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Related Experiment Videos

Decision-making in A&E by expert nurses

J Marsden1

  • 1Manchester Metropolitan University.

Nursing Times
|December 2, 1998
PubMed
Summary
This summary is machine-generated.

Nurse practitioners in Accident & Emergency (A&E) services use a complex, hypothesis-driven decision-making framework for telephone triage. This study explores their expert knowledge in prioritizing urgent patient care.

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Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Emergency Medicine

Background:

  • Manchester Royal Eye Hospital's Accident & Emergency (A&E) service utilizes patient triage for prioritizing care.
  • The A&E service has implemented formalised telephone triage to extend patient assessment capabilities.

Purpose of the Study:

  • To investigate the decision-making processes employed by nurse practitioners during telephone triage in an A&E setting.
  • To explore the application of expert knowledge in telephone triage by nursing staff.

Main Methods:

  • Qualitative study involving interviews with nurse practitioners.
  • Analysis of decision-making processes in telephone triage.

Main Results:

  • Nurse practitioners engage in hypothesis testing during telephone triage.

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  • Decision-making is guided by a systematic and complex framework, reflecting expert knowledge.

    • Conclusions:

    • Telephone triage by experienced nurses relies on sophisticated cognitive processes.
    • Expertise in nursing significantly influences the effectiveness of emergency department triage systems.