Feasibility and acceptability of a serious game to study the effects of environmental distractors on emergency room nurse triage accuracy: A pilot study
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View abstract on PubMed
Summary
This summary is machine-generated.Distractions like noise and interruptions did not impact emergency nurses' triage accuracy in a pilot study. A serious game effectively simulated the triage environment for future research.
Area Of Science
- Emergency Medicine
- Nursing Education
- Human Factors Engineering
Background
- Emergency triage decision-making is complex and susceptible to workplace distractions.
- A serious game was developed to simulate the emergency triage process and environment.
- A pilot study assessed the impact of distractors on emergency nurse triage accuracy.
Purpose Of The Study
- To evaluate the effect of specific workplace distractors on emergency nurse triage accuracy.
- To assess the feasibility of using a serious game for triage simulation in a larger randomized controlled trial.
Main Methods
- A 2x2 factorial randomized controlled trial design was employed.
- 70 emergency room nurses were randomized into four groups: noise, task interruptions, both, or control.
- Nurses completed 20 clinical vignettes assessing chief complaint and triage level assignment within two hours.
Main Results
- Fifty-five nurses completed an average of 15 vignettes each.
- No statistically significant differences in triage performance were found between the experimental and control groups.
- Nurses reported a highly favorable perception of the serious game used for triage simulation.
Conclusions
- The study design and serious game are suitable for larger-scale randomized controlled trials.
- The absence of a significant distractor effect suggests that higher intensity or frequency of distractions may be needed to impact triage performance.
- Further research is warranted to determine the threshold of distractor effects on clinical decision-making in emergency settings.
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