A Survey of Triage Nurses Before and After the Implementation of a Five Category, Two-Tiered, Comprehensive Triage System

2.50
Hdl Handle:
http://hdl.handle.net/10755/162894
Type:
Presentation
Title:
A Survey of Triage Nurses Before and After the Implementation of a Five Category, Two-Tiered, Comprehensive Triage System
Abstract:
A Survey of Triage Nurses Before and After the Implementation of a Five Category, Two-Tiered, Comprehensive Triage System
Conference Sponsor:Emergency Nurses Association
Conference Year:2003
Author:Weber, Elisabeth K., RN, MA, CEN
Contact Telephone:773/868-8960
Clinical Topic: The intent of this survey was to determine the perceptions of triage nurses when changing from a three to five category triage system in an emergency department with an annual volume of 40,000 visits. Utilizing a survey tool before and after a major process change such as a triage redesign, allowed us to determine if the triage change made a perceptible difference in emergency department operations. Implementation: A twenty-one question, self-developed survey tool, utilizing a five point Likert type scale, assessed ED triage nurse perceptions one-week prior and six months following the implementation of a five-category triage redesign. Pre-Implementation, eighteen surveys were distributed with fifteen returned (83% response rate). At six months post-implementation, seventeen surveys were distributed and eleven were returned (65% response rate). The tool assessed only those registered nurses who had at least six months of triage experience in the old system, were employed at least twenty hours per week (0.5 FTE), and were still employed six months after the implementation. The questions were within the categories of access, impact, availability of the triage nurse and communication. Outcomes: Access: Pre-implementation, there was a perception that patients did not have satisfactory access to the triage nurse. Post implementation demonstrated an improvement in patient access to the triage nurse. Impact: An increase from pre- to post-implementation on triage nurse perception of patient satisfaction, crowd control, and the ability to influence the hospital's image was reported. Ability to order laboratory and radiology tests changed from inconsistent to consistent. Availability: The availability of the triage nurse to patients and families showed considerable enhancement in the new system compared to the old. Communication: The communication between the triage nurse and the charge nurses increased. Incidental findings: The triage nurses who completed the survey perceived that the length of the triage interview was cut in half, from 6 to 3 minutes. In addition, there was no change in the triage nurses ability to influence the pace of the ED. Recommendations: It is valuable to survey the nurses performing triage in addition to collecting objective process data when a new system is implemented. This survey demonstrated that, subjectively, the new system was able to enhance triage nurse experiences in several key areas of ED operations. In addition, the nurses were obviously interested in validating their feelings and perceptions as demonstrated by the high survey return rates. It would be valuable to survey nurses in other hospitals who undergo a triage process redesign to determine if improved access and other finding were consistent. [Clinical Poster]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Survey of Triage Nurses Before and After the Implementation of a Five Category, Two-Tiered, Comprehensive Triage Systemen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162894-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Survey of Triage Nurses Before and After the Implementation of a Five Category, Two-Tiered, Comprehensive Triage System</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Weber, Elisabeth K., RN, MA, CEN</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">773/868-8960</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Eweber@childrensmemorial.org</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: The intent of this survey was to determine the perceptions of triage nurses when changing from a three to five category triage system in an emergency department with an annual volume of 40,000 visits. Utilizing a survey tool before and after a major process change such as a triage redesign, allowed us to determine if the triage change made a perceptible difference in emergency department operations. Implementation: A twenty-one question, self-developed survey tool, utilizing a five point Likert type scale, assessed ED triage nurse perceptions one-week prior and six months following the implementation of a five-category triage redesign. Pre-Implementation, eighteen surveys were distributed with fifteen returned (83% response rate). At six months post-implementation, seventeen surveys were distributed and eleven were returned (65% response rate). The tool assessed only those registered nurses who had at least six months of triage experience in the old system, were employed at least twenty hours per week (0.5 FTE), and were still employed six months after the implementation. The questions were within the categories of access, impact, availability of the triage nurse and communication. Outcomes: Access: Pre-implementation, there was a perception that patients did not have satisfactory access to the triage nurse. Post implementation demonstrated an improvement in patient access to the triage nurse. Impact: An increase from pre- to post-implementation on triage nurse perception of patient satisfaction, crowd control, and the ability to influence the hospital's image was reported. Ability to order laboratory and radiology tests changed from inconsistent to consistent. Availability: The availability of the triage nurse to patients and families showed considerable enhancement in the new system compared to the old. Communication: The communication between the triage nurse and the charge nurses increased. Incidental findings: The triage nurses who completed the survey perceived that the length of the triage interview was cut in half, from 6 to 3 minutes. In addition, there was no change in the triage nurses ability to influence the pace of the ED. Recommendations: It is valuable to survey the nurses performing triage in addition to collecting objective process data when a new system is implemented. This survey demonstrated that, subjectively, the new system was able to enhance triage nurse experiences in several key areas of ED operations. In addition, the nurses were obviously interested in validating their feelings and perceptions as demonstrated by the high survey return rates. It would be valuable to survey nurses in other hospitals who undergo a triage process redesign to determine if improved access and other finding were consistent. [Clinical Poster]</td></tr></table>en_GB
dc.date.available2011-10-27T10:35:58Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:35:58Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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