Knowledge and Skills on Triage among Nurses Working in Emergency Departments in Referral Hospitals in Rwanda

Abstract

BackgroundUnpredictable numbers of patients attending emergency departments highlight the need for Triage. Triage which is the prioritization of patient care based on severity of illness or injury, prognosis, and availability of resources is effective when clinicians are knowledgeable and skilled to perform it.ObjectiveTo assess knowledge and skills on triage among nurses working in emergency departments of Rwandan referral hospitals.MethodsCross-sectional analytical design was adopted. ninety-six (96) nurses working in emergency departments were selected using proportionate stratified sampling method. Each hospital was considered as a stratum. A self-administered questionnaire and observation checklist were use as instruments. Inferential and descriptive statistics were used in analysis.ResultsThe majority of participants (63.6%) demonstrated low level of triage knowledge and almost a half (47.9%) of participants had low level of triage skills. Nurses experience in emergency department, level of education and triage training were not found to significantly influence triage knowledge and skills positively (P>0.05).ConclusionDeficit in triage knowledge and skills were revealed among nurses working in emergency departments in Rwanda. Accredited continuous educational training on triage should be regularly provided to enhance knowledge and skills of emergency department nurses on Triage.Rwanda J Med Health Sci 2021;4(3):398-405

Investigating the professional capability of triage nurses in the emergency department and its determinants: a multicenter cross-sectional study in Iran

“…Kerie et al (2018) and Al-Rawee et al (2022) also reported moderate levels of clinical competence in triage nurses in terms of professional knowledge and clinical skill [ 6 , 24 ]. This is while the results of studies by Duko et al (2019), Twagirayezu et al (2021), Haghdoust et al (2011), and Haghigh et al (2017) showed that emergency nurses had inadequate/low levels of triage knowledge and skills [ 1 , 15 , 18 , 25 ].…”

“…The triage knowledge of the nurses was also low in a study by Bista et al (2022) in Kathmandu, Nepal [ 17 ]. Moreover, the results of a study by Twagirayezu et al (2021) in Rwanda showed the inadequate level of triage knowledge and skills among nurses [ 18 ].…”