Research in Community and Public Health Nursing

Original Articles

[English] The Related Factors to Urgent Disease in Triaging Patients with Acute Abdominal Pain in Emergency Department: Sang Rim Lee, In Sook Lee, Eun Hee Jung, Ju Won Kim, Young Ran Chin, Hyun Sook Hong, Daewon Yu; J Korean Acad Community Health Nurs. 2019;30(4):581-587. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.581

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Abstract PDF: PURPOSE
Abdominal pain is the most common symptom of patients visiting the emergency department (ED). Abdominal pain is caused by a variety of causes, so it is difficult for a triage nurse to determine the urgency of a patient, but it is still a must. The purpose of this study was to identify the related factors to the urgent diseases of patients with abdominal pain visiting ED.
METHODS
This study was a retrospective descriptive study. The study setting was an ED in a tertiary hospital in Korea. Data were collected from September 1, 2017 to October 15, 2017. During the study period, of a total of 6,181 patients visiting the ED, 731 complained of abdominal pain. Patients with obvious cause of pain and patients who could not express detailed symptoms were excluded. The 573 patients were included in the final analysis. We collected demographics, clinical characteristics, and final diagnosis. We divided final diagnoses into urgent diseases which were more likely to be life-threatening without treatment and non-urgent diseases. We identified the related factors to the urgent diseases of patients with abdominal pain using the logistic regression.
RESULTS
173 (30.2%) patients had urgent diseases. Age (OR=1.02, 95% CI=1.00~1.03), referral from other clinics (OR=2.92, 95% CI=1.86~4.60), ambulance utilization (OR=2.00, 95% CI=1.27~3.15), diarrhea (OR=0.44, 95% CI=0.25~0.76), and tachycardia (OR=2.27, 95% CI=1.44~3.58) were related to urgent diseases.
CONCLUSION
Triage nurse should take into account the patient's age, mode of visiting, and route of visiting ED; and check the symptom of tachycardia or diarrhea.

[English] The Emergency Care Experience and Demand for Support of School Nurse: Jae Hee Yoon, In Sook Lee; J Korean Acad Community Health Nurs. 2017;28(2):182-195. Published online June 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.2.182

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PURPOSE
This study explores school nurses' emergency care experiences and their needs for systemic institutional support.
METHODS
Data were collected in 2016 from the interviews with five focus groups comprising thirty school nurses. Qualitative content analysis was then performed using the collected data.
RESULTS
The study found that school nurses were vulnerable to over-reaction in uncertain situations as the school's sole health service provider. The study's findings are divided into ten categories. 1) Major obstacles to overcome as the sole health service provider, 2) Assessing an uncertain situation and making appropriate decisions, 3) Providing limited first aid while maintaining control over the situation, 4) Referring or transferring a student to a hospital that creates tensions and raises cost, 5) Becoming an advocate for information disclosure and treatment, 6) Ensuring follow-up actions and proper transfer of responsibility, 7) Making preparations for future emergency, 8) Responding to conflicts arising from over-reaction as a safeguard and professional expertise, 9) Need for the development of standardized manual for school emergency care, 10) Need for practical case-based training.
CONCLUSION
The findings of this study should contribute to the development of the programs aimed at improving school emergency care and the professional competence of school nurse.

Citations

Citations to this article as recorded by

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