Titre
Feasibility and acceptability of a serious game to study the effects of environmental distractors on emergency room nurse triage accuracy: A pilot study.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Assunta, F.
Auteure/Auteur
Matteo, A.
Auteure/Auteur
Séverine, V.
Auteure/Auteur
Guy, S.
Auteure/Auteur
Aurélien, K.
Auteure/Auteur
Oriana, K.P.
Auteure/Auteur
Dominique, J.
Auteure/Auteur
Josette, S.
Auteure/Auteur
Olivier, H.
Auteure/Auteur
Jérome, P.
Auteure/Auteur
Philippe, D.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1878-013X
Statut éditorial
Publié
Date de publication
2024-09
Volume
76
Première page
101504
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article ; Randomized Controlled Trial
Publication Status: ppublish
Publication Status: ppublish
Résumé
Emergency triage, which involves complex decision-making under stress and time constraints, may suffer from inaccuracies due to workplace distractions. A serious game was developed to simulate the triage process and environment. A pilot study was undertaken to collect preliminary data on the effects of distractors on emergency nurse triage accuracy.
A 2 × 2 factorial randomized controlled trial (RCT) was designed for the study. A sample of 70 emergency room nurses was randomly assigned to three experimental groups exposed to different distractors (noise, task interruptions, and both) and one control group. Nurses had two hours to complete a series of 20 clinical vignettes, in which they had to establish a chief complaint and assign an emergency level.
Fifty-five nurses completed approximately 15 vignettes each during the allotted time. No intergroup differences emerged in terms of triage performance. Nurses had a very favorable appreciation of the serious game focusing on triage.
The results show that both the structure of our study and the serious game can be used to carry out a future RCT on a larger scale. The lack of a distractor effect raises questions about the frequency and intensity required to find a significant impact on triage performance.
A 2 × 2 factorial randomized controlled trial (RCT) was designed for the study. A sample of 70 emergency room nurses was randomly assigned to three experimental groups exposed to different distractors (noise, task interruptions, and both) and one control group. Nurses had two hours to complete a series of 20 clinical vignettes, in which they had to establish a chief complaint and assign an emergency level.
Fifty-five nurses completed approximately 15 vignettes each during the allotted time. No intergroup differences emerged in terms of triage performance. Nurses had a very favorable appreciation of the serious game focusing on triage.
The results show that both the structure of our study and the serious game can be used to carry out a future RCT on a larger scale. The lack of a distractor effect raises questions about the frequency and intensity required to find a significant impact on triage performance.
PID Serval
serval:BIB_68DEFD0540A4
PMID
Open Access
Oui
Date de création
2024-08-26T08:44:58.066Z
Date de création dans IRIS
2025-05-20T15:16:37Z
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Nom
39159597.pdf
Version du manuscrit
published
Licence
https://creativecommons.org/licenses/by-nc-nd/4.0
Taille
1.11 MB
Format
Adobe PDF
PID Serval
serval:BIB_68DEFD0540A4.P001
URN
urn:nbn:ch:serval-BIB_68DEFD0540A43
Somme de contrôle
(MD5):9bea2edc3fc85b61d1f77fc5159d156d