Feasibility and acceptability of a serious game to study the effects of environmental distractors on emergency room nurse triage accuracy: A pilot study

IF 1.8 4区医学 Q2 NURSING International Emergency Nursing Pub Date : 2024-08-18 DOI:10.1016/j.ienj.2024.101504

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Abstract

Background

Emergency triage, which involves complex decision-making under stress and time constraints, may suffer from inaccuracies due to workplace distractions. A serious game was developed to simulate the triage process and environment. A pilot study was undertaken to collect preliminary data on the effects of distractors on emergency nurse triage accuracy.

Method

A 2 × 2 factorial randomized controlled trial (RCT) was designed for the study. A sample of 70 emergency room nurses was randomly assigned to three experimental groups exposed to different distractors (noise, task interruptions, and both) and one control group. Nurses had two hours to complete a series of 20 clinical vignettes, in which they had to establish a chief complaint and assign an emergency level.

Results

Fifty-five nurses completed approximately 15 vignettes each during the allotted time. No intergroup differences emerged in terms of triage performance. Nurses had a very favorable appreciation of the serious game focusing on triage.

Conclusion

The results show that both the structure of our study and the serious game can be used to carry out a future RCT on a larger scale. The lack of a distractor effect raises questions about the frequency and intensity required to find a significant impact on triage performance.

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用严肃游戏研究环境干扰因素对急诊室护士分诊准确性的影响的可行性和可接受性：试点研究

背景急诊分流涉及在压力和时间限制下做出复杂的决策，可能会因工作场所的干扰而出现误差。我们开发了一款严肃游戏来模拟分诊过程和环境。该研究设计了一个 2 × 2 的因子随机对照试验（RCT）。70 名急诊室护士被随机分配到三个实验组和一个对照组，实验组暴露于不同的干扰因素（噪音、任务中断和两者）。护士们有两个小时的时间来完成一系列共 20 个临床小故事，在这些故事中，她们必须确定主诉并分配紧急程度。结果55 名护士在规定时间内每人完成了约 15 个小故事。在分诊表现方面，没有出现组间差异。结果表明，我们的研究结构和严肃游戏均可用于今后开展更大规模的 RCT 研究。分心效应的缺乏提出了对分诊表现产生显著影响所需的频率和强度的问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.