Patient satisfaction with nursing triage care in hospital emergency departments: Scoping review

Meritxell López-Hernández , Montserrat Puig-Llobet , Lidia Miralles-Sánchez , Yolanda Moreno-Mateos , Jordi Galimany-Masclans
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Abstract

Introduction

Perceived quality of patient care is essential in healthcare, particularly in hospital emergency departments (EDs), where the triage process, performed by nurses, is fundamental yet under-researched. The aim is to explore patient satisfaction in triage, identify improvement opportunities, and provide guidance for future research to enhance ED care.

Methodology

A scoping review was conducted across databases including PubMed, CINAHL, Scopus, Cochrane, Joanna Briggs, Google, and Google Scholar. Empirical articles from January 2014 to December 2023 were selected, excluding non-face-to-face triage, pediatrics, and aspects not related to nursing care.

Results

Six studies were included, demonstrating a high level of patient satisfaction with triage, especially regarding nurses’ skills and professional competence, courtesy, respect, interest, and empathy. However, pain management and confidence in treatment scored lower. Patient satisfaction was related to age, gender, reason for consultation, and perception of nurses’ professional competence.

Discussion

Similar opinions were observed regarding areas for improvement in care and nurses’ skills in triage. The need for qualitative research and more rigorous sampling methods was highlighted.

Conclusions

Nurse training and education in triage are crucial for patient satisfaction. Further research is needed to evaluate the effectiveness of nursing interventions in triage and address remaining challenges.
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患者对医院急诊科分诊护理的满意度:范围审查。
简介患者对护理质量的感知在医疗保健中至关重要,尤其是在医院急诊科(ED)中,由护士执行的分诊过程是最基本的,但研究却不足。本研究旨在探讨患者对分诊过程的满意度,确定改进机会,并为今后加强急诊科护理的研究提供指导:方法:在PubMed、CINAHL、Scopus、Cochrane、Joanna Briggs、Google和Google Scholar等数据库中进行了范围审查。选取了 2014 年 1 月至 2023 年 12 月期间的经验性文章,排除了非面对面分诊、儿科以及与护理无关的方面:结果:共纳入六项研究,结果显示患者对分诊的满意度很高,尤其是对护士的技能和专业能力、礼貌、尊重、兴趣和同理心。然而,疼痛管理和对治疗的信心得分较低。病人的满意度与年龄、性别、就诊原因和对护士专业能力的看法有关:讨论:在护理有待改进的方面和护士的分诊技能方面,观察到了类似的意见。结论:护士在分诊方面的培训和教育需要进一步加强:护士在分诊方面的培训和教育对患者满意度至关重要。需要进一步开展研究,以评估分诊护理干预措施的有效性,并解决仍然存在的挑战。
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