Results of Using a Nursing Service Model for Patient Screening Using Urgent Screening Criteria to Monitor Deteriorating Patients While Waiting for Examination in the Outpatient Department of Ban Fang Hospital.

Abstract

      This quasi-experimental research employed a one-group pretest-posttest design. The objectives were: 1) to compare the incidence rate of critical conditions while waiting for treatment before and after implementing a nursing service model for triaging patients using an urgent triage criterion to monitor deterioration in the outpatient department at Ban Fang Hospital; 2) to compare the level of triage nurses' role performance before and after the implementation of the model; and 3) to examine the satisfaction level of service recipients toward the nursing service using the urgent triage criterion. The sample was divided into two groups: eight professional nurses responsible for triage at the outpatient department of Ban Fang Hospital and 460 service recipients who visited the outpatient department between February 27 and May 31, 2025. Data were collected using a critical condition monitoring form, a triage nurse role performance observation checklist, and a patient satisfaction questionnaire. Descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential statistics (Chi-square test and paired sample t-test) were used to analyze the data.

      The results showed that: 1) the incidence of critical conditions while waiting for treatment significantly decreased after implementing the nursing service model (p < .001); 2) the triage nurses’ role performance significantly improved post-intervention (p < .01); and 3) the service recipients' satisfaction with nursing services was rated from “high” to “highest” across all dimensions.