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Clinical decisions using the National Triage Scale: how important is postgraduate education?

Considine, Julie, Ung, Lerma and Thomas, Shane 2001, Clinical decisions using the National Triage Scale: how important is postgraduate education?, Accident and emergency nursing, vol. 9, no. 2, pp. 101-108, doi: 10.1054/aaen.2000.0209.

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Title Clinical decisions using the National Triage Scale: how important is postgraduate education?
Author(s) Considine, JulieORCID iD for Considine, Julie orcid.org/0000-0003-3801-2456
Ung, Lerma
Thomas, Shane
Journal name Accident and emergency nursing
Volume number 9
Issue number 2
Start page 101
End page 108
Publisher Churchill Livingstone
Place of publication Edinburgh, Scotland
Publication date 2001-04
ISSN 0965-2302
Summary Triage is the formal nursing assessment of all patients who present to an Emergency Department (ED). The National Triage Scale (NTS) is used in most Australian EDs. Triage decision making involves the allocation of every patient presenting to an ED to one of the five NTS categories. The NTS directly relates a triage category to illness or injury severity and need for emergency care. Triage nurses’ decisions not only have the potential to impact on the health outcomes of ED patients, they are also used, in part, to evaluate ED performance and allocate components of ED funding. This study was a correlational study that used survey methods. Triage decisions were classified as ‘expected triage’, ‘overtriage’ or ‘undertriage’ decisions. Participant’s qualifications were allocated to five categories: ‘nil’; ‘emergency nursing’; ‘critical care nursing’; ‘midwifery’; and ‘tertiary’ qualifications. There was no correlation between triage decisions and length of experience in emergency nursing or triage. ‘Expected triage’ decisions were more common when the predicted triage category was Category 3 (P< 0.001) and ‘overtriage’ decisions were less common when the predicted triage category was Category 2 (P< 0.0010). The frequency of ‘undertriage’ decisions decreased significantly when the predicted triage category was Category 3 (P< 0.001) or Category 4 (P< 0.001). There was no correlation between triage decisions and qualifications in the ‘nil’, ‘emergency nursing’ or ‘critical care nursing’ categories. A midwifery qualification demonstrated a positive correlation with ‘expected triage’ decisions (P = 0.048) and a negative correlation with ‘undertriage’ decisions (P = 0.012). There was also a positive correlation between a tertiary qualification and ‘expected triage’ decisions (P = 0.012).
Language eng
DOI 10.1054/aaen.2000.0209
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2001, Harcourt Publishers Ltd
Persistent URL http://hdl.handle.net/10536/DRO/DU:30004253

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
Centre for Quality and Patient Safety Research
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