Use of Multiple Pedagogies to Promote Confidence in Triage Decision Making: A Pilot Study

Smith, Anita; Lollar, Jacqueline; Mendenhall, Jan; Brown, Henrietta; Johnson, Pam; Roberts, Sarah

doi:10.1016/j.jen.2011.12.007

Cited by 25 publications

(20 citation statements)

References 20 publications

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“…The goal of an effective triage system is to provide appropriate and rapid therapies for life-threatening conditions and ensure that all patients receive emergency check-ups based on the severity of their clinical conditions (9). Correct triage and prioritizing of the patients are essential skills in nursing care, and sickness, and illness severity of the patient doubles the importance of this process (11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%

The Comparative Study on Pediatric Triage Decision-Making Power in Nurses and Nursing Students: A Cross Sectional Study

2019

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Background: Triage nurses are the first people in the emergency department providing care to patients. Their knowledge is very important in efficient triage. According to the few studies on the factors affecting triage, the current study aimed at investigating the nurses and nursing students' knowledge about the triage of children. Objectives: Accordingly, the current study aimed at determining the level of knowledge of nursing students and nurses about pediatric triage and the impact of knowledge on the triage performance, in Guilan University of Medical Sciences, Iran. Methods: The current descriptive, cross sectional study was conducted on 88 nurses and 88 nursing students selected through a census sampling from a selected hospital. The data were collected over one month in 2017, by means of a researcher-made questionnaire that included: Demographic characteristics (age, gender, degree, etc.) and knowledge level of staff. The validity of the questionnaire was determined by content validity and its reliability was measured by a test-retest method. After transferring the data into SPSS, statistical analysis was performed by descriptive and inferential statistical tests such as the Wilcoxon and Kruskal-Wallis. The level of significance was P < 0.05. Results: A total of 176 questionnaires were completed. A review of the responses given in the knowledge section revealed that 94.3% of the nurses and students were within the weak range. There was no significant relationship between demographic characteristics and triage knowledge in nurses and nursing students (P > 0.05). Conclusions: According to the current study results, knowledge of nurses and nursing students should be reinforced to better accomplish patient's triage. Since emergency nurses are among the most important staff in providing the prioritizing triage, therefore, nursing education programs should include triage courses that retain mastery in this scope.

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Section: Introductionmentioning

confidence: 99%

The Comparative Study on Pediatric Triage Decision-Making Power in Nurses and Nursing Students: A Cross Sectional Study

2019

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“…The Wilcoxon tests show that the increase in the mean scores for the global scale and the dimensions is statistically highly significant (p < .001), which reveals a positive impact of the simulated practice on the construction of the students' self-confidence to intervene in emergency situations. Other studies [35,36] have shown the effectiveness of simulation as a strategy to enhance nurses' self-confidence in triage at the emergency service, with positive influence on the ability to make correct decisions.…”

Section: Discussionmentioning

confidence: 99%

Impact of a simulated practice program in the construction of self-confidence for intervention in emergencies and its association with knowledge and performance

Martins

Coutinho²,

Baptista³

et al. 2016

JNEP

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The objective was to assess the impact of a simulated practice program on the construction of self-confidence for intervention in emergencies and its association with knowledge and performance. This is a quasi-experimental study without control group, with assessment before and after a 15-hour simulated practice program, in nursing students. The students' self-confidence increased significantly as a result of simulated practice with positive and statistically significant association between practical assessment and self-confidence levels.

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“…Both the theoretical and the simulation classes added knowledge and skills, improving the students' self-confidence to intervene. In the study conducted by Smith et al [24] , the advantage of using several strategies was demonstrated to promote confidence in decision making processes concerning the triage of patients in the emergency department. In the study by Wolf and Mass [25] , simulation appeared as an effective strategy to increase the nurses' confidence in triaging patients in the emergency department.…”

Section: Discussionmentioning

confidence: 99%

Theoretical and simulation classes in the emergency nursing curriculum in Cape Verde: Effect on the self-confidence to intervene in emergencies

Martins

Baptista

Coutinho

et al. 2014

JNEP

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Background/Objective: Self-confidence is an attitude often associated with repeated experiences and with the realistic perception of individual weaknesses and strengths. It is not the same as competence but, with a view to a safe and timely intervention in the emergency context, it is necessary that nurses feel confident in their ability to intervene appropriately. In the context of simulation, the students' self-confidence is an important outcome that needs to be evaluated. Objective:To evaluate the effect of theoretical and simulation classes on the nursing students' self-confidence.Methods: Quasi-experimental study, without control group, with evaluation at three moments: before the classes, after the theoretical classes (40 hours) and after the simulation classes (25 hours). Questionnaires with the Portuguese version of the Self-confidence Scale were applied to 59 nursing students in two courses, in 2011 (25 students) and 2012 (34 students). All the students were taking the third year of the nursing undergraduate program. Formal and ethical principles were followed. Results:The mean global self-confidence score corresponded to 2.35 on the first evaluation, increasing to 3.07 on the second and 3.34 on the third. The t-test reveals that these differences are highly significant (p < .001). The individual analysis of each dimension (neurological, breathing and circulation) reveals similar and statistically highly significant improvements. Conclusions:The classes were effective to improve the level of self-confidence. Simulated practice is a good strategy to improve the confidence to intervene in an emergency situation.

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Use of Multiple Pedagogies to Promote Confidence in Triage Decision Making: A Pilot Study

Cited by 25 publications

References 20 publications

The Comparative Study on Pediatric Triage Decision-Making Power in Nurses and Nursing Students: A Cross Sectional Study

The Comparative Study on Pediatric Triage Decision-Making Power in Nurses and Nursing Students: A Cross Sectional Study

Impact of a simulated practice program in the construction of self-confidence for intervention in emergencies and its association with knowledge and performance

Theoretical and simulation classes in the emergency nursing curriculum in Cape Verde: Effect on the self-confidence to intervene in emergencies

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