College
The Graduate School
Department
Nursing
Graduate Level
Doctoral
Graduate Program/Concentration
DNP-Nurse Executive
Presentation Type
Poster Presentation
Abstract
Inaccurate triage decisions can lead to increased length of patient stays in the emergency department, increased rehospitalizations, and increased risk of mortality, all of which are quality of care indicators (Srinivas et al., 2021). The triaging decisions in the emergency department at our facility are conducted by relatively new and inexperienced nurses. Anecdotal evidence from the emergency department leadership suggests that inaccurate triaging decisions are being made. In addition, 60 percent of a limited sample of 30 charts that were recently reviewed contained inaccurate triaging decisions. The accuracy of these triaging decisions has not been systematically evaluated at our facility. Triaging educational training programs that include systematic audits of triaging decisions have been shown to improve the sustained accuracy of triaging decisions by improving nurses’ triaging knowledge and triaging confidence or self-efficacy (Oh & Jung, 2024). The purpose of this project is to implement the Canadian Triage and Acuity Scale (CTAS) triaging educational training program (Bullard et al., 2017) for emergency room nurses and to evaluate the effectiveness of the program in improving nurses’ triaging knowledge, triaging self-efficacy, and the accuracy of triaging decisions.
The triaging educational training program is currently being implemented at our facility and includes demographic characteristics of the participants and a triaging knowledge (Phykubuye et al., 2019) and self-efficacy assessment (Oh and Jung, 2024 & Bandura, 2006) before participating in the training and four months later. An expert triage nurse will conduct a chart audit, using the Canadian Triage and Acuity Scale, that measures the accuracy of the triaging decisions made by the nurses before and after participating in the triaging educational training program.
Keywords
CTAS, knowledge, self-efficacy, confidence, triaging, evaluation, nurses, emergency, performance, accuracy
Included in
The Effects of a Triaging Educational Training Program on Triaging Knowledge, Self-efficacy and Accuracy in Emergency Department Nurses in a Private Hospital in Saudi Arabia
Inaccurate triage decisions can lead to increased length of patient stays in the emergency department, increased rehospitalizations, and increased risk of mortality, all of which are quality of care indicators (Srinivas et al., 2021). The triaging decisions in the emergency department at our facility are conducted by relatively new and inexperienced nurses. Anecdotal evidence from the emergency department leadership suggests that inaccurate triaging decisions are being made. In addition, 60 percent of a limited sample of 30 charts that were recently reviewed contained inaccurate triaging decisions. The accuracy of these triaging decisions has not been systematically evaluated at our facility. Triaging educational training programs that include systematic audits of triaging decisions have been shown to improve the sustained accuracy of triaging decisions by improving nurses’ triaging knowledge and triaging confidence or self-efficacy (Oh & Jung, 2024). The purpose of this project is to implement the Canadian Triage and Acuity Scale (CTAS) triaging educational training program (Bullard et al., 2017) for emergency room nurses and to evaluate the effectiveness of the program in improving nurses’ triaging knowledge, triaging self-efficacy, and the accuracy of triaging decisions.
The triaging educational training program is currently being implemented at our facility and includes demographic characteristics of the participants and a triaging knowledge (Phykubuye et al., 2019) and self-efficacy assessment (Oh and Jung, 2024 & Bandura, 2006) before participating in the training and four months later. An expert triage nurse will conduct a chart audit, using the Canadian Triage and Acuity Scale, that measures the accuracy of the triaging decisions made by the nurses before and after participating in the triaging educational training program.