Triage education in rural remote settings: A scoping review |
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| Affiliation: | 1. Emergency Department, Mackay Hospital and Health Service, Queensland Health, 475 Bridge Road, Mackay, QLD 4740, Australia;2. School of Nursing & Midwifery, and Menzies Health Institute Queensland, Griffith University, 170 Kessels Road, Nathan, QLD 4111, Australia;1. Department of Emergency Medicine, Brigham and Women''s Hospital, Boston, MA, United States;2. Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA, United States;3. Department of Emergency Medicine, Harvard Medical School, Boston, MA, United States;4. University Teaching Hospital at Mirebalais, Mirebalais, Haiti;5. Partners In Health, Boston, MA, United States;1. School of Nursing and Midwifery, Flinders University, Adelaide, South Australia, Australia;2. Xiangya Hospital, Central South University, Changsha, Hunan Province, China;1. Prince of Wales Hospital Emergency Department, Barker Street, Sydney, Australia;2. University of Technology Sydney, Faculty of Health, Sydney, Australia;3. Sutherland Hospital Emergency Department, Caringbah, Australia;4. The University of Sydney, School of Nursing, Sydney, Australia;1. Schwartz/Reisman Emergency Medicine Institute, Sinai Health System, Toronto, Ontario, Canada;2. Department of Family and Community Medicine, Division of Emergency Medicine, University of Toronto, Toronto, Ontario, Canada;3. Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada;4. Cancer Care Ontario, Ministry of Health and Long-Term Care, Toronto, Ontario, Canada;5. Sunnybrook Research Institute, Toronto, Ontario, Canada;6. Department of Emergency Medicine, University of Alberta, Edmonton, Alberta, Canada;7. School of Public Health, University of Alberta, Edmonton, Alberta, Canada;8. Division of Emergency Medicine, The University of Western Ontario, London, Ontario, Canada |
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| Abstract: | BackgroundTriage is a complex nursing task to prioritise patient care, based on acuity. Triage decisions can affect patient safety and must employ critical thinking. Graduate registered nurses are expected to triage in rural facilities, which is in contrast to current guidelines. The purpose of this review was; to discover how effective education support programs were in developing clinical decision-making skills for graduates at triage; and to determine what is known about triage education support programs for graduate or novice registered nurses undertaking triage in rural and remote settings.MethodA scoping review was undertaken to identify and analyse primary research articles following PRISMA guidelines, sourced from four electronic databases.Results6158 retrieved articles were found, after duplicate removal and screening against inclusion/exclusion criteria; fourteen articles were included. Themes included ‘variability of triage accuracy and assessment’; ‘education qualifications and experience’; and ‘training and supervision’.ConclusionThis review demonstrates significant gaps in the literature reporting on this topic area, particularly in the rural context. Common recommendations include standardised triage education strategies, and strategies that account for differences in resourcing levels. Further research is required to attempt to link education strategies in rural contexts to acceptable triage outcomes like triage accuracy. |
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| Keywords: | Education Emergency Nursing Rural Support program Training Triage |
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