Subjective Study on Pediatric Emergency Department Nurses′ Perceptions of Urgency Using Q Methodology

IF 2.1 3区医学 Q2 NURSING Asian Nursing Research Pub Date : 2024-08-01 DOI:10.1016/j.anr.2024.07.002

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Abstract

Purpose

In the emergency department (ED), triage significantly impacts patient safety. Therefore, triage nurses must make decisions accurately and timeously. This study aims to investigate how South Korean pediatric emergency nurses perceive urgency and classify severity using the Q methodology, which examines individuals' subjectivity.

Methods

We collected 84 statements from a Q population based on a literature review and interviews and selected 33 Q samples. The P samples included 30 pediatric emergency nurses at a Seoul tertiary care hospital. The principal component factor analysis method was used to analyze data using the PC-QUANL program.

Results

Four urgency perception types were identified among pediatric ED nurses—Type 1: “Experiential coping”; Type 2: “Careful reasoning”; Type 3: “Patient-centered thinking”; and Type 4: “Intuitive prediction.” These types appear to be an integrated process of knowledge and clinical experience that considers children's characteristics and developmental stages.

Conclusion

This study may serve as a basis for future education to improve pediatric ED nurses′ urgency judgment and severity classification skills.

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使用 Q 方法对儿科急诊室护士对急诊的感知进行主观研究。

目的：在急诊科（ED）中，分诊对患者安全有重大影响。因此，分诊护士必须准确、及时地做出决定。本研究旨在利用考察个人主观性的 Q 方法，调查韩国儿科急诊护士如何感知紧迫性并对严重程度进行分类：我们根据文献综述和访谈，从 Q 人群中收集了 84 份陈述，并选出了 33 个 Q 样本。P 样本包括首尔一家三级医院的 30 名儿科急诊护士。使用 PC-QUANL 程序对数据进行主成分因子分析：结果：在儿科急诊室护士中发现了四种紧迫感类型。类型1："经验应对"；类型2："谨慎推理"；类型3："以患者为中心的思考"；类型4："直觉预测"。这些类型似乎是一个综合知识和临床经验的过程，考虑到了儿童的特点和发展阶段：本研究可作为未来教育的基础，以提高儿科急诊室护士的紧急程度判断和严重程度分类技能。

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来源期刊

Asian Nursing Research NURSING-

CiteScore

4.20

自引率

4.50%

发文量

审稿时长

45 days

期刊介绍： Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.