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Effects of a Web-Based Korean Triage and Acuity Scale Learning Program on Triage Self-Efficacy and Triage Performance Ability for Nurses in Emergency Department

Journal of Korean Academy of Nursing 2019³â 49±Ç 2È£ p.171 ~ 180
KMID : 0806120190490020171
±èÈ¿Áø ( Kim Hyo-Jin ) - Á¶¼±´ëÇб³ °£È£Çаú

°­Èñ¿µ ( Kang Hee-Young ) - Á¶¼±´ëÇб³ °£È£Çаú

Abstract

Purpose: The Korean Triage and Acuity Scale (KTAS) is a tool used to classify the severity and urgency of emergency department (ED) patients, focusing on their symptoms. In consideration of the importance of the KTAS, a web-based learning program has emerged as a new mode of education; it enables ED triage nurses to access it anytime and anywhere, and according to their own learning abilities. This study aimed to develop a web-based KTAS learning program and evaluate its effects on self-efficacy and triage performance ability in ED nurses.

Methods: A quasi-experimental design with a non-equivalent control group pretest-posttest was used. The conceptual framework was Bandura¡¯s self-efficacy theory. There were 30 participants in the experimental group and 29 in the control group. The experimental group attended an orientation and 4 sessions of a web-based KTAS learning program. The learning program lasted 280 minutes over five weeks, consisting of 40 minutes of orientation and four 60-minute sessions.
Results: The scores of self-efficacy, triage performance ability in KTAS level, and chief complaints significantly increased in the experimental group compared to the control group. In addition, the numbers of under-triage in KTAS significantly decreased in the experimental group in comparison to the control group.

Conclusion: The results suggest that the learning program was effective in improving ED nurses¡¯ level of self-efficacy and triage performance ability (KTAS level and KTAS chief
KeyWords
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Emergency service, hospital, Nurses, Internet access, Triage, Self efficacy
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