Purpose
This study aimed to comprehensively understand the experiences of emergency nurses performing triage during the peak and plateau periods of the Coronavirus Disease 2019 (COVID-19) pandemic over the past two years. Methods: Twenty triage nurses from three emergency medical centers were recruited through purposive and snowball sampling. Data collection occurred from February to May 2022 via focus group interviews and was analyzed using qualitative content analysis. Results: The experiences of emergency nurses in triage revealed four themes: "changes in priorities due to infectious diseases", "barriers to tirage", "the emotional burden experienced by triage nurses", and "the journey toward growth". The pandemic heightened the focus on infection screening in triage. Triage nurses faced numerous challenges concerning their own safety and that of their patients and encountered difficulties in performing triage. Nonetheless, these experiences provided them with opportunities for professional growth. Conclusion: The experiences of nurses performing triage during the peak and plateau periods of the COVID-19 pandemic provide valuable insights for future preparedness and coping strategies in the face of similar infectious disease outbreaks. It is necessary to establish integrated triage guidelines for patient safety, develop operations manuals for triage, implement policies on staffing standards, and provide mental health support for triage nurses during pandemics.

Purpose
The triage process in the emergency department is a complex decision-making task influenced by individual competence and a multitude of factors. Unlike patient-related factors, nurse-related factors can be improved through education. This study sought to determine the impact of grit, self-leadership, and communication skills of emergency department nurses on their triage competency.
Methods
We surveyed a convenience sample of 152 emergency department nurses to evaluate their grit, self-leadership, communication skills, and triage competency. The differences in these skills and competencies were analyzed according to the participants' general characteristics using the independent t-test and one-way analysis of variance. Hierarchical regression analysis was performed to identify the factors influencing nurses' triage competency.
Results
Triage experience, self-leadership, and communication skills influenced triage competency. Although triage competency can be positively impacted by knowledge gained from experience, expert assessment was identified as the least developed category of triage competency.
Conclusion
To improve nurses' triage competency, it is necessary to implement educational programs that utilize various methods to address self-leadership and communication skills. Moreover, reflective methods can be employed to help develop self-leadership, thereby improving triage competency. These findings can contribute to improving the work culture and the development of educational programs. Specifically, these programs should treat nurses' mistakes during work as learning opportunities rather than failures, thereby significantly advancing their competency.

Citations

• The Association Between Self‐Esteem, Assertiveness, and Professional Competence Among Palestinian Newly Graduated Emergency and Critical Care Nurses
  Malakeh Z. Malak, Ahamd Ayed, Anas Shehadeh, Moath Abu Ejheisheh, Ahmad Batran
  International Nursing Review.2025;[Epub]     CrossRef
• Experiences of Emergency Nurses Providing End‐of‐Life Care During the COVID‐19 Pandemic
  Alysha Cowley, Julia Morphet, Kimberley Crawford
  Journal of Advanced Nursing.2025;[Epub]     CrossRef

PURPOSE
The aim of this study was to verify the effect of simulation and examine the effect of within-team debriefing for cardiac arrest emergency nursing education.
METHODS
A non-equivalent control group quasi-experimental design was used. The participants in this study were 199 senior nursing students from one nursing school in Daegu, Korea. Data were analyzed using χ² test, t-test, Fisher's exact test with SPSS 22.0 program.
RESULTS
Developed simulation protocol in this study increased the learning immersion (t=12.19, p < .001, t=5.07, p < .001), learning confidence (t=−10.36, p < .001, t=−5.99, p < .001) and clinical performance ability (t=−10.88, p < .001, t=−3.84, p=.002) among nursing students. In addition to this, learning immersion (t=2.66, p=.008), learning confidence (t=−2.78, p=.006), simulation satisfaction (t=−3.15, p=.002) and clinical performance (t=−3.02, p=.005) were significantly higher in the experiment group using within-team debriefing.
CONCLUSION
The results indicate that simulation using within-team debriefing was an effective educational method for nursing students.

Citations

• The Effects of Simulation Based Practical Education on Nursing Students' Self-efficacy, Performance Confidence, and Educational Satisfaction
  Inok Kim
  Physical Therapy Rehabilitation Science.2024; 13(1): 18.     CrossRef
• Development of a Patient Safety Simulation Program for New Nurses in the Intensive Care Unit
  Su Jin Jung, Jin-Hee Park
  Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 100.     CrossRef
• SIMULAÇÃO NO ENSINO DE URGÊNCIA E EMERGÊNCIA PARA ENFERMAGEM
  Amanda Diniz Silva, Suzel Regina Ribeiro Chavaglia, Fabiana Cristina Pires, Caroline Bueno de Moraes Pereira, Ingrid Fidelix de Souza, Elizabeth Barichello, Rosali Isabel Barduchi Ohl
  Enfermagem em Foco.2022;[Epub]     CrossRef
• Effects of Peer-led Debriefing on Cognitive Load, Achievement Emotions, and Nursing Performance
  Yoon Hee Na, Young Sook Roh
  Clinical Simulation in Nursing.2021; 55: 1.     CrossRef
• The Effect of Team Debriefing-based Emergency Simulation Education
  Hwa Yeong Choi, Yeoungsuk Song
  Journal of Health Informatics and Statistics.2020; 45(2): 216.     CrossRef
• Learning Experience of Undergraduate Nursing Students in Simulation: A Meta-synthesis and Meta-ethnography Study
  Jihae Lee, Jieun Jeon, Sooyoung Kim
  Journal of Korean Academic Society of Nursing Education.2019; 25(3): 300.     CrossRef

PURPOSE
The purpose of this study was to examine the effects of music therapy on anxiety of patients in emergency room. METHODS: The study was designed using a noneqivalent control group nonsynchronized design. For 20 minutes, the experimental group(22 patients) had listened to music and the control group(23 patients) had bed rest. A six-item state anxiety scale developed by Marteau and Bekker, which was based on Spielberger's State-Trait Anxiety Inventory, blood pressure and pulse rate were measured to all study participants before and after the intervention. The data was analyzed by the SPSS 12.0 program. RESULTS: 1) The experimental group's state anxiety level were significantly lower than the control group's(t=2.220, p=.032). 2) There were no significant differences in both group's diastolic(t=-.495, p=.623) and systolic blood pressure(t=831, p=.411). 3) The experimental group's pulse rate was significantly lower than the control group's(t=2.363, p=.023). CONCLUSION: Music therapy may be applied as a nursing intervention to decrease anxiety in emergency room.