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Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
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Telephone Triage Simulation Activity for Prelicensure Nursing Students.

Erin Ehly, Julie Fitzwater

    The Journal of Nursing Education
    |June 2, 2021
    PubMed
    Summary

    This pilot study evaluated a telephone triage simulation for nursing students. While students found the training useful, improvements are needed in documentation accuracy, pathophysiology, and patient teaching skills.

    Area of Science:

    • Nursing Education
    • Healthcare Simulation
    • Outpatient Care

    Background:

    • The evolving healthcare landscape necessitates enhanced nursing education.
    • Telephone triage skills differ significantly from in-person patient assessments.
    • Prelicensure nursing students require training in outpatient telephone triage.

    Purpose of the Study:

    • To assess the impact of a classroom simulation on nursing students' telephone triage knowledge.
    • To evaluate the effectiveness of a simulated telephone triage experience on nursing students' skills.

    Main Methods:

    • A classroom simulation focused on outpatient telephone triage protocols for lower respiratory illness was developed.
    • Nursing students participated in simulated patient encounters.

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  • Students completed documentation, reported to a provider, and filled out the Simulation Effectiveness Tool-Modified.
  • Main Results:

    • A high percentage of students (88%) found the telephone triage and outpatient nursing education beneficial.
    • Student-rated learning of pathophysiology and patient teaching scored lowest.
    • A significant number of students demonstrated inaccurate patient encounter documentation.

    Conclusions:

    • Curricular enhancements are recommended for accurate documentation in telephone triage.
    • Opportunities to improve pathophysiology and patient teaching components within the curriculum were identified.
    • The study highlights areas for refining nursing education in outpatient telephone triage.