Effect of triage training on nurses' practice and triage outcomes of patients with acute coronary syndrome

Gholami, Mohammad; Fayazi, Maryam; Hosseinabadi, Reza; Anbari, Khatereh; Saki, Mojgan

doi:10.1016/j.ienj.2023.101288

Cited by 5 publications

(2 citation statements)

References 38 publications

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“…The current study has also revealed that nurses who attended in-service training about ACS had a significantly higher level of practice than those who did not. This result was supported by studies done in Italy 19 and Iran 27 suggesting that in-service training significantly improves nurses’ knowledge and practice in outcomes of patients with cardiovascular disease including ACS. This could be the fact that attending in-service training play a vital role in increasing the tendency to learn more knowledge and skill about the management of the disease.…”

Section: Discussionsupporting

confidence: 52%

Suboptimal Knowledge and Care of Patients with Acute Coronary Syndrome Among Nurses Working in Selected Hospitals in Addis Ababa, Ethiopia 2021

Lakew,

Bekele,

Kassa

et al. 2023

VHRM

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Background Acute Coronary Syndrome is the leading cause of morbidity and mortality in developing nations including Ethiopia. As frontline healthcare providers, nurses need to be prudent in handling cases of acute coronary syndrome. However, nurses’ knowledge and practice of acute coronary syndrome are not well-known across Ethiopia. Thus, this study aimed to assess knowledge, practice, and associated factors regarding the care of acute coronary syndrome among acute care nurses working at selected hospitals in Addis Ababa, Ethiopia. Methods Institution-based descriptive cross-sectional study design was conducted from February to March among 252 purposively selected nurses working in tertiary hospitals of Addis Ababa, Ethiopia. A pretested and structured questionnaire was used for data collection. Data were entered into Epi-Data 4.6 and exported to SPSS version 25. Both descriptive and inferential statistics were used to describe and test the association between selected variables. P-values < 0.05 were declared as significant factors for the outcome variable. Results Out of 252 nurses, (52%) had good knowledge, and (44.4%) had good practice towards care of Acute Coronary Syndrome. Being a master’s degree [AOR=3.801, (95% CI:1.314–10.996), P =0.014] and having guidelines [AOR= 10.998, (95% CI:2.478–48.805), P =0.002] were significantly associated with nurse’s good knowledge of ACS. While having a master’s degree [AOR=4.258, (95% CI:1.676–10.820), P=0.002] and getting in-service training [AOR= 1.902, (95% CI:1.022–3.539), P = 0.042] were significantly associated with nurse’s good level of practice. Conclusion In this study, nurses had inadequate knowledge and practice regarding the care of Acute Coronary Syndrome. Nurses’ educational level, presence of clinical practice guidelines, and getting training were determinant factors associated with good knowledge and practice. Therefore, organizational and nursing educational support are needed to improve this gap by providing short- and long-term training, and updated evidence-based clinical practice guidelines should be available for all acute care nurses.

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Section: Discussionsupporting

confidence: 52%

Suboptimal Knowledge and Care of Patients with Acute Coronary Syndrome Among Nurses Working in Selected Hospitals in Addis Ababa, Ethiopia 2021

Lakew,

Bekele,

Kassa

et al. 2023

VHRM

View full text Add to dashboard Cite

show abstract

“…Knowledge degradation over time also emphasises the incorporation of regular triage training and supervision programs [13,14]. Factual knowledge is crucial in making triage decisions and, as a result, improving patient outcomes [15][16][17][18]. Overall, this approach not only introduces objectivity but also provides a consistent set of data.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness and Relevance of the Canadian Triage System at Times of Overcrowding in the Emergency Department of a Private Tertiary Hospital: A United Arab Emirates (UAE) Study

Kalan,

Chahine,

Lasfer

2024

Cureus

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Objective: A systematic and straightforward triage system is crucial for the proper and timely care of patients within the emergency department (ED). This study unfolds a detailed understanding of the impact of the Canadian Triage and Acuity Scale (CTAS) on patient care and resource allocation in a private tertiary hospital. To the best of our knowledge, this is the only article studying the impact of the CTAS in one of the private hospitals in the United Arab Emirates (UAE) to achieve triage optimisation strategies. There is scope for further research in both public and private hospitals in the UAE. A triage system not only helps healthcare professionals prioritise cases conveniently but also guides patients to the most suitable area for a consultation. As a general rule, EDs follow an algorithm for the purpose of triage, and the aim of our study is to assess one such five-level triage system, CTAS, for its effectiveness and relevance during overcrowding in a UAE ED.Method: Within a period of approximately three weeks, a total of 351 CTAS-triaged patients were included in a prospective observational study during peak hours (17:00-22:00) of an ED in the UAE. The CTAS app was used as the triage tool to assess relevance, in terms of patient waiting times, resource allocation, and urgency level distribution, to the Canadian scale. All patients presenting to the ED were included with no exclusion criteria. The relationship between urgency level, duration of visit, and resources used was assessed, and the department's triage results were compared with those of the CTAS app.Results: Our sample showed a female (187; 53.3%) and adult preponderance (215; 61.3%) with most of the adult patients aged between 30 and 40 (96; 44.65%). 41.5% (145) of the triage was mismatched between the department and the CTAS app with 115 (79.3%) cases of under-triaging and 30 (20.7%) cases of overtriaging. There was a statistically significant difference (p=0.004) between average waiting times across triage categories 4 and 5 with the former category patients waiting for a longer period of time. Cohen's kappa showed moderate inter-relatability (k=0.42). The average utilisation costs per triage category showed a positive correlation with the urgency level for CTAS (Pearson's r=0.59); however, the costs declined as the urgency level rose for the department.Conclusions: The high compliance rate demonstrates that the CTAS can be applicable to institutions outside of Canada. The categorisation of patients by the CTAS and their resource allocation were more accurate than the standard triage proving its effectiveness as a triage tool. Lack of synchronisation among the triage nurses and inadequate triage training are the most plausible reasons for this comparison. The recommended "time to be seen by a physician" was achievable in our ED, and that, along with the expected relationship between CTAS and resource utilisation, can be seen as valid indicators for a quality triage system for use in the UAE.

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How simulation training for nursing students in emergency internships affects triage decision-making and anxiety: A quasi-experimental study

Kavakli,

Konukbay

2024

Heliyon

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Effect of triage training on nurses' practice and triage outcomes of patients with acute coronary syndrome

Cited by 5 publications

References 38 publications

Suboptimal Knowledge and Care of Patients with Acute Coronary Syndrome Among Nurses Working in Selected Hospitals in Addis Ababa, Ethiopia 2021

Suboptimal Knowledge and Care of Patients with Acute Coronary Syndrome Among Nurses Working in Selected Hospitals in Addis Ababa, Ethiopia 2021

The Effectiveness and Relevance of the Canadian Triage System at Times of Overcrowding in the Emergency Department of a Private Tertiary Hospital: A United Arab Emirates (UAE) Study

How simulation training for nursing students in emergency internships affects triage decision-making and anxiety: A quasi-experimental study

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