Effects of Using Emergency Department Patient Triage Online Instruction on Knowledge and Accuracy in Patient Triage of Nurse

Authors

  • Poonsap Jaikhomsuk Fort Surasakmontri Hospital, Lampang
  • Suparat Wangsrikhun Faculty of Nursing, Chiang Mai University
  • Achara Sukonthasarn Faculty of Nursing, Chiang Mai University

Keywords:

Online instruction, patient triage, triage accuracy, triage knowledge

Abstract

Patient triage is a tool for effective resource management in caring of emergency patients. Nurses must have triage knowledge and skills to properly sort emergency patients based on their severity. This quasi-experimental study aimed to examine effects of using an Emergency Department Patient Triage Online Instruction on knowledge and accuracy in patient triage of nurse. The adult learning theory was used as the conceptual framework. The participants were 23 registered nurses working in emergency departments, which were purposive sampling from the Royal Thai Army hospitals. The study was conducted between April 2019 to May 2020. The research instrument was the Emergency Department Patient Triage Online Instruction, including 6 content topics and the practice scenarios. Data collection was done using the Emergency Patient Triage Knowledge Test and the Emergency Patient Triage Accuracy Record Form. The Wilcoxon matched-pairs signed-rank test was used to compare the knowledge and triage accuracy before and after online learning. The findings showed that the participants’ knowledge scores were statistically significantly higher than the scores before studying (p <.001), and the triage accuracy scores were statistically significantly higher than the scores before studying (p <.001). These findings reveal that online instruction can improve nurses’ knowledge and skill in patient triage at the emergency department.

Author Biographies

Poonsap Jaikhomsuk, Fort Surasakmontri Hospital, Lampang

 

 

Suparat Wangsrikhun, Faculty of Nursing, Chiang Mai University

 

 

Achara Sukonthasarn, Faculty of Nursing, Chiang Mai University

 

 

References

Standfield LM, Burlington NC. Clinical decision making in triage: an integrative review. J Emerg Nurs. 2015;41(5):396–403.

Sukswang S. Triage nurse: Beyond main process through practice. Journal of Health Sciences Scholarship. 2018;5(2):2-14. (in Thai)

Suamchaiyaphum K, Chanrungvanich W, Thosingha O, Momsomboon A. Factor influencing the accuracy of Emergency Severity Index-Based emergency patient triage. Journal of Thailand Nursing and Midwifery Council. 2019;34(4):34-47. (in Thai)

Sennunt K, Tosingha O, Sindhu S. Emergency resuscitation in trauma patients: A literature Analysis. Thai Journal of Nursing Council. 2008;23(3):26-39. (in Thai)

Wachiradilok P, Sirisamutr T, Chasit S, Sethasathien A. A nationwide survey of thailand emergency departments triage systems. Thai Journal of Nursing Council. 2016;30(2):96-108. (in Thai)

Wangsrikhun S. Quality improvement of patient triage at emergency departments. Nursing Journal. 2018;45(3):158-169. (in Thai)

Songwatthanayuth P, Watthanakorn K, Niamkoet P. Using web-based instruction and selfregulation to health promotion and prevention breast cancer in working women. Journal of Thai Royal Thai Army Nurses. 2021;22(1): 56-64. (in Thai)

Thammetar T. E-learning: from theory to practice. Nonthaburi: Sahamitr printing & publishing; 2014. (in Thai)

Khlaisang J. E-learning project Thai cyber university designing learning website: theory to practice. Bangkok: Siamprint; 2011. (in Thai)

Voutilanion A, Saaranen T, Sormunen M. Conventional vs. e-learning in nursing education: A systematic review and meta-analysis. Nurse Education Today. 2016;50:97-103.

Promton M, Wangsrikhun S, Sukonthasarn A. Effect of using computer assisted instruction for emergency department triage on nurses’ triage accuracy. Nursing Journal. 2019;46(1): 65-75. (in Thai)

Knowles M, Holton EF, Swanson RA. The adult learner: the definitive classic in adult education and human resource development. 6thed. Boston: Elsevier; 2005.

Polit DF, Hungler BP. Nursing research: Principle and methods (6thed.). altimore: Lippincott; 1999

Edlund J. Strategies for optimizing online learning in nursing staff education. (thesis). Gran Forks: University of North Dakota; 2016.

Knowles M. A theory of adult learning: Andragogy. The adult learner: A neglected species. 4thed. Houston: Gulf Publishing Company; 1990.

Cercone K. Characteristics of adult learners with implications for online learning design. Association for the Advancement of Computing in Education Journal. 2008; 16(2):137-159.

Huang HM. Toward constructivism for adult learners in online learning environment. British Journal of Educational Technology. 2002;33(1):27-37.

Curran-Smith J, Best S. An experience with an online learning environment to support a change in practice in an emergency department. Computers, Informatics, Nursing. 2004;22(2): 107-110.

Considine J, Botti M, Thomas S. Do knowledge and experience have specific roles in triage decision-making? Academic Emergency Medicine. 2007;14(8):722-726.

Downloads

Published

02-01-2023

How to Cite

1.
Jaikhomsuk P, Wangsrikhun S, Sukonthasarn A. Effects of Using Emergency Department Patient Triage Online Instruction on Knowledge and Accuracy in Patient Triage of Nurse. J Royal Thai Army Nurses [Internet]. 2023 Jan. 2 [cited 2024 Apr. 26];23(3):352-61. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/258260

Issue

Section

Research Articles