Nurses’ experiences with telephone triage and advice: a meta‐ethnography

Purc-Stephenson, Rebecca J.; Thrasher, Christine

doi:10.1111/j.1365-2648.2010.05275.x

Cited by 100 publications

(175 citation statements)

References 44 publications

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“…After skimming, 19 were excluded because they were not qualitative or did not focus on triage. I also decided to exclude 9 studies of telephone triage because they pertained to a qualitatively different type of triage and have already been reviewed elsewhere (Purc-Stephenson & Thrasher, 2010), which left me with 28 studies. These publications were read in full, and their literature lists were searched for additional studies, with the latter producing no relevant findings.…”

Section: Methodsmentioning

confidence: 99%

How Triage Nurses Use Discretion: a Literature Review

Johannessen

2016

P&P

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Discretion is quintessential for professional work. This review aims to understand how nurses use discretion when they perform urgency assessments in emergency departments with formalised triage systems-systems that are intended to reduce nurses' use of discretion. Because little research has dealt explicitly with this topic, this review addresses the discretionary aspects of triage by reinterpreting qualitative studies of how triage nurses perform urgency assessments. The review shows (a) how inexhaustive guidelines and a hectic work environment are factors that necessitate nurses' use of discretion and (b) how nurses reason within this discretionary space by relying on their experience and intuition, judging patients according to criteria such as appropriateness and believability, and creating urgency ratings together with their patients. The review also offers a synthesis of the findings' discretionary aspects and suggests a new interactionist dimension of discretion.

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Section: Methodsmentioning

confidence: 99%

How Triage Nurses Use Discretion: a Literature Review

Johannessen

2016

P&P

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“…To facilitate appropriate clinical judgement in health care, it is desirable for clinicians to have the clinical skills required to consider all of the consumers' needs, knowledge of the boundaries of the service, and a working knowledge of related policy. They are also expected to balance these requirements when making a decision for the consumer in a highly paced, demanding work environment (Purc-Stephenson & Thrasher 2010;Andersson, Omberg & Svedlund 2006;Kam & Midgley 2006).…”

Section: Harlow Happell and Brownementioning

confidence: 99%

John or Jane? Exploring How Clinical Judgment is Applied in Managing Access to Opioid Replacement Therapy

Harlow

Happell

Browne

2013

Journal of Psychoactive Drugs

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In Australia, access to Opioid Replacement Therapy (ORT) poses a problem for clinicians when confronted with multiple requests for ORT treatment. This article forms part of a broader grounded theory study exploring how clinicians apply clinical judgement in managing access to ORT programs. The focus of this article is to report on the codes generated from the study's data analysis and to discuss how they influence clinician responses to the process. From March to August 2012, 35 clinicians from 10 publicly funded ORT clinics within the states of Queensland and New South Wales were recruited. To stimulate clinicians to use their clinical judgment, a scenario was presented requiring participants to choose between two consumers for preferential access to ORT and explain why. Responses as to who should receive treatment first varied between clinicians. Reasoning for their decisions was diverse, except "prioritising" was a consistently presenting element. Previous education, training, work experience, and their peers were all factors identified as influencing their decision making. Not all clinicians were confident with their choice. This study examined how clinical judgement is applied in managing access to ORT, showing variation in clinician responses and the factors influencing those decisions.

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“…These policies identify consumers eligible for priority/facilitated entry into treatment with the remainder to be considered according to "clinical judgment" (ACT Health, 2010;Brown et al, 2007;Drug and Alcohol Office, 2007;Drug and Alcohol Services South Australia, Flinders Medical Centre Pain Management Unit, & Royal Adelaide Hospital Pain Management Unit, 2008;Drugs Of Dependence Unit Queensland, 2008;Intergovernmental Committee on Drugs, 2007;Mental Health and Drug and Alcohol Office, 2006). Clinical judgment (also referred to as clinical decision making) relies on clinicians being highly trained and educated, with the clinical skills required to consider all of the consumers' needs, knowledge of the service resources, a working knowledge of related policy, and the ability to balance these requirements in providing a decision for the consumer in a highly paced, demanding work environ-ment (Andersson, Omberg, & Svedlund, 2006;Harlow et al, 2011;Kam & Midgley, 2006;Purc-Stephenson & Thrasher, 2010).…”

Section: Introductionmentioning

confidence: 99%

Triage in Opioid Replacement Therapy: What's the Wait?

Harlow

Happell

Browne

et al. 2012

Substance Use & Misuse

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In Australia, a wait for Opioid Replacement Therapy (ORT) has been reported although the magnitude is unknown. This study examined data recorded by one urban publicly funded ORT clinic (from 2009 to 2011) to identify if people (n = 803) were waiting for ORT assessment appointments and to explore how triage influences access to ORT. Data analysis incorporated descriptive methods and the use of Kaplan-Meier estimator of the cumulative incidence function. The implications and limitations of this study are included with further research suggestions.

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Nurses’ experiences with telephone triage and advice: a meta‐ethnography

Cited by 100 publications

References 44 publications

How Triage Nurses Use Discretion: a Literature Review

How Triage Nurses Use Discretion: a Literature Review

John or Jane? Exploring How Clinical Judgment is Applied in Managing Access to Opioid Replacement Therapy

Triage in Opioid Replacement Therapy: What's the Wait?

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