류도구(KTAS)에 대한 수행능력, 중요도, 교육 요구도를 파악하고, KTAS 수행능력에 영향을 미치는 요인을 파악하는 것이다. 연구방법: 2017년 3월부터 5월까지 13개 병원의 응급실에 근무하는 간호사 146명을 대상으로 설문조사하였다. KTAS 192개 항목에 대한 수행능력, 중요성, 그리고 교육요구도에 대한 자료가 수집되었다. 연구결과: KTAS 수행능력은 4점 만점에 평균 3.3점, 중요도는 4점 만점에 평균 3.2점, 그리고 교육요구도는 4점 만점에 평균 3.1점이었다. KTAS 수행에 대해서는 중요도, 교육요구도, 응급실 근무경력이 영향을 주는 요인으로 나타났으며 이들 변수가 KTAS 수행에 영향을 주는 설명력은 26.7%였다. 결론: 본 연구결과로 볼 때, 응급실 초진 간호사의 KTAS 수행능력은 KTAS에 대한 중요도 인식을 향상시키고 지식을 제공할 수 있는 훈련 프로그램에 의해 향상될 수 있다. 응급실 경력 또한 KTAS 수행에 중요한 요인으로 간주되어야 한다.
Abstract
Purpose: The purpose of this study was to examine triage nurses' the Korean triage and acuity scale(KTAS) performance ability, perception of importance, education needs and identify the factors influencing triage nurses’ the KTAS performance ability. Methods: A descriptive correlational study was conducted among 146 emergency nurses working in 13 hospitals from March to May, 2017. Data were collected utilizing a questionnaire developed to measure performance ability, perception of importance, and educational needs of 192 items of the KTAS. Statistical analysis included t-test, analysis of variance, correlation analysis and multiple regression analysis. Results: The triage nurses' the KTAS performance ability was rated as 3.3/4.0 points, perception of importance as 3.2/4.0 points, and education needs as 3.1/4.0 points. Factors influencing the KTAS performance of the participants were perception of importance, education needs, and work experience at the emergency department, explaining 26.7% of total variance. Conclusion: The KTAS performance ability of triage nurses could be improved through training programs designed to enhance their perception of importance and provide knowledge about the KTAS. Nurses’ emergency department work experience needs to be considered as an important factor for the KTAS performance ability.
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