https://doi.org/10.4081/ecj.2024.12977
0
0
0
0
Smart Citations
0
0
0
0
Citing PublicationsSupportingMentioningContrasting
View Citations

See how this article has been cited at scite.ai

scite shows how a scientific paper has been cited by providing the context of the citation, a classification describing whether it supports, mentions, or contrasts the cited claim, and a label indicating in which section the citation was made.

Triage nurse staffing: a study on the need for model improvements

Authors

Arian Zaboli
zaboliarian@gmail.com
https://orcid.org/0000-0002-4204-8884
Innovation, Research and Teaching Service (SABES-ASDAA), Teaching Hospital of the Paracelsus Medical Private University (PMU), Bolzano, Italy.
Francesco Brigo
Innovation, Research and Teaching Service (SABES-ASDAA), Teaching Hospital of the Paracelsus Medical Private University (PMU), Bolzano, Italy.
Serena Sibilio
https://orcid.org/0000-0002-0223-3399
Institute of Nursing Science, University of Basel, Basel, Switzerland.
Gloria Brigiari
https://orcid.org/0009-0000-7274-4373
Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padua, Italy.
Magdalena Massar
https://orcid.org/0000-0001-6295-6241
Innovation, Research and Teaching Service (SABES-ASDAA), Teaching Hospital of the Paracelsus Medical Private University (PMU), Bolzano, Italy.
Gabriele Magnarelli
Emergency Department, Hospital of Merano-Meran (SABES-ASDAA), Merano-Meran, Italy; Lehrkrankenhaus der Paracelsus Medizinischen Privatuniversität, Salzburg, Austria.
Gianni Turcato
Department of Internal Medicine, Intermediate Care Unit, Hospital Alto Vicentino (AULSS-7), Santorso, Italy.

This study addresses the challenge of determining appropriate nurse staffing levels for triage in Emergency Departments (EDs). It evaluates whether existing nurse staffing models, typically designed for other hospital settings, can be effectively applied to triage. The research was conducted at Merano Hospital’s ED from January 1, 2021, to November 30, 2022, and involved an analysis of data from patient triage assessments. The findings indicate that standard ward staffing models are not easily adaptable to the triage environment, underscoring the need for a more systematic approach to calculating triage nurse staffing. The current Italian ministerial guidelines do not account for the unique demands and complexities of the triage setting.

Dimensions

Altmetric

PlumX Metrics

Plum Print visual indicator of research metrics
    No metrics available.
see details

Downloads

Citations

Crossref
Scopus
Google Scholar
Europe PMC
Zachariasse JM, van der Hagen V, Seiger N, et al. Performance of triage systems in emergency care: a systematic review and meta-analysis. BMJ Open 2019;9:e026471. DOI: https://doi.org/10.1136/bmjopen-2018-026471
Ministero della Salute. Linee di indirizzo nazionali sul triage intraospedaliero. 2019;8(1). Available from: https://www.salute.gov.it/imgs/C_17_pubblicazioni_3145_allegato.pdf
McHugh MD, Aiken LH, Sloane DM, et al. Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals. Lancet 2021;397:1905-13. DOI: https://doi.org/10.1016/S0140-6736(21)00768-6
Rosenberg K. Minimum nurse-to-patient Ratios Improve Staffing, Patient Outcomes. Am J Nurs 2021;121:57. DOI: https://doi.org/10.1097/01.NAJ.0000790644.96356.96
Aiken LH, Simonetti M, Sloane DM, et al. Hospital nurse staffing and patient outcomes in Chile: a multilevel cross-sectional study. Lancet Glob Health 2021;9:e1145-53. DOI: https://doi.org/10.1016/S2214-109X(21)00209-6
Butler M, Collins R, Drennan J, et al. Hospital nurse staffing models and patient and staff-related outcomes. Cochrane Database Syst Rev 2011;7:CD007019. DOI: https://doi.org/10.1002/14651858.CD007019.pub2
Reblora JM, Lopez V, Goh YS. Experiences of nurses working in a triage area: An integrative review. Aust Crit Care 2020;33:567-75. DOI: https://doi.org/10.1016/j.aucc.2020.01.005
Cetin SB, Eray O, Cebeci F, et al. Factors affecting the accuracy of nurse triage in tertiary care emergency departments. Turk J Emerg Med 2020;20:163-7. DOI: https://doi.org/10.4103/2452-2473.297462
Zaboli A, Sibilio S, Cipriano A, et al. Italian validation of the Manchester Triage System towards short-term mortality: a prospective observational study. Emerg Care J 2023;19:11443. DOI: https://doi.org/10.4081/ecj.2023.11443
Gräff I, Goldschmidt B, Glien P, et al. Nurse staffing calculation in the emergency department - performance-oriented calculation based on the Manchester Triage System at the University Hospital Bonn. PLoS One 2016;11:e0154344. DOI: https://doi.org/10.1371/journal.pone.0154344
Agenzia Nazionale per i Servizi Sanitari Regionali. Il personale del Servizio Sanitario Nazionale. 2022;10. Available from: https://www.agenas.gov.it/images/agenas/In%20primo%20piano/personale/personale_ssn_2022.pdf
Jung S, Yi Y. Incidence of overtriage and undertriage and associated factors: A cross-sectional study using a secondary data analysis. J Adv Nurs 2024;80:1405-16. DOI: https://doi.org/10.1111/jan.15895
Berkowitz D, Morrison S, Shaukat H, et al. Under-triage: a new trigger to drive quality improvement in the Emergency Department. Pediatr Qual Saf 2022;7:e581. DOI: https://doi.org/10.1097/pq9.0000000000000581
Kieft RA, de Brouwer BB, Francke AL, Delnoij DM. How nurses and their work environment affect patient experiences of the quality of care: a qualitative study. BMC Health Serv Res 2014;14:249. DOI: https://doi.org/10.1186/1472-6963-14-249
Van den Heede K, Cornelis J, Bouckaert N, et al. Safe nurse staffing policies for hospitals in England, Ireland, California, Victoria and Queensland: A discussion paper. Health Policy 2020;124:1064-73. DOI: https://doi.org/10.1016/j.healthpol.2020.08.003
Myers RA, Parikh PJ. Nurses' work with interruptions: an objective model for testing interventions. Health Care Manag Sci 2019;22:1-15. DOI: https://doi.org/10.1007/s10729-017-9417-3
Abu-Alhaija DM, Johnson KD. The emergency nurse responses to triage interruptions and how these responses are perceived by patients: An observational, prospective study. Int Emerg Nurs 2023;67:101251. DOI: https://doi.org/10.1016/j.ienj.2022.101251
Ausserhofer D, Zaboli A, Pfeifer N, et al. Errors in nurse-led triage: An observational study. Int J Nurs Stud 2021;113:103788. DOI: https://doi.org/10.1016/j.ijnurstu.2020.103788
Ouellet S, Galliani MC, Gélinas C, et al. Strategies to improve the quality of nurse triage in emergency departments: A realist review protocol. Nurs Open 2023;10:2770-9. DOI: https://doi.org/10.1002/nop2.1550

How to Cite

Zaboli, A., Brigo, F., Sibilio, S., Brigiari, G., Massar, M., Magnarelli, G., & Turcato, G. (2024). Triage nurse staffing: a study on the need for model improvements. Emergency Care Journal, 20(4). https://doi.org/10.4081/ecj.2024.12977
Copyright (c) 2024 the Author(s) Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.


Similar Articles

You may also start an advanced similarity search for this article.