Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | ED Triage Decision-Making With Mental Health Presentations : A Think Aloud Study (2015) |
Auteurs : | Diana E. Clarke ; Krystal Boyce-Gaudreau ; Ana Sanderson |
Type de document : | Article |
Dans : | Journal of Emergency Nursing (Vol. 41, n°6, November 2015) |
Article en page(s) : | p. 496-502 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Canada ; Décision ; Psychiatrie ; Soins d'urgence |
Mots-clés: | Echelle de triage et d'acuité |
Résumé : |
Introduction
Triage is the process whereby persons presenting to the emergency department are quickly assessed by a nurse and their need for care and service is prioritized. Research examining the care of persons presenting to emergency departments with psychiatric and mental health problems has shown that triage has often been cited as the most problematic aspect of the encounter. Three questions guided this investigation: Where do the decisions that triage nurses make fall on the intuitive versus analytic dimensions of decision making for mental health presentations in the emergency department, and does this differ according to comfort or familiarity with the type of mental health/illness presentation? How do decision aids (ie, structured triage scales) help in the decision-making process? To what extent do other factors, such as attitudes, influence triage nurses decision making? Methods Eleven triage nurses participating in this study were asked to talk out loud about the reasoning process they would engage in while triaging patients in 5 scenarios based on mental health presentations to the emergency department. Results Themes emerging from the data were tweaking the results (including the use of intuition and early judgments) to arrive at the desired triage score; consideration of the current ED environment; managing uncertainty and risk (including the consideration of physical reasons for presentation); and confidence in communicating with patients in distress and managing their own emotive reactions to the scenario. Discussion Findings support the preference for using the intuitive mode of decision making with only tacit reliance on the decision aid. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
---|---|---|---|---|
REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |