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Triage emergency nurse decision-making: Incidental findings from a focus group study by Gudrun Reay; Lorraine Smith-MacDonald; Karen L. Then; Marc Hall; James A. Rankin is a Medicine article available to read on EtoBox.

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## Introduction: Emergency department (ed) triage decision-making is a complex process. triage scales are used to determine patient acuity level, however, they do not provide information on how nurses make triage decisions. this focus group study was part of a larger project to develop a psychometrically sound instrument to measure triage decision-making by nurses; the triage decision-making instrument. we report important incidental findings that emerged during the study that the participants identified as factors impeding triage decision-making. ## Methods: Three focus groups were conducted with 11 triage registered nurses. they commented on the instrument items and identified factors that influence triage decision-making. transcripts were analyzed using thematic analysis. ## Results: Three powerful inter-related themes emerged central to encumbering triage decision-making: competing systems (pre-hospital versus the ed), fluctuating patient volume resulting in 'intra-canadian triage and acuity scale' triaging, and personal capacity including experience and 'triage fatigue'. ## Discussion: The findings demonstrate how interrelated system factors impede nurses triage decision-makin

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Author

Gudrun Reay; Lorraine Smith-MacDonald; Karen L. Then; Marc Hall; James A. Rankin

Publisher

Elsevier ; Elsevier Science; Elsevier BV (ISSN 1755-599X)

Published

2019

Language

EN

Field

Medicine (Health Sciences)