Skip to main content
Top
Published in: BMC Emergency Medicine 1/2023

Open Access 01-12-2023 | Triage | Research

Investigating the professional capability of triage nurses in the emergency department and its determinants: a multicenter cross-sectional study in Iran

Authors: Maryam Aghabarary, Zahra Pourghaedi, Mostafa Bijani

Published in: BMC Emergency Medicine | Issue 1/2023

Login to get access

Abstract

Background

Planning to improve the professional capabilities of triage nurses requires determining the level of professional capabilities and its determinants. In this regard, the present study was conducted to determine the professional capability of triage nurses and its determinants for the first time in Iran.

Methods

A descriptive cross-sectional multicenter study was conducted in 2022. The research population included all nurses working in triage units of emergency departments of seven selected hospitals in Fars Province, south of Iran. The samples were selected using convenience sampling. The data collection tools were the “Triage nurses’ professional capability questionnaire in the emergency department” and a questionnaire to investigate determinants of triage nurses’ professional capability. Descriptive and analytical (Pearson’s correlation test and multiple linear regression analysis) were used for data analysis in the SPSS software version 27. P values ≤ 0.05 were considered significant.

Results

Out of 580 participants, 342 (59%) were female. The professional capability of triage nurses was at a moderate level with a mean score of 124.11 ± 14.72. The mean score of clinical competence, psychological empowerment, and professional commitment was 71.56 ± 9.67, 19.86 ± 3.95, and 32.69 ± 3.54, respectively. The results of multiple linear regression analysis showed that 5 factors, including participation in educational courses (p < 0.001), having clinical experience and specialized knowledge in emergency department (p < 0.001), error registry and assessment system (p < 0.001), managers’ support (p < 0.001), and recruiting experienced staff (p = 0.018) affected the nurses’ professional capability.

Conclusion

In the present study, the triage nurses had moderate levels of professional capability. It is necessary that nursing managers develop effective plans to improve the professional capability of triage nurses in emergency departments to enhance the quality and effectiveness of emergency services.
Appendix
Available only for authorised users
Literature
1.
go back to reference Haghigh S, Ashrafizadeh H, Mojaddami F, kord B. A survey on knowledge level of the nurses about hospital triage. J Nurs Educ (JNE). 2017;5(6):46–52.CrossRef Haghigh S, Ashrafizadeh H, Mojaddami F, kord B. A survey on knowledge level of the nurses about hospital triage. J Nurs Educ (JNE). 2017;5(6):46–52.CrossRef
2.
go back to reference Kathleen C. Crowding in the Emergency Department. J Emerg Nurs. 2016;42(297):98. Kathleen C. Crowding in the Emergency Department. J Emerg Nurs. 2016;42(297):98.
3.
go back to reference Love RA, Murphy JA, Lietz TE. The effectiveness of a provider in triage in the emergency department: a quality improvement initiative to improve patient flow. Adv Emerg Nurs J. 2012;34(1):65.CrossRefPubMed Love RA, Murphy JA, Lietz TE. The effectiveness of a provider in triage in the emergency department: a quality improvement initiative to improve patient flow. Adv Emerg Nurs J. 2012;34(1):65.CrossRefPubMed
4.
go back to reference Ajani K. Triage; a literature review of key concepts. J Pak Med Assoc. 2012;62(5):487–9.PubMed Ajani K. Triage; a literature review of key concepts. J Pak Med Assoc. 2012;62(5):487–9.PubMed
5.
go back to reference Van der Linden MC, Meester BE. Van der Linden N. Emergency department crowding affects triage processes. Int Emerg Nurs. 2016;19(2):27–31.CrossRef Van der Linden MC, Meester BE. Van der Linden N. Emergency department crowding affects triage processes. Int Emerg Nurs. 2016;19(2):27–31.CrossRef
6.
go back to reference Kerie S, Tilahun A, Mandesh A. Triage skill and associated factors among emergency nurses in Addis Ababa, Ethiopia 2017: a cross-sectional study. BMC Res Notes. 2018;11(1):1–6. Kerie S, Tilahun A, Mandesh A. Triage skill and associated factors among emergency nurses in Addis Ababa, Ethiopia 2017: a cross-sectional study. BMC Res Notes. 2018;11(1):1–6.
7.
go back to reference Vatnøy TK, Fossum M, Smith N. Triage assessment of registered nurses in the emergency department. Int Emerg Nurs. 2013;89:21–96. Vatnøy TK, Fossum M, Smith N. Triage assessment of registered nurses in the emergency department. Int Emerg Nurs. 2013;89:21–96.
8.
go back to reference Phukubye TA, Mbombi MO, Mothiba TM. Knowledge and practices of triage amongst nurses working in the emergency departments of rural hospitals in Limpopo Province. Open Public Health J. 2019;12(1):439–48.CrossRef Phukubye TA, Mbombi MO, Mothiba TM. Knowledge and practices of triage amongst nurses working in the emergency departments of rural hospitals in Limpopo Province. Open Public Health J. 2019;12(1):439–48.CrossRef
9.
go back to reference Christian M. To score or not to score during triage in the emergency department. Intensive Care Med. 2015;41(6):1135–7.CrossRef Christian M. To score or not to score during triage in the emergency department. Intensive Care Med. 2015;41(6):1135–7.CrossRef
10.
go back to reference Lin D. Predictors of admission to hospital of patients triaged as nonurgent using the canadian triage and acuity scale. CJEM. 2013;15(6):353–8.CrossRefPubMed Lin D. Predictors of admission to hospital of patients triaged as nonurgent using the canadian triage and acuity scale. CJEM. 2013;15(6):353–8.CrossRefPubMed
11.
go back to reference Javadi N, Rostamnia L, Raznahan R, Ghanbari V. Triage training in iran from 2010 to 2020: a systematic review on educational intervention studies. Iran J Nurs Midwifery Res. 2021;26(3):189.CrossRefPubMedPubMedCentral Javadi N, Rostamnia L, Raznahan R, Ghanbari V. Triage training in iran from 2010 to 2020: a systematic review on educational intervention studies. Iran J Nurs Midwifery Res. 2021;26(3):189.CrossRefPubMedPubMedCentral
12.
go back to reference Bijani M, Torabizadeh C, Rakhshan M, Fararouei M. Professional capability in triage nurses in emergency department: a qualitative study. Revista Latinoam de Hipertensión. 2018;13(6):554–60. Bijani M, Torabizadeh C, Rakhshan M, Fararouei M. Professional capability in triage nurses in emergency department: a qualitative study. Revista Latinoam de Hipertensión. 2018;13(6):554–60.
13.
go back to reference Grossmann FF, Zumbrunn T, Frauchiger A. At risk of under triage? Testing the performance and accuracy of the emergency severity index in older emergency department patients. Ann Emerg Med. 2012;60(3):317–25.CrossRefPubMed Grossmann FF, Zumbrunn T, Frauchiger A. At risk of under triage? Testing the performance and accuracy of the emergency severity index in older emergency department patients. Ann Emerg Med. 2012;60(3):317–25.CrossRefPubMed
14.
go back to reference Phukubye TA, Mbombi MO, Mothiba TM. Strategies to Enhance Knowledge and practical skills of Triage amongst Nurses Working in the Emergency Departments of Rural Hospitals in South Africa. Int J Environ Res Public Health. 2021;18(9):4471.CrossRefPubMedPubMedCentral Phukubye TA, Mbombi MO, Mothiba TM. Strategies to Enhance Knowledge and practical skills of Triage amongst Nurses Working in the Emergency Departments of Rural Hospitals in South Africa. Int J Environ Res Public Health. 2021;18(9):4471.CrossRefPubMedPubMedCentral
15.
go back to reference 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):1–4.CrossRef 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):1–4.CrossRef
16.
go back to reference Aslanoglu A, Ayyildiz M. Triage knowledge levels of nurses in Turkey: A study in state hospitals in Samsun. New Trends and Issues Proceedings on Advances in Pure and Applied Sciences. 2021(13):150–161. Aslanoglu A, Ayyildiz M. Triage knowledge levels of nurses in Turkey: A study in state hospitals in Samsun. New Trends and Issues Proceedings on Advances in Pure and Applied Sciences. 2021(13):150–161.
17.
go back to reference Bista s. mukhia s, rai l, chaudhary tk. Knowledge on triage management among nurses in a tertiary level hospital of kathmandu.Asian journal of advances in medical science. 2022:57–65. Bista s. mukhia s, rai l, chaudhary tk. Knowledge on triage management among nurses in a tertiary level hospital of kathmandu.Asian journal of advances in medical science. 2022:57–65.
18.
go back to reference Twagirayezu I, Busisiwe B, Cishahayo EU. Knowledge and skills on triage among nurses working in emergency departments in Referral Hospitals in Rwanda. Rwanda J Med Health Sci. 2021;4(3):398–405.CrossRef Twagirayezu I, Busisiwe B, Cishahayo EU. Knowledge and skills on triage among nurses working in emergency departments in Referral Hospitals in Rwanda. Rwanda J Med Health Sci. 2021;4(3):398–405.CrossRef
19.
go back to reference Mirhaghi AH, Roudbari M. A survey on knowledge level of the nurses about hospital triage. Q Iran J Crit Care Nurs. 2011;3(4):165–70. Mirhaghi AH, Roudbari M. A survey on knowledge level of the nurses about hospital triage. Q Iran J Crit Care Nurs. 2011;3(4):165–70.
20.
go back to reference Bijani M, Rakhshan M, Fararouei M, Torabizadeh C. Development and psychometric assessment of the triage nurses’professional capability questionnaire in the emergency department. BMC Nurs. 2020;19:82.CrossRefPubMedPubMedCentral Bijani M, Rakhshan M, Fararouei M, Torabizadeh C. Development and psychometric assessment of the triage nurses’professional capability questionnaire in the emergency department. BMC Nurs. 2020;19:82.CrossRefPubMedPubMedCentral
21.
go back to reference Bijani M, Khaleghi A. Challenges and Barriers Affecting the Quality of Triage in Emergency Departments: A Qualitative Study.Galen Med J.2019:1–7. Bijani M, Khaleghi A. Challenges and Barriers Affecting the Quality of Triage in Emergency Departments: A Qualitative Study.Galen Med J.2019:1–7.
22.
go back to reference Najafi Z, Abbaszadeh A, Vaezi H, Rassouli M, Mirhaghi A, Zohari Anboohi S. Hospital Triage Standards: a qualitative study and content analysis based on experts’ Experiences in Iran. Front Emerg Med. 2021;5(4):e43. Najafi Z, Abbaszadeh A, Vaezi H, Rassouli M, Mirhaghi A, Zohari Anboohi S. Hospital Triage Standards: a qualitative study and content analysis based on experts’ Experiences in Iran. Front Emerg Med. 2021;5(4):e43.
23.
go back to reference Ayre A, Scally AJ. Critical values for Lawshe’s content validity ratio: revisiting the original methods of calculation. Meas Evaluation Couns Dev. 2014;47(1):79–86.CrossRef Ayre A, Scally AJ. Critical values for Lawshe’s content validity ratio: revisiting the original methods of calculation. Meas Evaluation Couns Dev. 2014;47(1):79–86.CrossRef
24.
go back to reference Al-Rawee RY, Abdulghani MF, AlSalih AA-RM, Mohammed EH, Tawfeeq BA-G, Knowledge. Attitude and practice of nursing staff toward working at Emergency Unit. Annals of the College of Medicine Mosul. 2022;44(1):22–8.CrossRef Al-Rawee RY, Abdulghani MF, AlSalih AA-RM, Mohammed EH, Tawfeeq BA-G, Knowledge. Attitude and practice of nursing staff toward working at Emergency Unit. Annals of the College of Medicine Mosul. 2022;44(1):22–8.CrossRef
25.
go back to reference Haghdoust. z, safavi m, yahyavi h. Effect of triage education on knowledge, attitude and practice of nurses in poursina educational and therapeutic emergency center in rasht. J Holist Nurs Midwifery. 2010;20(2): 14–21. Haghdoust. z, safavi m, yahyavi h. Effect of triage education on knowledge, attitude and practice of nurses in poursina educational and therapeutic emergency center in rasht. J Holist Nurs Midwifery. 2010;20(2): 14–21.
26.
go back to reference 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.PubMedPubMedCentral 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.PubMedPubMedCentral
27.
go back to reference Kantar L, Alexander R. Integration of Clinical Judgment in the nursing curriculum: Challenges and Perspectives. J Nurs Educ. 2012;51(8):444–53.CrossRefPubMed Kantar L, Alexander R. Integration of Clinical Judgment in the nursing curriculum: Challenges and Perspectives. J Nurs Educ. 2012;51(8):444–53.CrossRefPubMed
28.
go back to reference Eghbali S, Najafi M, Emergency Nurses Job Satisfaction Prediction Model. Personality traits, resilience, emotional expression and ambiguity tolerance. J Mol Biol Res. 2020;10(1):37–45.CrossRef Eghbali S, Najafi M, Emergency Nurses Job Satisfaction Prediction Model. Personality traits, resilience, emotional expression and ambiguity tolerance. J Mol Biol Res. 2020;10(1):37–45.CrossRef
29.
go back to reference Lin C-C, Liang H-F, Han C-Y, Chen L-C, Hsieh C-L. Professional resilience among nurses working in an overcrowded emergency department in Taiwan. Int Emerg Nurs. 2019;42:44–50.CrossRefPubMed Lin C-C, Liang H-F, Han C-Y, Chen L-C, Hsieh C-L. Professional resilience among nurses working in an overcrowded emergency department in Taiwan. Int Emerg Nurs. 2019;42:44–50.CrossRefPubMed
30.
go back to reference Ahmadi B, Mosadeghrad AM, Karami B. Effectiveness of resilience education on quality of working life among nursing personnel: a randomized controlled study. Payesh. 2019;18(3):279–89. Ahmadi B, Mosadeghrad AM, Karami B. Effectiveness of resilience education on quality of working life among nursing personnel: a randomized controlled study. Payesh. 2019;18(3):279–89.
31.
go back to reference Aloyce R, Leshabari S, Brysiewicz P. Assessment of knowledge and skills of triage amongst nurses working in the emergency centres in Dar es Salaam, Tanzania. Afr J Emerg Med. 2014;4(1):14–8.CrossRef Aloyce R, Leshabari S, Brysiewicz P. Assessment of knowledge and skills of triage amongst nurses working in the emergency centres in Dar es Salaam, Tanzania. Afr J Emerg Med. 2014;4(1):14–8.CrossRef
32.
go back to reference Widgren BR, Jourak M. Medical Emergency Triage and Treatment System (METTS): a new protocol in primary triage and secondary priority decision in emergency medicine. J Emerg Med. 2012;40(6):623–9.CrossRef Widgren BR, Jourak M. Medical Emergency Triage and Treatment System (METTS): a new protocol in primary triage and secondary priority decision in emergency medicine. J Emerg Med. 2012;40(6):623–9.CrossRef
Metadata
Title
Investigating the professional capability of triage nurses in the emergency department and its determinants: a multicenter cross-sectional study in Iran
Authors
Maryam Aghabarary
Zahra Pourghaedi
Mostafa Bijani
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
Triage
Published in
BMC Emergency Medicine / Issue 1/2023
Electronic ISSN: 1471-227X
DOI
https://doi.org/10.1186/s12873-023-00809-7

Other articles of this Issue 1/2023

BMC Emergency Medicine 1/2023 Go to the issue