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박진영 ( Park Jin-Young ) - 국군간호사관학교 간호학
최스미 ( Choi-Kwon Smi ) - 서울대학교 간호대학
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Abstract
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Purpose : The purpose of this study was to evaluate the accuracy of mass casualty triage performance and to find its related factors among army nurses using a multiple casualty scenario paper exercise.
Methods : A total of 133 army nurses belonging to five military hospitals completed a paper?based triage exercise using the move, assess, send, and sort (MASS) triage system as part of a survey. This paper scenario consisted of 20 patient cases and included a brief clinical status of each patient. General characteristics were also collected to determine the factors that affect the accuracy of triage performance.
Results : The mean accuracy score of the triage assignment was 63.5% (12.7 of the 20 patients) and the time required for a triage assignment was 5.2 minutes (±2.4). There were significant differences in the levels of triage accuracy between the first lieutenant group and the other ranks (p=.005), but there were no significant differences among the rank groups except for the first lieutenant group. Subjects who attended an education course related to disaster·emergency medicine showed higher scores on the triage test compared to other subjects (p=.059). There were significant differences in the levels of triage accuracy among the clinical working areas of the subjects (p=.024). Army nurses working in anesthesiology units showed higher scores than nurses working in medical wards (p=.033). Triage experience (p=.04) and drill participation (p=.021) were related to triage accuracy, whereas troop participation was not found to be related to triage performance. Ranks (p=.001) and drill participation (p=.007) were significant factors affecting triage accuracy. There were no significant differences in terms of triage assignments between subjects who responded that they should consider factors other than patients’ clinical conditions (e.g., age, social status) and subjects who responded that they should not
consider these conditions.
Conclusion : Based on the results of this study, military nurses need to improve their levels of accuracy when engaged in mass casualty triage through intensive training and practical experience related to disaster·emergency medicine. Furthermore, studies with a large number of military medical personnel are required, as are further studies aimed at improving military training courses by reflecting significant factors related to mass casualty triage performance.
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KeyWords
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다중 손상 사고, 중증도 분류, 간호장교
Mass casualty incident, Triage, Military nursing
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원문 및 링크아웃 정보
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등재저널 정보
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