Disaster medicine and public health preparedness
2026-06-19
Badanie doświadczeń i wyzwań pielęgniarek w procesie triage: badanie jakościowe z Turcji
Exploring Emergency Nurses' Experiences and Challenges in the Triage Process: A Qualitative Study From Turkey.
Recenzja AI
Cel badania
Celem badania było zbadanie doświadczeń pielęgniarek pracujących w izbie przyjęć oraz wyzwań, z jakimi się spotykają podczas procesu triage.
Metoda
Badanie przeprowadzono w formie jakościowej z udziałem 25 pielęgniarek z oddziału ratunkowego, wykorzystując wywiady półstrukturalne oraz analizę fenomenologiczną według metody Colaizziego.
Wyniki
Zidentyfikowano cztery główne tematy, w tym wyzwania związane z brakiem wsparcia instytucjonalnego, dużym obciążeniem pacjentami oraz presją czasową, które wpływają na proces podejmowania decyzji.
Znaczenie dla praktyki
Wyniki podkreślają znaczenie czynników organizacyjnych i kontekstowych w praktykach triage, co może pomóc w poprawie jakości opieki w polskich szpitalach.
Abstrakt oryginalny
OBJECTIVE: This study explored emergency nurses' lived experiences and perceived challenges during the triage process. METHODS: This qualitative study was conducted with 25 emergency department nurses at Atatürk University Research Hospital. Criterion sampling was used to include nurses with direct triage experience. Data were collected through face-to-face, semi-structured interviews and analyzed using Colaizzi's descriptive phenomenological method. Significant statements were extracted, meanings were formulated, and these were organized into theme clusters. To enhance credibility, 2 researchers conducted the analysis independently, and a consensus was reached through discussion. RESULTS: Four main themes, 10 sub-themes, and 35 codes were identified. Nurses reported multiple challenges, including lack of institutional support, high patient load, time pressure, and patient dissatisfaction. Decision-making was influenced by both environmental and individual factors. Triage assessment involved a combination of subjective judgment and objective tools. Common errors included misdirection and insufficient questioning. Nurses also suggested improvements related to staffing, training, and organizational conditions. CONCLUSIONS: Triage was experienced as a complex and demanding process shaped by workload, time pressure, and limited support. Findings highlight the importance of organizational and contextual factors in shaping triage practices.
Źródło
Disaster medicine and public health preparedness
2026-06-19
DOI: 10.1017/dmp.2026.10395
PMID: 42318660
PubMed Pełny tekst