Developing a conceptual structure for intake interviews conducted by nurses during emergency hospitalization

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  • AKIYAMA Naomi
    Department of Medical Safety Science, School of Medicine, Iwate Medical University Department of Nursing, School of Nursing, Gifu University of Health Sciences
  • MATSUNAGA Atsushi
    Department of Public Health Nursing, Tohoku University Graduate School of Medicine
  • KONO Riju
    Department of Nursing, Kyoto University Hospital
  • IGAWA Junko
    Department of Nursing, Kyoto University Hospital
  • AKIYAMA Tomoya
    Division of Fundamental Nursing, School of Nursing, Iwate Medical University Center for Postgraduate Clinical Training and Career Development, Nagoya University Hospital

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Other Title
  • 緊急入院時のインテーク面接に向けた病棟看護師の状況認識の構造化の試み
  • キンキュウ ニュウインジ ノ インテーク メンセツ ニ ムケタ ビョウトウ カンゴシ ノ ジョウキョウ ニンシキ ノ コウゾウカ ノ ココロミ

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<p>Nurses must conduct various types of interviews with patients in many clinical scenarios. Intake interviews, the first interviews with patients, are important for clinical staff in collecting information about cases. However, there are no conceptual structure for nursing interviews, and the process depends on the expertise of each nurse. This study presents a conceptual structure for intake interviews by nurses in emergency settings using Endsley model. We used an acute hospitalization scenario as the case and interviewed seven nurses, each with two or more years of experience. The mean age of participants was 32.1±7.6 years. Their clinical experience in years was 10.6±7.2 years, and length of assignment to their department was 3.7±1.8 years. The nursing intake interview process for acute hospitalization was divided into five categories: cognitive information, recognizing gaps in information, prediction of care needed by patients, confirmation of patients' need for patient-centered care, and identification of the care process from experimental knowledge. Nurses used situational awareness, affected by both their own perception and individual experiences, as their mental model to conduct interviews within a limited time.</p>

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