The Role Descriptions of Triage Nurse in Emergency Department: A Delphi Study

Ebrahimi, Mohsen; Mirhaghi, Amir; Mazlom, Reza; Heydari, Abbas; Nassehi, Asra; Jafari, Mojtaba

doi:10.1155/2016/5269815

Cited by 36 publications

(29 citation statements)

References 28 publications

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“…Part one consisted of 15 items measuring nurses' knowledge in Managing Patients with Psychological Distress at EDs (MPSD) (item 1-15) using a visual analogue scale with responses ranging from 0 (not confident at all) to 10 (very confident). Part two, items 16 -30, was designated to measure knowledge regarding the physical and psychological Signs and Symptoms of Psychological Distress (SSPSD), where nurses asked to respond by yes (1), no (2), or do not know (3). The possible range of scores was 15-45.…”

Section: Nurses' Knowledgementioning

confidence: 99%

“…The Emergency Department (ED) is a dynamic environment that challenges nurses to manage critical situations such as patients with psychological distress [1]. Nurses at EDs are confronted with patients complaining of physical signs connected to psychological distress which may influence the abilities of nurses to make an appropriate diagnosis and man-agement [2].…”

Section: Introductionmentioning

confidence: 99%

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Nurses' Knowledge and Skills to Manage Patients with Psychological Distress in Emergency Departments

AlShibi¹,

Hamdan‐Mansour²

2020

TONURSJ

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Background:Identifying and managing patients with psychological distress is a challenge to nurses at emergency departments at hospitals not specialized in psychiatric mental health. This requires that nurses must be equipped with knowledge and skills to fulfill patients' needs. Objectives:The purpose of this study is to identify the knowledge and skills of nurses to manage patients with psychological distress in emergency departments. Methods:A convenience sample of 307 registered nurses working at emergency departments completed and returned a package of surveys regarding knowledge and skills to manage patients with psychological distress in emergency departments. Results:Although nurses were found to have a high level of knowledge about managing psychological distress, their level of skills was lower. Nurses were found to encounter difficulty in identifying signs and symptoms of patients with psychological distress at emergency departments. A significant and positive correlation was found between nurses' knowledge and skills (r =.68, p < .001). Statistical and significant differences were found in the knowledge of nursesin relation to their previous experience of receiving training and courses in managing psychological distress (p < .05). Conclusion:Nurses need to improve the level of knowledge in order toidentify the psychological and physical signs and symptoms of psychological distress, as well as to be equipped with skills that make them capable tof providing proper care and meeting patients' needs with psychological distress at emergency departments.

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Section: Nurses' Knowledgementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Nurses' Knowledge and Skills to Manage Patients with Psychological Distress in Emergency Departments

AlShibi¹,

Hamdan‐Mansour²

2020

TONURSJ

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“…14,15 On the whole, the results of the current study confirmed those of similar studies conducted in other parts of the world. 16,17 18,19 Although these measures may help reduce patient wait times, it often results in unnecessary tests being ordered. 11,20,21 For economic reasons, it is prudent to limit such requests for unnecessary tests, in turn reducing unnecessary hospital stays and admissions.…”

Section: Discussionmentioning

confidence: 99%

Troponin Testing in the Emergency Department: Real world experience

Almaskari

Al-Makhdami

Al-Lawati

et al. 2018

Sultan Qaboos Univ Med J

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abstract:Objectives: The aim of this study was to examine patterns of troponin testing in the emergency department of a large tertiary care hospital in Oman and to determine its effect on patient management, including length of hospital stay (LOS). Methods: This retrospective study analysed the medical records of all adult patients undergoing troponin testing in the emergency department of the Sultan Qaboos University Hospital, Muscat, Oman, during the month of July 2015. Patients who presented with an ST-elevation myocardial infarction were excluded. Results: A total of 4,845 patients attended the emergency department during the study period; of these, troponin tests were ordered for 588 patients. The majority of the patients had negative troponin test results (81.3%). Chest pain, palpitations and breathlessness were the most common presenting complaints for those with positive troponin results. However, 41.8% of patients did not have any cardiac symptoms. Individuals with positive troponin tests had a significantly longer LOS compared to those with negative tests (mean: three versus one day; P = 0.001). In total, only 28.2% of those with positive troponin test results had final diagnoses associated with a cardiac condition, such as heart failure, an acute coronary syndrome (ACS), atrial fibrillation or other types of arrhythmia. Conclusion: A positive troponin test was associated with increased LOS; however, only a small proportion of these patients had a final diagnosis associated with a cardiac condition. Guidelines should be provided to ensure that troponin testing is performed only in cases where an ACS is suspected.

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“…A modified Delphi study with 2 phases as described before was performed [14–16]. This study was approved by the Shanghai Public Health Clinical Center Ethics Committee.…”

Section: Methodsmentioning

confidence: 99%

“…Delphi, an approach to achieve a unified opinion through a number of rounds of consultation with experts' advice and feedback on a subject or matter, is widely employed by nursing research [14–16]. Therefore, Delphi method is adopted in this study to fulfill our needs.…”

Section: Introductionmentioning

confidence: 99%

The Development of Criteria for the Selection of Chinese Peer Educators in HIV Management: A Delphi Study

Qiu

Shen

2016

Scientifica

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To develop an expert consensus opinion of the criteria for selection of peer educator for HIV/AIDS care program, twenty experts were invited to complete a two-round Delphi consultation. Response rates of the panelists for the first and second rounds were both 100%, and the authority coefficient of the experts was 0.75. Experts achieved consensus on a total of nine items (75%) on completion of the study. The Precedence Chart Method was used to calculate the weight of each indicator, and then a priority list was generated accordingly. This study provides the initial selection criteria for HIV/AIDS peer educators in Shanghai as well as in China.

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The Role Descriptions of Triage Nurse in Emergency Department: A Delphi Study

Cited by 36 publications

References 28 publications

Nurses' Knowledge and Skills to Manage Patients with Psychological Distress in Emergency Departments

Nurses' Knowledge and Skills to Manage Patients with Psychological Distress in Emergency Departments

Troponin Testing in the Emergency Department: Real world experience

The Development of Criteria for the Selection of Chinese Peer Educators in HIV Management: A Delphi Study

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