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The State, Implementation, and Spread of a Nurse Triage SystemSpecialized in Stroke

Research Project

Project/Area Number 22792208
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeSingle-year Grants
Research Field Clinical nursing
Research InstitutionThe Japanese Red Cross Hiroshima College of Nursing

Principal Investigator

HYAKUTA Takeshi  日本赤十字広島看護大学, 看護学部, 准教授 (30432305)

Project Period (FY) 2010 – 2012
Project Status Completed (Fiscal Year 2012)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2012: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2011: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2010: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Keywords脳卒中 / トリアージナース / 実態調査 / 救急医療
Research Abstract

In 2010, we performed a nationwide questionnaire survey of facilities with experience in acute stroke treatment regarding the nurse triage system specialized in stroke (hereafter, stroke nurse triage system) to better understand the state of the system. Issues raised during the survey included manuals, education systems, and the triage nurse follow-up system.Next, in 2011, we interviewed a total of 13 triage nurses from four hospitals in Japan inorder to examine the effects of the stroke nurse triage system and required abilities, roles, and functions of triage nurses, and to identify specific issues regarding the system. We also attended and observed a stroke triaging scene, and conducted qualitative and inductive analysis. Implementation of the stroke triage nurse system improved the assessment abilities of staff, manuals and educational systems, and staff morale. In other words, the secondary effects of implementing the stroke nurse triage system became evident through intervews.In … More light of the 2012 revision of the medical payment system that made it possible to charge a “hospital triage fee”, we conducted a questionnaire survey of hospitals with experience in hyper acute stroke treatment. We compared facilities that newly implemented a nurse triage system after establishment of the hospital triage fee (new group) with facilities that originally had such a system (existing group) to examine the characteristics of the stroke triage system. The existing group had significantly higher supplementary hospital charges for special care, more personnel specialized in emergency care, a larger medical practice, and more nurse specialists compared to the new group.Compared to hospitals in the newly-introduced group, hospitals in the existing group had significantly greater reimbursement of specified hospitalization fees, full-time personnel systems, medical care systems, and deployment of specialized nurses, and thus the stroke triage system was likely more fully developed at these hospitalsFor this reason, it is possible that hospitals in the newly-introduced group have introduced triage nurses without an adequate system in place.If the assessment of triage is inadequate, early treatment may be delayed, worsening patient prognosis. Therefore, it is necessary to examine what kind of system will lead to improvements in the quality of triage nurses and the provision of better care to patients. Less

Report

(4 results)
  • 2012 Annual Research Report   Final Research Report ( PDF )
  • 2011 Annual Research Report
  • 2010 Annual Research Report
  • Research Products

    (15 results)

All 2013 2012 2011

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (14 results)

  • [Journal Article] 脳卒中トリアージナース導入・普及に向けた救急外来体制の実態調査2013

    • Author(s)
      木下真吾,百田武司
    • Journal Title

      日本ニューロサイエンス看護学会会誌

      Volume: 1(1)

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Presentation] Introduction of Triage Nurses for Stroke Treatment after Establishment of a New In-hospital Triage Reimbursement Fee2013

    • Author(s)
      Takeshi HYAKUTA,Shingo KISHITA
    • Organizer
      Survey on Actual Conditions Part 2,The 11th Quadrennial Congress of The World Federation of Neuroscience Nurses (WFNN Congress2013)
    • Place of Presentation
      Venue: Nagaragawa ConventionCenter,Gifu, Japan
    • Related Report
      2012 Final Research Report
  • [Presentation] The Effectiveness of Introducing Stroke Triage Nurses in the Emergency Room2013

    • Author(s)
      Takeshi HYAKUTA,Junko OKADA,Kumiko MORIKANE,Miyuki KONO,Kaori KOSHIMICHI
    • Organizer
      The 11th Quadrennial Congress of The World Federation of Neuroscience NursesWFNN Congress 2013
    • Place of Presentation
      Venue: Nagaragawa Convention Center,Gifu, Japan
    • Related Report
      2012 Final Research Report
  • [Presentation] Introduction of Triage Nurses for Stroke Treatment after Establishment of a New In-hospital Triage Reimbursement FeeSurvey on Actual Conditions Part12013

    • Author(s)
      Shingo KISHITA ,Takeshi HYAKUTA
    • Organizer
      The 11th Quadrennial Congress of The World Federation of Neuroscience Nurses (WFNN Congress2013)
    • Place of Presentation
      Venue: Nagaragawa ConventionCenter,Gifu, Japan
    • Related Report
      2012 Final Research Report
  • [Presentation] 脳卒中トリアージナースに必要な能力,役割・機能,問題点2013

    • Author(s)
      百田武司,木下真吾
    • Organizer
      第38回日本脳卒中学会総会(STROKE2013)
    • Place of Presentation
      グランドプリンスホテル新高輪(東京)
    • Related Report
      2012 Final Research Report
  • [Presentation] 脳卒中トリアージナースに必要な能力、役割・機能、問題点2013

    • Author(s)
      百田武司
    • Organizer
      第38回日本脳卒中学会総会
    • Place of Presentation
      グランドプリンスホテル新高輪
    • Related Report
      2012 Annual Research Report
  • [Presentation] Introduction of Triage Nurses for Stroke Treatment after Establishment of a New In-hospital Triage Reimbursement Fee: Survey on Actual Conditions Part 22013

    • Author(s)
      百田武司
    • Organizer
      The 11th Quadrennial Congress of The World Federation of Neuroscience Nurses (WFNN Congress 2013)
    • Place of Presentation
      長良川国際会議場
    • Related Report
      2012 Annual Research Report
  • [Presentation] Effects of Introducing Stroke Triage Nurses2013

    • Author(s)
      百田武司
    • Organizer
      The 11th Quadrennial Congress of The World Federation of Neuroscience Nurses (WFNN Congress 2013)
    • Place of Presentation
      長良川国際会議場
    • Related Report
      2012 Annual Research Report
  • [Presentation] Introduction of Triage Nurses for Stroke Treatment after Establishment of a New In-hospital Triage Reimbursement Fee: Survey on Actual Conditions Part12013

    • Author(s)
      木下真吾
    • Organizer
      The 11th Quadrennial Congress of The World Federation of Neuroscience Nurses (WFNN Congress 2013)
    • Place of Presentation
      長良川国際会議場
    • Related Report
      2012 Annual Research Report
  • [Presentation] 脳卒中トリアージナース導入・普及に向けた救急外来体制 の実態調査(第2 報)-実施施設と非実 施施設の比較-2012

    • Author(s)
      百田武司,木下真吾
    • Organizer
      第39回日本脳神経看護研究学会
    • Place of Presentation
      大阪国際 会議場(大阪市)
    • Year and Date
      2012-10-19
    • Related Report
      2012 Final Research Report
  • [Presentation] 救急外来におけるトリアージナースの現状と課題2012

    • Author(s)
      石中沙耶,江南友香子,明賀佳奈恵,百田武司
    • Organizer
      第43回日本看護学会-成人看護I-学術集会
    • Place of Presentation
      仙台国際センター(仙台市)
    • Related Report
      2012 Final Research Report
  • [Presentation] 救急外来におけるトリアージナースの現状と課題2012

    • Author(s)
      石中沙耶
    • Organizer
      第43回日本看護学会-成人看護I-学術集会
    • Place of Presentation
      仙台国際センター
    • Related Report
      2012 Annual Research Report
  • [Presentation] 脳卒中トリアージナース導入・普及に向けた救急外来体制の実態調査(第2報)-実施施設と非実施施設の比較-2012

    • Author(s)
      百田武司
    • Organizer
      第39回日本脳神経看護研究学会
    • Place of Presentation
      リーガロイヤル大阪
    • Related Report
      2012 Annual Research Report
  • [Presentation] 脳卒中トリアージナース導入・普及に向けた救急外来体制の実態調査(第一報)2011

    • Author(s)
      百田武司
    • Organizer
      第38回日本脳神経看護研究学会
    • Place of Presentation
      富山国際会議場(富山市)
    • Year and Date
      2011-10-01
    • Related Report
      2012 Final Research Report
  • [Presentation] 脳卒中トリアージナース導入・普及に向けた救急外来体制の実態調査(第一報)2011

    • Author(s)
      百田武司
    • Organizer
      第38回日本脳神経看護研究学会
    • Place of Presentation
      富山国際会議場
    • Year and Date
      2011-10-01
    • Related Report
      2011 Annual Research Report

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Published: 2010-08-23   Modified: 2019-07-29  

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