The effects of the Emergency Severity Index triage education via problem-based learning on the triage nurses' performance and the patients’ length of stay in the Emergency Department

authors:

avatar Mahnaz Khatiban 1 , avatar Afshin‏ ‏Khazaei 2 , avatar Arezou ‏ ‏Karampourian 1 , * , avatar Alireza‏ ‏Soltanian 3 , avatar Hossein Kimiaie‏ ‏Asadi 4 , avatar Rasoul Salimi 4 , avatar Zahra‏ ‏ Khalili‎ 5

Mother and Child Care Research‏ ‏Center, School of Nursing and‏ ‏Midwifery, Hamadan ‎University of‏ ‏Medical Sciences, Hamadan‎, Iran
Department of Medical Surgical‏ ‏Nursing, School of Nursing and‏ ‏Midwifery, Hamadan ‎University of‏ ‏Medical Sciences, Hamadan‎, Iran
Department of Biostatistics &‏ ‏Epidemiology, School of Health,‎‏ ‏Hamadan University of ‎Medical‏ ‏Sciences, Hamadan, Iran
Department of Emergency‏ ‏Medicine, Besat Hospital, Hamadan‏ ‏University of Medical ‎Sciences,‎‏ ‏Hamadan‎, Iran
‎. Department of Medical Surgical‏ ‏Nursing, School of Nursing and‏ ‏Midwifery, Hamadan ‎University of‏ ‏Medical Sciences, Hamadan‎, Iraq
Journal of Clinical Research in Paramedical Sciences: Vol.3, issue 2; e82091
published online: August 06, 2014
article type: Research Article
received: January 06, 2014
accepted: June 07, 2014

how to cite: Khatiban M , ‏Khazaei A , ‏ ‏Karampourian A, ‏Soltanian A, Kimiaie‏ ‏Asadi H , et al. The effects of the Emergency Severity Index triage education via problem-based learning on the triage nurses' performance and the patients’ length of stay in the Emergency Department. J Clin Res Paramed Sci. 2014;3(2):e82091. 

Abstract

Background: Problem-based learning (PBL) is an active educational strategy established on two bases, learner and problem. This study aimed to determine the effect of the
Emergency Severity Index (ESI) triage education via PBL on the triage nurses' performance and the patients’ length of stay in the Emergency Department.
Methods: In this interventional, the ESI-triage education was done via PBL for all 12 triage-nurses in the Besat Hospital. The tools were the observational time-recording checklist developed according to the Swailes et al. study and the ESI form. The validity of the tools was confirmed by experts. The observer reliability was defined by the inter-rater reliability. The Length of stay and ESI triage level of 72 patients before and 72 patients two weeks after intervention were recorded. Data was analyzed by t-test, MannWhitney and ANOVA with 95% confidence by the software SPSS-20.
Results: The majorities of the triage nurses were men (75%), with a bachelor’s degree (91.7%), mean age 31.5±5.51 and work experience 6.72±8.00 years. The ESI-triage education via PBL strategy significantly lead to the decrease in the "triage by the nurses” duration (P<0.001) and the nurses’ performance improvement (P<0.001). Following the intervention, the reduction in the length of the “patient’s entry to the triage starting by nurse” and the "door –to-doctor” duration phase for all patients were noticeable.
Conclusion: Considering the positive influence of the ESI triage, PBL strategy is proposed to train other emergency personnel.

 

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