Implementation of a triage nurse role and the effect on hospitalist workload

Astik, Gopi J.; Kulkarni, Nita Shrikant; Cyrus, Rachel; Chen, Yeh; O’Leary, Kevin J.

doi:10.1080/21548331.2021.1949169

Cited by 5 publications

(3 citation statements)

References 30 publications

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“…Second, paging volumes can serve as a marker for resident workload that may not be captured by looking at duty hours alone, and should be monitored when considering systemic issues like operational strain and resident burnout [ 8 ]. There may be a role for a triaging nurse to hold the pager and help resident workflow [ 20 ]. Third, patients need to be educated during their hospital visits regarding what the appropriate reasons are to call the on-call resident.…”

Section: Discussionmentioning

confidence: 99%

Ophthalmology on Call: Evaluating the Volume, Urgency, and Type of Pages Received at a Tertiary Care Center

McDonald¹,

Iordanous²

2022

Cureus

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Background: A significant proportion of on-call resident workload is related to answering and managing pages. Ophthalmology residents see high volumes of patients on call, but little is known about the profile of pages they receive. The objective of this study is to characterize the volume, type, and urgency of pages received by the ophthalmology on-call service. Methods: A retrospective review of on-call pager log sheets and patient charts was performed at a single academic institution. Data were collected from July to December 2019, sampling the first seven days of each month. Data collected for each page included date/time of day, source, and primary concern. For each page leading to a patient encounter, time from page to patient assessment, patient demographics, and final diagnosis were recorded. Continuous variables were reported as mean values, whereas categorical variables were presented as percentages. A two-sample t-test and single-factor analysis of variance were employed. Results: Over 42 days, 1108 pages were received. Over half of these calls required patient assessment, 71% of which were seen the same day. On average, 26 pages were received in 24 hours. Daytime weekday hours were significantly more busy than weekday nights or weekends (p<0.001). Patients and the emergency department each accounted for almost one-third of calls received. Retina- and cornea-related consults were most common. Conclusions: Pager volumes in ophthalmology are high and on-call patient volumes are rising. Answering pages increases the on-call resident’s workload and has a negative impact on clinic flow. These data can be used to inform resident curriculum development, hospital system changes, patient education regarding appropriate paging, and medical school teaching.

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Section: Discussionmentioning

confidence: 99%

Ophthalmology on Call: Evaluating the Volume, Urgency, and Type of Pages Received at a Tertiary Care Center

McDonald¹,

Iordanous²

2022

Cureus

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“…Excessive workload must be avoided because they could impair performance, cause stress, raise the likelihood of making errors, and reduce nurses' job satisfaction (Astik et al, 2021). Professionalism is essential for nurses to attain job satisfaction.…”

Section: A B S T R a Kmentioning

confidence: 99%

Increase Nursing Satisfaction with Electronic Emergency And Disaster System (SPEED)

Kok Mesa,

Wihastuti,

Nugroho

et al. 2023

jika

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Medical records are infrequently documented in prehospital services. Considering the benefits of Electronic Medical Record (EMR) have a significant impact on nurse satisfaction, quality of care, and quality of clinical decisions, it is essential to develop technologies that could facilitate prehospital services. The objective of this study was to determine if the Emergency and Disaster Electronic System (SPEED) program increased the job satisfaction of prehospital nurses involved in the documentation of medical data. The study design uses True Experimental Design with a Crossed Over Design approach. The study sample consisted of 54 participants divided into two groups. Group A received the SPEED intervention, whereas Group B received the paper-based intervention (Period 1). After the second period (washout phase), group A received a paper-based intervention whereas group B received the SPEED intervention (3rd period). The Job Satisfaction Survey was utilized for this study. Researchers utilized the Paired sample T test and the Independent sample t-test statistical tests. After receiving a SPEED intervention, the group's mean difference was a rise in job satisfaction, as indicated by the results. This shows that SPEED application interventions are more helpful in enhancing nurses' job satisfaction with medical record documentation.

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“…Additionally, triage nurses coordinate closely with other medical staff to ensure seamless patient transitions and timely interventions [ 19 ]. These behaviors collectively contribute to a safe and supportive triage environment, underscoring the critical role of triage nurses in patient care [ 13 , 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Emergency triage nurses’ perceptions of caring behaviors and the safety of the patient during triage encounters: a grounded theory study

Fekonja,

Kmetec,

Fekonja

et al. 2024

BMC Nurs

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Background Triage is a dynamic process prioritising the patient coming to the emergency department. Caring behaviour and patient safety during the triage process are essential for ensuring a good care experience and treatment outcome. Objective To describe triage nurses’ perceptions on caring behaviors and patient safety in the triage area. Design Strauss and Corbin’s Grounded theory method was used to develop the model. Methods The study was conducted in the emergency department in northeastern Slovenia. Semi-structured interviews were used for data collection, and 19 triage nurses were selected by theoretical sampling, guided by emerging categories between November 2021 and July 2022. The data analysis was conducted according to Strauss and Corbin’s coding framework. Results The analysis of the interviews generated one category: The process of creating a caring and safe triage encounter for the patient, together with two categories that explain the key phenomenon: (1) Triage caring and (2) Safety in the triage process. Within the category “Triage caring”, four subcategories were developed: (1) Assurance of triage nurses’ presence, (2) Connectedness, (3) Respectful attitude, and (4) Knowledge and skills. The category Safety in the triage process consists of three identified subcategories: (1) Conception and perception of safety, (2) Factors influencing patient safety, and (3) Improving the triage safety. Conclusions The triage nurses’ perceptions about caring for the patient and his safety in the triage area show that caring and safety are inseparably linked and coincide when triaging a patient. Namely, caring for the patient means ensuring the patient’s safety at the same time. Implications for the nursing field A better understanding of the importance of triage nurses’ caring behavior and patient safety emerges from the findings, highlighting the challenges faced in a busy emergency department where nurses must balance providing care and responding to patients’ needs while ensuring safety. Findings in the study show that patient care and safety are inseparably linked and coincide when triaging a patient. Moreover, applying caring behaviour during triage encounter results in greater patient safety. No patient or public contribution The study’s design, evaluation of the findings, and execution did not need the involvement of patients or the general public. Participants were triage nurses working in the emergency department. Triage nurses were interviewed about their perceptions of triage nurses on caring behaviors and patient safety during triage encounter.

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Implementation of a triage nurse role and the effect on hospitalist workload

Cited by 5 publications

References 30 publications

Ophthalmology on Call: Evaluating the Volume, Urgency, and Type of Pages Received at a Tertiary Care Center

Ophthalmology on Call: Evaluating the Volume, Urgency, and Type of Pages Received at a Tertiary Care Center

Increase Nursing Satisfaction with Electronic Emergency And Disaster System (SPEED)

Emergency triage nurses’ perceptions of caring behaviors and the safety of the patient during triage encounters: a grounded theory study

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