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An educational framework for triage nursing based on gatekeeping, timekeeping and decision-making processes.

Margaret Fry1, Colleen Stainton

  • 1Emergency Department, St. George Hospital Kogarah, Sydney, NSW 2217, Australia. frym@sesiahs.nsw.gov.au

Accident and Emergency Nursing
|November 3, 2005
PubMed
Summary

Triage nurses in Australian emergency departments (EDs) manage care flow through gatekeeping, timekeeping, and decision-making. This study provides insights for educating nurses in these crucial ED practices.

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Area of Science:

  • Nursing
  • Emergency Medicine
  • Healthcare Management

Background:

  • Growing demand for accessible emergency department (ED) services has highlighted the triage nurse role.
  • Previous research focused on outcomes, neglecting the context and practices of triage nursing.
  • Limited evidence exists on preparing nurses for the complexities of the triage role.

Purpose of the Study:

  • To provide insights and understanding for educating and supporting triage nurses in Australian EDs.
  • To explore the nuanced practices and cultural orientation of triage nursing.
  • To address the gap in evidence regarding the preparation and support for triage nurses.

Main Methods:

  • A 12-month ethnographic study was conducted in Sydney metropolitan EDs.

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  • Data collection involved participant observation in four EDs.
  • Interviews were conducted with 10 triage nurses, followed by content and thematic analysis.

    • Main Results:

    • Triage nursing culture is embedded with notions of timeliness, efficiency, and equity.
    • Triage nurses maintain, negotiate, and restore the ED care cadence.
    • Key processes utilized by triage nurses include gatekeeping, timekeeping, and decision-making.

    Conclusions:

    • A comprehensive understanding of triage nursing processes was achieved.
    • An educational framework for triage nurses was developed.
    • The framework is based on the identified core processes: gatekeeping, timekeeping, and decision-making.