Competency requirements for the assessment of patients with mental illness in somatic emergency care: A modified Delphi study from the nurses’ perspective

Andersson, Henrik; Carlsson, Jonas; Karlsson, Lene; Holmberg, Mats

doi:10.1177/2057158520946212

Cited by 9 publications

(12 citation statements)

References 48 publications

(59 reference statements)

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“…Andersson et al . (2020) also found that nurses believe that effective communication skills are important when providing care to individuals with MIH. Horgan et al .…”

Section: Discussionmentioning

confidence: 98%

Novice nurses' experiences in provision of mental ill health care within a regional emergency department: A descriptive qualitative study

Peart

Kerr

Searby

2022

Int J Mental Health Nurs

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Emergency departments are often the first point of contact for individuals presenting to healthcare services for assistance and treatment for mental ill health. Emergency departments, particularly those in regional areas, can experience high staff turnover and rely on novice nurses for workforce sustainability. The aim of this paper is to explore the experiences of novice nurses (nurses with <3 years of experience) in providing care to individuals presenting with mental ill health in the emergency department. Semi‐structured interviews were conducted with novice nurses (N = 13) in a regional emergency department, using qualitative description as the guiding framework. The following three main themes were identified: (i) confidence in providing quality and safe nursing care, (ii) perceived barriers to providing quality and safe nursing care, and (iii) factors that increase confidence. Our findings indicate that proving safe and appropriate nursing care is affected in novice nurses by factors that lead to a perceived lack of confidence, such as how individuals present to the emergency department (e.g. intoxicated or violent), an inability to conduct conversations to assess accurately and perceived shortfalls in the emergency department environment itself. Future research should examine the curriculum for relevance of undergraduate education regarding acute mental health presentations and develop training strategies that enhance communication with individuals who present to the emergency department with mental ill health.

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“…Andersson et al . (2020) also found that nurses believe that effective communication skills are important when providing care to individuals with MIH. Horgan et al .…”

Section: Discussionmentioning

confidence: 98%

Novice nurses' experiences in provision of mental ill health care within a regional emergency department: A descriptive qualitative study

Peart

Kerr

Searby

2022

Int J Mental Health Nurs

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“…Despite such reproductions, there are attempts by professionals to achieve the best possible care within the existing conditions, and to establish effective communication with both the user and his family. Theoretical and practical knowledge, communication skills, and a respectful attitude toward the patient are essential competence requirements for assessing people with mental disorders (29) . Satisfactory levels of knowledge promote increased confidence, positive attitudes, empathy and improvement in the quality of care provided (5,30) seem to be the way to a care based on ethical and legal precepts and the realization of the rights of this public in health services, especially in emergency rooms.…”

Section: Discussionmentioning

confidence: 99%

Social representations of nurses of the Emergency Care Unit towards people with mental disorder

Sabeh¹,

Cecílio²,

Campos³

et al. 2023

Rev. esc. enferm. USP

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Objective: To understand the Social Representations of nurses from an Emergency Care Unit about the care provided to people with mental disorders. Method: Qualitative exploratory study, supported by the theoretical and methodological framework of the Theory of Social Representations. Interviews were conducted from July to August 2021. The data were processed using the IRaMuTeQ software. Results: 22 nurses were interviewed. From the processed data, three discursive categories were constructed: the tortuousness of the Psycho-Social Care Network (RAPs): in search of a path; the abyss between the health professional and the person with mental disorder; and unveiling the care of nurses in the Mental Health Emergency Care Unit. Conclusion: We identified a lack of knowledge about the Psychosocial Care Network, anchoring elements associated with previous negative experiences that influence the professional-patient relationship, and nursing care permeated by cognitive barriers. Such findings are unprecedented in the locality studied and relevant to promote the qualification of the work of nurses in mental health in the Emergency Care Unit.

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“…It was previously confirmed that to ensure appropriate patient assessment, different nurses must meet the competency requirements for assessing patients with mental illness [ 20 ]. These competency-related demands often include situation awareness, history gathering, communication, and procedural skills [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

“…To ensure that patient assessments are adequate and appropriate, ambulance nurses’ mental health competencies must correspond with the requirements of their profession. Earlier results identified three key areas of competency for assessing patients with mental illness in emergency care: adequate theoretical and practical knowledge, extended communication skills, and a respectful attitude [ 20 ]. This result is in line with Edmund et al, who concluded that education and training, organizational factors, and clinical decision-making are important in ambulance care to ensure an appropriate response to the needs of people experiencing mental health issues [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

A Prehospital Emergency Psychiatric Unit in an Ambulance Care Service from the Perspective of Prehospital Emergency Nurses: A Qualitative Study

Todorova¹,

Johansson

Ivarsson

2021

Healthcare

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The prevalence of mental illness is steadily increasing, and ambulance teams frequently attend cases with suspected mental illness. A pilot project, Psychiatric Emergency Response Team (PAP), was carried out in which a prehospital emergency nurse (PEN) was accompanied by a psychiatric specialist nurse in the assessment of individuals with mental illness. The aim of the present study was to evaluate a prehospital emergency psychiatric unit from the perspective of PENs. A qualitative method using content analysis was applied. Seven senior PENs who had worked for 1 year in a prehospital psychiatric ambulance unit were interviewed individually. The analysis resulted in one main theme, “Transition from limited care and insufficient competence to improved and adequate care for psychiatric patients in ambulance care”. This emerged from six subcategories: inter-professional development, access to patient records, the ambulance vehicle, non-conveyed patients, cooperation with the police and meetings with patients and next of kin. In conclusion, these results suggest that in ambulance care in general, there is a lack of knowledge and skills about mental illnesses and initial care options. The PAP concept opened new avenues for the care of patients with mental illness, which the PENs described very positively as being helpful and valuable.

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Competency requirements for the assessment of patients with mental illness in somatic emergency care: A modified Delphi study from the nurses’ perspective

Cited by 9 publications

References 48 publications

Novice nurses' experiences in provision of mental ill health care within a regional emergency department: A descriptive qualitative study

Novice nurses' experiences in provision of mental ill health care within a regional emergency department: A descriptive qualitative study

Social representations of nurses of the Emergency Care Unit towards people with mental disorder

A Prehospital Emergency Psychiatric Unit in an Ambulance Care Service from the Perspective of Prehospital Emergency Nurses: A Qualitative Study

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