Triage decision-making and its relationship with burnout among nurses in Iranian emergency departments

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-07-05 DOI:10.1016/j.ienj.2025.101643

Kimia Mataei , Salam Vatandost , Namegh Dousti , Kamal Salehi

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引用次数: 0

Abstract

Background

Triage decision-making is a critical task for nurses in emergency departments, influenced by various factors, including burnout. This study aimed to explore the relationship between burnout and triage decision-making.

Method

A descriptive-analytical, cross-sectional study included 114 emergency nurses selected through total population sampling. Participants met criteria of voluntary participation, a nursing bachelor’s degree, and at least one year of emergency department experience. Data were gathered using a demographic form, the Maslach Burnout Inventory (MBI), and a triage decision-making questionnaire. Analysis was conducted in SPSS-22 using t-tests, ANOVA, and Pearson correlation, with significance set at P < 0.05.

Results

Participants had an average age of 32 years and 5 years of work experience. Of the group, 60 % were married, 72 % were childless, and 91 % held bachelor’s degrees. The mean triage decision-making score was 122.73 ± 16.13. Burnout prevalence was 32.1 %, with 52.6 % reporting high emotional exhaustion, 48.2 % high depersonalization, and only 1 % experiencing reduced job accomplishment. Triage decision-making showed an inverse correlation with burnout (r = -0.361, P = 0.001).

Conclusion

Burnout adversely impacts triage decision-making. Efforts to mitigate burnout—such as reducing workload, shortening work hours, increasing staffing, and offering stress management programs—may enhance decision-making quality.

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伊朗急诊科护士分诊决策及其与职业倦怠的关系

分诊决策是急诊科护士的一项重要任务，受多种因素的影响，包括职业倦怠。本研究旨在探讨职业倦怠与分诊决策的关系。方法对114名急诊护士进行描述性分析、横断面研究。参与者符合自愿参与、护理学士学位和至少一年急诊科工作经验的标准。数据收集使用人口统计表格，马斯拉克职业倦怠量表（MBI）和分诊决策问卷。采用SPSS-22进行分析，采用t检验、方差分析和Pearson相关，显著性设置为P <；0.05.结果调查对象平均年龄32岁，工作经验5年。在这些人中，60%已婚，72%没有孩子，91%拥有学士学位。分诊决策平均分为122.73±16.13分。倦怠患病率为32.1%，其中52.6%的人报告有高度情绪衰竭，48.2%的人报告有高度人格解体，只有1%的人报告工作成就感降低。分诊决策与职业倦怠呈负相关（r = -0.361, P = 0.001）。结论职业倦怠对分诊决策有不利影响。减轻倦怠的努力——比如减少工作量、缩短工作时间、增加人手、提供压力管理项目——可能会提高决策质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.