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. 2019 Oct 12:8:e1619.
doi: 10.31661/gmj.v8i0.1619. eCollection 2019.

Challenges and Barriers Affecting the Quality of Triage in Emergency Departments: A Qualitative Study

Mostafa Bijani  1 , Ali Asghar Khaleghi  2
Affiliations

Challenges and Barriers Affecting the Quality of Triage in Emergency Departments: A Qualitative Study

Mostafa Bijani et al. Galen Med J. .

Abstract

Background: Correct and fast triage is the key to successful performance in emergency departments. Various factors can affect the quality of triage; therefore, the present study was conducted to identify and explore the existing challenges in triage units in emergency departments.

Materials and methods: The present study was a qualitative exploratory work conducted via the content analysis approach. Data were collected using in-depth, semi-structured interviews, and focus group interviews. Accordingly, 22 in-depth, semi-structured interviews were conducted in with 18 triage nurses and four emergency medicine specialists on a face-to-face basis.

Results: The challenges related to triage nurses fall into two subcategories; lack of clinical competency and psychological capabilities. The challenges related to emergency management consist of challenges in human resources management, structural, and performance.

Conclusion: The challenges existing in triage units are influenced by factors related to triage nurses and emergency management. Emergency administrators can improve the effectiveness and quality of triaging patients by empowering triage nurses and removing structural problems in triage units.

Keywords: Emergency Department; Nurses; Qualitative Research; Triage.

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References

    1. Yarmohammadian MH, Rezaei F, Haghshenas A, Tavakoli N. Overcrowding in emergency departments: A review of strategies to decrease future challenges. J Res Med Sci. 2017;22(1):23–27. - PMC - PubMed
    1. Love RA, Murphy JA, Lietz TE, Jordan KS. The effectiveness of a provider in triage in the emergency department: a quality improvement initiative to improve patient flow. Adv Emerg Nurs J. 2012;34(1):65. - PubMed
    1. Jordi K, Grossmann F, Gaddis GM, Cignacco E, Denhaerynck K, Schwendimann R. et al. Nurses’ accuracy and self-perceived ability using the Emergency Severity Index triage tool: a cross-sectional study in four Swiss hospitals. Scand J Trauma Resusc Emerg Med. 2015;23:62. - PMC - PubMed
    1. Robinson DJ. An integrative review: Triage protocols and the effect on ED length of stay. J Emerg Nurs. 2013;39(4):398–408. - PubMed
    1. Buschhorn HM, Strout TD, Sholl JM, Baumann MR. Emergency medical services triage using the emergency severity index: is it reliable and valid? J Emerg Nurs. 2013 Sep;39(5):e55–63. - PubMed

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