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[Development of a Triage Competency Scale for Emergency Nurses]
Sun Hee Moon1, Yeon Hwan Park2
1Department of Nursing, College of Health and Welfare and Education, Gwangju University, Gwangju, Korea.
Journal of Korean Academy of Nursing
|July 4, 2018
Summary
A new Triage Competency Scale (TCS) was developed and validated for emergency nurses. This tool objectively assesses triage skills and aids in evaluating nursing education programs.
Area of Science:
- Nursing
- Emergency Medicine
- Healthcare Education
Background:
- Effective triage is critical in emergency departments.
- Assessing emergency nurses' triage competency is essential for patient safety.
- Existing tools for evaluating triage skills are limited.
Purpose of the Study:
- To develop a Triage Competency Scale (TCS) for emergency nurses.
- To evaluate the validity and reliability of the developed TCS.
Main Methods:
- Concept analysis to derive preliminary items.
- Expert review for item relevance and appropriateness.
- Administered questionnaire to 250 emergency nurses across 18 departments.
- Statistical analyses including item analysis, confirmatory factor analysis, contrasted group validity, and criterion-related validity.
Main Results:
- Developed a 30-item, 5-factor TCS with good model fit.
- Demonstrated significant differences in TCS scores across different proficiency levels (novice to proficient).
- Showed positive correlations between TCS scores and other measures of clinical decision-making and problem-solving.
Conclusions:
- The TCS is a valid and reliable instrument for objectively assessing emergency nurses' triage competency.
- The TCS can be utilized to evaluate the effectiveness of triage education programs.
- The scale supports the objective evaluation of nursing skills in emergency settings.
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