Practice of Triage Decisions Among Healthcare Providers in Emergency Departments of Malaysia After Educational Program
- Conditions
- Triage decisions making in Emergency DepartmentEmergency medicineEmergency medicine - Other emergency care
- Registration Number
- ACTRN12620001082998
- Lead Sponsor
- niversity of Malaya
- Brief Summary
Research questions 1. What is the level of skills and accuracy of triage decision-making among registered nurses and medical officer assistants? 2. What is the effect of educational program on the skills and accuracy level of triage decision-making among control and intervention group? Background: The Emergency Department (ED) is a “front door” facility that provides emergency treatment and care in hospitals for various conditions and for trauma patients. Patients who came into ED to seek treatment will be assessed, and sorted by triage staffs. The aims of the triage are to determine patient’s priority and ensure immediate interventions provided accordingly. Triage staff will decide and allocate patient urgency for treatment and care into emergent, urgent and non-urgent, according to patient’s condition and the priority of care to ensure the patient receives treatment appropriately. Therefore the skill and accuracy of triage decisions need to be evaluate to in order to improve the practice and ascertain patients received best quality of emergency care. Participant Characteristic: Registered nurses and medical officer assistants who has experienced of performing triage roles in emergency department Key Results: Score level of skill and accuracy of triage decision-making of intervention group improved across time after exposure to the educational program Limitation: Participants were tested on their triaging knowledge, skills, and decision-making accuracy in hypothetical test situations. This may not reflect their ability to perform in an actual on-the-job environment. Although the written patient scenario-based questionnaires used in the study included adequate and precise assessment of patient’s condition as in the triage process (when the patient first presents at the ED), the limited information may restrict participants ability to fully assess the real situation of the patient’s condition, and that may affect their ability to make appropriate triage decisions. References Cone, K. J. (2000). The development and testing of an instrument to measure decision making in emergency department triage nurses. Unpublished Doctoral Dissertation. Saint Louis University, Missouri-2000.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 143
Registered nurses and medical officer assistants who experienced triage roles in the EDs
Registered nurses and medical officer assistants who refused
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method to identify level of skills and accuracy of triage decision-making at basedline <br><br>Outcome assessed using a validated self administration questionnaires, triage decision-making inventory (TDMI), used with permission from the author, Cone (2000) was utilized to measure skills and patient scenario-based questions (PSBQs) for accuracy of triage decision- making at baseline (pre-test)<br>The cut-off point for TDMI is 184 (out of 222) and the cut off point for PSBQs is 12 (out of 15) <br><br><br>[ March till June 2015 ( baseline survey enrollment)];to evaluate level of skills and accuracy of triage decision-making after exposure to educational <br><br>Both were evaluate at post test (two weeks after intervention) and follow-up (4 weeks).<br><br>Triage Decision-making Inventory (TDMI) and Patient scenario-based questions (PSBQs) ) used for basedline,both post test and follow-up[ Mid April (post test) and end of April of 2016 (follow-up)]
- Secondary Outcome Measures
Name Time Method there was no more outcome[no time point]