Pediatric triage education for nursing students: Examining the effectiveness of multimedia training

Rapid and accurate triage is essential in pediatric emergency departments to ensure timely care and improve patient outcomes. Nursing students' professional capability in triage plays a crucial role in safe clinical practice. Innovative educational strategies such as multimedia training may enhance learning effectiveness compared to traditional methods. This study aimed to evaluate the effect of multimedia-based pediatric triage training on nursing students' professional capability in triage and provision of safe care.

A randomized controlled trial with intervention and control groups was conducted (July 2024-February 2025) among 80 nursing students in western Iran. Participants were randomly assigned to multimedia or lecture groups. Both groups received four training sessions; however, the intervention group received multimedia-based instruction, while the control group received lecture-based teaching. Safe nursing care was considered the primary outcome, and professional capability was considered the secondary outcome. Outcomes were assessed at baseline, immediately post-intervention, and one month post-intervention using validated questionnaires. Data were analyzed using repeated-measures ANOVA and independent t-tests.

Baseline scores did not differ significantly between groups. At immediate post-intervention, the multimedia group showed higher safe care scores than the lecture group (mean difference = 14.96, Cohen's d = 1.32, 95% CI: 11.3-18.6, p = 0.01), and this improvement was sustained at one-month follow-up (mean difference = 15.86, Cohen's d = 1.41, 95% CI: 12.1-19.6, p = 0.01). For professional capability, the multimedia group also demonstrated higher scores at immediate post-intervention (mean difference = 15.83, Cohen's d = 1.51, 95% CI: 12.2-19.4, p = 0.01) and at one month (mean difference = 13.70, Cohen's d = 1.30, 95% CI: 10.3-17.1, p = 0.01), indicating a consistent improvement with large effect sizes in both outcomes.

Multimedia-based education appears to enhance nursing students' perceived triage competence and safe care performance more effectively than traditional lectures. The magnitude and persistence of improvements suggest meaningful educational relevance in pediatric emergency preparation. These findings support integrating multimedia approaches into nursing curricula. Further studies using objective performance-based assessments and patient-related outcomes are recommended.