Triage knowledge and associated factors among emergency department nurses at Princess Marina hospital, Gaborone, Botswana.
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Date
2025
Authors
Tswaipe, Tshoganetso
Journal Title
Journal ISSN
Volume Title
Publisher
The University of Zambia
Abstract
Background: Overcrowding in emergency department (EDs) remains a global significant concern, often compromising the quality, safety, and timeliness patient care. To address this, the triage system has been implemented to prioritize patients based on the severity of their conditions and to ensure efficient utilization of limited resources. However, the effectiveness of triage system relies on the knowledge and competency of ED nurses. Adequate triage knowledge is critical for ensuring a accurate, prompt, and comprehensive patient assessments, which are vital for the delivery of safe and effective emergency care.
Aim; This study aimed to assess nurse's triage knowledge and associated factors among nurses in the ED at Princess Marina Hospital (PMH), Gaborone, Botswana.
Methods: The study employed a quantitative cross-sectional analytical design. A sampling method was utilized to include all 33 ED nurses working at PMH. Data was collected using a structured, self-administered questionnaire. Both descriptive and inferential analyses were computed using Statistical Package for Social Statistics (SPSS) version 27. Fisher’s Exact and binary logistic regression tests with corresponding confidence intervals (CI) and p-values were used to test associations between independent and dependent variables. Ethical clearance was obtained from relevant authorities, and informed consent was obtained from respondents.
Results: The results showed that 79% of respondents had adequate level of triage knowledge. Respondents’ age ( p=0.719), gender (p=0.393), marital status (p=0.763), level of nursing qualification (p=0.320), nursing experience (p=0.203), and training in emergency care (p=0.225) were not significantly associated with nurses’ triage knowledge.
Nursing Implication: The results underscore the significance of continuous triage education and training for ED nurses. Incorporating regular, structured training programs into hospital policies can assist maintain and enhance triage competence, ultimately improving patient outcomes in emergency departments.
Conclusion: The results of this study highlight the need for further research into the factors that influence triage information among emergency departments, particularly in the context of low-resource settings. Emergency department nurses should prioritize triage training to improve their knowledge in triage.
Keywords: Triage knowledge, Emergency department, Nurses, Work experience, Training, Botswana.
Description
Thesis of Master of Science in Emergency and Trauma Nursing.