A comparison of parental and nursing assessments of level of illness or injury in a pediatric emergency department.
Pediatr Emerg Care
; 25(10): 633-5, 2009 Oct.
Article
em En
| MEDLINE
| ID: mdl-21465686
ABSTRACT
BACKGROUND:
The 5-tier Emergency Severity Index (ESI) score is a well-accepted, validated triage tool with good interrater reliability. Parental perception of illness severity has not been compared to ESI score.OBJECTIVE:
This study compares parental assessment of severity of illness to triage nurse acuity.DESIGN:
Prospective and descriptive.SETTING:
Large, urban pediatric emergency department (ED).PARTICIPANTS:
Parents/guardians of patients younger than 18 years. INTERVENTION The triage nurse assigned an ESI score, and the parent/ guardian assigned all patients a severity score on a scale of 1 to 5 (1, most sick and 5, least sick). Mean severity scores were compared between the groups.RESULTS:
There were 142 participants with a mean patient age of 6.15 years. The mean participant and nurse severity scores were 3.01 and 3.35, respectively, with an intraclass correlation coefficient of 0.203 (P = 0.008). Most frequently, the parent/guardian and triage nurse assigned the same score (n = 44, 31%). Seventy-six percent of the parent/ guardian scores were within 1 point of the triage nurse score.CONCLUSIONS:
Close agreement exists between parent/guardian and nurse ESI scores, illustrating objectivity in parent/guardian assessments. This study provides a springboard for future studies regarding ED use after educating families on ED triage.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pais
/
Índice de Gravidade de Doença
/
Escala de Gravidade do Ferimento
/
Serviço Hospitalar de Emergência
/
Avaliação em Enfermagem
Tipo de estudo:
Observational_studies
Limite:
Child
/
Female
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2009
Tipo de documento:
Article