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Educational Simulation Program Based on Korean Triage and Acuity Scale.

ABSTRACT: This study aimed to develop and implement an educational simulation program based on the Korean Triage and Acuity Scale (KTAS) for nurses in emergency medical centers who completed the KTAS training, and assess its effects. We examined the educational effects of the program by evaluating clinical decision-making ability, job satisfaction, and customer orientation among the participants, namely 27 nurses in the emergency center of a general hospital. Data were collected from 3 to 24 May 2017, and analyzed using SPSS 22.0. There was a significant difference in nurses' mean scores on clinical decision-making ability, job satisfaction, and customer orientation before and after the simulation-based education. In other words, after completing the KTAS-based simulation education program, the emergency nurses showed improved clinical decision-making ability, job satisfaction, and customer orientation. Based on the results of this study, it is expected that this educational program can be effectively used for KTAS education, and it was confirmed that simulation-based education is a useful learning method for triage nurses in emergency medical centers.

SUBMITTER: Jang JH

PROVIDER: S-EPMC7730408 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Educational Simulation Program Based on Korean Triage and Acuity Scale.

Jang Jae-Hyuk JH Kim Sang Suk SS Kim Sunghee S

International journal of environmental research and public health 20201203 23

This study aimed to develop and implement an educational simulation program based on the Korean Triage and Acuity Scale (KTAS) for nurses in emergency medical centers who completed the KTAS training, and assess its effects. We examined the educational effects of the program by evaluating clinical decision-making ability, job satisfaction, and customer orientation among the participants, namely 27 nurses in the emergency center of a general hospital. Data were collected from 3 to 24 May 2017, and ...[more]

PMID: 33287363

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Project description:BackgroundTriage is a critical component of prehospital emergency care. Effective triage of patients allows them to receive appropriate care and to judiciously use personnel and hospital resources. In many low-resource settings prehospital triage serves an additional role of determining the level of destination facility. In South Africa, the Western Cape Government innovatively implemented the South African Triage Scale (SATS) in the public Emergency Medical Services (EMS) service in 2012. The prehospital provider perspectives and experiences of using SATS in the field have not been previously studied.MethodsIn this qualitative study, focus group discussions with cohorts of basic, intermediate and advanced life support prehospital providers were conducted and transcribed. A content analysis using an inductive approach was used to code transcripts and identify themes.Results15 EMS providers participated in three focus group discussions. Data saturation was reached and four major themes emerged from the qualitative analysis: Implementation and use of SATS; Effectiveness of SATS; Limitations of the discriminator; and Special EMS considerations. Participants overall felt that SATS was easy to use and allowed improved communication with hospital providers during patient handover. Participants, however, described many clinical cases when their clinical gestalt triaged the patient to a different clinical acuity than generated by SATS. Additionally, they stated many clinical discriminators were too subjective to effectively apply or covered too broad a range of clinical severity (e.g., ingestions). Participants provided examples of how the prehospital environment presents additional challenges to using SATS such as changing patient clinical conditions, transport times and social needs of patients.ConclusionsOverall, participants felt that SATS was an effective tool in prehospital emergency care. However, they described many clinical scenarios where SATS was in conflict with their own assessment, the clinical care needs of the patient or the available prehospital and hospital resources. Many of the identified challenges to using SATS in the prehospital environment could be improved with small changes to SATS and provider re-training.

Dataset Information

Educational Simulation Program Based on Korean Triage and Acuity Scale.

Publications

Educational Simulation Program Based on Korean Triage and Acuity Scale.

Similar Datasets

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