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응급실 간호사의 중증도 분류 역량 측정도구 개발 : Development of a triage competency scale for emergency nurses

Cited 10 time in Web of Science Cited 11 time in Scopus
Authors

문선희; 박연환

Issue Date
2018-06
Publisher
한국간호과학회
Citation
Journal of Korean Academy of Nursing, Vol.48 No.3, pp.362-374
Abstract
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 whether the preliminary items belonged to the construct factor and determined the appropriateness of each item. A revised questionnaire was administered to 250 nurses in 18 emergency departments to evaluate the reliability and validity of the scale. Data analysis comprised item analysis, confirmatory factor analysis, contrasted group validity, and criterion-related validity, including criterion-related validity of the problem solving method using video scenarios. Results: The item analysis and confirmatory factor analysis yielded 5 factors with 30 items; the fit index of the derived model was good (chi(2)/df =2.46, Root Mean squared Residual=.04, Root Mean Squared Error of Approximation=.08). Additionally, contrasted group validity was assessed. Participants were classified as novice, advanced beginner, competent, and proficient, and significant differences were observed in the mean score for each group (F=6.02, p=.001). With reference to criterion-related validity, there was a positive correlation between scores on the TCS and the Clinical Decision Making in Nursing Scale (r=.48, p<.001). Further, the total score on the problem solving method using video scenarios was positively correlated with the TCS score (r=.13, p=.04). The Cronbach's a of the final model was .91. Conclusion: Our TCS is useful for the objective assessment of triage competency among emergency nurses and the evaluation of triage education programs.
ISSN
2005-3673
URI
https://hdl.handle.net/10371/204107
DOI
https://doi.org/10.4040/jkan.2018.48.3.362
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  • College of Nursing
  • Dept. of Nursing
Research Area Chronic Disease in Elderly Population, Evidence-Based Nursing Intervention

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