Feasibility and acceptability of a serious game to study the effects of environmental distractors on emergency room nurse triage accuracy: A pilot study.

Details

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State: Public
Version: Final published version
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_68DEFD0540A4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Feasibility and acceptability of a serious game to study the effects of environmental distractors on emergency room nurse triage accuracy: A pilot study.
Journal
International emergency nursing
Author(s)
Assunta F., Matteo A., Séverine V., Guy S., Aurélien K., Oriana K.P., Dominique J., Josette S., Olivier H., Jérome P., Philippe D.
ISSN
1878-013X (Electronic)
ISSN-L
1878-013X
Publication state
Published
Issued date
09/2024
Peer-reviewed
Oui
Volume
76
Pages
101504
Language
english
Notes
Publication types: Journal Article ; Randomized Controlled Trial
Publication Status: ppublish
Abstract
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.
Keywords
Humans, Pilot Projects, Triage/methods, Female, Male, Emergency Service, Hospital, Adult, Nurses/psychology, Middle Aged, Feasibility Studies, Emergency Nursing, Decision-making, Emergency nursing, Gamification, Interruptions, Patient safety, Quality improvement, Triage accuracy
Pubmed
Web of science
Open Access
Yes
Create date
26/08/2024 10:44
Last modification date
24/09/2024 7:24
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