BACKGROUND: Most current triage tools have been tested among hospital nurses groups but there are not similar studies in university setting. In this study we analyzed if a course on a new fourlevel triage model, triage emergency method (TEM), could improve the quality of rating in a group of nursing students. METHODS: This observational study was conducted with paper scenarios at the University of Parma, Italy. Fifty students were assigned a triage level to 105 paper scenarios before and after a course on triage and TEM. We used weighted kappa statistics to measure the inter-rater reliability of TEM and assessed its validity by comparing the students' predictions with the triage code rating of a reference standard (a panel of fi ve experts in the new triage method). RESULTS: Inter-rater reliability was K=0.42 (95%CI: 0.37–0.46) before the course on TEM, and K=0.61 (95%CI: 0.56–0.67) after. The accuracy of students' triage rating for the reference standard triage code was good: 81% (95%CI: 71–90). After the TEM course, the proportion of cases assigned to each acuity triage level was similar for the student group and the panel of experts. CONCLUSION: Among the group of nursing students, a brief course on triage and on a new inhospital triage method seems to improve the quality of rating codes. The new triage method shows good inter-rater reliability for rating triage acuity and good accuracy in predicting the triage code rating of the reference standard.

Effect of a triage course on quality of rating triage codes in a group of university nursing students:a before-after observational study / Parenti, N; Bacchi Reggiani, Ml; Sangiorgi, D; Serventi, V; Sarli, Leopoldo. - In: WORLD JOURNAL OF EMERGENCY MEDICINE. - ISSN 1920-8642. - 4:(2013), pp. 20-25. [10.5847/wjem.j.1920-8642.2013.01.004]

Effect of a triage course on quality of rating triage codes in a group of university nursing students:a before-after observational study.

SARLI, Leopoldo
2013-01-01

Abstract

BACKGROUND: Most current triage tools have been tested among hospital nurses groups but there are not similar studies in university setting. In this study we analyzed if a course on a new fourlevel triage model, triage emergency method (TEM), could improve the quality of rating in a group of nursing students. METHODS: This observational study was conducted with paper scenarios at the University of Parma, Italy. Fifty students were assigned a triage level to 105 paper scenarios before and after a course on triage and TEM. We used weighted kappa statistics to measure the inter-rater reliability of TEM and assessed its validity by comparing the students' predictions with the triage code rating of a reference standard (a panel of fi ve experts in the new triage method). RESULTS: Inter-rater reliability was K=0.42 (95%CI: 0.37–0.46) before the course on TEM, and K=0.61 (95%CI: 0.56–0.67) after. The accuracy of students' triage rating for the reference standard triage code was good: 81% (95%CI: 71–90). After the TEM course, the proportion of cases assigned to each acuity triage level was similar for the student group and the panel of experts. CONCLUSION: Among the group of nursing students, a brief course on triage and on a new inhospital triage method seems to improve the quality of rating codes. The new triage method shows good inter-rater reliability for rating triage acuity and good accuracy in predicting the triage code rating of the reference standard.
Effect of a triage course on quality of rating triage codes in a group of university nursing students:a before-after observational study / Parenti, N; Bacchi Reggiani, Ml; Sangiorgi, D; Serventi, V; Sarli, Leopoldo. - In: WORLD JOURNAL OF EMERGENCY MEDICINE. - ISSN 1920-8642. - 4:(2013), pp. 20-25. [10.5847/wjem.j.1920-8642.2013.01.004]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/2781735
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