title: Can emergency nurses' triage skills be improved by online learning? Results of an experiment.
abstract: BACKGROUND
  Emergency nurses deal with increasing complexity of patients. In 2003 there were over 14 million ED visits in Canada. The Canadian Triage and Acuity Scale (CTAS) is a 5-level system used by ED triage nurses to classify patients. There is a need for standardized training for all triage systems. In an effort to improve access to CTAS training, a 6-week Web-based CTAS workshop was developed. We determined the impact of Web learning on the accuracy of the triage skills of registered nurses (RNs).
  
  
  METHODS
  An experimental method was used in which 132 RNs were randomized to an intervention group (n = 65) or control group (n = 67). All RNs received exactly the same content and learning activities. The experimental group differed from the control group in 3 ways: a mandatory tutorial, awarding of marks for online discussion, and completion of a workplace project. Data were collected using standard instruments, chart audit, and interviews.
  
  
  RESULTS
  The Web course provided a standardized and effective educational experience that enhanced emergency nurses' triage accuracy. The mandatory online tutorial, online discussion, and workplace project increased the RNs' preparation for online learning, and these educational methods were successful in transferring triage learning to practice.
  
  
  CONCLUSIONS
  Web learning can help professionals maintain competency and support professional practice. Further research is needed to provide evidence for best practices in E-learning for RNs. The accuracy of the RN's triage assessment impacts patient health, hospital accreditation, and funding.
authors: Faculty of Nursing, University of Calgary, 2500 University Dr NW, Calgary, Alberta, Canada. rankin@ucalgary.ca
authors: James A
authors: JA
authors: Rankin
authors: Karen L
authors: KL
authors: Then
authors: Lynda
authors: L
authors: Atack
mesh_terms: D000328:Adult; D002983:Clinical Competence; D020375:Education, Distance; D016529:Emergency Nursing / Q000193:education* / Q000592:standards; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014218:Triage / Q000145:classification / Q000592:standards*