การพัฒนารูปแบบการคัดแยกผู้ป่วยฉุกเฉินโดยพยาบาล ในโรงพยาบาลชุมชน

Yutthapon Thongnakpan; Rerngrit Thongyu

Authors

Yutthapon Thongnakpan Emergency Room, Nakhonthai Crown Prince Hospital
Rerngrit Thongyu Faculty of Nursing, Pibulsongkram Rajabhat University

Keywords:

Triage, waiting time, triage accuracy, triage nurse

Abstract

Triage of trauma and emergency patients is a critical process in emergency care. An appropriate triage model conducted by nurses is essential to ensure timely treatment and reduce the risk of life-threatening conditions. This research and development study aimed to: 1) develop a nurse-led emergency triage model, and 2) examine the outcomes of the developed model. The study was conducted in four phases: phase 1, situational analysis problem analysis,; Phase 2, model development, Phase 3, model implementation,; and Phase 4, outcome evaluation and model refinement. The sample consisted of (1) ten registered nurses meeting the inclusion criteria, and (2) 320 patient medical records classified into five levels of emergency severity, with 32 records in each level, equally divided into pre- and post-implementation groups (160 records each). Research instruments included a triage accuracy record form, a waiting time record form, a triage nurse role performance questionnaire, and the developed triage model. Data were analyzed using descriptive statistics, paired t-test, and independent t-test. The results showed that after implementing the triage model, both triage accuracy and nurse role performance scores were significantly higher than before implementation (p<.05), while waiting times were significantly reduced. These findings indicate that the developed triage model enhances accuracy, decreases waiting times, and improves nurses’ triage performance. Therefore, healthcare personnel and emergency departments should adopt this model to improve patient care quality and reduce life-threatening risks.

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References

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