Abstract

Background:Triage in emergency departments is performed by nurses. In recent years, hospital triage has developed in Iran, and few studies have addressed nurses' competency in triage. Objective: The objective of this study was to assess the knowledge of nurses about triage in hospitals of Sistan-va-Balouchestan state in Iran.Methods:A survey was conducted among nurses in emergency departments (n = 10). The questionnaire was composed of factual knowledge questions about triage (n = 15) and triage decision-making questions (n = 10). Seventy nurses working in hospitals in Sistan-va-Balouchestan state participated. The questionnaire reliability was 0.60 using the test-re-test method. Content validity was considered based on Canadian Triage and Acuity Scale.Results:The response rate was 68% (70/102). Nurses proved to be unfamiliar with triage. Only 28% of their responses were correct. Only three emergency departments have specified special nurses to perform triage. Inter-rater agreement between nurses for all was r = 0.56 and for each nurse was r = 0.12.Conclusions:Emergency departments were not committed to a valid, reliable triage scale. Specialized education about hospital triage with a new approach is recommended. Further research on emergency department triage scales, standards, and guidelines is recommended.

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