Main Article Content
Background and Objectives: By knowing the level of knowledge of triage nurses, we will be capable of making the right decision about allocating suitable resources for enriching the quality of the emergency department. So, the objective of our study is to evaluate triage knowledge and performance of emergency nurses in Yazd province of Iran.
Materials and Methods: This was a cross-sectional study. The sampling was performed from all nurses responsible for triage in emergency departments of 8 educational hospitals of Yazd University of Medical Sciences were included for our sampling in the study. Data collection was done using a questionnaire whose validity and reliability have already been approved. After evaluating all the questionnaires, 84 of them were completed, and others were excluded from the study. Data were analyzed by descriptive and inferential statistics using the SPSS version 22 software.
Results: According to statistical analysis results, there was no significant relationship between the knowledge score, performance and total score with demographic characteristics. Moreover, there was no significant relationship between educational courses, work experience and work shift with knowledge, performance and total score. Although female nurses’ scores in knowledge and performance areas was higher than male scores, the differences were not statistically significant.
Conclusion: The level of knowledge of the nurses employed in the emergency departments of Shahid Sadoughi University of medical sciences in Yazd is moderate in terms of triage. However, the performance of nurses working in the emergency departments of the aforementioned centers is higher than average. It is concluded that there is an immediate need to reconsider nurses triage education and improve the triage knowledge and performance among nurses.
MacKenzie EJ, et al., A national evaluation of the effect of trauma-center care on mortality. 2006;354(4):366-378.
Tam H, Chung S, Lou C. A review of triage accuracy and futuredirection. BMC Emergency Medicine. 2018;18:58.
Considine J, et al. Development of physiological discriminators for the Australasian Triage Scale. 2002;10(4):221-234.
Cooper RJ, Schriger DL, Flaherty HL, Lin EJ, Hubbell KA. Effect of vital signs on triage decisions. Ann Emerg Med. 2002; 39(3):223-32.
Considine J, Ung L, Thomas S. Triage nurses' decisions using the National Triage Scale for Australian emergency departments. Accid Emerg Nurs. 2000; 8(4):201-9.
Andersson AK, Omberg M, Svedlund M. Triage in the emergency department--a qualitative study of the factors which nurses consider when making decisions. Nurs Crit Care. 2006;11(3):136-45.
Fry M, Burr G. Current triage practice and influences affecting clinical decision-making in emergency departments in NSW, Australia. Accid Emerg Nurs. 2001; 9(4):227-34.
Innes K, Plummer V, Considine J. Triage nurses perceptions of their educational preparation for the triage role. Australasian Emergency Nursing Journal. 2007;10(4): 205-206.
Göransson KE, Ehrenberg A, Ehnfors M. Triage in emergency departments: National survey. J Clin Nurs. 2005;14(9): 1067-74.
Lin GX, Yang YL, Kudirka D, Church C, Yong CK, Reilly F. Implementation of a pediatric emergency triage system in Xiamen, China. Chin Med J (Engl). 2016;129(20):2416-2421.
Abbasi E, Nosrati A, Nabipour I, Emami SR. Assessment of the level of knowledge of Physicians in Bushehr Province about preparedness and response for Nuclear Emergency. Iran South Med J. 2005;7(2): 183-189.
Sedaghat S, et al. Study on the level of knowledge and performance of North Khuzestan medical emergency 115 personnel on pre-hospital triage. Iranian Journal of Critical Care Nursing. 2012; 5(2):103-108.
Taheri N, Kohan S, Haghdoost AA, Foroogh Ameri G. Assessment of knowledge and activity of nurses in triage field in hospitals of Kerman University of Medical Sciences, 2005. [Thesis]. Kerman: Kerman University of Medical Sciences; 2005.
Nyhus HB, Kamara MM. Quality improvement in emergency service delivery: Assessment of knowledge and skills amongst emergency nurses at Connaught Hospital, Sierra Leone. Afr J Emerg Med. 2017;7(3):113-117.
Rahmati H, Azmoon M, Kalantari Meibodi M, Zare N. Effects of triage education on knowledge, practice and qualitative index of emergency room staff: A quasi-interventional study. Bull Emerg Trauma. 2013;1(2):69-75.
Dadashzadeh A, et al. Factors affecting triage decision-making from the viewpoints of emergency department staff in Tabriz hospitals. Iran J Crit Care Nurs. 2013;6(4): 279-286.
Malekshahi F, M.z.M. Assessment of knowledge and activity of nurses in triage of patients with trauma admitted to Shohada Ashayer Hospital. in 6th nationwide congress of nursing and midwifery; the role of nurses and midwives in emergency medicine. Tehran, Iran; 2004.
Wang C, Wei S, Xiang H, Xu Y, Han S, Mkangara OB, Nie S. Evaluating the effectiveness of an emergency preparedness training programme for public health staff in China. Public Health. 2008;122(5):471-7.
Duko B, Geja E, Oltaye Z, Belayneh F, Kedir A, Gebire M. Triage knowledge and skills among nurses in emergency units of Specialized Hospital in Hawassa, Ethiopia: Cross sectional study. BMC Res Notes. 2019;12(1):21.
Sarikaya S, Soysal S, Karcioglu O, Topacoglu H, Tasar A. Paramedics and triage: Effect of one training session on triage in the emergency department. Adv Ther. 2004;21(5):329-34.
Chen K, et al. The role tabletop exercise using START in improving triage ability in disaster medical assistance team. Ann Disaster Med. 2003;1(2).
Christ M, Grossmann F, Winter D, Bingisser R, Platz E. Modern triage in the emergency department. Dtsch Arztebl Int. 2010;107(50):892-8.
Maleki M, Fallah R, Riahi L, Delavari S, Rezaei S. Effectiveness of five-level Emergency Severity Index triage system compared with three-level spot check: An Iranian experience. Arch Trauma Res. 2015;4(4):e29214.
Mirhaghi A, Kooshiar H, Esmaeili H, Ebrahimi M. Outcomes for emergency severity index triage implementation in the emergency department. J Clin Diagn Res. 2015;9(4):OC04-7.
Aghababaeian H, Sedaghat S, Tahery N, Moghaddam AS, Maniei M, Bahrami N, et al. A comparative study of the effect of triage training by role-playing and educational video on the knowledge and performance of emergency medical service staffs in Iran. Prehosp Disaster Med. 2013;28(6):605-9.
Delnavaz S, Hassankhani H, Roshangar F, Dadashzadeh A, Sarbakhsh P, Ghafourifard M, et al. Comparison of scenario based triage education by lecture and role playing on knowledge and practice of nursing students. Nurse Educ Today. 2018;70:54-59.
Khatiban M, Khazaei A, Karampourian A, Soltanian A, Kimiaei Asadi H, Salimi R, ET AL. The effects of the emergency severity index triage education via problem-based learning on the triage nurses performance and the petients length of study in the emergency department. Journal of Clinical Research in Paraclinical Sciences. 2014; 3(2):63-74.