Effect of triage training on nurses with Emergency severity index and Australian triage scale: Α quasi-experimental study

IntroductionTriage training has positive effects on health professionals, the quality of indicators in emergency departments, and the patients. However, data on the effectiveness of triage training on nurses with two different triage scales is limited.ObjectiveThis study sought to evaluate the effec...

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Main Authors: George Pontisidis, Thalia Bellali, Petros Galanis, Nikolaos Polyzos
Format: Article
Language:English
Published: AIMS Press 2024-10-01
Series:AIMS Public Health
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Online Access:https://www.aimspress.com/article/doi/10.3934/publichealth.2024054
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author George Pontisidis
Thalia Bellali
Petros Galanis
Nikolaos Polyzos
author_facet George Pontisidis
Thalia Bellali
Petros Galanis
Nikolaos Polyzos
author_sort George Pontisidis
collection DOAJ
description IntroductionTriage training has positive effects on health professionals, the quality of indicators in emergency departments, and the patients. However, data on the effectiveness of triage training on nurses with two different triage scales is limited.ObjectiveThis study sought to evaluate the effectiveness of a triage training program in Emergency Departments (EDs), as well as the effect on the accuracy, knowledge, and skills of nurses working in the National Health System of Greece.MethodsΑ quasi-experimental study was carried out, with measurements taken pre-, post-, and three months after implementing the education program. Data were collected between March 2021 and July 2022. Eligible participants for this study included nurses employed in the hospital units of the 4th Health Region of the National Health System. A total of 117 nurses participated in the study. Skills, knowledge, and accuracy were assessed using the Emergency Severity Index and the Australian Triage Scale.ResultsAfter completing the training program, there was a noticeable improvement in the nurses' performance. Their triage skills displayed an overall statistically significant increase (p < 0.001) and, more crucially, in the subscales of rapid patient assessment skills, patient categorization skills, and patient allocation skills. Additionally, statistically significant increases were observed for triage knowledge and for both screening scales that measured triage accuracy, namely the Emergency Severity Index (p < 0.001) and the Australian Triage Scale (p < 0.001). In addition, the number of over-triage and under-triage cases decreased.ConclusionsThe education program had a positive impact on the nurses, resulting in a statistically significant increase in their triage skills and knowledge. Moreover, the use of both triage scales resulted in an increase in the triage accuracy. The increase in triage skills, knowledge, and accuracy decreased after three months.
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spelling doaj-art-5f33e8a249654b30ac883a9d725dcfa82025-01-24T01:32:41ZengAIMS PressAIMS Public Health2327-89942024-10-011141049107010.3934/publichealth.2024054Effect of triage training on nurses with Emergency severity index and Australian triage scale: Α quasi-experimental studyGeorge Pontisidis0Thalia Bellali1Petros Galanis2Nikolaos Polyzos3Department of Social Work, Democritus University of Thrace, University General Hospital of Alexandroupolis, GreeceDepartment of Nursing, International Hellenic University, Thessaloniki, GreeceClinical Epidemiology Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens, Athens, GreeceDepartment of Medicine, Democritus University of Thrace, Alexandroupolis, GreeceIntroductionTriage training has positive effects on health professionals, the quality of indicators in emergency departments, and the patients. However, data on the effectiveness of triage training on nurses with two different triage scales is limited.ObjectiveThis study sought to evaluate the effectiveness of a triage training program in Emergency Departments (EDs), as well as the effect on the accuracy, knowledge, and skills of nurses working in the National Health System of Greece.MethodsΑ quasi-experimental study was carried out, with measurements taken pre-, post-, and three months after implementing the education program. Data were collected between March 2021 and July 2022. Eligible participants for this study included nurses employed in the hospital units of the 4th Health Region of the National Health System. A total of 117 nurses participated in the study. Skills, knowledge, and accuracy were assessed using the Emergency Severity Index and the Australian Triage Scale.ResultsAfter completing the training program, there was a noticeable improvement in the nurses' performance. Their triage skills displayed an overall statistically significant increase (p < 0.001) and, more crucially, in the subscales of rapid patient assessment skills, patient categorization skills, and patient allocation skills. Additionally, statistically significant increases were observed for triage knowledge and for both screening scales that measured triage accuracy, namely the Emergency Severity Index (p < 0.001) and the Australian Triage Scale (p < 0.001). In addition, the number of over-triage and under-triage cases decreased.ConclusionsThe education program had a positive impact on the nurses, resulting in a statistically significant increase in their triage skills and knowledge. Moreover, the use of both triage scales resulted in an increase in the triage accuracy. The increase in triage skills, knowledge, and accuracy decreased after three months.https://www.aimspress.com/article/doi/10.3934/publichealth.2024054educationtriagenursestriage educationemergency department
spellingShingle George Pontisidis
Thalia Bellali
Petros Galanis
Nikolaos Polyzos
Effect of triage training on nurses with Emergency severity index and Australian triage scale: Α quasi-experimental study
AIMS Public Health
education
triage
nurses
triage education
emergency department
title Effect of triage training on nurses with Emergency severity index and Australian triage scale: Α quasi-experimental study
title_full Effect of triage training on nurses with Emergency severity index and Australian triage scale: Α quasi-experimental study
title_fullStr Effect of triage training on nurses with Emergency severity index and Australian triage scale: Α quasi-experimental study
title_full_unstemmed Effect of triage training on nurses with Emergency severity index and Australian triage scale: Α quasi-experimental study
title_short Effect of triage training on nurses with Emergency severity index and Australian triage scale: Α quasi-experimental study
title_sort effect of triage training on nurses with emergency severity index and australian triage scale α quasi experimental study
topic education
triage
nurses
triage education
emergency department
url https://www.aimspress.com/article/doi/10.3934/publichealth.2024054
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