Titre
Effects of environmental distractors on nurse emergency triage accuracy: a pilot study protocol.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Delmas, P.
Auteure/Auteur
Fiorentino, A.
Auteure/Auteur
Antonini, M.
Auteure/Auteur
Vuilleumier, S.
Auteure/Auteur
Stotzer, G.
Auteure/Auteur
Kollbrunner, A.
Auteure/Auteur
Jaccard, D.
Auteure/Auteur
Hulaas, J.
Auteure/Auteur
Rutschmann, O.
Auteure/Auteur
Simon, J.
Auteure/Auteur
Hugli, O.
Auteure/Auteur
Gilart de Keranflec'h, C.
Auteure/Auteur
Pasquier, J.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
2055-5784
Statut éditorial
Publié
Date de publication
2020-11-07
Volume
6
Numéro
1
Première page
171
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Publication Status: epublish
Résumé
The clinical decisions of emergency department triage nurses need to be of the highest accuracy. However, studies have found repeatedly that these nurses over- or underestimate the severity of patient health conditions. This has major consequences for patient safety and patient flow management. Workplace distractors such as noise and task interruptions have been pointed to as factors that might explain this inaccuracy. The use of a serious game reproducing the work environment during triage affords the opportunity to explore the impact of these distractors on nurse emergency triage accuracy, in a safe setting.
A pilot study with a factorial design will be carried out to test the acceptability and feasibility of a serious game developed specifically to simulate the triage process in emergency departments and to explore the primary effects of distractors on nurse emergency triage accuracy. Eighty emergency nurses will be randomized into four groups: three groups exposed to different distractors (A, noise; B, task interruptions; C, noise and task interruptions) and one control group. All nurses will have to complete 20 clinical vignettes within 2 h. For each vignette, a gold standard assessment will be determined by experts. Pre-tests will be conducted with clinicians and certified emergency nurses to evaluate the appeal of the serious game.
Study results will inform the design of large-scale investigations and will help identify teaching, training, and research areas that require further development.
A pilot study with a factorial design will be carried out to test the acceptability and feasibility of a serious game developed specifically to simulate the triage process in emergency departments and to explore the primary effects of distractors on nurse emergency triage accuracy. Eighty emergency nurses will be randomized into four groups: three groups exposed to different distractors (A, noise; B, task interruptions; C, noise and task interruptions) and one control group. All nurses will have to complete 20 clinical vignettes within 2 h. For each vignette, a gold standard assessment will be determined by experts. Pre-tests will be conducted with clinicians and certified emergency nurses to evaluate the appeal of the serious game.
Study results will inform the design of large-scale investigations and will help identify teaching, training, and research areas that require further development.
PID Serval
serval:BIB_60D247EA432D
PMID
Open Access
Oui
Date de création
2020-12-14T08:54:50.461Z
Date de création dans IRIS
2025-05-20T18:06:45Z
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Nom
33292718_BIB_60D247EA432D.pdf
Version du manuscrit
published
Licence
https://creativecommons.org/licenses/by/4.0
Taille
627.93 KB
Format
Adobe PDF
PID Serval
serval:BIB_60D247EA432D.P001
URN
urn:nbn:ch:serval-BIB_60D247EA432D0
Somme de contrôle
(MD5):c6f4e02debdcf6bd91c84a325d79f3e1