Acceptability of emergency department triage nurse's advice for patients to attend general practice: A cross-sectional survey.

Toloo, GS; Lim, D; Chu, K; Kinnear, FB; Morel, DG; Wraith, D; FitzGerald, G

Acceptability of emergency department triage nurse's advice for patients to attend general practice: A cross-sectional survey.

Toloo, GS Lim, D Chu, K Kinnear, FB Morel, DG Wraith, D FitzGerald, G

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Emerg Med Australas, 2022, 34, (3), pp. 376-384
Issue Date:: 2022-06

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Field	Value	Language
dc.contributor.author	Toloo, GS
dc.contributor.author	Lim, D
dc.contributor.author	Chu, K
dc.contributor.author	Kinnear, FB
dc.contributor.author	Morel, DG
dc.contributor.author	Wraith, D
dc.contributor.author	FitzGerald, G
dc.date.accessioned	2023-07-17T03:36:14Z
dc.date.available	2021-10-26
dc.date.available	2023-07-17T03:36:14Z
dc.date.issued	2022-06
dc.identifier.citation	Emerg Med Australas, 2022, 34, (3), pp. 376-384
dc.identifier.issn	1742-6731
dc.identifier.issn	1742-6723
dc.identifier.uri	http://hdl.handle.net/10453/171542
dc.description.abstract	OBJECTIVES: Demand for ED care is increasing at a rate higher than population growth. Strategies to attenuate ED demands include diverting low-acuity general practice-type ED attendees to alternate primary healthcare settings. The present study assessed the ED attendees' receptiveness to accept triage nurse's face-to-face advice to explore alternate options for medical care and what factors influence the level of acceptance. METHODS: The ED attendees of four major public hospital EDs in Brisbane were surveyed between August and October 2018, using a questionnaire informed by Health Belief Model's cues to action. RESULTS: Of the 514 valid responses, 81% of respondents were very likely/likely to accept the triage nurse's advice to see a general practitioner. Self-perceived urgency of presenting condition/s (odds ratio [OR] 0.87, 95% confidence interval [CI] 0.78-0.97), not having confidence in general practitioner (OR 0.37, 95% CI 0.21-0.66) and having a medical record at the hospital (OR 0.60, 95% CI 0.36-0.99) were negatively associated with the likelihood of accepting the advice. For every point increase in perceived seriousness, the odds of accepting the advice decreased by 16% (95% CI 6-25%). CONCLUSION: Most of the participants believed that EDs were for emergent care and they attended the ED because they perceived their presenting condition/s to be serious and/or urgent. The acceptability of face-to-face advice by triage nurse to seek help in general practice was influenced by perceived threats of the illness, and the underlying beliefs about availability, accessibility, suitability and affordability of the service.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Emerg Med Australas
dc.relation.isbasedon	10.1111/1742-6723.13903
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	1103 Clinical Sciences, 1117 Public Health and Health Services
dc.subject.classification	Emergency & Critical Care Medicine
dc.subject.classification	3202 Clinical sciences
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Emergency Service, Hospital
dc.subject.mesh	General Practice
dc.subject.mesh	General Practitioners
dc.subject.mesh	Humans
dc.subject.mesh	Triage
dc.subject.mesh	Humans
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Emergency Service, Hospital
dc.subject.mesh	Triage
dc.subject.mesh	General Practitioners
dc.subject.mesh	General Practice
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Emergency Service, Hospital
dc.subject.mesh	General Practice
dc.subject.mesh	General Practitioners
dc.subject.mesh	Humans
dc.subject.mesh	Triage
dc.title	Acceptability of emergency department triage nurse's advice for patients to attend general practice: A cross-sectional survey.
dc.type	Journal Article
utslib.citation.volume	34
utslib.location.activity	Australia
utslib.for	1103 Clinical Sciences
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	in_progress	*
dc.date.updated	2023-07-17T03:36:13Z
pubs.issue	3
pubs.publication-status	Published
pubs.volume	34
utslib.citation.issue	3

Abstract:

OBJECTIVES: Demand for ED care is increasing at a rate higher than population growth. Strategies to attenuate ED demands include diverting low-acuity general practice-type ED attendees to alternate primary healthcare settings. The present study assessed the ED attendees' receptiveness to accept triage nurse's face-to-face advice to explore alternate options for medical care and what factors influence the level of acceptance. METHODS: The ED attendees of four major public hospital EDs in Brisbane were surveyed between August and October 2018, using a questionnaire informed by Health Belief Model's cues to action. RESULTS: Of the 514 valid responses, 81% of respondents were very likely/likely to accept the triage nurse's advice to see a general practitioner. Self-perceived urgency of presenting condition/s (odds ratio [OR] 0.87, 95% confidence interval [CI] 0.78-0.97), not having confidence in general practitioner (OR 0.37, 95% CI 0.21-0.66) and having a medical record at the hospital (OR 0.60, 95% CI 0.36-0.99) were negatively associated with the likelihood of accepting the advice. For every point increase in perceived seriousness, the odds of accepting the advice decreased by 16% (95% CI 6-25%). CONCLUSION: Most of the participants believed that EDs were for emergent care and they attended the ED because they perceived their presenting condition/s to be serious and/or urgent. The acceptability of face-to-face advice by triage nurse to seek help in general practice was influenced by perceived threats of the illness, and the underlying beliefs about availability, accessibility, suitability and affordability of the service.

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http://hdl.handle.net/10453/171542