{"title":"History-Taking Questions During Triage in Emergency Medicine","authors":"Seung-Hee Lee, Chan Woong Kim","doi":"10.1080/08351813.2022.2128004","DOIUrl":null,"url":null,"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.","PeriodicalId":51484,"journal":{"name":"Research on Language and Social Interaction","volume":null,"pages":null},"PeriodicalIF":3.0000,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Research on Language and Social Interaction","FirstCategoryId":"98","ListUrlMain":"https://doi.org/10.1080/08351813.2022.2128004","RegionNum":1,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"COMMUNICATION","Score":null,"Total":0}
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.
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.