2005 Fiscal Year Final Research Report Summary
Usefulness of Telephone Triage Manual for nurses regarding pediatric emergency consultation
| Project/Area Number |
16592158
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Clinical nursing
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| Research Institution | Niigata College of Nursing |
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Principal Investigator |
KAKO Masako Niigata College of Nursing, Nursing, Professor, 看護学部, 教授 (00233677)
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| Co-Investigator(Kenkyū-buntansha) |
OHKUBO Akiko Niigata College of Nursing, Nursing, Research Assistant, 看護学部, 助手 (70279850)
KANAI Yukiko Niigata College of Nursing, Nursing, Research Assistant, 看護学部, 助手 (20360018)
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| Project Period (FY) |
2004 – 2005
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| Keywords | Pediatric Emergency / Nurse / Telephone Triage / Manual |
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| Research Abstract |
The purpose of this research is to investigate the state of pediatric telephone triage at emergency rooms and evaluate a telephone triage manual for nurses in an effort to give effective and sufficient emergency healthcare service.
To determine the usefulness of a telephone triage manual for nurses, we first developed a trial edition of a manual including four major symptoms among children, such as fever, vomiting, diarrhea, and abdominal pain. We investigated the pre and post use of the manual through a questionnaire to 86 nurses working at an ER of a general hospital. The result suggested that it was useful and reduced nurses' stress when they answered phones from sick or troubled families, although there were more issues we need to investigate including staff allocations or the needs for training programs for them.
The second year, we surveyed both head nurses and staff nurses of ER chosen from the list of 211 hospitals which accepting pediatric emergency training for medical staff. Head nurses from 114 hospitals (51.6%) answered to the questionnaire. We found that there were specialized full-time ER nurses and part-time or rotating RE nurses, depending on the policy and function of each hospital. From the result of 780 staff nurses, about 42.1% of nurses worked as ER nurse less than three years and 62.4% of nurses had less than three year of pediatric experience. It revealed that fewer expert nurses were working as a full-time ER nurse, no training for telephone triage, and the majority of the nurses felt severe stress to answer the phone. The trial manual was well received by the users and there were requests for more items and comments on usable quick reference. These results suggested that there were grater needs for a manual, education and skill training to conduct pediatric telephone triage.
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