Identification of Social Categorisation Process Who Intervene During Patient Nurse Triage and Research of Them Impacts in Cares.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 504
- 试验地点
- 3
- 主要终点
- Number of patient stigmatized during nurse triage
研究概览
简要总结
Social Sorting is a: non interventional, observational, qualitative and multicenter research. It investigates three French emergency units in three French centers (UH of Angers, H of Le Mans, H of Laval).
It is a research based on nursing sciences and social-psychology and it proposes to study the process of social categorization that intervenes during triage nursing.
The process of social categorization has developped since the beginning of XX century (LIPPMANN, in 1922, in United States, he gave the first definition of stereotype// DURKHEIM, in France described step by step the individuals and the collectives representations.
During XX century the social psychology developed a lot of studs about group dynamics (social categorization, influence phenomenon, conspiracy theories,...) within several domains : industry, politics, public services as police, social units,... and also in healthcare (but always about a social categorisation in particular and often with a limited study of impacts).
Social Sorting includes all social categorization as possible and search to do a scientific evaluation of their impact.
详细描述
Emergencies units are a special way to access at cares. These units must continually adapt their practice because it is impossible to predict patient's flow, number of hospital's available beds and kinds of emergencies (medical, chirurgical, psychiatric, social). Organization and quality of cares are based on a balance between competences and human attributes.
The first step in medical care takes place thanks to the nurse triage. They must summarize a lot of information about patients ( such as medical letters, firemen's transmission,...) and make a quick clinical exam. This action permits to determine an emergency degree and prioritize it. This activity is based on clinical categorization and clinical tools (scales of triage).
The clinical categorization is a professional competence (nurses learn what categorization is at school and develop it at hospital).In this research social categorization will be confronted with another type of categorization : the social categorization.
The latter it is very different categorization, in fact, it is shared by anybody (nonprofessionals of healthcare and professionals). The social categorization can be described like the phenomenon that permits to simplify the reading of the world. That also permits for anybody to define itself and define the one or more group membership. That process is continually in movement (social prejudices changes according to History, depending on the place of the world htat person lives,...).
The social categorization process has a real impact on action, thinking and relation with the world and the others persons.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •all nurses who accept micro and all patients over the age of majority
排除标准
- •all nurses who do not accept micro and all minor patients
结局指标
主要结局
Number of patient stigmatized during nurse triage
时间窗: 5 months
It is the percent of patient stigmatised among the 504 contexts of triage nursing observed. To determine that, each situation of triage nursing will be examined by three analysts individually. After this time of individual analysis, there will be a time of collegial analysis. To consider that a nurse triage include social categorization it will take a collegial decision-making. A patient is considered like stigmatized when one or several social traits are mentioned during it triage nursing. For instance, if a fireman brings with a patient with twisted ankle and if he mentions that a patient is homosexual during his transmission. Homosexuality in this situation has not interest to taking care. It would have been different if this same patient were come to treat a sexual infection.
次要结局
- Nature of social categorization(5 months)
- Risk factors of social categorization(5 months)
- Links between social categorisation and elements of medical care(5 months)