PDF(Pubmed)
Abstract：
BACKGROUND: Triage is a dynamic process prioritising the patient coming to the emergency department. Caring behaviour and patient safety during the triage process are essential for ensuring a good care experience and treatment outcome.
OBJECTIVE: To describe triage nurses\' perceptions on caring behaviors and patient safety in the triage area.
METHODS: Strauss and Corbin\'s Grounded theory method was used to develop the model.
METHODS: The study was conducted in the emergency department in northeastern Slovenia. Semi-structured interviews were used for data collection, and 19 triage nurses were selected by theoretical sampling, guided by emerging categories between November 2021 and July 2022. The data analysis was conducted according to Strauss and Corbin\'s coding framework.
RESULTS: The analysis of the interviews generated one category: The process of creating a caring and safe triage encounter for the patient, together with two categories that explain the key phenomenon: (1) Triage caring and (2) Safety in the triage process. Within the category \"Triage caring\", four subcategories were developed: (1) Assurance of triage nurses\' presence, (2) Connectedness, (3) Respectful attitude, and (4) Knowledge and skills. The category Safety in the triage process consists of three identified subcategories: (1) Conception and perception of safety, (2) Factors influencing patient safety, and (3) Improving the triage safety.
CONCLUSIONS: The triage nurses\' perceptions about caring for the patient and his safety in the triage area show that caring and safety are inseparably linked and coincide when triaging a patient. Namely, caring for the patient means ensuring the patient\'s safety at the same time.
UNASSIGNED: A better understanding of the importance of triage nurses\' caring behavior and patient safety emerges from the findings, highlighting the challenges faced in a busy emergency department where nurses must balance providing care and responding to patients\' needs while ensuring safety. Findings in the study show that patient care and safety are inseparably linked and coincide when triaging a patient. Moreover, applying caring behaviour during triage encounter results in greater patient safety.
UNASSIGNED: The study\'s design, evaluation of the findings, and execution did not need the involvement of patients or the general public. Participants were triage nurses working in the emergency department. Triage nurses were interviewed about their perceptions of triage nurses on caring behaviors and patient safety during triage encounter.
OBJECTIVE: To describe triage nurses\' perceptions on caring behaviors and patient safety in the triage area.
METHODS: Strauss and Corbin\'s Grounded theory method was used to develop the model.
METHODS: The study was conducted in the emergency department in northeastern Slovenia. Semi-structured interviews were used for data collection, and 19 triage nurses were selected by theoretical sampling, guided by emerging categories between November 2021 and July 2022. The data analysis was conducted according to Strauss and Corbin\'s coding framework.
RESULTS: The analysis of the interviews generated one category: The process of creating a caring and safe triage encounter for the patient, together with two categories that explain the key phenomenon: (1) Triage caring and (2) Safety in the triage process. Within the category \"Triage caring\", four subcategories were developed: (1) Assurance of triage nurses\' presence, (2) Connectedness, (3) Respectful attitude, and (4) Knowledge and skills. The category Safety in the triage process consists of three identified subcategories: (1) Conception and perception of safety, (2) Factors influencing patient safety, and (3) Improving the triage safety.
CONCLUSIONS: The triage nurses\' perceptions about caring for the patient and his safety in the triage area show that caring and safety are inseparably linked and coincide when triaging a patient. Namely, caring for the patient means ensuring the patient\'s safety at the same time.
UNASSIGNED: A better understanding of the importance of triage nurses\' caring behavior and patient safety emerges from the findings, highlighting the challenges faced in a busy emergency department where nurses must balance providing care and responding to patients\' needs while ensuring safety. Findings in the study show that patient care and safety are inseparably linked and coincide when triaging a patient. Moreover, applying caring behaviour during triage encounter results in greater patient safety.
UNASSIGNED: The study\'s design, evaluation of the findings, and execution did not need the involvement of patients or the general public. Participants were triage nurses working in the emergency department. Triage nurses were interviewed about their perceptions of triage nurses on caring behaviors and patient safety during triage encounter.
摘要：
背景：分诊是一个动态过程，优先考虑患者来急诊科。在分诊过程中的关怀行为和患者安全对于确保良好的护理体验和治疗结果至关重要。
目的：描述分诊护士对分诊区护理行为和患者安全的看法。
方法：Strauss和Corbin的扎根理论方法用于建立模型。
方法：该研究在斯洛文尼亚东北部的急诊科进行。半结构化访谈用于数据收集，通过理论抽样选择了19名分诊护士，以2021年11月至2022年7月之间的新兴类别为指导。根据Strauss和Corbin的编码框架进行数据分析。
结果：对访谈的分析产生了一个类别：为患者创造关怀和安全的分诊过程，以及解释关键现象的两个类别：（1）分诊护理和（2）分诊过程中的安全性。在类别“分类护理”中，开发了四个子类别：(1)保证分诊护士的存在，(2)连通性，（3）尊重的态度，（4）知识和技能。分类过程中的安全类别包括三个识别的子类别：（1）安全的概念和感知，(2)影响患者安全的因素,(3)提高分诊安全性。
结论：分诊护士对患者在分诊区的护理及其安全的看法表明，在对患者进行分诊时，护理和安全是密不可分的，并且是一致的。即,照顾病人意味着同时确保病人的安全。
从调查结果中可以更好地理解分诊护士的护理行为和患者安全的重要性，强调在繁忙的急诊科所面临的挑战，护士必须平衡提供护理和应对患者的需求，同时确保安全。研究结果表明，在对患者进行分类时，患者的护理和安全性是密不可分的，并且是一致的。此外，在分诊期间应用护理行为可提高患者安全性。
■研究的设计，评估结果，和执行不需要患者或公众的参与。参与者是在急诊科工作的分诊护士。对分诊护士进行了采访，了解他们对分诊护士在分诊过程中的关怀行为和患者安全的看法。
目的：描述分诊护士对分诊区护理行为和患者安全的看法。
方法：Strauss和Corbin的扎根理论方法用于建立模型。
方法：该研究在斯洛文尼亚东北部的急诊科进行。半结构化访谈用于数据收集，通过理论抽样选择了19名分诊护士，以2021年11月至2022年7月之间的新兴类别为指导。根据Strauss和Corbin的编码框架进行数据分析。
结果：对访谈的分析产生了一个类别：为患者创造关怀和安全的分诊过程，以及解释关键现象的两个类别：（1）分诊护理和（2）分诊过程中的安全性。在类别“分类护理”中，开发了四个子类别：(1)保证分诊护士的存在，(2)连通性，（3）尊重的态度，（4）知识和技能。分类过程中的安全类别包括三个识别的子类别：（1）安全的概念和感知，(2)影响患者安全的因素,(3)提高分诊安全性。
结论：分诊护士对患者在分诊区的护理及其安全的看法表明，在对患者进行分诊时，护理和安全是密不可分的，并且是一致的。即,照顾病人意味着同时确保病人的安全。
从调查结果中可以更好地理解分诊护士的护理行为和患者安全的重要性，强调在繁忙的急诊科所面临的挑战，护士必须平衡提供护理和应对患者的需求，同时确保安全。研究结果表明，在对患者进行分类时，患者的护理和安全性是密不可分的，并且是一致的。此外，在分诊期间应用护理行为可提高患者安全性。
■研究的设计，评估结果，和执行不需要患者或公众的参与。参与者是在急诊科工作的分诊护士。对分诊护士进行了采访，了解他们对分诊护士在分诊过程中的关怀行为和患者安全的看法。
