Journal of Korean Academy of Nursing

Original Articles

Effects of a Web-Based Korean Triage and Acuity Scale Learning Program on Triage Self-Efficacy and Triage Performance Ability for Nurses in Emergency Department: Hyo-Jin Kim, Hee-Young Kang; J Korean Acad Nurs 2019;49(2):171-180. Published online April 30, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.2.171

Purpose

The Korean Triage and Acuity Scale (KTAS) is a tool used to classify the severity and urgency of emergency department (ED) patients, focusing on their symptoms. In consideration of the importance of the KTAS, a web-based learning program has emerged as a new mode of education; it enables ED triage nurses to access it anytime and anywhere, and according to their own learning abilities. This study aimed to develop a web-based KTAS learning program and evaluate its effects on self-efficacy and triage performance ability in ED nurses.

Methods

A quasi-experimental design with a non-equivalent control group pretest-posttest was used. The conceptual framework was Bandura's self-efficacy theory. There were 30 participants in the experimental group and 29 in the control group. The experimental group attended an orientation and 4 sessions of a web-based KTAS learning program. The learning program lasted 280 minutes over five weeks, consisting of 40 minutes of orientation and four 60-minute sessions.

Results

The scores of self-efficacy, triage performance ability in KTAS level, and chief complaints significantly increased in the experimental group compared to the control group. In addition, the numbers of under-triage in KTAS significantly decreased in the experimental group in comparison to the control group.

Conclusion

The results suggest that the learning program was effective in improving ED nurses' level of self-efficacy and triage performance ability (KTAS level and KTAS chief complaint). Accordingly, the web-based KTAS learning program can be applied as an education intervention to improve ED nurses' triage skill.

Citations

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Optimizing triage education for emergency room nurses: A scoping review
Hui Ju Shin, Subin Park, Hyun Joo Lee
Nurse Education Today.2025; 144: 106452. CrossRef
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The Effect of Competency-Based Triage Education Application on Emergency Nurses’ Triage Competency and Performance
Sun-Hee Moon, In-Young Cho
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Factors Influencing Patient Satisfaction in an Emergency Department Based on the Use of the Korea Triage and Acuity Scale
Keun Hee Park, Min Yoon, Myoung Soo Kim
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Factors associated with the undertriage of patients with abdominal pain in an emergency room
Boo Young Oh, Kisook Kim
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Facilitators and Barriers of the Triage Process based on Emergency Nurses’ Experience with the Korean Triage and Acuity Scale: A Qualitative Content Analysis
Sun-Hee Moon, Mi-Kyeong Jeon, Deok Ju
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Effect of problem-based learning on severity classification agreement by triage nurses
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Evaluation of Validity of the Korean Triage and Acuity Scale: Heejung Choi, Jong Sun Ok, Soo Young An; J Korean Acad Nurs 2019;49(1):26-35. Published online February 28, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.1.26

Abstract PDF

Purpose

The aim of this study was to identify the predictive validity of the Korean Triage and Acuity Scale (KTAS).

Methods

This methodological study used data from National Emergency Department Information System for 2016. The KTAS disposition and emergency treatment results for emergency patients aged 15 years and older were analyzed to evaluate its predictive validity through its sensitivity, specificity, positive predictive value, and negative predictive value.

Results

In case of death in the emergency department, or where the intensive care unit admission was considered an emergency, the sensitivity, specificity, positive predictive value, and negative predictive value of the KTAS were 0.916, 0.581, 0.097, and 0.993, respectively. In case of death in the emergency department, or where the intensive or non-intensive care unit admission was considered an emergency, the sensitivity, specificity, and positive predictive value, and negative predictive value were 0.700, 0.642, 0.391, and 0.867, respectively.

Conclusion

The results of this study showed that the KTAS had high sensitivity but low specificity. It is necessary to constantly review and revise the KTAS level classification because it still results in a few errors of under and over-triage. Nevertheless, this study is meaningful in that it was an evaluation of the KTAS for the total cases of adult patients who sought help at regional and local emergency medical centers in 2016.

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Predictive validity of resource-adjusted Korean Triage and Acuity Scale in pediatric gastrointestinal tract foreign body patients
Jin Hee Lee, Jin Hee Jung, Hyun Noh, Mi Jin Kim
Scientific Reports.2024;[Epub] CrossRef
Effect of storage duration on outcome of patients receiving red blood cell in emergency department
Yu-Kyung Koo, Sol Ji Choi, Soon Sung Kwon, Jinwoo Myung, Sinyoung Kim, Incheol Park, Hyun Soo Chung
Scientific Reports.2024;[Epub] CrossRef
Inter hospital external validation of interpretable machine learning based triage score for the emergency department using common data model
Jae Yong Yu, Doyeop Kim, Sunyoung Yoon, Taerim Kim, SeJin Heo, Hansol Chang, Gab Soo Han, Kyung Won Jeong, Rae Woong Park, Jun Myung Gwon, Feng Xie, Marcus Eng Hock Ong, Yih Yng Ng, Hyung Joon Joo, Won Chul Cha
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A novel deep learning algorithm for real-time prediction of clinical deterioration in the emergency department for a multimodal clinical decision support system
Arom Choi, Kwanhyung Lee, Heejung Hyun, Kwang Joon Kim, Byungeun Ahn, Kyung Hyun Lee, Sangchul Hahn, So Yeon Choi, Ji Hoon Kim
Scientific Reports.2024;[Epub] CrossRef
Validity of the Korean triage and acuity scale in older patients compared to the adult group
Ho Sub Chung, Myeong Namgung, Dong Hoon Lee, Yoon Hee Choi, Sung Jin Bae
Experimental Gerontology.2023; 175: 112136. CrossRef
Predictive indicators for determining red blood cell transfusion strategies in the emergency department
Junhyup Song, Sinyoung Kim, Hyun Soo Chung, Incheol Park, Soon Sung Kwon, Jinwoo Myung
European Journal of Emergency Medicine.2023; 30(4): 260. CrossRef
Development and Validation of Simple Age-Adjusted Objectified Korean Triage and Acuity Scale for Adult Patients Visiting the Emergency Department
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JMIR Medical Informatics.2020; 8(11): e23351. CrossRef

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Development of a Triage Competency Scale for Emergency Nurses: Sun Hee Moon, Yeon Hwan Park; J Korean Acad Nurs 2018;48(3):362-374. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.3.362

Abstract PDF

Abstract Purpose

This study aimed to develop a triage competency scale (TCS) for emergency nurses, and to evaluate its validity and reliability.

Methods

Preliminary items were derived based on the attributes and indicators elicited from a concept analysis study on triage competency. Ten experts assessed whether the preliminary items belonged to the construct factor and determined the appropriateness of each item. A revised questionnaire was administered to 250 nurses in 18 emergency departments to evaluate the reliability and validity of the scale. Data analysis comprised item analysis, confirmatory factor analysis, contrasted group validity, and criterion-related validity, including criterion-related validity of the problem solving method using video scenarios.

Results

The item analysis and confirmatory factor analysis yielded 5 factors with 30 items; the fit index of the derived model was good (χ ²/df =2.46, Root Mean squared Residual=.04, Root Mean Squared Error of Approximation=.08). Additionally, contrasted group validity was assessed. Participants were classified as novice, advanced beginner, competent, and proficient, and significant differences were observed in the mean score for each group (F=6.02, p=.001). With reference to criterion-related validity, there was a positive correlation between scores on the TCS and the Clinical Decision Making in Nursing Scale (r=.48, p<.001). Further, the total score on the problem solving method using video scenarios was positively correlated with the TCS score (r=.13, p=.04). The Cronbach's α of the final model was .91.

Conclusion

Our TCS is useful for the objective assessment of triage competency among emergency nurses and the evaluation of triage education programs.

Citations

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Effects of Critical Thinking Disposition, Clinical Judgement, and Nurse–Physician Collaboration on Triage Competency Among Triage Nurses
Ji-Won Song, Hyung-Ran Park
Healthcare.2025; 13(4): 405. CrossRef
Triage—clinical reasoning on emergency nursing competency: a multiple linear mediation effect
Won-Oak Oh, Myung-Jin Jung
BMC Nursing.2024;[Epub] CrossRef
Korean Triage and Acuity Scale education using role-playing and its effects on triage competency: A quasi-experimental design
Yon Hee Seo, Sun-Og Lim, Vanessa Carels
PLOS ONE.2024; 19(10): e0311892. CrossRef
Construction of learning objectives and content for emergency triage nurses in tertiary general hospitals: A Delphi study
Linyuan Zhang, Bo Gao, Fang He, Chao Wu, Juan Du, Li Zhang, Juan Liang, Hongjuan Lang
Nurse Education in Practice.2024; 80: 104145. CrossRef
Concept analysis of psychiatric nursing competency in psychiatric nursing
Hwa-Bok Choi
Archives of Psychiatric Nursing.2024; 52: 130. CrossRef
Patient Satisfaction With the Level of Competence of the Triage Nurse in Hospital Emergency Departments
Meritxell López Hernández, Montserrat Puig‐Llobet, Sergio Higon Fernández, Marta Franco Freirut, Yolanda Moreno Mateos, Jordi Galimany Masclans
Journal of Clinical Nursing.2024;[Epub] CrossRef
Enhancing triage accuracy in emergency nurses: The impact of a game-based triage educational app
Sun-Hee Moon, Su Ol Kim
International Emergency Nursing.2024; 72: 101398. CrossRef
Emergency nurses’ communication experiences with patients and their families during the COVID-19 pandemic: A qualitative study
Soyoung Shin, Hye Jin Yoo
International Emergency Nursing.2023; 66: 101240. CrossRef
Influence of Emergency Department Nurses' Grit, Self-Leadership, and Communication on Their Triage Competencies: A Descriptive Survey Study
Gwiseon Jeong, Hyeongsuk Lee
Korean Journal of Adult Nursing.2023; 35(4): 356. CrossRef
Factors affecting triage competence among emergency room nurses: A cross‐sectional study
Seokhwa Hwang, Sujin Shin
Journal of Clinical Nursing.2023; 32(13-14): 3589. CrossRef
Professional Self-Concept, Job Stress, and Triage Competency Among Emergency Nurses: Secondary Data Analysis of a Cross-Sectional Survey
You-Jin Cho, Young-Ran Han, Yeo-Won Jeong
Journal of Emergency Nursing.2022; 48(3): 288. CrossRef
The Effect of Competency-Based Triage Education Application on Emergency Nurses’ Triage Competency and Performance
Sun-Hee Moon, In-Young Cho
Healthcare.2022; 10(4): 596. CrossRef
Factors Associated with School Nurses’ Triage Competency in South Korea
Jaehee Yoon, Heesook Son
International Journal of Environmental Research and Public Health.2021; 18(16): 8279. CrossRef
Development of emergency nursing care competency scale for school nurses
Jaehee Yoon
BMC Nursing.2021;[Epub] CrossRef
Factors associated with the undertriage of patients with abdominal pain in an emergency room
Boo Young Oh, Kisook Kim
International Emergency Nursing.2021; 54: 100933. CrossRef
Development and validity of the Korea psychiatric triage algorithm
Jeongmin Ha, Kyeongmin Jang, Misuk An
BMC Nursing.2021;[Epub] CrossRef

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Usefulness of Korean Version of Behavioral Cue Checklist for Predicting of Patient Violence in Emergency Departments: Jang Mi Kim, Eun Nam Lee; J Korean Acad Nurs 2018;48(3):289-297. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.3.289

Abstract PDF: Abstract Purpose
This study aimed to evaluate the usefulness of a behavioral cue checklist (BCC) containing 17 items developed by Wilkes et al. (2010) for identifying potentially violent patients in emergency departments.
Methods
This was a prospective observational study to evaluate the usefulness of the Korean version of a BCC (K-BCC) as an assessment tool for predicting patient violence in emergency departments, and was conducted over 4 weeks in a regional emergency medical center located in B City. A total of 1,324 patients were finally analyzed.
Results
Logistic regression analysis was performed to investigate whether each item of the K-BCC predicts violence, and a parsimonious set of 8 statistically significant items was selected for the tool. Receiver operating characteristic analysis of the BCC showed that the area under the curve was .97 (95% confidence interval: .94~1.0). The sensitivity, specificity, positive predictive value, and negative predictive value at the cut-off score of 2 were 75.6%, 98.9%, 68.2%, and 99.2%, respectively.
Conclusion
The K-BCC was found to be useful in predicting patient violence toward emergency department staff. This tool is simple, and fast to use and can play a significantly role identifying potentially violent patients. Owing to this advance identification, this tool can be helpful in preventing the potential for violence from manifesting as violent behaviors.

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Development of Curriculum for the Emergency Clinical Nurse Specialist: Kwang Joo Kim, Hyang Yeon Lee, Kwuy Bun Kim; Journal of Nurses Academic Society 1996;26(1):194-222. Published online March 30, 2017; DOI: https://doi.org/10.4040/jnas.1996.26.1.194

Abstract PDF: Various accidents and injuries are currently occuring in Korea at increasingly high rates. Good quality emergency care service is urgently needed to cope with these various forms of accidents and injuries. In order to develop a sound emergency care system, there need to be a plan to educate and train professionals specifically in emergency care. One solution for the on going problem would be to educate and train emergency clinical nurse specialists. This study on a strategy for curriculum development for emergency clinical nurse specialist was based on the following five content areas, developed from literature related to the curriculum of emergency nursing and emergency care situation: 1. Nurses working in the emergency rooms of three university hospitals were analyzed for six days to identify categories of nursing activities. 2. Two hundreds and eleven nurses working in the emergency rooms of 12 university hospitals were surveyed to identify needs for educational content that should be included in a curriculum for the clinical nurse specialist. 3. Examination of the environment in which emergency management was provided. 4. Identification of characteristics of patients in the emergency room. 5. The role of emergency clinical nurse specialist was identified through literature, recent data, and research materials. The following curriculum was formulated using the above mentioned process. 1. The philosophy of education for emergency clinical nurse specialist was established through a realistic philosophical framework. In this frame, client, environment, health, nursing, and learning have been defined. 2. The purpose of education is framed on individual development, social structure, nursing process and responsibility along with the role and function of the emergency clinical nurse specialist. 3. The central theme was based on human, environment, health and nursing. 4. The elements of structure in the curriculum content were divided to include two major threads, i.e., vertical and horizontal: The vertical thread to consist of the client, life cycle, education, research, leadership and consultation, and the horizontal thread to consist of level of nursing (prevention to rehabilitation), and health to illness based on the health care system developed by Betty Neuman system model. 5. Behavioral objectives for education were structured according to the emergency clinical nurse specialist role and function as a master degree prepared in various emergency settings. 6. The content of the curriculum consisted of three core courses(9 credits), five major courses(15 credits), six elective courses(12 credits) and six prerequisite courses (12 credits). Thus 48credits are required. Recommendations: 1. To promote the quality of the emergency care system, the number of emergency professionals, has to be expanded. Further the role and function of the emergency clinical nurse specialist needs to be specified in both the medical law and the Nursing Practice Act. 2. In order to upgrade the qualification of emergency clinical nurse specialists, the course should be given as part of the graduate program. 3. Certification should be issued through the Korean Nurses Association.

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An Evaluation Study of 1339 and 119 Emergency Medical Dispatch Protocols: Kyung Hee Kang, In Sook Lee; Journal of Korean Academy of Nursing 2001;31(4):538-547. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2001.31.4.538

Abstract PDF

PURPOSE: To evaluate the emergency medical protocols and need assessment through the
case
report METHOD: The study investigated the emergency call system through the 1339 emergency patients information center in 1997. Results: The emergency calls tend to follow general trends of the type of cases : abdominal pain (13.5%), unconsciousness(12.0%), traffic accidents (7.4%), bleeding (6.6%), respiration difficulty (5.9%). This was all collected through emergency medical protocols injury and poisoning (22.3%), symptom (51.6%), others (26.1%).
CONCLUSION
The results suggest that a specific training program for emergency medical dispatchers should be established, and emergency medical dispatcher managers must review the cases on the basis of emergency medical protocols every year. Emergency medical services, furthermore, will continue to raise the standard for emergency medical dispatching.

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Mi Sun Kim, Sun Ju Chung, Sung Reul Kim, Tai Yeon Lee, Myoung Chong Lee
Journal of Movement Disorders.2008; 1(1): 33. CrossRef

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Work Analysis for the Role of the Emergency Department Nurses: Eun Jung Kim; Journal of Korean Academy of Nursing 1998;28(1):93-103. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.1.93

Abstract PDF

Nursing works in emergency department were analyzed and the importance of nursing works that the emergency department nurses perceived at university hospitals in Seoul. 12 nursing domains including 76 nursing activities were identified. The most frequently performed nursing domain was records and the most frequently performed activity in the emergency department was checking the vital sign of patients. The most important nursing activity that emergency department nurses perceived was physical crisis intervention.

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Kyung Hyeok Song, Sung Uk Cho, Jin Woong Lee, Yong Chul Cho, Won Joon Jeong, Yeon Ho You, Seung Ryu, Seung Whan Kim, In Sool Yoo, Ki Hyuk Joo
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A Comparison of the Rates of Hemolysis and Repeated Blood Sampling using Syringe needles versus Vacuum tube needles in the Emergency Department
Young Hee Sung, Moon Sook Hwang, Jee Hyang Lee, Hyung Doo Park, Kwang Hyun Ryu, Myung Sook Cho, Young Hee Yi, S Song
Journal of Korean Academy of Nursing.2012; 42(3): 443. CrossRef
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The Reactions of Emergency Department Nurses to Violence: Q-Methodological Approach: Eun Young Park, Ji Min Seo, Hyeon Ok Ju, Eun Nam Lee; Journal of Korean Academy of Nursing 2007;37(5):762-771. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.5.762

Abstract PDF

Purpose

The purpose of this study was to identify the reactions of emergency department nurses to violence.

Methods

Q-methodology which provides a method of analyzing the subjectivity of each item was used. Thirty emergency department nurses classified 33 selected Q-statements into a normal distribution using a 9 point scale. The collected data was analyzed using the Quanl PC Program.

Results

Three types of reactions to violence were identified. The first type(emotional and physical reactions) showed a sense of regret on the selection of an occupation and emotional and physical reactions such as anxiety, fear, depression, hopelessness, heart palpitations and trembling hands due to the violence. The second type(problem solving) actively coped to prevent the occurrence of violence, grasped the causes of violence and sought out a problem solving plan. The third type(anger reactions) felt a lot of anger against violence, and resented their reality of working under conditions of inadequately secured facilities and systems.

Conclusion

The emotional and physical reactions type and the anger reactions type should be required to attend educational programs to improve attitudes and abilities to solve the problems in a more active and positive manner.

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Su Hyang Kim, Yoon Goo Noh
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Hee Sook Yoon, Sohyune R Sok
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Convergent approach of phenomenological methodology about Emergency Nurses' experience of hospital violence
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Coping Styles toward Hospital Violence in Clinical Nurses: An Application of Q Methodology
Eunho Ha, Jinyoung Cho
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Hospital Arrival Rate within Golden Time and Factors Influencing Prehospital Delays among Patients with Acute Myocardial Infarction: Hye Mi Ahn, Hyeongsu Kim, Kun Sei Lee, Jung Hyun Lee, Hyo Seon Jeong, Soung Hoon Chang, Kyeong Ryong Lee, Sung Hea Kim, Eun Young Shin; J Korean Acad Nurs 2016;46(6):804-812. Published online December 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.6.804

Abstract PDF

Purpose

This research was done to identify the hospital arrival rate and factors related to prehospital delay in arriving at an emergency medical center within the golden time after symptom onset in patients with acute myocardial infarction (AMI).

Methods

Data used in the research was from the National Emergency Department Information System of the National Emergency Medical Center which reported that in 2014, 9,611 patients went to emergency medical centers for acute myocardial infarction. Prehospital time is the time from onset to arrival at an emergency medical center and is analyzed by subdividing arrival and delay based on golden time of 2 hour.

Results

After onset of acute myocardial infarction, arrival rate to emergency medical centers within the golden time was 44.0%(4,233), and factors related to prehospital delay were gender, age, region of residence, symptoms, path to hospital visit, and method of transportation.

Conclusion

Results of this study show that in 2014 more than half of AMI patients arrive at emergency medical centers after the golden time for proper treatment of AMI. In order to reduce prehospital delay, new policy that reflects factors influencing prehospital delay should be developed. Especially, public campaigns and education to provide information on AMI initial symptoms and to enhance utilizing EMS to get to the emergency medical center driectly should be implemented for patients and/or caregivers.

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A Comparison of the Rates of Hemolysis and Repeated Blood Sampling using Syringe needles versus Vacuum tube needles in the Emergency Department: Young Hee Sung, Moon Sook Hwang, Jee Hyang Lee, Hyung Doo Park, Kwang Hyun Ryu, Myung Sook Cho, Young Hee Yi, S. Song; J Korean Acad Nurs 2012;42(3):443-451. Published online June 29, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.3.443

Abstract PDF

Purpose

This study was done to compare the rates of hemolysis and repeated sampling in blood samples obtained by a syringe needle versus a vacuum tube needle.

Methods

A randomized, prospective study was used to evaluate the differences between the two blood sampling methods. The study group consisted of patients seen in the emergency department (ED) for blood sampling to determine electrolyte level. ED patients were randomly assigned to either the syringe group or the vacuum tube group. All blood samples were collected by experienced ED nurses and hemolysis was determined by experienced laboratory technologists. Data were analyzed using Fisher's exact test and binary logistic regression.

Results

One hundred forty-five valid samples were collected (74 in the syringe group versus 71 in the vacuum tube group). 5 of 74 (6.8%) blood samples in the syringe group and 8 of 71 (11.3%) in the vacuum tube group hemolyzed. Repeated blood sampling occurred for 2 of 74 (2.7%) and 3 of 71 (4.2%) in each group respectively. There were no significant differences in rates of hemolysis and repeated sampling between two groups (B=1.97, p=.204; B=2.36, p=.345).

Conclusion

Venipuncture with syringe needles can be recommended for ED nurses to obtain blood samples.

Citations

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Comparison on accuracy of porcelain color reproducibility using two colorimeters
Tai-Il Lee, Jin-Soo Ahn, Young-Soo Kim, Sang-Wan Shin
The Journal of Korean Academy of Prosthodontics.2009; 47(3): 348. CrossRef

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Nurse-Patient Interaction Patterns and Patient Satisfaction in the Emergency Department: Eun Jung Kim; J Korean Acad Nurs 2010;40(1):99-109. Published online February 28, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.1.99

Abstract PDF

Purpose

The purpose of this study was to identify effective nurse interaction patterns with patients in the emergency department.

Methods

For this study, video technology was used to record complete conversations between the nurse and patient. The participants were 28 nurses and 63 patients in the emergency department at one university hospital located in Seoul. The data were collected from November, 2002 to April, 2003. The video recordings were observed for 4 hr for each case and coded using an adapted version of Roter's Interaction Analysis System (RIAS). The data were analyzed using cluster analysis to identify the patterns of nurse-patient interaction.

Results

Cluster analysis revealed 4 distinct nurse interaction patterns; 1) "closed" characterized by orientation and negative talk, 2) "positive" characterized by positive affective talk, 3) "informative and directing" characterized by task-focused behavior including data gathering, and giving information about medical condition and treatment, 4) "facilitative" characterized by balance of psychosocial and biomedical topics. Patient satisfaction was highest in the facilitative interaction pattern.

Conclusion

The patient centered interaction pattern, balancing information exchange and psychosocial exchange are the most effective interactions in the emergency department, suggesting that effective interaction skill is a core clinical nursing intervention in acute care.

Citations

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International Journal of Nursing Studies.2015; 52(2): 535. CrossRef
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Evaluation of a Self-efficacy-based Basic Life Support Program for High-risk Patients' Family Caregivers: Kyunghee Kang, Insook Lee; Journal of Korean Academy of Nursing 2005;35(6):1081-1090. Published online October 31, 2005; DOI: https://doi.org/10.4040/jkan.2005.35.6.1081

Abstract PDF

Purpose

The purpose of this study was to evaluate a Self-efficacy-based Basic Life Support (SEBLS) program for high-risk patients' family caregivers on cardiac arrest. The SEBLS program was constructed on the basis of Bandura's self-efficacy resources as well as the International Liaison Committee on Resuscitation's “2000 Guidelines for CPR and ECC”.

Method

The effect of the SEBLS program on emergency response self-efficacy and emergency response behavior such as BLS(Basic Life Support) knowledge and BLS skill performance was measured by a simulated control group pretest-posttest design. Study subjects were38 high-risk patients' family caregivers(20 experimental subjects and 18 control subjects) whose family patients were admitted to a general hospital in Incheon, Korea.

Result

1. Emergency response self-efficacy was significantly higher in the experimental subjects who participated in the SEBLS program than in the control subjects. (t=8.3102, p=0.0001). 2. For emergency response behavior, BLS knowledge (t=5.6941, p=0.0001) and BLS skill performance (t=27.8281, p=0.0001) was significantly higher in experimental subjects than in control subjects.

Conclusion

A SEBLS program can increase emergency response self-efficacy and emergency response behavior, and could be an effective intervention for high-risk patient's family caregivers. Long-term additional studies are needed to determine the lasting effects of the program.

Citations

Citations to this article as recorded by

Factors Influencing for Intention to Perform Cardiopulmonary Resuscitation in Elementary and Secondary School Teachers
Kyoung Sun Song, Kyung-Yeon Park
Journal of Korean Academy of Community Health Nursing.2020; 31(3): 384. CrossRef
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Jung Min Park, Sangeun Jun
Korean Journal of Adult Nursing.2018; 30(1): 79. CrossRef

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Emergency Nurse-Patient Interaction Behavior: Eun Jeong Kim; Journal of Korean Academy of Nursing 2005;35(6):1004-1013. Published online October 31, 2005; DOI: https://doi.org/10.4040/jkan.2005.35.6.1004

Abstract PDF

Purpose

The main purpose of this study was to explore nurse-patient interaction behaviors and patient satisfaction with the interaction in the emergency department.

Method

This study used video technology to record complete conversations between the nurse and patient, thus obtaining the interactions naturally occurring in a clinical setting. The participants were 28 nurses and 63 patients in the emergency department at one university hospital located in Seoul. The data was collected from November, 2002 to April, 2003. The video recordings were observed for 4 hours for each case and coded using an adapted version of Roter's Interaction Analysis System (RIAS), which yields frequencies of thirty-six types of interaction behaviors.

Result

The information exchange related to therapeutic items including medications, simple orientation, and situational positive talk were characterized in the nurses' interaction behaviors. Giving information about one's own condition, questions about therapeutic regimen, and showing worry were characterized in patient interaction behaviors. The patients' satisfaction with the interaction was 37.75.9 (range 9-45).

Conclusion

The emergency nurse-patient interaction behavior was task-related. The results suggest that identification of effective interaction behavior in the Emergency department and an interaction skill training program could increase patient satisfaction.

Citations

Citations to this article as recorded by

Effects of Facilitative Nurse-Patient Interaction using an Informational Leaflet on Emergency Care
Hyojin Kim, Hee-Young Kang
Journal of Korean Academy of Fundamentals of Nursing.2019; 26(2): 127. CrossRef
Nurse-Patient Interaction Patterns and Patient Satisfaction in the Emergency Department
Eun Jung Kim
Journal of Korean Academy of Nursing.2010; 40(1): 99. CrossRef

146 View
1 Download
2 Crossref

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