Nursing Management إدارة التمريض

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Browsing Nursing Management إدارة التمريض by Author "Bashar Jamal Ali Siwad"

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    Assessment of Nurses’ Knowledge, Perceptions, and Challenges Regarding the Implementation of a Triage System in Pediatric Emergency Departments in the Southern West Bank, Palestine.
    (Al-Quds University, 2025-08-23) Bashar Jamal Ali Siwad; بشار جمال علي سواد
    The term "triage" originates from the French word "trier," which refers to the processes of sorting and organizing. The triage nurse play a pivotal, as the initial contact for children in emergency departments, ensuring timely identification of life-threatening conditions and optimizing patient flow to reduce wait times and prevent health deterioration. This study aimed to assess nurse’s knowledge, perceptions and challenges regarding the implementation of a triage system in pediatric emergency departments in the southern west bank, Palestine. A quantitative, cross-sectional design was used among nurses who work in pediatric emergency departments in hospitals of southern west bank, Palestine. Data was collected by using self-administered questionnaires. The sample consisted of 130 nurses selected via convenience sampling. The results of this study showed that the level of the nurses' objective knowledge about the implementation of triage at pediatric emergency departments across the southern West Bank hospitals is very low (45.2%), and also low for subjective knowledge (57.3%). The mean of nurses perceptions was high (4.06 ± 0.43) and the percentage mean is (81.2%). While the challenges were low, the mean was (3.35 ± 0.55) and the percentage mean (66.9%). There was a significant positive correlation (α = 0.05) between nurses’ knowledge and perceptions. But no significant correlation was found between nurse’s knowledge and their challenges about triage. Finally, significant negative correlation at the level of (α = 0.05) between nurses' perceptions and their challenges about triage. Regarding the sociodemographic factors that affect triage, the knowledge was affected by (Marital Status, Graduation University, and Monthly Income). On other hand, nurses perception was affected by (Age, Graduation University, Workplace, Monthly Income, and Years of Experience). And many factors were founded to affect nurses challenges regarding triage including (Gender, Graduation University, Workplace, and Receiving continuous educational programs). The study highlights a critical gap in nurses' objective knowledge of triage in pediatric emergency departments, with a mean score of only 45.2%, despite a higher perceived knowledge level. Addressing this discrepancy is essential, as improving nurses' knowledge could enhance their perceptions and ultimately mitigate the challenges faced in implementing effective triage practices. Key words: knowledge, perceptions, challenges, triage system, pediatric emergency departments, Palestine.