Triage nurses' clinical decision making. An observational study of urgency assessment

Journal of Advanced Nursing

Volumn 35, Issue 4, 2001, Pages 550-561

  Gerdtz, Marie F ^a,b   Bucknall, Tracey K ^a  

^a Vic Ctr for Nursing Pract Res   (Australia)

^b UNIVERSITY OF MELBOURNE   (Australia)

Author keywords

Accident and emergency; Decision making; Emergency nursing; Patient assessment; Time and motion; Triage

Indexed keywords

ADULT; ANALYSIS OF VARIANCE; ARTICLE; AUSTRALIA; DECISION MAKING; EMERGENCY HEALTH SERVICE; EMERGENCY NURSING; FEMALE; HUMAN; INFORMATION PROCESSING; MALE; MIDDLE AGED; OBSERVATION; TASK PERFORMANCE;

ADULT; ANALYSIS OF VARIANCE; DATA COLLECTION; DECISION MAKING; EMERGENCY NURSING; FEMALE; HUMANS; MALE; MIDDLE AGED; OBSERVATION; TIME AND MOTION STUDIES; TRIAGE; VICTORIA;

EID: 0035432410     PISSN: 03092402     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1365-2648.2001.01871.x     Document Type: Article

References (38)

1. Australasian College for Emergency Medicine (2000) Guidelines for the Implementation of the Australasian Triage Scale in Emergency Departments. ACEM Policy Document. http://www.acem.org.au/ open/documents/triageguide.htm
2. Australian Commonwealth Department of Health and Family Services and The Australasian College for Emergency Medicine (1997) Australian National Triage Scale: A User Manual.
3. Benner P.A. (1984) From Novice to Expert: Excellence and Power in Clinical Nursing Practice, Addison-Wesley, California.
4. Beveridge R. (1999) Reliability of the Canadian emergency department triage and acuity scale: inter-rater agreement. Annals of Emergency Medicine 32, 155-159.
5. Bland M. & Altman D. (1995) Comparing two methods of clinical measurement: a personal history. International Journal of Epidemiology 24, S7-S14.
6. Brillman J.C., Doezema D., Tandberg D., Sklar D., Davis K., Simms S. & Skipper B. (1997) Triage: Limitations in predicting need for emergency care and hospital admission. Annals of Emergency Medicine 27, 493-500.
7. Bucknall T.K. (1996) Clinical decision making in critical care nursing practice: decisions, processes and influences. Doctoral Dissertation, La Trobe University, Melbourne.
8. Cairns C.B., Garrison H.G., Hedges J.R., Schriger D.L. & Valenzuela M.D. (1998) Development of new methods to assess the outcomes of emergency care. Academic Emergency Medicine 5, 157-161.
9. Carroll J.S. & Johnson E.J. (1990) Decision Research. A Field Guide, Sage, London.
10. Champion H.R., Sacco W.J. & Copes W.S. (1996) Trauma scoring. In Trauma, 3rd edn. Feliciano D.V., Moore E.E. & Mattox K.L., eds), Appleton Lange, Connecticut.
11. Cioffi J. (1998) Decision making by emergency nurses in triage assessments. Accident and Emergency Nursing 6, 184-191.
12. Dale J.R., Crouch R. & Lloyd D. (1998) Primary care: nurse-led telephone triage and advice out-of-hours. Nursing Standard 12, 41-45.
13. Dilley S. & Standen P. (1998) Victorian nurses demonstrate concordance in the application of the National Triage Scale. Emergency Medicine 10, 12-18.
14. Doherty S. (1996) Application of the National Triage Scale is not uniform. Australian Emergency Nursing Journal 1, 26.
15. Fitzgerald G. (1989) Emergency Department Triage. University of Queensland, Brisbane.
16. Fitzgerald G. (2000) Triage. In Textbook of Adult Emergency Medicine (Cameron P., Jelinek G., Kelly A.M., Murray L. & Heyworth J. eds), Harcourt Publishers Churchill Livingstone, Edinborough, pp. 584-588.
17. Fonteyn M. & Ritter B. (2000) Clinical reasoning in nursing. In Clinical Reasoning in the Health Professions (Higgs J. & Jones M. eds), Butterworth Heinmann, Oxford, pp. 107-116.
18. Freeman D.H. (1987) Applied Categorical Data Analysis, Marcel Dekker, New York.
19. George J.E. (1983) Triage risks. Journal of Emergency Nursing 9, 112-113.
20. Geraci E.B. & Geraci T.A. (1994) An observational study of the emergency triage role in a managed care facility. Journal of Emergency Nursing 20, 189-203.
21. Gerdtz M.F. & Bucknall T.K. (1999) Why we do the things we do: applying clinical decision making frameworks to triage practice. Accident and Emergency Nursing 7, 50-57.
22. Gerdtz M.F. & Bucknall T.K. (2000) Australian triage nurses' decision-making and scope of practice. Australian Journal of Advanced Nursing 18, 24-33.
23. Handysides G. (1996) Triage in Emergency Practice, Mosby, St Louis.
24. Harte J. & Koele P. (1997) Psychometric and methodological aspects of process tracing. In Decision Making: Cognitive Models and Explanations (Ranyard R., Crosier W. & Svensen O. eds), Routledge, New York, pp. 21-34.
25. Hourihan F., Bishop G., Hillman K.M., Daffurn K. & Lee A. (1995) The medical emergency team: a new strategy to identify and intervene in high risk patients. Clinical Intensive Care 6, 269-272.
26. Jelinek G.A. & Little M. (1996) Inter-rater reliability of the National Triage Scale over 11 500 simulated cases. Emergency Medicine 8, 226-230.
27. Lanros N.E. (1989) Assessment & Intervention in Emergency Nursing 3rd edn. Appleton & Lange, Connecticut.
28. Leprohon J. & Patel V.L. (1995) Decision-making strategies for telephone triage in emergency medical services. Medical Decision Making 15, 240-253.
29. Manchester Triage Group (1997) Emergency Triage. BMJ Publishing Group, London.
30. Polgar S. & Thomas S.A. (1991) Introduction to Research in the Health Sciences 2nd edn. Churchill Livingstone, Melbourne.
31. Polit D.L. & Hungler B.P. (1995) Nursing Research: Principles and Methods 4th edn. JB Lippinncott, Philadelphia, PA.
32. Purnell L. (1991) A survey of emergency department triage in 185 hospitals: physical facilities, fast track systems, patient classification systems, waiting times, and qualification, training and skills of triage personnel. Journal of Emergency Nursing 17, 402-407.
33. Salk E., Schringer D.L., Hubbell K. & Schwartz B. (1998) Effect of visual cues, vital signs, and protocols on triage: a prospective randomised crossover trial. Annals of Emergency Medicine 32, 655-664.
34. Schwartz S. & Griffin T. (1986) Medical Thinking: The Psychology of Medical Judgement and Decision Making, Springer-Verlag, New York.
35. Standen P. & Dilley S. (1998) A review of triage nursing practice and experience in Victorian public hospitals. Emergency Medicine 9, 301-305.
36. Tabachnick B. & Fidell L. (1996) Using Multivariate Statistics. Harper Collins, New York.
37. Travers D. (1999) Triage: how long does it take? How long should it take? Journal of Emergency Nursing 25, 238-241.
38. Whitby S., Ieraci S., Johnson D. & Mohsin M. (1997) Analysis of the Process of Triage: The Use and Outcome of the National Triage Scale. Liverpool Health Service, Liverpool, NSW.