1998
DOI: 10.1046/j.1365-2702.1998.00113.x
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Seeing is believing — picture building: a key component of telephone triage

Abstract: 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 prob… Show more

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Cited by 43 publications
(41 citation statements)
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“…As suggested by the literature on telephone triage, areas that require special sensitivity in consultations are assessment, caller credibility and interpersonal relations. Arriving at an assessment by ‘building a picture’ of the caller and their environment has been well‐documented in telephone nursing (Edwards 1998, 1994). The present study shows that visualization work is intimately tied to interactional practices carried out by nurses and callers.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…As suggested by the literature on telephone triage, areas that require special sensitivity in consultations are assessment, caller credibility and interpersonal relations. Arriving at an assessment by ‘building a picture’ of the caller and their environment has been well‐documented in telephone nursing (Edwards 1998, 1994). The present study shows that visualization work is intimately tied to interactional practices carried out by nurses and callers.…”
Section: Discussionmentioning
confidence: 99%
“…The complexity of triage decision‐making requires nurses to take into account several factors besides simply the medical basis for the problem (Leprohon & Patel 1995). In so doing, an important activity in managing the nonvisual is ‘building a picture’ (Edwards 1998), that is, creating a mental image of the caller and their immediate environment. Such ‘visualization work’, according to Edwards, involves creating an image of parts of the call that enter into decisions about the caller’s condition and its likely trajectory: the pathology, the person, and the urgency of the caller’s situation.…”
Section: Introductionmentioning
confidence: 99%
“…The majority of physiotherapists interviewed used techniques of visualisation in assessing patients in order to overcome the lack of visual feedback in the assessment process: As part of the PhysioDirect training package, physiotherapists received a published article, 110 which described how NHS Direct nurses visualise their patients while triaging them over the telephone. It is clear from the data that the physiotherapists used similar techniques while assessing their patients over the telephone.…”
Section: Patient Visualisationmentioning
confidence: 99%
“…Theory is developed through data collection (building up from the ground), and hypotheses are generated and tested to confirm or refute aspects of the developing theory. Edwards26 27 provides a useful example of the use of grounded theory to build a substantive theory of the triage reasoning process.…”
Section: Designsmentioning
confidence: 99%