J Korean Crit Care Nurs.  2017 Oct;10(3):41-52. 10.0000/jkccn.2017.10.3.41.

Concept Analysis of Triage Competency in Emergency Nursing

Affiliations
  • 1Assistant Professor, Department of Nursing, College of Health and Welfare and Education, Gwangju University, Gwangju, Korea.
  • 2Professor, College of Nursing, Seoul National University, Seoul, Korea. hanipyh@snu.ac.kr

Abstract

PURPOSE
This concept analysis identified attributes and defined triage competency among emergency nurses. METHOD: Walker and Avant's approach was used to guide the concept analysis. A literature review was completed including 26 studies, 5 reports of related associations, and 5 books.
RESULTS
The concept of triage competency in emergency nurses was identified as five attributes: clinical judgment, expert assessment, management of medical resources, timely decision, and communication. Antecedents of the concept were triage education and emergency room experience. The consequences of the concept were efficiency of care, patient rating, and safety. Triage competency in emergency nurses was defined as the comprehensive ability to prioritize patients' urgency and allocate limited medical resources.
CONCLUSION
This study is meaningful since it clarified triage competency among emergency nurses. The attributes and empirical indicators of this study will likely lay the foundation for development of triage competency metrics.

Keyword

Concept analysis; Triage; Clinical competence; Emergency nursing

MeSH Terms

Clinical Competence
Education
Emergencies*
Emergency Nursing*
Emergency Service, Hospital
Judgment
Methods
Patient Care
Triage*
Walkers
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