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Emergency Severity Index version4 is the standard triage method in Iran. Effectiveness of training by lecture or e-Learning was investigated. But its effect on nurse performance in triage unit was not studied. The aim of this research is to study the impact of triage training by lecture, multimedia, and pamphlet on triage nurse performance and comparison of them. 21 triage nurses from three general hospitals in Kermanshah in three groups of 5, 6, and 10 persons were included. In each hospital only one method of training was introduced. Pre training variances of percentages of performance accuracy in three groups were homogeneous and pre training triage accuracy was similar in these groups. Post training performance was statistically improved in lecture group and multimedia group but in pamphlet group this improvement was not seen. According to study results multimedia training can be suggested as a good substitute for traditional lectures to improve triage nurse performance. Multimedia training offers the learner freedom to study in their preferred time and place and is more compatible to nurse shift work.
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