ArticleBMC nursing2024
Triage-clinical reasoning on emergency nursing competency: a multiple linear mediation effect.
Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- IMPACT: Integrated Model For Patient Acuity, Care, And Triage Efficiency In Emergency Department.Journal of medical systems · 2026Article
- Relationship Between Emotional Labor and Job Performance in Emergency Nurses: Multiple Mediating Effects of Caring Ability and Communication Competency.Journal of nursing management · 2026Article
- Chinese adaptation and psychometric evaluation of the competence scale of actions of nurses in emergencies among emergency nurses.Frontiers in medicine · 2026Article
- Latent profile analysis of emergency nurses' pre-triage competence and its associated factors: a multicenter cross-sectional study.Frontiers in medicine · 2026Article
- A foundational triage system for improving accuracy in moderate acuity level emergency classifications.Communications medicine · 2025Article
- Effects of Critical Thinking Disposition, Clinical Judgement, and Nurse-Physician Collaboration on Triage Competency Among Triage Nurses.Healthcare (Basel, Switzerland) · 2025Article
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Authors and funding
2 authors.
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Abstract
backgroundTriage is the first step in providing prompt and appropriate emergency nursing and addressing diagnostic issues. Rapid clinical reasoning skills of emergency nurses are essential for prompt decision-making and emergency care. Nurses experience limitations in emergency nursing that begin with triage. This cross-sectional study explored the mediating effect of perceived triage competency and clinical reasoning skills on the association between Korean Triage and Acuity Scale (KTAS) proficiency and emergency nursing competency.
methodsA web-based survey was conducted with 157 emergency nurses working in 20 hospitals in South Korea between mid-May and mid-July 2022. Data were collected utilizing self-administered questionnaires to measure KTAS proficiency (48 tasks), perceived triage competency (30 items), clinical reasoning skills (26 items), and emergency nursing competency (78 items). Data were analyzed using the PROCESS macro (Model 6).
resultsPerceived triage competency indirectly mediate the relationship between KTAS proficiency and emergency nursing competency. Perceived triage competency and clinical reasoning skills were significant predictors of emergency nursing competency with a multiple linear mediating effect. The model was found have a good fit (F = 8.990, P <.001) with, a statistical power of 15.0% (R² = 0.150).
conclusionsThis study indicates that improving emergency nursing competency requires enhancing triage proficiency as well as perceived triage competency, which should be followed by developing clinical reasoning skills, starting with triage of emergency nurses.
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