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BMC Emergency Medicine
Springer Nature
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Abstract
Background Emergency nurses play a pivotal role in delivering efficient emergency healthcare, yet they often
encounter numerous challenges, especially while managing life-threatening cases, impacting both their well-being
and patient satisfaction. This study seeks to identify the prevalent challenges faced by these nurses in Saudi hospitals
when handling Canadian Triage and Acuity Scale (CTAS1 and CTAS2) cases, with the aim of mitigating or managing
these issues in the future.
Methods This study incorporated a mixed-method approach to identify obstacles in Emergency Department
(ED) nursing treatment of CTAS1 and CTAS2 cases in two major Saudi Arabian hospitals. The research began with
qualitative focus group interviews with expert ED nurses, followed by a quantitative survey to measure and explore
relationships among the qualitative findings. Data analysis leveraged qualitative thematic analysis and principal
component analysis, ensuring rigorous examination and validation of data to drive meaningful conclusions.
Findings From expert interviews, key challenges for emergency nurses were identified, including resource
management, communication, training compliance, and psychological factors. A survey of 172 nurses further distilled
these into five major issues: patient care management, handling critical cases, administration support, patient care
delay, and stress from patients’ families.
Conclusion Through a mixed-method approach, this study pinpoints five pivotal challenges confronting emergency
nurses in Saudi hospitals. These encompass difficulties in patient care management, the psychological toll of handling
critical cases, inadequate administrative support, delays due to extended patient stays, and the stress induced by the
presence of patients’ families, all of which significantly impede emergency department efficiency and compromise
nurse well-being.
Keywords Triage, Emergency nurses, Emergency obstacles, Emergency challenges, Saudi Arabia
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