急诊护士预检分诊能力调查及影响因素分析

目的 调查急诊护士预检分诊能力，探讨其影响因素，为急诊科护士的培养提供参考依据。 方法 采用随机抽样法选取杭州市三甲医院急诊预检护士177人为研究对象，调查其预检分诊能力，并分析影响急诊护士预检分诊能力的影响因素。 结果 177名急诊护士预检分诊能力总得分最小值101分，最大值214分，平均得分(157.80±26.42)分，其中认知行为、经验及技术信心、直觉和批判性思维等4个维度评分分别为(35.09±7.11)分、(47.37±7.29)分、(27.54±6.43)分和(47.78±8.50)分；单因素分析显示，急诊工作年限、预检分诊工作年限、学历、职称、是否取得急诊相关证书、是否经过急诊分诊正规培训、是否参加病例讨论以及考核间隔是影响急诊护士预检分诊能力的主要因素(P<0.05)。Logistic多因素回归分析显示:预检分诊工作年限、学历、职称、是否经过急诊分诊正规培训、是否参加病例讨论以及考核间隔是急诊护士预检分诊能力的独立影响因素(均P<0.05)。 结论 急诊护士预检分诊能力总体处于一般水平，工作时间短、学历及职称低、未经过急诊分诊正规培训、不参加病例讨论和考核间隔较长的护士预检分诊能力较差。 

Investigation on the ability of pre-examination and triage of emergency nurses and analysis of influencing factors

Objective To investigate the ability of pre-examination and triage of emergency nurses, to explore the influencing factors, and to provide reference for the training of nurses in emergency department. Methods A random sample method was used to select 177 emergency pre-examination nurses from the top three hospitals in our city. The pre-examination and triage ability were investigated, and the influencing factors affecting the pre-examination ability of emergency nurses were analyzed. Results The total score of 177 emergency nurses was 101 points, the maximum value was 214 points, and the average score were (157.80±26.42) points. Cognitive behavior, experience and technical confidence, intuition and critical thinking were scored (35.09±7.11), (47.37±7.29), (27.54±6.43) and (47.78±8.50), respectively. Univariate analysis showed that the length of emergency work, the length of pre-screening and triage work, educational background, professional title, whether to obtain emergency related certificates, whether to receive formal training in emergency triage. Participation in case discussion and examination interval were the main factors influencing the ability of pre-examination and triage of emergency nurses (P<0.05). Logistic multivariate regression analysis showed that the pre-examination work years, academic qualifications, professional titles, whether the formal training was conducted through emergency triage, whether the participation in the case discussion and the assessment interval were independent influencing factors of the pre-examination ability of the emergency nurses (all P<0.05). Conclusion The pre-examination ability of emergency nurses is generally at a general level, especially for nurses with short working hours, low academic qualifications and professional titles, formal training without emergency triage, non-participating case discussion and long interval between assessments.