Knowledge on Triaging among Pediatric Nurses in Pediatric Emergency Services (PES)
Journal Title: IOSR Journal of Nursing and health Science - Year 2019, Vol 7, Issue 1
Abstract
Triage, is often one of the weakest parts of the health care system in low-income countries as compared to industrialized countries; but if well-organized it can be life-saving and cost-effective. Many hospitals in low-income countries lack a formal triage system. knowledge about triage is a key in triage decision making. Effective decision making can influence the health outcomes of presenting children. Anxious parents visiting Pediatric Emergency Services (PES) insist the management of their children first. Because of the potentiality for rapid deterioration of a child, children who require emergency life saving support are missed causing adverse effects. A descriptive design was undertaken to assess the knowledge of the nursing personnel regarding paediatric triaging in a tertiary care hospital of south India. Purposive sampling technique was employed and fifty nurses were recruited. Data was collected using a self administered questionnaire which had 25 triage scenarios to assess the nurses’ knowledge on triaging. The study findings revealed that, 26% of the respondents had good knowledge, 62% had moderate knowledge and 12% had inadequate knowledge on pediatric triaging. Seventy nine percentage of the nurses had adequate knowledge in identifying children with fever. It was noted that, nurses had moderate and inadequate knowledge in recognizing children with ear pain (54%), stomach pain (44%) ,infant with jaundice (54%), lymph node enlargement (60%), loose stool with vomiting (58%), allergic reaction (44%) and cry while micturation (54%). The study also found that, there was a significant association between nurse’s knowledge and years of experience in PES (p < 0.04).Present study showed nurses’ knowledge on triaging was moderate in many scenarios and to correct these deficits, immediate in-service training or education workshops can be carried out, followed by continuous professional development on a regular basis, including refresher training, supportive supervision and clinical skill sessions. The above syteps will facilitate nurses to develop skills in taking correct triage decision which will save lives of children visiting Emergency Services.
Authors and Affiliations
Margaret Manoharan, Vinitha Ravindran, Kala Ranjini, MD . Ebor Jacob DCh. , Mary A. Johnson, Ruma Nayak
Keywords
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- EP ID EP435249
- DOI 10.9790/1959-0701050105.
- Views 162
- Downloads 0
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