EXPERIENCES OF CLINICAL TRIAGE FOR PATIENT UNDER INVESTIGATION (PUI) WITH COVID-19 OF NURSES

Authors

  • Sunee Suwanpasu Department of Nursing, King Chulalongkorn Memorial Hospital, Thai Red Cross Society
  • Chitra Chanchanakit Department of Nursing, King Chulalongkorn Memorial Hospital, Thai Red Cross Society
  • Nongluk Ananta-ard Department of Nursing, King Chulalongkorn Memorial Hospital, Thai Red Cross Society
  • Jeeranun Jinagub King Chulalongkorn Memorial Hospital, Thai Red Cross Society
  • Thanakrit Jeamjitvibool Faculty of Nursing, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy

Keywords:

experience, triage nurse, Patient Under Investigation (PUI) with COVID-19

Abstract

            The aim of this qualitative research was to explore the experiences of triage nurses in screening suspected individuals with COVID-19. Informants were twelve professional nurses with expertise in the Triage of outpatient setting and had experience in the Triage of Patient Under Investigation (PUI) with COVID-19 in the Emerging Disease Clinic, Chulalongkorn Hospital at least two weeks. The research tools were researchers, personal data questionnaire and semi-structured questionnaire for interview, which was approved by three experts. The agreed percentage was 90%. Thematic analysis based on Braun & Clarke's six steps and data triangulation techniques were used for data analysis.

            The results showed that the Triage of Patient Under Investigation (PUI) with COVID-19 was summarized in five main points as follows: 1) Operation readiness framework during pandemic, 2) Strong support network to reduce fear and anxiety, 3) Standard of screening process using a well-defined form with guidance on key risk factors, 4) Core competencies in screening patients with COVID-19, and 5) The need of triage nurse specialist in screening patients with COVID-19.

            The findings of this research can be used for dealing with emerging of pandemics and epidemic diseases. In addition, encouragement and support from senior management has crucial influence in team cooperation to achieve the organizational outcome.

Downloads

Download data is not yet available.

References

Arnetz, J. E., Goetz, C. M., Arnetz, B. B., & Arble, E. (2020). Nurse reports of stressful situations during the COVID-19 pandemic: Qualitative Analysis of Survey Responses. International Journal of Environmental Research and Public Health, 17(21), 1-12. https://doi.org/10.3390/ijerph17218126

Atwal, A., & Caldwell, K. (2006). Nurses’ perceptions of multidisciplinary team work in acute health care. International Journal of Nursing Practice, 12(6), 359-365.

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101.

Bruminhent, J., Ruangsubvilai, N., Nabhindhakara, J., Ingsathi, A., & Kiertiburanakul, S. (2020). Clinical characteristics and risk factors for coronavirus disease 2019 (COVID-19) among patients under investigation in Thailand. PLoS One, 15(9), 1-14. https://doi.org/10.1371/journal.pone.0239250

Buheji, M., & Buhaid, N. (2020). Nursing human factor during COVID-19 pandemic. International Journal of Nursing, 10(1), 12-24.

Centers for Disease Control and Prevention. (2020). Standard Operating Procedure (SOP) for triage of suspected COVID-19 patients in non-US healthcare settings: Early identification and prevention of transmission during triage. Retrieved from https://www.cdc.gov/coronavirus/2019ncov/hcp/non-us-settings/sop-triage-prevent-transmission.html

Cui, S., Jiang, Y., Shi, Q., Zhang, L., Kong, D., Qian, M., . . . Chu, J. (2021). Impact of COVID-19 on anxiety, stress, and coping styles in nurses in emergency departments and fever clinics: A cross-sectional survey. Risk management and Healthcare Policy, 585–594. https://doi.org/10.2147/RMHP.S289782

Department of Disease Control Ministry of Public Health, Thailand. (2019). Definition of patient under investigation: PUI. Retrieved from https://ddc.moph.go.th/viral pneumonia/viral/

Department of Disease Control Ministry of Public Health, Thailand. (2021). Infection prevention and control guidance coronavirus disease 2019 (volume 2). Retrieved from https://ddc.moph.go.th

Fernandez, R., Lord, H., Halcomb, E., Moxham, L., Middleton, R., Alananzeh, I., . . . Ellwood, L. (2020). Implications for COVID-19: A systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic. International Journal of Nursing Studies, 111, 1-8.

Huang, H., Zhao, W. J., & Li, G. R. (2020). Knowledge and psychological stress related to COVID-19 among nursing staff in a hospital in China: Cross-sectional survey study. The Journal of Medical Internet Research, 4(9), 1-8. https://doi.org/10.2196/20606

Lee, J. Y., Hong, J. H., & Park, E. Y. (2020). Beyond the fear: Nurses’ experiences caring for patients with Middle East Respiratory Syndrome: A phenomenological study. Journal of Clinical Nursing, 29(17-18), 3349-3362.

Liang, T., Cai, H., Chen, Y., Chen, Z., Fang, Q., & Han, W. (2020). Handbook of COVID-19 prevention and treatment. 2020. Retrieved from https://www.gale.com/binaries/content/assets/gale-us-en/intl-assets/intl-assets-uk--europe/1-handbook-of-covid-19-prevention-and-treatment-st---smaller.pdf

Liu, Y. E., Zhai, Z. C., Han, Y. H., Liu, Y. L., Liu, F. P., & Hu, D. Y. (2020). Experiences of front-line nurses combating coronavirus disease-2019 in China: A qualitative analysis. Public Health Nursing, 37(5), 757-763.

Sagherian, K., Steege, L.M., Cobb, S.J., & Cho, H. (2020). Insomnia, fatigue and psychosocial well-being during COVID-19 pandemic: A cross-sectional survey of hospital nursing staff in the United States. Journal of Clinical Nursing, 1-4. https://doi.org/10.1111/jocn.15566

Sungkeaw, S., Harnirattisai, T., & Srisatidnarakul, B. (2020). Registered nurses’ competency in caring for emerging infectious diseases. Thai Journal of Nursing Council, 35(3), 69-86.

Thurmond, V. A. (2001). The point of triangulation. Journal of Nursing Scholarship, 33(3), 253-258.

World Health Organization. (2020). ‎‎2019 novel corornavirus (‎‎2019-nCoV)‎‎: Strategic preparedness and response plan. Retrieved from https://www.who.int/docs/default/source/coronaviruse/srp-04022020.pdf?ua=1

Xu, S., Yang, Q., Xie, M., Wang, J. Shan, A., & Shi, F. (2021). Work experience of triage nurses in emergency departments during the prevalence of COVID-19. International Emergency Nursing, 56, 1-5.

Downloads

Published

2021-12-31

How to Cite

Suwanpasu, S., Chanchanakit, C. ., Ananta-ard, N. ., Jinagub, J. ., & Jeamjitvibool, T. . (2021). EXPERIENCES OF CLINICAL TRIAGE FOR PATIENT UNDER INVESTIGATION (PUI) WITH COVID-19 OF NURSES. JOURNAL OF THE POLICE NURSES, 13(2), 367–377. Retrieved from https://he01.tci-thaijo.org/index.php/policenurse/article/view/249550

Issue

Section

Research Articles