Background: Correct triage is one of the most important issues in delivering proper healthcare in the emergency department. Despite the availability of various triage guidelines, triage is not still appropriately implemented. Therefore, this study was conducted to investigate the role of different underlying factors in triaging emergency patients through a qualitative approach. Materials and Methods: This study was conducted by conventional content analysis. For this purpose, 30 interviews were conducted with 25 participants. The participants included triage nurses, emergency general physicians, emergency medicine specialists, and expert managers at different position rankings in hospitals and educational and administrative centers in Yazd, selected by purposeful sampling. Data were collected through in-depth and unstructured interviews from April 2017 to January 2018, and then analyzed by inductive content analysis. Results: Four categories of profit triage, exhibitive triage, enigmatic, and tentative performance triage were drawn from the data, collectively comprising the main theme of responsibility-evading performance. Conclusions: The dominant approach to the triage in the emergency departments in a central city of Iran is responsibility evasion; however, the triage is performed tentatively, especially in critical cases. To achieve a better implementation of triage, consideration of the underlying factors and prevention of their involvement in triage decision-making is necessary.
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.
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