Edwards B
Bournemouth University, Dorset.
J Clin Nurs. 1998 Jan;7(1):51-7. doi: 10.1046/j.1365-2702.1998.00113.x.
This paper describes one part of a major study aimed at building a substantive theory of the triage process. The paper reports on some early findings of a major component of the reasoning strategy utilized by nurses when making triage decisions via the telephone. The study reveals that in telephone triage nurses compensate for the absence of face-to-face contact by creating a mental image of the caller and the situation being dealt with. This forms the basis of the nurses' assessment of the urgency of the problem. The properties that contribute to this process of 'visualization work' are presented and the linkages with current thought in relation to clinical reasoning are explored.
本文描述了一项旨在构建分诊过程实质理论的重大研究的一部分。该论文报告了护士在通过电话进行分诊决策时所采用推理策略的一个主要组成部分的一些早期研究结果。研究表明，在电话分诊中，护士通过在脑海中构建来电者和所处理情况的图像来弥补缺乏面对面接触的不足。这构成了护士评估问题紧迫性的基础。文中介绍了促成这种“可视化工作”过程的特性，并探讨了其与当前临床推理相关思想的联系。
