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1.
Perceptions of patient safety culture among triage nurses in the emergency department : a cross-sectional study
Zvonka Fekonja, Sergej Kmetec, Nataša Mlinar Reljić, Jožica Černe Kolarič, Majda Pajnkihar, Matej Strnad, 2023, original scientific article

Abstract: The patient safety culture is key to ensuring patient safety in healthcare organizations. The triage environment is inherently demanding for patient safety and is characterized by high stress, rapid decision-making, and quick action. In several countries, including Slovenia, there is a lack of studies on the patient safety culture among triage nurses. This study aimed to assess the perceptions of the patient safety culture among triage nurses. A cross-sectional survey design was used. The Emergency Medical Services-Safety Attitudes Questionnaire, distributed to triage nurses, was used to collect data. A total of 201 triage nurses participated in this study. The results revealed that the overall average perception of the patient safety culture was 57.27% (SD = 57.27), indicating that the perception of the patient safety culture among triage nurses in the emergency department was non-positive and requires improvement. “Job Satisfaction” received the highest score (63.18%; SD = 17.19), while “Working Conditions” received the lowest (49.91%; SD = 17.37). The perception of positive and negative safety culture responses was statistically significant for age (χ2 (3) = 17.750, p ≤ 0.001), education (χ2 (2) = 6.957, p = 0.031) and length of working experience (χ2 (3) = 8.875, p = 0.031). The findings emphasize the significance of improving the safety culture in relation to several areas of patient care during the triage process. This research serves as a crucial foundation for enhancing patient safety in triage, providing quality care, and reducing adverse events.
Keywords: triage, patient safety, perception, safety management, emergency medical services
Published in DKUM: 07.04.2025; Views: 0; Downloads: 1
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2.
Innovative nursing care : education and research
scientific monograph

Abstract: Higher life expectancy on a global level requires complex nursing care as poor education and a lack of knowledge can lead to mistakes. There is a need for nurses who can provide high quality and advanced nursing practice. A mix of well-grounded education and innovative research is needed, where the first provides an understanding of best nursing practice care delivery and the second helps nurses determine best practices and improve nursing care. Provides a current and in-depth picture of actual nursing challenges in education, research, and clinical practice. Helpful in nursing students' education in broader nursing care fields and different approaches in holistic nursing care.
Keywords: nursing care, palliative care, dementia, emergencies, triage, education, COVID-19, older people, children, nursing students
Published in DKUM: 27.11.2023; Views: 471; Downloads: 16
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3.
Association between triage nurses' job satisfaction and professional capability: results of a mixed-method study
Urška Fekonja, Matej Strnad, Zvonka Fekonja, 2022, original scientific article

Abstract: Aim This study aims to examine factors related to the job satisfaction of triaging nurses and their professional capability in the clinical setting. Background Triage is a complex process that relies on making decisions in favour of the patient and his treatment. The professional capability of a triaging nurse is an important psychological construct of job satisfaction. Methods The study used a mixed-method methodology, with data collection based on an explanatory research design. The research instrument in the quantitative part was a survey questionnaire, and in the qualitative part, a semi-structured interview. The results were integrated using the ‘Pillar Integration Process’. Results There are significant relationships between professional capability and job satisfaction. Six main topics were exposed: characteristics and traits, work organization, safety is the key, burdening circumstances, capability and self-evaluation. Conclusion Professional capability is associated with job satisfaction. The necessary managerial changes should be made to achieve job satisfaction and develop professional competence while focusing on already trained and competent triage nurses, as satisfied triage nurses will stay longer in the institution. Implications for Nursing Management The manager's job is to be aware of the level of job satisfaction, take care to develop their employee's professional capability and take action in case of disrupted balance.
Keywords: emergency, job satisfaction, joint display, nurse, professional capability, triage
Published in DKUM: 02.10.2023; Views: 436; Downloads: 61
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