Triage Training in Iran from 2010 to 2020: A Systematic Review on Educational Intervention Studies

Naser Javadi, Leili Rostamnia, Rasool Raznahan, Vahid Ghanbari

Abstract


Background: Accurate decision‑making in triage requires continuous education, so triage nurses should receive annual refresher courses. Identifying the most effective method can make the provision of practical education to triage staff in hospitals possible. This review was conducted with the aim to determine the effectiveness of triage education methods in Iran.

 Materials and Methods: In this systematic review on educational intervention studies, international and Iranian medical sciences databases were searched using a defined search strategy compatible with each database. PubMed, Scopus, Web of Science, Google Scholar, SID, Islamic Science Center (ISC), and IranDoc databases were searched for literature published from January 2010 to January 2020. The MeSH terms of “health care staff,” “triage,” “education,” and “Iran” in English and Persian were combined to develop a search strategy. Initially, 768 article titles were retrieved. Finally, 16 articles were selected for the review.

Results: All conducted studies were quasi‑experimental. Half of the studies had used a face‑to‑face approach for education (workshop, lecture, and simulation), and four studies had used lectures and pamphlets. All studies (except 1) reported that their educational intervention significantly improved nursing knowledge on triage.

Conclusions: Almost all studies had reported the effectiveness of an educational intervention in improving nurses’ triage knowledge. However, it seems that the non‑face‑to‑face method is superior to the face‑to‑face method because of its learner‑centeredness and cost‑effectiveness. Moreover, providing educational content using a blended learning approach (simulation and games) can enhance the effectiveness of triage education.

Keywords: 


Keywords


Delivery of health care, triage, education, Iran

Full Text:

PDF

References


Khanke H, Vaezi H, Nasiri A, Salari A, Moradian M, Akbari Y, et al. Hospital Triage in Disasters and Mass Casualty Accidents. 1st Tehran, Iran: Tandis; 2019. 66 p.

Hedayati H, Mogharrab M, Moasheri N, Sharifzadeh G. Studying of BUMS’ students’ knowledge about hospital triage in 2011. Mod Care J 2013;9:237 44.

Aghababaeian H, Sedaghat S, Taheri N, Mousavi SA, HabibiMoghadam M, Pourmotahari F. Evaluating knowledge and performance of emergency medical services staff regarding pre hospital triage. Iran Emerg Med J 2017;4:63 7.

Kamrani F, Ghaemipour F, Nikravan M, Majd HA. Prevalence of miss triage and outcomes under triage of patients in emergency department. JHPM 2013;2:17 23.

Haghigh S, Ashrafizade H, Mojaddami F, Kord B. A survey on knowledge level of the nurses about hospital triage. J Nurs Educ 2017;5:46 51.

Saberinia A, Vaezi H, Seyedhoseini Davarani S, Afzali Moghadam M, Hoseinnejad Nedaei H, Seyedhoseini S, et al. Instruction for implementation and principles of setting up a hospital triage system in the emergency department. Tehran: Ministry of Health and Medical Education, 2015.

Faraji A, Khankeh HR, Hosseini MA, Abdi K, Rezasoltani P. Effect of simulated training course on preparedness of nurses to do prehospital triage. JHPM 2013;2:24 9.

Mahmoudi H, Mohammadalizadeh A, Khaghanizade M. The effect of nurses’ triage training based on stabilization model on the patient’s waiting time in emergency department. Iran J Nurs 2015;30:44 51.

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. Bull Emerg Trauma 2013;1:69 75.

Pouraghaei M, Tabrizi JS, Moharamzadeh P, Ghafori RR, Rahmani F, Mirfakhraei BN. The effect of start triage education on knowledge and practice of emergency medical technicians in disasters. J Caring Sci 2017;6:119 25.

Azhough R, Vahdati SS, Faraji F, Faraji M, Ghorbanian M, Ramouz A, et al. One day triage course for nurses, it is essential. J Emerg Pract Trauma 2015;1:52 5.

Hoseini SD, Khankeh HR, Dalvandi A, Saberinia A, Rezasoltani P, Mirzaeirad SZ. 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 Emerg Disasters Quarterly 2018;3:77 84.

Farhadloo R, Nejad MK, Hoseini MHM, Vahedian M, Masoudi MP. Research paper: Investigating the effect of training with the method of simulation on the knowledge and performance of nursing students in the pre hospital triage. Health Emerg Disasters Quarterly 2018;3:123 30.

Abdoos M, Davarani SHSH, Nejad HH. Impact of training on performance of triage: A comparative study in Tehran emergency department. Int J Hosp Res 2016;5:122 5.

Khatiban M, Khazaei A, Karampourian A, Soltanian A, Asadi HK, Salimi R, et al. The effects of the emergency severity index triage education via problem based learning on the triage nurses’ performance and the patients’ length of stay in the emergency department. J of Clin Res Paramed Sci 2014;3:63 74.

Haghdoost Z, Safari M, Yahyavi H. Effect of Triage Education on knowledge, attitude and practice of nurses in Poursina Educational and Therapeutic Emergency center in Rasht. J Holist Nurs Midwifery 2010;20:14 21.

Delshad V, Shirazi FB. The effectiveness of participation based education on nurse performance in hospital Triage at disaster. Med Sci 2019;23:404 9.

Rostampour MJ, Kalroozi F, Pishgooie AH, Aliyari SH. The effect of triage education by pre advance organizer model on the knowledge staff disaster team nurses. Mil Caring Sci 2016;3:141 8.

Derakhshanfar H, Mahmoudi H, Noori S, Vafai A, Bozorgi F. Studying the efficiency triage at Shahid Beheshti Hospitals, Tehran, Iran. HealthMED J 2015;9:307 15.

Sedaghat S, Aghababaeian H, Taheri N, Moghadam AS, Maniey M, Ahvazi LA. Study on the level of knowledge and performance of North Khuzestan medical emergency 115 personnel on pre hospital triage. Iran J Crit Care Nurs 2012;5:103 8.

Ghanbaria V, Ardalan A, Zareiyan A, Nejatia A, Hanfling D, Bagheri A. Ethical prioritization of patients during disaster triage: A systematic review of current evidence. Int Emerg Nurs 2019;43:123 36.

Ghanbari V, Zareiyan A, Nejati A, Hanfiling D, Ardalan A. Review paper: Ethical patient prioritization in disaster triage: A protocol for a systematic review. Health Emerg Disasters Quarterly 2019;4:113 8.

Briggs J. Critical Appraisal Tools: Checklist for Quasi Experimental Studies. Joanna Briggs Institute; 2017. p. 1 7.

Meibidi MK, Yadollahi A, Esfandiari S. The effect of education on the knowledge and practice of emergency department’s nurses regarding the patients’ triage. Iran J Emerg Med 2014;1:40 4.

Ebrahimi M, Ghanbarzehi N, Gorgich ZG, Darban F, shirzadi F. The effect of triage training on the performance of triage nurses and emergency medical staff of Iranshahr. Int J Med Res Health Sci 2016;5:190 6.

Aliakbari F, Aein F, Bahrami M. Assessment competencies among emergency nurses for responding in disaster situation with objective structured clinical examination. JHPM 2014;3:47 57.

Delnavaz S, Hassankhani H, Roshanga F, Dadashzadeh A, Sarbakhsh P, Ghafourifard M, et al. Comparison of scenario based triage education by lecture and role playing on knowledge and practice of nursing students. Nurse Educ Today 2018;70:54 9.

Vahabi YS, Tadrisi SD, Ghayem S, Ebadi A, Daneshmandi M, Nia MS. Comparing the effect of triage education in lecture and multimedia software on nurses learning. Iran J Crit Care Nurs 2011;4:7 12.

Aghababaeiana H, Ahvazib LA, Moosavic A, Mazhina SA, Taheryd N, Nourie M, et al. Triage live lecture versus triage video podcast in pre hospital students’ education. Afr J Emerg Med 2019;9:81 6.

Ahmadreza Y, Elham ID, Shahla M. Utilizing mobile health method to emergency nurses’ knowledge about emergency severity index triage. J Educ Health Promot 2018;7:14 21.

Rouleau G, Gagnon M P, Côté J, Payne Gagnon J, Hudson E, Bouix Picasso J, et al. Effects of e learning in a continuing education context on nursing care: a review of systematic qualitative, quantitative and mixed studies reviews (protocol) BMJ Open 2017;7:e018441.

Moradi E, Didehban H. The status of mobile learning in medical universities: Comments, outcomes and challenges. J Med Cultiv 2018;27:133 45.

Ghezeljeh TN, Aliha JM, Haghani H, Javadib N. Effect of education using the virtual social network on the knowledge and attitude of emergency nurses of disaster preparedness: A quasi experiment study. Nurse Educ Today 2019;73:88 93.

Rostamnia L, Ghanbari V, Shabani F, Farahani A, Dehghan Nayeri N. Evidence based practice for cardiac intensive care unit nurses: An educational intervention study. J Contin Educ Nurs 2020;51:167 73.

Mohadesi H, Feizi A, Salemesafi R. Comparative study of effective teaching indicators from the viewpoints of faculty members and students of Urmia University of Medical Sciences. Bimonthly J Urmia Sch Nurs Midwifery 2012;9:464 71.

Tofoghiyan T, Monadi H, Nasrollahi S, Rakhshani MH. Prioritization of the effective teaching parameters; comparing the viewpoints of students and teachers of Sabzevar University of Medical Sciences. Bimonthly Educ Strateg Med Sci 2015;8:1 6.

Omidifar N, Yamani N, Yousefi A. The effect of ECG training workshop on medical students’ knowledge of ECG reading and interpretation. J Strides Dev Med Educ 2012;3:118 25.

Adib Hajbaghery M, Karimi H. Methods of teaching electrocardiogram: Which one is the best? A review studies. Iran J Med Educ 2016;16:21 9.

Liu Q, Peng W, Zhang F, Hu R, Li Y, Yan W. The effectiveness of blended learning in health professions: Systematic review and meta analysis. J Med Internet Res 2016;18:2 19.

Najafi H. Comparing of the effect of blended and traditional teaching on learning. J Res Med Educ 2019;11:54 63.

Moonaghi HK, Mohsenizadeh SM. Blended learning and its effectiveness in nursing education: Review. Jundishapur Educ Dev J 2019;10:29 40.

Hall JE, Guyton AC. Guyton and Hall Textbook of Medical Physiology Military Caring Sciences. 13rd ed. Mississippi, USA: Elsevier; 2016. p. 737 50.


Refbacks

  • There are currently no refbacks.