OBSTETRİK TRİYAJ ACİLİYET SKALASI TÜRKÇE GEÇERLİK VE GÜVENİRLİK ÇALIŞMASI

Yıl 2022, Cilt: 7 Sayı: 1, 1 - 14, 27.04.2022

Esma Gültürk , Kamile Kukulu

https://doi.org/10.54409/hod.1004455

Öz

Amaç: Obstetrik triyaj, hasta akışını önceliklendirmek, iyileştirmek ve hasta güvenliğini artırmak için gebelerin zamanında ve uygun şekilde değerlendirilmesi için kullanılmaktadır. Obstetrik Triyaj Aciliyet Skalası'nın (OTAS) Türkçe geçerlik ve güvenilirliğinin test edilmesi amaçlandı.

Gereç ve Yöntem: Obstetrik Triyaj Aciliyet Skalası'nın geçerlik-güvenirlik çalışması, 10 triyaj hemşiresi ve 160 obstetrik acil senaryosu üzerinden yapılmıştır. Veriler, Kişisel Özellikler Soru Formu ve Obstetrik Triyaj Aciliyet Skalası kullanılarak toplanmıştır. Veriler kappa, ki-kare, spearman korelasyon analizi kullanılarak değerlendirilmiştir.

Bulgular: Obstetrik Triyaj Aciliyet Skalası basit kappa: 0.7956 ve ağırlıklı kappa: 0.9185 değeri bulunmuştur. Triyaj personeli tarafından yapılan triyaj değerlendirmesi ile Obstetrik Triyaj Aciliyet Skalası ile yapılan triyaj değerlendirme sonuçlarının 0.588’lik pozitif yönlü ve istatistiksel olarak oldukça anlamlı bir ilişki olduğu saptandı (ki-kare= 154.360, p<.0001).

Sonuç: Obstetrik Triyaj Aciliyet Skalası, acil servisin triyaj bölümünde kullanıma uygun beş kategorili bir triyaj aracıdır.

Anahtar Kelimeler

Obstetrik Triyaj, Obstetrik Triyaj Aciliyet Skalası, Triyaj

Destekleyen Kurum

Akdeniz Üniversitesi

Proje Numarası

TDK-2018-3041

RELIABILITY AND VALIDITY ANALYSIS OF THE OBSTETRIC TRIAGE ACUITY SCALE

Öz

Objective: Obstetric triage is used for timely and appropriate assessment of pregnant women to prioritize, improve patient flow and improve patient safety. It was aimed to test the Turkish validity and reliability of the Obstetric Triage Acuity Scale (OTAS).

Material and Method: The validity-reliability study of the Obstetric Triage Acuity Scale was conducted with 10 triage nurses and 160 obstetric emergency scenarios. The data were collected using the Personal Features Questionnaire and the Obstetrics Triage Acuity Scale. Data were evaluated using kappa analysis.

Results: Obstetrics Triage Acuity Scale was found as simple kappa: 0.7956 and weighted kappa: 0.9185. Obstetrics Triage Acuity Scale is a reliable and valid instrument.

Conclusions: The Obstetric Triage Acuity Scale is a five-category triage tool suitable for use in the triage section of the emergency department.

Anahtar Kelimeler

Obstetric Triage, Obstetric Triage Acuity Scale, Triage

Proje Numarası

TDK-2018-3041

Kaynakça

• Akdoğan, A. (2018). Evaluation of the reliability and validity of digital triage with the help of computer software for trauma patients in the emergency department. Health Sciences University Kocaeli Derince Health Application and Research Center Department of Emergency Medicine. Kocaeli.
• Alquraini, M, Awad, E, Hijazi, RE. (2015). Reliability of Canadian Emergency Department Triage and Acuity Scale (CTAS) in Saudi Arabia. International Journal of Emergency Medicine, 8(1), 29.
• Angelini, DJ, LaFontaine, D. (2017). Obstetric triage. Editors Angelini, D, J, LaFontaine, D. Obstetric Triage and Emergency Care Protocols. 1 st ed. Springer. New York. p:1-21.
• Association of Women’s Health, Obstetric & Neonatal Nurses (AWHONN) (2014). Women’s health and perinatal nursing care quality refined draft measures specifications. Washington, DC: Access: https://www.awhonn.org/awhonn/content.do?name=02_PracticeResources/02_perinatalquality measures.htm, 20.04.2018.
• Chagolla, BA, Keats, JP, Fulton, JM. (2013). The importance of interdepartmental collaboration and safe triage for pregnant women in the emergency department. JOGNN, 42(5), 595-605.
• Dalwai, MK, Twomey, M, Maikere, J, Wakeel, M, Jemmy, JP, Valles, P, Zachariah, R. (2014). Reliability and accuracy of the south african triage scale when used by nurses in the emergency department of timergara hospital, Pakistan. South African Medical Journal, 104(5), 372-375.
• Ebrahimi, M, Heydari, A, Mazlom, R, Mirhaghi, A. (2015). The reliability of the Australasian Triage Scale: A meta-analysis. World Journal of Emergency Medicine, 6(2), 94.
• Eitel, DR, Travers, D, A, Rosenau, AM, Gilboy, N, Wuerz, RC. (2003). The Emergency Severity Index Triage algorithm version 2 is reliable and valid. Academic Emergency Medicine, 10(10), 1070-1080.
• Emergency Nurses Association (ENA) (2011). Triage qualifications. Position statement. Des Plaines, IL: Access: https://www. ena.org/SiteCollectionDocuments/Position%20Statements/ TriageQualifications.pdf, 12.05.2018.
• Erimşah, ME, Yaka, E, Yılmaz, S, Kama, A, Pekdemir, M. (2015). Interrater reliability and validity of the Ministry of Health of Turkey's Mandatory Emergency Triage Instrument. Emergency Medicine Australasia, 27(3), 210-215.
• Esin, MN. (2015). Data collection methods and tools & reliability and validity of data collection tools. Erdogan S, Nahcivan N, Esin MN, eds. Research in Nursing. 2. Printing. Nobel Bookstore. Istanbul. 229-230.
• Evans, MK, Watts, N, Gratton, R. (2015). Women’s satisfaction with obstetric triage services. JOGNN, 44(6), 693-700. Fernandes, CM, Tanabe, P, Gilboy, N, Johnson, LA, McNair, RS, Rosenau, AM, Sawchuk, P, Thompson, DA, Travers, DA,
• Bonalumi, N, Suter, RE. (2005). Five-level triage: a report from the ACEP/ENA Five-level Triage Task Force. J Emerg Nurs, 31(1), 39-50.
• Fernandes, CM, McLeod, S, Krause, J, Shah, A, Jewell, J, Smith, B, Rollins, L. (2013). Reliability of the Canadian Triage and Acuity Scale: Interrater and intrarater agreement from a community and an academic emergency department. Canadian Journal of Emergency Medicine, 15(4), 227-232.
• Gerdtz, MF, Collins, M, Chu, M, Grant, A, Tchernomoroff, R, Pollard, C, Wassertheil, J. (2008). Optimizing triage consistency in Australian emergency departments: The emergency triage education kit. Emergency Medicine Australasia, 20(3), 250-259.
• Gratton, RJ, Bazaracai, N, Cameron, I, Watts, N, Brayman, C, Hancock, G, Twohey, R, Alshanteer, S, Ryder, JE, Basso, M, Smithson, DS. (2016). Acuity assessment in obstetrical triage. Journal Obstet Gynaecol Can, 38(2), 125-133.
• Grouse, AI, Bishop, RO, Bannon, AM. (2009). The Manchester Triage System provides good reliability in an Australian emergency department. Emerg Med J, 26(7), 484–486.
• Hinson, JS, Martinez, DA, Schmitz, PS, Toerper, M, Radu, D, Scheulen, J, Levin, S. (2018). Accuracy of emergency department triage using the Emergency Severity Index and independent predictors of under-triage and over-triage in Brazil: A retrospective cohort analysis. International Journal of Emergency Medicine, 11(1), 3.
• Kenyon, S, Hewison, A, Dann, SA, Easterbrook, J, Hamilton-Giachritsis, C, Beckmann, A, Johns, N. (2017). The design and implementation of an obstetric triage system for unscheduled pregnancy related attendances: A mixed methods evaluation. BMC Pregnancy and Childbirth, 17(1), 1-10.
• Kılıç, S. (2015). Kappa Test. Journal of Mood Disorders, 5(3), 142-144.
• McHugh, ML. (2012). Interrater reliability: The kappa statistic. Biochem Med, 22(3), 276-282.
• Mirhaghi, A, Mazlom, R, Heydari, A, Ebrahimi, M. (2017). The reliability of the Manchester Triage System (MTS): A meta-analysis. Journal of Evidence Based Medicine, 10(2), 129-135.
• Mistry, B, De Ramirez, SS, Kelen, G, Schmitz, PS, Balhara, KS, Levin, S, Hinson, JS. (2018). Accuracy and reliability of emergency department triage using the emergency severity index: an international multicenter assessment. Annals of Emergency Medicine, 71(5), 581-587.
• Olofsson, P, Gellerstedt, M, Carlström, ED. (2009). Manchester Triage in Sweden interrater reliability and accuracy. International Emergency Nursing, 17(3), 143-148.
• Paisley, KS, Wallace, R, DuRant, PG. (2011). The development of an Obstetric Triage Acuity Tool. MCN Am J Matern Child Nurs, 36(5), 290-296.
• Panicker, S. (2014). Is obstetric triage necessary? International Journal of Reproduction, Contraception, Obstetrics and Gynecolo, 3(1), 44-47.
• Parenti, N, Reggiani, MLB, Iannone, P, Percudani, D, Dowding, D. (2014). A systematic review on the validity and reliability of an emergency department triage scale, the Manchester Triage System. International Journal of Nursing Studies, 51, 1062–1069.
• Polit, DF, Beck, CT. (2006). The content validity index: are you sure you know what's being reported? Critique and recommendations. Research in Nursing & Health, 29(5), 489-497.
• Pourasghar, F, Daemi, A, Tabrizi, JS, Ala, A. (2015). Research article nurse-physician agreement on triage category: A reliability estimation of Emergency Severity Index. International Journal of Hospital Research, 4(4), 167-170.
• Roukema, J, Steyerberg, EW, van Meurs, A, Ruige, M, van der Lei, J, Moll, HA. (2006). Validity of the Manchester Triage System in paediatric emergency care. Emerg Med J, 23(12), 906–910.
• Ruhl, C, Scheich, B, Onokpise, B, Bingham, D. (2015). Interrater reliability testing of the Maternal Fetal Triage Index. Journal of Obstetric, Gynecologic & Neonatal Nursing, 44(6), 710-716.
• Rutschmann, OT, Hugli, OW, Marti, C, Grosgurin, O, Geissbuhler, A, Kossovsky, M, Sarasin, FP. (2018). Reliability of the revised Swiss Emergency Triage Scale: A computer simulation study. European Journal of Emergency Medicine, 25(4), 264.
• Smithson, DS, Twohey, R, Rice, T, Watts, N, Fernandes, CM, Gratton, RJ. (2013). Implementing an obstetric triage acuity scale: Interrater reliability and patient flow analysis. American Journal of Obstetric & Gynecology, 209(4), 287-293.
• Taboulet, P, Moreira, V, Haas, L, Porcher, R, Braganca, A, Fontaine, JP, Poncet, MC. (2009). Triage with the French Emergency Nurses Classification in Hospital Scale: Reliability and validity. European Journal of Emergency Medicine, 16(2), 61-67.
• Worster, A, Gilboy, N, Fernandes, CM, Eitel, D, Eva, K, Geisler Tanebe, P. (2004). Assessment of inter-observer reliability of two five-level triage and acuity scales: A randomized controlled trial. Can J Emerg Med, 6(4), 240-245.
• Wulp, I, Stel, HF. (2010). Calculating kappas from adjusted data improved the comparability of the reliability of triage systems: a comparative study. Journal of Clinical Epidemiology, 63(11), 1256-1263.
• van der Wulp, I. (2010). Reliability and validity of emergency department triage systems. Enschede, the Netherlands: Gildeprint Drukkerijen, 45-50.
• Van der Wulp, I, Schrijvers, AJP, Van Stel, HF. (2009). Predicting admission and mortality with the Emergency Severity Index and the Manchester Triage System: A retrospective observational study. Emergency Medicine Journal, 26(7), 506-509.
• van Veen, M, Moll, HA. (2009). Reliability and validity of triage systems in paediatric emergency care. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 17(1), 38.