Journal of Korean Academy of Nursing

Original Articles

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 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

Citations to this article as recorded by

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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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.

Citations

Citations to this article as recorded by

Effects of the Violence Experience and Emotional Labor on Burnout among Tertiary Hospital Nurses
Su Hyang Kim, Yoon Goo Noh
Journal of Health Informatics and Statistics.2022; 47(4): 290. CrossRef
Experiences of violence, burnout and job satisfaction in Korean nurses in the emergency medical centre setting
Hee Sook Yoon, Sohyune R Sok
International Journal of Nursing Practice.2016; 22(6): 596. CrossRef
Convergent approach of phenomenological methodology about Emergency Nurses' experience of hospital violence
Young-Hee Jeong
Journal of the Korea Convergence Society.2015; 6(5): 63. CrossRef
Factors Influencing Burnout in Emergency Room Nurses
Hee-Young Jung, Sun-Ok Kim, In-Sook Kim
Korean Journal of Occupational Health Nursing.2014; 23(1): 1. CrossRef
Predictors of Violent Behavior by Patient or Caregiver of Patient in the Emergency Department
Eun Young Park, Eun-Nam Lee
Korean Journal of Adult Nursing.2014; 26(5): 500. CrossRef
Coping Styles toward Hospital Violence in Clinical Nurses: An Application of Q Methodology
Eunho Ha, Jinyoung Cho
Korean Journal of Adult Nursing.2013; 25(3): 263. 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

Citations to this article as recorded by

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Journal of Clinical Nursing.2018; 27(13-14): 2795. CrossRef
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Eunhee Cho, Douglas M. Sloane, Eun-Young Kim, Sera Kim, Miyoung Choi, Il Young Yoo, Hye Sun Lee, Linda H. Aiken
International Journal of Nursing Studies.2015; 52(2): 535. CrossRef
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Donghwan Kim, Hanju Lee
Journal of Korean Academy of Nursing Administration.2014; 20(1): 95. CrossRef
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Korean Journal of Women Health Nursing.2012; 18(3): 200. CrossRef
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