Volume 3, Issue 2 (Winter 2018 -- 2018)
Health in Emergencies and Disasters Quarterly 2018, 3(2): 77-84 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Hoseini S D, Khankeh H R, Dalvandi A, Saberinia A, Rezasoltani P, Mirzaeirad S Z. Comparing the Effect of the Two Educational Methods: Competency-Based, and Lecture, on the Knowledge and Performance of Nurses in the Field of Hospital Triage. Health in Emergencies and Disasters Quarterly 2018; 3 (2) :77-84
URL: http://hdq.uswr.ac.ir/article-1-172-en.html
URL: http://hdq.uswr.ac.ir/article-1-172-en.html
Seied Davood Hoseini1 
, Hamid Reza Khankeh 2, Asghar Dalvandi1 , Amin Saberinia3 , Pouria Rezasoltani4 , Seiedeh Zahra Mirzaeirad5
, Hamid Reza Khankeh 2, Asghar Dalvandi1 , Amin Saberinia3 , Pouria Rezasoltani4 , Seiedeh Zahra Mirzaeirad5
1- Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
2- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden. , hamid.khankeh@ki.se
3- Department of Emergency Medicine, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.
4- Department of Biostatics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
5- Department of Nursing, School of Nursing & Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.
2- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden. , hamid.khankeh@ki.se
3- Department of Emergency Medicine, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.
4- Department of Biostatics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
5- Department of Nursing, School of Nursing & Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.
Abstract: (6371 Views)
Background: The most critical issue in providing appropriate services to the large number of patients referring to emergency wards is the proper conduct of triage, by considering the shortage of personnel and the insufficiency of facilities. The learning of the triage can only be possible through retraining of nurses. Therefore, this study attempts to compare the two educational methods, competency-based training and lecture, and to compare their impact on the knowledge and performance of nurses regarding triage.
Materials and Methods: In this semi-experimental study, 75 nurses employed in the emergency wards of Fatemeh Al-Zahra, Rasul Akram, and Shahid Motahari hospitals were selected based on the inclusion criteria of the study. Nurses were placed in three groups (one control and two intervention, n=25) through a simple random method person groups of control and intervention. The researcher-made tools included “triage knowledge test” with 15 questions, and “triage performance checklist” that included 50 scores. The validity of the tests was performed through the formal and content method with the opinion of experts, and the reliability was verified through the test-retest method for which the Pearson Correlation Coefficient was 0.88. After examining the level of knowledge and performance, the intervention was carried out through two methods in the two groups. Eventually, a renewed test and the performance checklist were carried out for all the three groups and data were analyzed using SPSS software V. 21.
Results: There is a significant difference between the mean score for knowledge and performance in the two groups before and after intervention (P<0.05). Also, there was a significant difference between the two intervention groups and control in the mean difference of scores for knowledge and performance in conducting the triage (P<0.05). Comparison between the two intervention groups demonstrates that in the performance part, the competency-based group had a higher performance score (P<0.05).
Conclusion: Education and training through the competency-based method have more effect than lecture training on the performance of nurses in the field of triage. It is suggested to use this method for retraining of nurses in the field of triage.
Materials and Methods: In this semi-experimental study, 75 nurses employed in the emergency wards of Fatemeh Al-Zahra, Rasul Akram, and Shahid Motahari hospitals were selected based on the inclusion criteria of the study. Nurses were placed in three groups (one control and two intervention, n=25) through a simple random method person groups of control and intervention. The researcher-made tools included “triage knowledge test” with 15 questions, and “triage performance checklist” that included 50 scores. The validity of the tests was performed through the formal and content method with the opinion of experts, and the reliability was verified through the test-retest method for which the Pearson Correlation Coefficient was 0.88. After examining the level of knowledge and performance, the intervention was carried out through two methods in the two groups. Eventually, a renewed test and the performance checklist were carried out for all the three groups and data were analyzed using SPSS software V. 21.
Results: There is a significant difference between the mean score for knowledge and performance in the two groups before and after intervention (P<0.05). Also, there was a significant difference between the two intervention groups and control in the mean difference of scores for knowledge and performance in conducting the triage (P<0.05). Comparison between the two intervention groups demonstrates that in the performance part, the competency-based group had a higher performance score (P<0.05).
Conclusion: Education and training through the competency-based method have more effect than lecture training on the performance of nurses in the field of triage. It is suggested to use this method for retraining of nurses in the field of triage.
Type of Study: Research |
Subject:
Special
Received: 2017/07/10 | Accepted: 2017/10/20 | Published: 2018/01/1
Received: 2017/07/10 | Accepted: 2017/10/20 | Published: 2018/01/1
References
1. Faraji A, Khankeh HR, Hosseini MA, Abdi K, Rezasoltani P. Effect of simulated training course on preparedness of nurses to do pre-hospital triage. Journal of Health Promotion Management. 2013; 2(4):24-9.
2. Azizi F, Hoseini MA, Rahgozar M, Pazooki M. [Triage effect on the length of the waiting period to receive medical services and satisfaction of patients referred to the hospital (Persian)]. Paper presented at The 2nd National Emergency Medicine Conference; 2007 May 27; Tehran, Iran.
3. Djalali A, Khankeh H, Öhlén G, Castrén M, Kurland L. Facilitators and obstacles in pre-hospital medical response to earthquakes: A qualitative study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2011; 19(1):30. doi: 10.1186/1757-7241-19-30 [DOI:10.1186/1757-7241-19-30]
4. Afzali Moghadam M. [Hospital triage basics (Persian)]. Tehran: Teimourzadeh; 2012.
5. Taheri N. [Assessment of knowledge and activity of nurses in triage field in hospitals of Kerman University of Medical Sciences, 2005 (Persian)] [PhD dissertation]. Kerman: Kerman University of Medical Sciences; 2005.
6. Kamrani F, Ghaemipour F, Nikravan M, Alavi Majd H. [Prevalence of miss triage and outcomes under triage of patients in emergency department (Persian)]. Journal of Health Promotion Management. 2013; 2(3):17-23.
7. Mirhaghi AH, Roudbari M. [A survey on knowledge level of the nurses about hospital triage (Persian)]. Iranian Journal of Critical Care Nursing. 2011; 3(4):167-74.
8. Tadrisi SD, Siavash Vahabi Y, Ghayem Sh, Ebadi A, Daneshmandi M, Saghafinia M. [Comparing the effect of triage education in lecture and multimedia software on nurses learning (Persian)]. Iranian Journal of Critical Care Nursing Spring. 2011; 4(1):7-12.
9. Rafii F. [Educational leadership and supervision model for Iranian nursing student (Persian)]. Tehran: Iran University of Medical Science. 2002.
10. Memarian R, Kavosi A, Vanaki Z. The effect of retraining program competency based planning on nurses practice in cardiopulmonary resuscitation in emergency department. Iranian Journal of Nursing Reseach. 2013; 8(3):37-46.
11. Amouzeshi Z, Mohsenizadeh M, Amouzeshi A. Effect of teaching nursing process using integrated method (Concept map and advance organizer) on nursing students' clinical learning. Future of Medical Education Journal. 2015; 5(1):68-71.
12. Wong S. Nurse–teacher behaviours in the dinicai fieid: Apparent effect on nursing students' learning. Journal of Advanced Nursing. 1978; 3(4):369-72. doi: 10.1111/j.1365-2648.1978.tb00852.x [DOI:10.1111/j.1365-2648.1978.tb00852.x]
13. Marzuki MA, Hassan H, Wichaikhum O, Nantsupawat R. Continuing nursing education: Best practice initiative in nursing practice environment. Procedia - Social and Behavioral Sciences. 2012; 60:450–5. doi: 10.1016/j.sbspro.2012.09.405 [DOI:10.1016/j.sbspro.2012.09.405]
14. Rahmati H, Azmoon M, Meibodi MK, Zare N. Effects of triage education on knowledge, practice and qualitative index of emergency room staff: A quasi-interventional study. Bulletin of Emergency & Trauma. 2013; 1(2):69-75. PMCID: PMC4771226
15. Kalantarimeibidi M, Yadollahi A, Esfandiari S. The effect of education on the knowledge and practice of emergency department's nurses regarding the patients' triage. Tibb-i urzhāns-i Īrān. 2014; 1(1):40-4.
16. Tabatabai A, Mohammadnejad E, Salari A. Nursing students' awareness of triage in the emergency ward. Jorjani Biomedicine Journal. 2013; 1(1):30-4.
17. Mirhaghi AH, Roudbari M. A survey on knowledge level of the nurses about hospital triage. Iranian Journal of Critical Care Nursing. 2010; 3(4):167-74.
18. Asgari F, Mahjoub H, Jamali M, Khanjani H, Vahabi SR, Amani M, et al. The patient service quality in the emergency departments. Journal of Health Administration. 2005; 7(18):30-6.
19. Fan JY, Wang YH, Chao LF, Jane S-W, Hsu LL. Performance evaluation of nursing students following competency-based education. Nurse Education Today. 2015; 35(1):97–103. doi: 10.1016/j.nedt.2014.07.002 [DOI:10.1016/j.nedt.2014.07.002]
20. Gravina EW. Competency-based education and its effect on nursing education: A literature review. Teaching and Learning in Nursing. 2017; 12(2):117–21. doi: 10.1016/j.teln.2016.11.004 [DOI:10.1016/j.teln.2016.11.004]
21. Emamzadeh Ghasemi H, Vanaki Z, Memarian R. The effect of using "applied in-Service education model" on quality of nursing care in surgery unit. Iranian Journal of Medical Education. 2004; 4(2):13-21.
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Contact Information
Health in Emergencies and Disasters Quarterly
Health in Emergencies & Disasters Research Center, University of Social Welfare and Rehabilitation Sciences, Evin, Kudakyar Ave, Tehran, Iran.
Journal Tel: +9821 71732816 (2816)
Publisher Tel: +9821 4535 5555 - 4535 5000
