Acil Servis Hemşirelerinin Triyaja İlişkin Bilgileri, Uygulamaları ve Etkileyen Faktörler Üzerine Kesitsel Bir Çalışma

Öz

Amaç: Çalışma, acil servis hemşirelerinin triyaj hakkındaki bilgi ve uygulamaları ile bunlarla ilişkili faktörleri değerlendirmeyi amaçlamaktadır. Materyal ve Metot: Araştırma 82 acil servis hemşiresi ile kesitsel ve tanımlayıcı özellikte yapılmıştır. Araştırma verileri, acil servis hemşirelerinin bazı kişisel özellikleri ve hemşirelerin triyaj hakkında teorik bilgileri ile triyaj hakkında uygulamalarını sorgulayan sorulardan oluşan üç bölümden oluşan anket formu ile elde edilmiştir. İstatistiksel analiz, SPSS 22.0 paket programında, tanımlayıcı istatistikler, Mann Whitney U Testi ve Kruskal-Wallis Testi kullanılarak yapılmıştır. Bulgular: Hemşirelerin triyaj bilgi ve triyaj uygulama puanları ortalama puanın üstünde bulundu. Ayrıca, acil hemşirelerinin triyaj hakkında teorik bilgi puan ortalamaları, uygulama puan ortalamalarına göre daha yüksekti. Ancak triyajın bazı konuları hakkında bilgi eksikliği ve yanlış uygulamalarının olduğu dikkati çekiciydi. Hemşirelerin cinsiyet, eğitim durumu ve triyaj eğitimi alma durumu ile triyaj bilgi ve uygulamalarında anlamlı bir farklılık yoktu (p >0,05). Hemşirelerin %78,0’i acilde triyaj uyguladıklarını ancak %42,7’si triyaj konusunda kendini yeterli görmediğini ve %59,8’i hasta yoğunluğunun etkin triyajın sağlanmasında en önemli faktör olduğunu ifade etti. Sonuç: Acil servis hemşirelerinin triyaj bilgisi ve uygulamasına ilişkin bilgi eksiklikleri ve bilgilerinin pratiğe dönüştürülmesinde eksiklikleri bulunmaktadır. Çalışma sonuçlarına göre, acil hemşireliğinde bilgi eksikliklerini ve yanlış triyaj uygulamalarını önlemede mesleki eğitimin geliştirilmesini ve sürekli hizmetiçi eğitimlerle bilgilerin güncellenmesi önerilmektedir.

Anahtar Kelimeler

• Acil servis
• hemşire
• triyaj

A Cross-Sectional Study on Emergency Department Nurses' Knowledge, Practices and Factors Affecting About Triage

Abstract

Objective: The study aimed to evaluate the knowledge and practices of emergency nurses working in adult emergency departments of two public hospitals serving as tertiary care in the same city and the factors associated with them. Materials and Methods: This cross-sectional and descriptive study was conducted with 82 emergency service nurses. The research data were obtained with a three-part questionnaire form consisting of questions about some personal characteristics of emergency nurses, the theoretical knowledge of nurses about triage and their practices about triage. Results: Nurses' triage knowledge and triage application scores were above the average score. Additionally, emergency nurses' theoretical knowledge about triage score averages was higher than their practice score averages. However, it was noteworthy that there was a lack of information and incorrect practices on some subjects of triage. There was no significant difference in the nurses' gender, educational level triage training status and their triage knowledge and practices (p >0.05). 78.0% of the nurses stated that they practiced triage in the emergency department, but 42.7% of them did not consider themselves sufficient in triage, and 59.8% stated that patient density was the most important factor in ensuring effective triage. Conclusion: Emergency department nurses have deficiencies in triage knowledge and practice and deficiencies in transforming their knowledge into practice. According to the results of the study, it is recommended that professional education should be improved, and information should be updated with continuous in-service training in order to prevent knowledge deficiencies and incorrect triage practices in emergency nursing.

Keywords

• Emergency department
• nurse
• triage

References

1. 1. Rayan A, Hussni AS, Qarallah I. Critical care nurses’ attitudes, roles, and barriers regarding breaking bad news. SAGE Open Nursing. 2022;11(8). doi:10.1177/23779608221089999
2. 2. Smith J, Filmalter C, Masenge A, Heyns T. The accuracy of nurse-led triage of adult patients in the emergency centre of urban private hospitals. African Journal of Emergency Medicine. 2022;12:112-116.
3. 3. Malak MZ, AL-Faqeer NM, Yehia DB. Knowledge, Skills and Practices of Triage among Emergency Nurses in Jordan. International Emergency Nursing. 2022;65:101219. doi:10.1016/j.ienj.2022.101219
4. 4. Peta D, Day A, Lugari WS, Gorman V, Ahayalimudin N, Pajo VMT. Triage: A Global Perspective. J Emerg Nurs. 2023;49(6):814-825. doi:10.1016/j.jen.2023.08.004
5. 5. Cho YJ, Han YR, Jeong YW. Professional Self-Concept, Job Stress, and Triage Competency Among Emergency Nurses: Secondary Data Analysis of a Cross-Sectional Survey. J Emerg Nurs. 2022;48(3):288-298. doi:10.1016/j.jen.2022.01.010
6. 6. Aghabarary M, Pourghaedi Z, Bijani M. Investigating the professional capability of triage nurses in the emergency department and its determinants: a multicenter cross-sectional study in Iran. BMC Emerg Med. 2023;23(1):38. doi:10.1186/s12873-023-00809-7
7. 7. Phukubye TA, Mbombi MO, Mothiba TM. Strategies to Enhance Knowledge and Practical Skills of Triage amongst Nurses Working in the Emergency Departments of Rural Hospitals in South Africa. Int J Environ Res Public Health. 2021;18(9):4471. doi:10.3390/ijerph18094471
8. 8. Olofinbiyi OB, Makhado L. Nurses' Perception on the Hindrances of Triage System in Emergency Unit. Nurs Res Pract. 2024:8621065. doi:10.1155/2024/8621065

9. 9. Kırmızıgül H, Erciyas A, Görmeli Kurt N, Kavak Y. Acil Bakım Hemşirelerinin Triyaj Karar Verme Becerilerinin Değerlendirilmesi. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu Dergisi. 2024;12(3):967-978. doi:10.33715/inonusaglik.1446301
10. 10. Soola AH, Mehri S, Azizpour I. Evaluation of the factors affecting triage decision-making among emergency department nurses and emergency medical technicians in Iran: a study based on Benner's theory. BMC Emerg Med. 2022;22(1):174. doi:10.1186/s12873-022-00729-y
11. 11. Yataklı Sağlık Tesislerinde Acil Servis Hizmetlerinin Uygulama Usul ve Esasları Hakkında Tebliğ. T.C. Resmi Gazete. 2022:31952. Ankara.
12. 12. Orkun N. Standart hasta yönteminin hemşirelik öğrencilerinin triyaj uygulama becerileri ve özgüvenleri üzerine etkisinin incelenmesi. Ege Üniversitesi, Sağlık Bilimleri Enstitüsü. İzmir, Türkiye. 2020.
13. 13. Davis LL. Instrument review: Getting the most from a panel of experts. Applied Nursing Research. 1992;5:194-197.
14. 14. Aghabarary M, Pourghaedi Z, Bijani M. Investigating the professional capability of triage nurses in the emergency department and its determinants: a multicenter cross-sectional study in Iran. BMC Emerg Med. 2023;23(1):38. doi:10.1186/s12873-023-00809-7
15. 15. AlMarzooq AM. Emergency department nurses’ knowledge regarding triage. International Journal of Nursing. 2020;7(2):29-44. doi:10.15640/ijn.v7n2a5
16. 16. AlShatarat M, Rayan A, Eshah NF, Baqeas MH, Jaber MJ, ALBashtawy M. Triage Knowledge and Practice and Associated Factors Among Emergency Department Nurses. SAGE Open Nursing. 2022;8. doi:10.1177/23779608221130588
17. 17. Bahre W, Mengist B, Bitsa Y, et al. Triage knowledge, perceived skills, and associated factors among nurses working in adult emergency departments of selected public hospitals in Addis-Ababa, Ethiopia, 2023: multicenter cross-sectional study. Ann Med Surg (Lond). 2024;86(12):7029-7036. doi:10.1097/MS9.0000000000002703
18. 18. Murphy S, Tuot D. Assuring safety and efficacy of nurse triage for electronic consultation to improve access to speciality care. BMJ Quality and Safety. 2021;30(7):533-535. doi:10.1136/bmjqs-2020-012619
19. 19. Tamari L, Dagan S, Yuval B. The effect of emergency department nurse experience on triage decision making. Human Factors in Healthcare. 2022;2:100015.
20. 20. Hussein H, Hassan H. Effectiveness of an education program on nurses' knowledge about the triage system in emergency department of qalat salih hospital. Indian Journal of Forensic Medicine and Toxicology. 2019;13(1):218-223. doi:10.5958/0973-9130.2019.00045.8