Why we do the things we do: applying clinical decision-making frameworks to triage practice.

摘要: This paper discusses major themes presented in the published literature concerning clinical decision making and links these to practice of emergency department nurse triage. Themes discussed include: approaches research nursing medicine; decision, autonomy under conditions uncertainty. Some assumptions underpinning decision-making frameworks are explored use triage scales, algorithms intuitive thought processes terms practice. In addition, strengths limitations each approach outlined. It is argued that naturalistic methods necessary order describe often uncertain frequently chaotic environment which decisions made. must occur evaluate improve both process outcomes