History-Taking Questions During Triage in Emergency Medicine

IF 3 1区 文学 Q1 COMMUNICATION
Seung-Hee Lee, Chan Woong Kim
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引用次数: 0

Abstract

ABSTRACT Triage in emergency medicine is the initial process of assessing and categorizing urgency of patients’ conditions. During triage, nurses elicit patients’ problems and gather additional information through history taking and physical examination. This paper examines ways in which triage nurses construct history-taking questions and manage the task of urgency assessment. In video-recordings of triage interactions at an emergency department in Korea, nurses are oriented to building history-taking questions in the direction of ruling out urgency of patients’ conditions. First, triage nurses construct questions concerning patients’ current symptoms by undercutting their serious nature. Second, nurses also develop questions in search for a possible cause or diagnosis of patients’ problems, often proposing a non- or less urgent cause. Findings suggest that nurses may avoid overestimating the level of urgency in triage history taking and prioritize efficiency. Data are in Korean.
急诊医学分诊过程中的历史记录问题
摘要急诊医学中的分诊是评估和分类患者病情紧迫性的初始过程。在分诊过程中,护士会引出患者的问题,并通过病史记录和体检收集更多信息。本文探讨了分诊护士构建历史问题和管理紧急评估任务的方法。在韩国一家急诊科分诊互动的视频记录中,护士们倾向于建立历史记录,以排除患者病情的紧迫性。首先,分诊护士通过削弱患者的严重性来构建有关患者当前症状的问题。其次,护士也会提出问题,寻找患者问题的可能原因或诊断,通常会提出一个非紧急或不太紧急的原因。研究结果表明,护士可以避免高估分诊历史记录的紧急程度,并优先考虑效率。数据为韩语。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.30
自引率
7.40%
发文量
20
期刊介绍: The journal publishes the highest quality empirical and theoretical research bearing on language as it is used in interaction. Researchers in communication, discourse analysis, conversation analysis, linguistic anthropology and ethnography are likely to be the most active contributors, but we welcome submission of articles from the broad range of interaction researchers. Published papers will normally involve the close analysis of naturally-occurring interaction. The journal is also open to theoretical essays, and to quantitative studies where these are tied closely to the results of naturalistic observation.
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