Rapid response nursing triage outcomes for COVID-19: factors associated with patient’s participation in triage recommendations
Abstract 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...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | BMC Medical Informatics and Decision Making |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12911-023-02139-x |
| _version_ | 1797836406703259648 |
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| author | Jyu-Lin Chen Chen-Xi Lin Mijung Park Jerry John Nutor Rosalind de Lisser Thomas J. Hoffmann Hannah J. Kim |
| author_facet | Jyu-Lin Chen Chen-Xi Lin Mijung Park Jerry John Nutor Rosalind de Lisser Thomas J. Hoffmann Hannah J. Kim |
| author_sort | Jyu-Lin Chen |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-04-09T15:09:15Z |
| format | Article |
| id | doaj.art-3f39b35b75fe499582e36c774687f98b |
| institution | Directory Open Access Journal |
| issn | 1472-6947 |
| language | English |
| last_indexed | 2024-04-09T15:09:15Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Informatics and Decision Making |
| spelling | doaj.art-3f39b35b75fe499582e36c774687f98b2023-04-30T11:18:14ZengBMCBMC Medical Informatics and Decision Making1472-69472023-03-012311810.1186/s12911-023-02139-xRapid response nursing triage outcomes for COVID-19: factors associated with patient’s participation in triage recommendationsJyu-Lin Chen0Chen-Xi Lin1Mijung Park2Jerry John Nutor3Rosalind de Lisser4Thomas J. Hoffmann5Hannah J. Kim6Department of Family Health Care Nursing, University of California, San FranciscoDepartment of Family Health Care Nursing, University of California, San FranciscoDepartment of Family Health Care Nursing, University of California, San FranciscoDepartment of Family Health Care Nursing, University of California, San FranciscoDavis Betty Irene Moore Hall, School of Nursing, University of CaliforniaDepartment of Epidemiology and Biostatistics, University of California, San FranciscoKaiser Permanente Division of ResearchAbstract 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.https://doi.org/10.1186/s12911-023-02139-xCOVID-19Nursing triagePatient participationSymptom assessment |
| spellingShingle | Jyu-Lin Chen Chen-Xi Lin Mijung Park Jerry John Nutor Rosalind de Lisser Thomas J. Hoffmann Hannah J. Kim Rapid response nursing triage outcomes for COVID-19: factors associated with patient’s participation in triage recommendations BMC Medical Informatics and Decision Making COVID-19 Nursing triage Patient participation Symptom assessment |
| 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 | COVID-19 Nursing triage Patient participation Symptom assessment |
| url | https://doi.org/10.1186/s12911-023-02139-x |
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