Article Text

Download PDFPDF
Nurses’ triage assessments were affected by patients’ behaviours and stories and their perceived credibility

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

B Edwards

Dr B Edwards, Bournemouth University, Bournemouth, UK;


How do nurses who perform triage in emergency departments (EDs) initially assess patients?


Qualitative study using the grounded theory approach.


2 EDs in the UK.


Self-selected sample of 14 nurses who regularly did triage in the ED and had 3–20 years of experience in emergency care. Triage encounters involving patients who were confused, acutely ill, or distressed were excluded.


Data were collected through 38 video recordings of triage encounters over 9 months. Nurses watched tapes of their own encounters; tapes were stopped after each of their comments or questions and they were asked to describe their thoughts at that time. Their thoughts were recorded, transcribed, and analysed using the constant comparative method.


The main intervening condition during triage was nurses’ appraisal of client credibility. (1) Initial visualising and client credibility. Assessment began before the triage encounter, as soon as nurses saw patients, and was intuitive and subjective: “You do sort of make a mental, quick assessment of the patient as they …

View Full Text


  • Source of funding: no external funding.