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Rapid response nursing triage outcomes for COVID-19: factors associated with patient’s participation in triage recommendations
BACKGROUND: COVID-19 is an ongoing global health crisis with prevention and treatment recommendations rapidly changing. Rapid response telephone triage and advice services are critical in providing timely care during pandemics. Understanding patient participation with triage recommendations and fact...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9994385/ https://www.ncbi.nlm.nih.gov/pubmed/36890538 http://dx.doi.org/10.1186/s12911-023-02139-x |
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author | Chen, Jyu-Lin Lin, Chen-Xi Park, Mijung Nutor, Jerry John de Lisser, Rosalind Hoffmann, Thomas J. Kim, Hannah J. |
author_facet | Chen, Jyu-Lin Lin, Chen-Xi Park, Mijung Nutor, Jerry John de Lisser, Rosalind Hoffmann, Thomas J. Kim, Hannah J. |
author_sort | Chen, Jyu-Lin |
collection | PubMed |
description | BACKGROUND: COVID-19 is an ongoing global health crisis with prevention and treatment recommendations rapidly changing. Rapid response telephone triage and advice services are critical in providing timely care during pandemics. Understanding patient participation with triage recommendations and factors associated with patient participation can assist in developing sensitive and timely interventions for receiving the treatment to prevent adverse health effects of COVID-19. METHODS: This cohort study aimed to assess patient participation (percentage of patients who followed nursing triage suggestions from the COVID hotline) and identify factors associated with patient participation in four quarterly electronic health records from March 2020 to March 2021 (Phase 1: 14 March 2020–6 June 2020; Phase 2: 17 June 2020–16 September 2020; Phase 3: 17 September 2020–16 December 2020; Phase 4: 17 December 2020–16 March 2021). All callers who provided their symptoms (including asymptomatic with exposure to COVID) and received nursing triage were included in the study. Factors associated with patient participation were identified using multivariable logistic regression analyses, including demographic variables, comorbidity variables, health behaviors, and COVID-19-related symptoms. RESULTS: The aggregated data included 9849 encounters/calls from 9021 unique participants. Results indicated: (1) 72.5% of patient participation rate; (2) participants advised to seek emergency department care had the lowest patient participation rate (43.4%); (3) patient participation was associated with older age, a lower comorbidity index, a lack of unexplained muscle aches, and respiratory symptoms. The absence of respiratory symptoms was the only factor significantly associated with patient participation in all four phases (OR = 0.75, 0.60, 0.64, 0.52, respectively). Older age was associated with higher patient participation in three out of four phases (OR = 1.01–1.02), and a lower Charlson comorbidity index was associated with higher patient participation in phase 3 and phase 4 (OR = 0.83, 0.88). CONCLUSION: Public participation in nursing triage during the COVID pandemic requires attention. This study supports using a nurse-led telehealth intervention and reveals crucial factors associated with patient participation. It highlighted the importance of timely follow-up in high-risk groups and the benefit of a telehealth intervention led by nurses serving as healthcare navigators during the COVID-19 pandemic. |
format | Online Article Text |
id | pubmed-9994385 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-99943852023-03-09 Rapid response nursing triage outcomes for COVID-19: factors associated with patient’s participation in triage recommendations Chen, Jyu-Lin Lin, Chen-Xi Park, Mijung Nutor, Jerry John de Lisser, Rosalind Hoffmann, Thomas J. Kim, Hannah J. BMC Med Inform Decis Mak Research Article BACKGROUND: COVID-19 is an ongoing global health crisis with prevention and treatment recommendations rapidly changing. Rapid response telephone triage and advice services are critical in providing timely care during pandemics. Understanding patient participation with triage recommendations and factors associated with patient participation can assist in developing sensitive and timely interventions for receiving the treatment to prevent adverse health effects of COVID-19. METHODS: This cohort study aimed to assess patient participation (percentage of patients who followed nursing triage suggestions from the COVID hotline) and identify factors associated with patient participation in four quarterly electronic health records from March 2020 to March 2021 (Phase 1: 14 March 2020–6 June 2020; Phase 2: 17 June 2020–16 September 2020; Phase 3: 17 September 2020–16 December 2020; Phase 4: 17 December 2020–16 March 2021). All callers who provided their symptoms (including asymptomatic with exposure to COVID) and received nursing triage were included in the study. Factors associated with patient participation were identified using multivariable logistic regression analyses, including demographic variables, comorbidity variables, health behaviors, and COVID-19-related symptoms. RESULTS: The aggregated data included 9849 encounters/calls from 9021 unique participants. Results indicated: (1) 72.5% of patient participation rate; (2) participants advised to seek emergency department care had the lowest patient participation rate (43.4%); (3) patient participation was associated with older age, a lower comorbidity index, a lack of unexplained muscle aches, and respiratory symptoms. The absence of respiratory symptoms was the only factor significantly associated with patient participation in all four phases (OR = 0.75, 0.60, 0.64, 0.52, respectively). Older age was associated with higher patient participation in three out of four phases (OR = 1.01–1.02), and a lower Charlson comorbidity index was associated with higher patient participation in phase 3 and phase 4 (OR = 0.83, 0.88). CONCLUSION: Public participation in nursing triage during the COVID pandemic requires attention. This study supports using a nurse-led telehealth intervention and reveals crucial factors associated with patient participation. It highlighted the importance of timely follow-up in high-risk groups and the benefit of a telehealth intervention led by nurses serving as healthcare navigators during the COVID-19 pandemic. BioMed Central 2023-03-08 /pmc/articles/PMC9994385/ /pubmed/36890538 http://dx.doi.org/10.1186/s12911-023-02139-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Chen, Jyu-Lin Lin, Chen-Xi Park, Mijung Nutor, Jerry John de Lisser, Rosalind Hoffmann, Thomas J. Kim, Hannah J. Rapid response nursing triage outcomes for COVID-19: factors associated with patient’s participation in triage recommendations |
title | Rapid response nursing triage outcomes for COVID-19: factors associated with patient’s participation in triage recommendations |
title_full | Rapid response nursing triage outcomes for COVID-19: factors associated with patient’s participation in triage recommendations |
title_fullStr | Rapid response nursing triage outcomes for COVID-19: factors associated with patient’s participation in triage recommendations |
title_full_unstemmed | Rapid response nursing triage outcomes for COVID-19: factors associated with patient’s participation in triage recommendations |
title_short | Rapid response nursing triage outcomes for COVID-19: factors associated with patient’s participation in triage recommendations |
title_sort | rapid response nursing triage outcomes for covid-19: factors associated with patient’s participation in triage recommendations |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9994385/ https://www.ncbi.nlm.nih.gov/pubmed/36890538 http://dx.doi.org/10.1186/s12911-023-02139-x |
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