Factors affecting triage competence among emergency room nurses: A cross-sectional study

Seokhwa Hwang, Sujin Shin

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Aims and Objectives: The purpose of this study was to examine work-related stress, nurse–physician collaboration and clinical reasoning competence to identify the factors that affected the triage competence of emergency room nurses. Background: A quick and accurate treatment plan for patients is first determined by a triage nurse. Triage competence is an indispensable requirement for emergency room nurses. Design: A cross-sectional design was adopted. Methods: The participants comprised 156 emergency room nurses in South Korea who had more than 1 year of experience working in an emergency room. The collected data were analysed using SPSS 28.0. Self-reported data were collected via the Korean Nursing Stress, Nurse–Physician Collaboration, Nurse Clinical Reasoning, Emergency Room Nurse Triage Competence assessing work-related stress, nurse–physician collaboration, clinical reasoning competence and triage competence. In the analyses, multiple regression analysis using the enter method was conducted. We have followed through the STROBE checklist for the preparation of this manuscript. Results: Triage competence significantly differed according to the age (F = 9.93, p <.001), clinical experience (F = 18.82, p <.001), emergency department experience (F = 12.07, p <.001), triage experience (t = 4.40, p <.001) and if nurses had a triage certificate (t = 4.85, p <.001). The factors that influenced triage competence included clinical reasoning competence (β =.36, p <.001), emergency department experience (β =.21, p =.006), work-related stress (β =.18, p =.007) and nurse–physician collaboration (β = −.17, p =.009); these factors accounted for 38.1% of the variance in triage competence. Conclusion: The results of this study show that efforts to improve triage competence should be based on clinical reasoning. In addition, an effective plan should be devised to improve nurse–physician collaboration and work-related stress. Relevance to Clinical Practice: Education programmes should be developed to enhance clinical reasoning competence in order to improve triage competence. In addition, a method for managing work-related stress among nurses in emergency departments and programmes to enhance collaborative physician–nurse relations should be developed.

Original languageEnglish
Pages (from-to)3589-3598
Number of pages10
JournalJournal of Clinical Nursing
Issue number13-14
StatePublished - Jul 2023

Bibliographical note

Publisher Copyright:
© 2022 John Wiley & Sons Ltd.


  • clinical reasoning
  • occupational stress
  • physician–nurse relations
  • triage


Dive into the research topics of 'Factors affecting triage competence among emergency room nurses: A cross-sectional study'. Together they form a unique fingerprint.

Cite this