Legesse, Meyrema Seid (2017) Knowledge and Skill of Triaging with Associated Factors among Nurses Working in Adult Emergency Departments of Selected Addis Ababa Public Hospitals 2017 GC. Masters thesis, Addis Ababa University.
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Abstract
Background; Emergency Department triage is a small but vital part of health care. It is the initial phase of Emergency patient care, regardless of mode of arrival and point of care where the triggers make independent decisions regarding patients that have limited information. These decisions influence the entire patient visit in the department which is often made autonomously and under time constraints. ED triage is mostly performed by nurses. Nurses’ knowledge and skill has been cited as influential factor. But there has been no study conducted in Ethiopia with this area. So the purpose of this study was to asses knowledge and skill of nurses towards EDT and identifying factors affecting it among selected public hospital adult EDS of Addis Ababa, Ethiopia. Objective; To assess knowledge and skill of triaging with associated factors among nurses working in selected adult emergency departments of three public hospitals in Addis Ababa, Ethiopia from Dec 2016-June 2017GC. Method and materials; Both descriptive cross sectional and observational study design were used and data were collected using structured questioners, observational checklist, and equipment review guide. The study populations were all nurses who were (employ) working in adult emergency department of Tikur Anbesa Specialized hospital, AaBET trauma center and Alert specialized hospital. Data were analyzed by simple frequency, Bivariet and multiple logistic regressions using spss version 24 computer software. Result; response rate of the study were (98%). majority of the respondents were male 61(46.2%). more than three fourth (84.1%) of the respondents had BSC degree while the rest of them were diploma holders. nearly three fourth (72%) of respondents had poor knowledge with the mean score of (18.2, SD=3.8). More than half (67.4%) of respondents perceive their overall skill as good with the mean score of (mean=111, SD=9.4) and among the three hospitals observed two had nurses assigned for triage. Among the observed nurses blood pressure measurement, pulse rate and oxygen saturation was assessed by all nurse but respiratory rate was not assessed by (95%). breathing pattern, chest movement and pulse status was not assessed by majority of nurses. At Alert specialized hospital it was difficult to say there is triage in comparable with the other two. Because there is no nurse specifically assigned for triaging .in spite of this patient are categorized in priority group but they are not assigned to respective area. Triage skill had significant association with training experience and ED work experience. Conclusion and recommendation in conclusion the participants of this study had significance knowledge deficit with reliable skill. In addition the observational analysis shows gap among those selected hospital. To minimized and solve knowledge and skill gap and increase nurses competency the investigator recommend continuous training and refreshing courses followed by supportive supervision is important.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RT Nursing |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 18 Jul 2018 13:30 |
| Last Modified: | 18 Jul 2018 13:30 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7360 |
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