Quality of Pediatrics Emergency Triage and Associated Factors Nurses Working at Pediatric Unit of Public Hospital in Addis Ababa,Ethiopia: Institutional Based Cross-Sectional Study
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Date
2023
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Addis Ababa University
Abstract
Background: Triage is a way of categorizing patients based on their specific needs and the
resources available to treat their medical condition. Since misclassifying high-urgency patients as
low urgency levels slows diagnosis and treatment, which may raise the risk of morbidity or
fatality, the proper categorization of high-urgency patients is crucial for patient safety.
Objective: To assess the quality of triage and associated factors among nurses working in
pediatrics units of public hospitals in Addis Ababa, Ethiopia.
Method: Institutional-based cross-sectional study design was used to conduct this study in
selected public hospitals of Addis Ababa from March 3 to 27, 2023. The sample size was
determined by single population proportion formula by using correction formula and a total of
165 samples were included in the study. Data was collected by using a self-administered
questionnaire and observational checklist and then the data was coded, entered, and cleaned by
Epi data version 4.6 and exported to IBM SPSS Version 26 for analysis. . Bivariate logistic
regression analysis was used to check variables association with dependent variable individually.
Variables found to have association with the dependent variable (p-value up to 0.25) were
entered in to multiple logistic regression models for further analysis. Significant association was
considered with a P- value of 0.05 and confidence interval of 95%.
Result: This study has a 100% response rate and the quality of pediatric emergency triage is
31.5%. Only 52 (31.52%) respondents have good quality on triage whereas the majority
113(68.48%) have poor quality. Level of qualification (AOR = 4.72, 95% CI (1.19 – 18.7)),
Working experience (AOR=0.16, 95% CI (0.05-0.57)), Triage knowledge (AOR=0.02, 95% CI
(0.003-0.08)), Training on ETAT (AOR= 0.02, 95% CI (0.002-0.13)), Time taken to triage
patient (AOR=0.003, 95% CI (0.000-0.3)) were strongly associated with outcome.
Conclusion and Recommendation: The overall quality of Pediatric emergency triage services
in the study area was poor. To increase triage quality, it is essential to teach nurses on ETAT+
guidelines, and additional research on patient is preferable to increase triage quality
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Keywords
Pediatrics, Emergency, Triage, Quality