Triage is a critical aspect of emergency care, where nurses must quickly assess and prioritize patients based on the severity of their condition. Understanding the factors that impact nurses' decision-making in this high-pressure environment is crucial for improving patient outcomes and optimizing resource allocation. The review examines the influence of factors such as experience level, training, workload, time constraints, communication skills, and institutional protocols on nurses' triage decisions. It also considers the impact of individual factors such as emotional intelligence, stress, and personal biases on decision-making processes. By synthesizing existing research on these factors, this article aims to provide insights into how nurses can make more effective and efficient triage decisions. Furthermore, the review discusses the role of technology in supporting nurses' decision-making in triage, including the use of electronic triage systems and decision support tools. These technologies have the potential to enhance the accuracy and consistency of triage decisions while also improving communication and information sharing among healthcare providers. Overall, this review highlights the complex interplay of factors that influence nurses' decision-making in triaging patients in the emergency department. By understanding and addressing these factors, healthcare organizations can better support their nursing staff and improve the quality of care provided to patients in critical need.