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Walking in--initial visualisation and assessment at triage
1IHCS, Bournemouth University, Royal London House, Christchurch Road, Bournemouth BH1 3LT, UK. bedwards@bournemouth.ac.uk
Accident and Emergency Nursing
|February 27, 2007
Summary
Nurses intuitively assess patient urgency at triage using
Area of Science:
- Nursing
- Emergency Medicine
- Qualitative Research
Background:
- Triage is a critical first step in emergency care.
- Understanding nurse reasoning during initial assessment is essential.
Purpose of the Study:
- To explore the process of 'initial visualisation' in nurse-led triage.
- To investigate how nurses make initial urgency assessments.
Main Methods:
- Grounded theory methodology was employed.
- 14 A&E nurses were video-recorded during 38 triage encounters.
- Nurse commentaries on recordings were analyzed.
Main Results:
- Nurses form an initial urgency judgment before direct interaction.
- This judgment relies on intuitive 'patient visualisation'.
- Visualisation involves assessing physiological signs and patient distress.
Conclusions:
- 'Initial visualising' is a core component of triage decision-making.
- Clinical setting research is crucial for understanding nurse reasoning.
- Further research should focus on real-time clinical observations.
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