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Pediatric Triage Education for the General Emergency Nurse: A Randomized Crossover Trial Comparing Simulation With
Journal of Emergency Nursing
|March 5, 2019
Summary
This study found that combining paper-based cases and high-fidelity simulation effectively improved pediatric triage accuracy for general emergency nurses. Despite improvements, undertriage of pediatric patients remains a concern needing further investigation.
Area of Science:
- Emergency Medicine
- Pediatric Nursing
- Healthcare Education
Background:
- Most pediatric emergency patients are treated in mixed-age departments by general nurses.
- Effective pediatric triage education methods for these nurses are not well-established.
- Prior research on pediatric triage tools like the Emergency Severity Index has focused on high-volume pediatric centers.
Purpose of the Study:
- To compare the effectiveness of paper-based cases versus high-fidelity simulation for pediatric triage education.
- To assess pediatric triage accuracy among general emergency nurses in a low-volume pediatric setting.
Main Methods:
- A randomized crossover study design was employed.
- General emergency nurses from a low-volume pediatric emergency department participated.
- Participants received two educational interventions in a random order: paper-based case studies and high-fidelity simulation.
Main Results:
- All nurses showed significant improvement in pediatric triage accuracy.
- A 73% triage agreement rate was achieved, but undertriage of pediatric patients persisted.
- No statistically significant difference in triage accuracy was found between the two educational methods or their order.
Conclusions:
- A combined approach using paper-based cases and high-fidelity simulation effectively enhanced pediatric triage accuracy for nurses with limited pediatric experience.
- This blended educational strategy may be a practical solution for improving pediatric triage skills.
- The persistent issue of pediatric patient undertriage warrants continued research.
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