The Effectiveness of Media Disc Triage Assessment on Clinical Reasoning Skills of Australasian Triage Scale (ATS) in Nursing Students
Abstract
Australasian Triage Scale (ATS) is a tool used by emergency department nurses to assess a patient's health status and prioritise services based on the severity of the patient's condition. Clinical Reasoning skills are cognitive processes in the form of theoretical applications and clinical abilities of a nurse in evaluating, diagnosing, and providing nursing care for patients based on information and condition. Objective: This study aims to evaluate the effectiveness of using learning tools by using media Disc Triage Assessment to improve clinical reasoning skills using ATS triage. Method: The research method used was quasi-experimental without control group design. A total of 193 nursing diploma students who passed the Emergency Nursing course were selected using purposive sampling. Therefore, the sample is 35 students. Data analysis was performed using Wilcoxon test. Result: The results were significant improvements across five domains of Nurses Clinical Reasoning Skills (NCRS): Assessment, Diagnosis, Intervention, Implementation, and Evaluation, all with p-values < 0.05. Conclusions: This has a significant positive effect on improving students' clinical reasoning skills in determining triage ATS. This shows can be effective in improving the ability of students to determine triage levels and make informed clinical decisions.
References
Andreatta, P. B., Maslowski, E., Petty, S., Shim, W., Marsh, M., Hall, T., Stern, S., & Frankel, J. (2010). Virtual reality triage training provides a viable solution for disaster-preparedness. Academic Emergency Medicine. https://doi.org/10.1111/j.1553-2712.2010.00728.x
Antara, I. G. N. P. J., Emy Darma Yanti, N. P., Md Vera Susiladewi, I. A., & Mariany Purnama Sari, P. (2023). The The Effectiveness of Poster Media on Increasing Nurses’ Knowledge about the Australasian Triage Scale (ATS). Nursing and Health Sciences Journal (NHSJ), 3(1), 61–66. https://doi.org/10.53713/nhs.v3i1.162
Australasian College for Emergency Medicine. (2019). Australasian Triage Scale. Retrieved from Https://Acem.Org.Au/Content-Sources/Advancing-Emergency-Medicine/Standards-Clinical-Resources/Triage/Australasian-Triage-Scale.
Blanié, A., Amorim, M. A., & Benhamou, D. (2020). Comparative value of a simulation by gaming and a traditional teaching method to improve clinical reasoning skills necessary to detect patient deterioration: A randomized study in nursing students. BMC Medical Education, 20(1), 1–12. https://doi.org/10.1186/s12909-020-1939-6
Fathoni, M., & Sangchan, H. (2013). Relationships between Triage Knowledge, Training, Working Experiences and Triage Skills among Emergency Nurses in East Java. Indonesia Nurse Media Journal of Nursing, 3(1), 511–525.
Gonzalez, L., Nielsen, A., & Lasater, K. (2021). Developing Students’ Clinical Reasoning Skills: A Faculty Guide. Journal of Nursing Education, 60(9), 485–493. https://doi.org/10.3928/01484834-20210708-01
Haines, C., & Long, A. (2013). The Australasian Triage Scale: examining emergency department nurses’ performance using computer and paper scenarios. . Annals of Emergency Medicine, 60(6), A17. https://doi.org/10.1016/j.annemergmed.2012.08.031
Holanda, F. L. de, Marra, C. C., & Cunha, I. C. K. O. (2019). Evidence of validity of the Competence Scale of Actions of Nurses in Emergencies. Revista Latino-Americana de Enfermagem, 27, e3128. https://doi.org/10.1590/1518-8345.2814.3128
Hu, F., Yang, J., Yang, B. X., Zhang, F. J., Yu, S. H., Liu, Q., Wang, A. L., Luo, D., Zhu, X. P., & Chen, J. (2021). The impact of simulation-based triage education on nursing students’ self-reported clinical reasoning ability: A quasi-experimental study. Nurse Education in Practice, 50(May 2019), 102949. https://doi.org/10.1016/j.nepr.2020.102949
Kumalasari, A. N., Sari, M. I., & Oktaria, D. (2021). Perbedaan Skor Clinical Reasoning Mahasiswa Tahap Pre-Klinik dan Tahap Kepaniteraan Klinik Fakultas Kedokteran Universitas Lampung The Differences of Clinical Reasoning Scores for Pre-Clinical Stage and Clinical Stage in Medical Faculty Lampung University. Medula, 11(April), 32–36.
Lee, J., Lee, Y. J., Bae, J., & Seo, M. (2016). Registered nurses’ clinical reasoning skills and reasoning process: A think-aloud study. Nurse Education Today, 46, 75–80. https://doi.org/10.1016/j.nedt.2016.08.017
Lisiswanti, R., & Tritama, T. K. (2017). Penilaian Kemampuan Clinical Reasoning Mahasiswa Kedokteran Menggunakan Clinical Performance Examination dan Objective Structured Clinical Examination. Jurnal Agromedicine, 4(1), 185–189.
Majumder, M. A. A., Sa, B., Alateeq, F. A., & Rahman, S. (2019). Teaching and Assessing Critical Thinking and Clinical Reasoning Skills in Medical Education. April, 213–233. https://doi.org/10.4018/978-1-5225-7829-1.ch012
Meadus, R. J., & Twomey, J. C. (2017). Men student nurses: the nursing education experience. Nursing Forum, 46(4), 269–279. https://doi.org/10.1111/j.1744-6198.2011.00239.x
Najafi, B., & Nasiri, A. (2023). Explaining Novice Nurses’ Experience of Weak Professional Confidence: A Qualitative Study. SAGE Open Nursing, 9, 23779608231153456. https://doi.org/10.1177/23779608231153457
Oh, W.-O., & Jung, M.-J. (2024). Triage-clinical reasoning on emergency nursing competency: a multiple linear mediation effect. BMC Nursing, 23(1), 274. https://doi.org/10.1186/s12912-024-01919-8
Park, H.-Y., & Kim, J.-S. (2017). Factors influencing disaster nursing core competencies of emergency nurses. Applied Nursing Research : ANR, 37, 1–5. https://doi.org/10.1016/j.apnr.2017.06.004
Pérez-Perdomo, A., & Zabalegui, A. (2024). Teaching Strategies for Developing Clinical Reasoning Skills in Nursing Students: A Systematic Review of Randomised Controlled Trials. Healthcare (Switzerland), 12(1). https://doi.org/10.3390/healthcare12010090
Pradanie, R., Noermanzah, Y., & Arifin, M. Z. (2021). The Effectiveness of Using Video as a Learning Media in Triage Training with the Australasian Triage Scale (ATS). Journal of Health Science and Prevention, 5(1), 1–10.
Saifan, A., Devadas, B., Daradkeh, F., Abdel-Fattah, H., Aljabery, M., & Michael, L. M. (2021). Solutions to bridge the theory-practice gap in nursing education in the UAE: a qualitative study. BMC Medical Education, 21(1), 1–11. https://doi.org/10.1186/s12909-021-02919-x
Soola, A. H., Mehri, S., & Azizpour, I. (2022). Evaluation of the factors affecting triage decision-making among emergency department nurses and emergency medical technicians in Iran: a study based on Benner’s theory. BMC Emergency Medicine, 22(1), 174. https://doi.org/10.1186/s12873-022-00729-y
Varndell, W., Hodge, M., & Fry, M. (2019). The use of the Australasian Triage Scale to improve patient flow in the emergency department: A systematic review. Australasian Emergency Care. Australasian Emergency Care, 22(4), 191–197.
Vierula, J., Hupli, M., Talman, K., & Haavisto, E. (2020). Identifying reasoning skills for the selection of undergraduate nursing students: a focus group study. Contemporary Nurse, 56(2), 120–131. https://doi.org/10.1080/10376178.2020.1743732
Yusuf, A. J., & Handayani, P. W. (2020). Implementation of the Australasian Triage Scale in the emergency department of a tertiary care hospital in Indonesia. , 7(3), 295-300. International Journal of Nursing Sciences, 7(3), 295–300.
Zaboli, A., Brigo, F., Sibilio, S., Mian, M., & Turcato, G. (2024). Human intelligence versus Chat-GPT: who performs better in correctly classifying patients in triage? The American Journal of Emergency Medicine, 79, 44–47. https://doi.org/10.1016/j.ajem.2024.02.008.
Copyright (c) 2024 Indonesian Journal of Global Health Research
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
