Triage is the process of determining the priority of emergency patients' treatments based on the severity of their condition. Pediatric triage assessment is a rapid, focused evaluation to gather pertinent subjective and objective data to determine the severity of illness. This can be achieved through standardized triage approach. Patient satisfaction is considered an important indicator of the quality of care from the perspective of the consumer. Satisfied patients are more likely to comply with treatment, take an active role in their own care. The study aims to improve children emergency care satisfaction through standardized approach of pediatric triage. This is a quasi-experimental study design, which was carried out at Pediatric Emergency Department at Al-Menshawy General Hospital, Tanta City. Purposive sample of one hundred children were involved in the study. They were divided into two groups' fifty children in each one. Data was collected from the period of June to the end of September 2013. Two tools were used to collect data, the first tool was a questionnaire sheet used to collect socio-demographic data. The second tool was a Consumer Emergency Satisfaction Scale (CECSS). The results of this study revealed that, 60% of the triage group was satisfied by emergency visit compared to 26% of the non-triage group. There was a statistical significant difference regarding total nursing care and total education between the triage and non-triage group. It is recommended to apply triage nursing care at all Emergency Departments.
| Published in | American Journal of Nursing Science (Volume 3, Issue 6) |
| DOI | 10.11648/j.ajns.20140306.11 |
| Page(s) | 91-99 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Emergency Care, Satisfaction, Standardized Approach, Pediatric Triage
| [1] | Lari M.A., Tamburini M. and Gray D., Patients' needs, satisfaction, and health related quality of life: Towards a comprehensive model, Health and Quality of Life Outcomes 2004; 2:32. http://www.hqlo.com. |
| [2] | Taylor, C. & Benger, J.R. Patient satisfaction in Emergency Medicine. Emergency Medicine Journal 2004; 12(3): 528-532. |
| [3] | Michael P. Simple tips to improve patient satisfaction, American Academy of Emergency Medicine, 2011;18(1):18–19 |
| [4] | Robertson S, Evolution of triage systems, Emerge Med J. February2006; 23(2): 154–155. |
| [5] | George S, Read S, Westlake L, Williams B, Pritty P, Fraser Moodie A. Nurse triage in theory and in practice. Archives of Emergency Medicine 1993; 10(3):220-8. |
| [6] | Australasian College for Emergency Medicine. Guidelines for implementation of the Australasian Triage Scale in Emergency Departments. http://www.acem.org.au/open/documents/triageguide.htm ed, 2000. |
| [7] | Merriam-Webster Online Dictionary Retrieved from http://www.merriam-webster.com/dictionary/triage,2008;12-05. |
| [8] | Whitby S, Ieraci S, Johnson D, Mohsin M. Analysis of the process of triage: the use and outcome of the National Triage Scale. Liverpool: Liverpool Health Service, 1997. |
| [9] | David W. Warren, MD; Anna Jarvis, MD., Louise LeBlanc, RN., Jocelyn Gravel, MD, and the CTAS National Working Group (NWG) Revisions to the Canadian Triage and Acuity Scale Pediatric Guidelines (Paed.CTAS), CJEM 2008;10(3):224-32. |
| [10] | Kathleen A. O’Neill, RN, MSN, and Kenneth Molczan, RN, MSN, Pediatric Triage: A 2-Tier, 5-Level System in the United States, Pediatric Emergency Care , Lippincott Williams & Wilkins, August 2003;19(4). |
| [11] | Ojanen Thomas D. Special considerations for pediatric triage in the Emergency Department. Nurs Clin North Am. 2002; 37:145–159. |
| [12] | Middleton DR, Burt CW., Availability of pediatric services and equipment in emergency departments: United States, 2002-2003. Advance Data 2006; 367:1-16. |
| [13] | Use of the ESI for Pediatric Triage, Emergency Severity Index (ESI) Implementation Handbook, Agency for healthcare research and quality, 2012 , chapter 6, www.hhs.gov. |
| [14] | Hohenhaus SM, Travers D, Mecham N. Pediatric triage: a review of emergency education literature. JEN 2008; 34(4):308-313. |
| [15] | Travers D, Agans R, Eitel D, Mecham N, Rosenau A, Tanabe P. Waller A. Reliability evaluation of the Emergency Severity Index Version 4 [Abstract]. Acad Emerge Med 2006; 13(5S):S126. |
| [16] | Gravel J, Gouin S, Bailey B, et al. Reliability of a computerized, version of the Pediatric Canadian Triage and Acuity Scale. Acad. Emerge Med 2007; 14:864-9. |
| [17] | Davis, B.A., Bush, H.A. and Thomas, S.W. Measuring consumer satisfaction with emergency department nursing care. Journal of Nursing Science1997; 2(1-2):35-47. |
| [18] | Briggs, J. K., & Grossman, V. Emergency nursing 5-tier triage protocols. Philadelphia: Lippincott Williams & Wilkins, 2006. |
| [19] | Travers D, Waller A, Katznelson J, Agans R. Reliability and validity of the Emergency Severity Index for pediatric triage. Acad Emerge Med 2009; 16(9):843-849. |
| [20] | Rockville, MD., Emergency Severity Index (ESI) Implementation Handbook, 2012 Edition: Chapter 6. Use of the ESI for Pediatric Triage. November 2011. Agency for Healthcare Research and Quality, http://www.ahrq.gov/professionals/systems/hospital/esi/esi6.html |
| [21] | Y F Choi, T W Wong, and C Lau, Triage rapid initial assessment by doctor (TRIAD) improves waiting time and processing time of the emergency department, Emerge Med J. April 2006; 23(4): 262–265. |
| [22] | Harding KE, Taylor NF, Leggat SG, and Stafford M., Effect of triage on waiting time for community rehabilitation: a prospective cohort study. Arch Phys Med Rehabil. 2012; 93(3):441-5. |
| [23] | Daniel I, the Relationship between Nurse Staffing and Patient Satisfaction in Emergency Departments, Institute of Health Policy, Management and Evaluation University of Toronto, 2012. |
| [24] | Kane, R. L., Shamliyan, T., Mueller, C., Duval, S. & Wilt, T. J. "Nursing Staffing and Quality of Patient Care." Evidence Report/Technology Assessment No. 151 Agency for Healthcare Research and Quality2, 007; 1-115. |
| [25] | Bacon, C. T. & Mark, B."Organizational effects on patient satisfaction in hospital medical-surgical units." Journal of Nursing Administration 2009; 39: 220-227. |
| [26] | Laschinger, H., Gilbert, S. & Smith, L. "Nursing Outcomes; the State of the Science." Jones & Barlett, Learning, 2011, ISBN 978-0-7637-8325-9. |
APA Style
Sahar Mahmoud El-Khedr Abd El-Gawad. (2014). Improving Children Emergency Care Satisfaction through Standardized Approach of Pediatric Triage. American Journal of Nursing Science, 3(6), 91-99. https://doi.org/10.11648/j.ajns.20140306.11
ACS Style
Sahar Mahmoud El-Khedr Abd El-Gawad. Improving Children Emergency Care Satisfaction through Standardized Approach of Pediatric Triage. Am. J. Nurs. Sci. 2014, 3(6), 91-99. doi: 10.11648/j.ajns.20140306.11
AMA Style
Sahar Mahmoud El-Khedr Abd El-Gawad. Improving Children Emergency Care Satisfaction through Standardized Approach of Pediatric Triage. Am J Nurs Sci. 2014;3(6):91-99. doi: 10.11648/j.ajns.20140306.11
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ajns.20140306.11,
author = {Sahar Mahmoud El-Khedr Abd El-Gawad},
title = {Improving Children Emergency Care Satisfaction through Standardized Approach of Pediatric Triage},
journal = {American Journal of Nursing Science},
volume = {3},
number = {6},
pages = {91-99},
doi = {10.11648/j.ajns.20140306.11},
url = {https://doi.org/10.11648/j.ajns.20140306.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20140306.11},
abstract = {Triage is the process of determining the priority of emergency patients' treatments based on the severity of their condition. Pediatric triage assessment is a rapid, focused evaluation to gather pertinent subjective and objective data to determine the severity of illness. This can be achieved through standardized triage approach. Patient satisfaction is considered an important indicator of the quality of care from the perspective of the consumer. Satisfied patients are more likely to comply with treatment, take an active role in their own care. The study aims to improve children emergency care satisfaction through standardized approach of pediatric triage. This is a quasi-experimental study design, which was carried out at Pediatric Emergency Department at Al-Menshawy General Hospital, Tanta City. Purposive sample of one hundred children were involved in the study. They were divided into two groups' fifty children in each one. Data was collected from the period of June to the end of September 2013. Two tools were used to collect data, the first tool was a questionnaire sheet used to collect socio-demographic data. The second tool was a Consumer Emergency Satisfaction Scale (CECSS). The results of this study revealed that, 60% of the triage group was satisfied by emergency visit compared to 26% of the non-triage group. There was a statistical significant difference regarding total nursing care and total education between the triage and non-triage group. It is recommended to apply triage nursing care at all Emergency Departments.},
year = {2014}
}
TY - JOUR T1 - Improving Children Emergency Care Satisfaction through Standardized Approach of Pediatric Triage AU - Sahar Mahmoud El-Khedr Abd El-Gawad Y1 - 2014/11/17 PY - 2014 N1 - https://doi.org/10.11648/j.ajns.20140306.11 DO - 10.11648/j.ajns.20140306.11 T2 - American Journal of Nursing Science JF - American Journal of Nursing Science JO - American Journal of Nursing Science SP - 91 EP - 99 PB - Science Publishing Group SN - 2328-5753 UR - https://doi.org/10.11648/j.ajns.20140306.11 AB - Triage is the process of determining the priority of emergency patients' treatments based on the severity of their condition. Pediatric triage assessment is a rapid, focused evaluation to gather pertinent subjective and objective data to determine the severity of illness. This can be achieved through standardized triage approach. Patient satisfaction is considered an important indicator of the quality of care from the perspective of the consumer. Satisfied patients are more likely to comply with treatment, take an active role in their own care. The study aims to improve children emergency care satisfaction through standardized approach of pediatric triage. This is a quasi-experimental study design, which was carried out at Pediatric Emergency Department at Al-Menshawy General Hospital, Tanta City. Purposive sample of one hundred children were involved in the study. They were divided into two groups' fifty children in each one. Data was collected from the period of June to the end of September 2013. Two tools were used to collect data, the first tool was a questionnaire sheet used to collect socio-demographic data. The second tool was a Consumer Emergency Satisfaction Scale (CECSS). The results of this study revealed that, 60% of the triage group was satisfied by emergency visit compared to 26% of the non-triage group. There was a statistical significant difference regarding total nursing care and total education between the triage and non-triage group. It is recommended to apply triage nursing care at all Emergency Departments. VL - 3 IS - 6 ER -
Information
Email: