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NTIS 바로가기Journal of Korean academy of nursing = 대한간호학회지, v.48 no.3, 2018년, pp.362 - 374
Purpose: This study aimed to develop a triage competency scale (TCS) for emergency nurses, and to evaluate its validity and reliability. Methods: Preliminary items were derived based on the attributes and indicators elicited from a concept analysis study on triage competency. Ten experts assessed wh...
핵심어 | 질문 | 논문에서 추출한 답변 |
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응급실에서의 중증도 분류는 무엇입니까? | 응급실에서의 중증도 분류는 내원하는 모든 환자들을 신속하게 사정한 후, 우선순위에 따라 누가 먼저 치료를 받아야 하는지를 정하고, 치료받을 수 있는 공간을 배정하는 과정이다[1,2]. 정확한 중증도 분류는 응급실 내원 환자의 안전보장을 위해 매우 중요하며 이러한 업무는 대부분 간호사가 맡고 있다. | |
응급실 간호사가 중증도 분류를 위해 갖추어야 하는 역량 2가지는 무엇입니까? | 응급실 간호사가 중증도 분류를 위해 갖추어야 하는 역량은 임상적 판단력과 밀접한 관련이 있다. 임상적 판단(clinical judgment)은논리적이고 합리적으로 분석·평가·분류하는 사고과정으로, 중증도 분류의 대표적인 역량 중 하나이다[2,8]. 중증도 분류를 위해 중요한 또 다른 역량은 신속한 사정으로, 응급실에서는 내원 환자의 자료가 부족한 상태에서 모든 연령대의 대상자를 신속히 사정하여 정확한 진단과 처치를 해야 하므로 짧은 시간 동안에 효과적으로 병력을 수집하고, 신체검진을 수행하는 과정은 중증도 분류에 중요한 역량이다[1,2,8]. | |
KTAS Committee는 중증도 분류자가 갖추어야 할 역량으로 무엇을 언급하였습니까? | 최근 응급실 과밀화가 증가되며 환자의 건강상태에 대한 판단을 위해 필요한 역량 외에 불확실하고 복잡한 현장 상황에 필요한 역량이 점차 강조되었다. KTAS Committee [7]는 중증도 분류자는 임기응변 능력, 압박 상황에서의 일처리 능력, 자신감, 의사소통, 팀원과의 협력이 필요하다고 하였다. 응급실은 과밀화의 시점을 예측하기 힘들기 때문에 응급실 간호사는 중환자가 한꺼번에 내원하는 상황 일지라도 팀원 간 협력하여 신속하게 중증도를 분류하고, 원활한 후속 조치가 이루질 수 있도록 해야 한다[6-9]. |
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