Emergency Nurses' Experiences in Treating Patients With Mental Illness: A Qualitative, Interpretive Metasynthesis

Ryan, Andrew D.; Herrera, Sarah; Patel, Mansi

doi:10.1016/j.jen.2021.03.010

Cited by 8 publications

(10 citation statements)

References 30 publications

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“…Environmental influences and lack of knowledge and training amongst emergency department general nurses about mental health conditions, assessments, and recovery model often resulted in suboptimal care (Chou & Tseng, 2020; McIntosh, 2021). The care environments in emergency departments were often fast paced and characteristically hectic and high stimulus (Chou & Tseng, 2020; Derblom et al., 2022; McIntosh, 2021), there was lack of provision for quiet space and room for assessment and caring (Derblom et al., 2022; Ryan et al., 2021), and general nurses lacked knowledge about recovery model and have negative perceptions and stereotype views about mental health patients (Chou & Tseng, 2020; McIntosh, 2021).…”

Section: Discussionmentioning

confidence: 99%

The views and perceptions of training in physical health care amongst mental health nurses, managers of mental health nurses and trainers: A systematically constructed narrative synthesis

Jabbie,

Walshe,

Ahmed

2023

Int J Mental Health Nurs

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People with serious mental illness have higher morbidity and mortality rates compared with the general population. Mental health nurses are in an optimal position to address physical healthcare needs and inequalities experienced by this group. Research evidence suggests that mental health nurses may lack appropriate skills and confidence. The training needs of mental health nurses in physical health care of patients with serious mental illness and the perceived effectiveness of training that is provided to mental health nurses are explored in this review. A narrative synthesis approach (PROSPERO protocol registration ID=CRD42021230923) involved searching five electronic databases (PsycInfo, Cinahl, Embase, Medline and Web of Science) from 1990 to 2021. Study quality was assessed, and analysis and synthesis were initially deductively guided by a theoretical framework of training effectiveness prior to inductive data analysis. Eleven studies met the inclusion criteria. For studies examining perceived effectiveness of training, four themes were derived from the theoretical framework (individual trainee characteristics, work environment, learning outcomes, transfer of training to job) and further theme (service user factor) generated inductively. For studies examining training needs, three themes were derived inductively (knowledge and skills requirements, modality of training, service and healthcare factors). The study highlights the need for ongoing learning to improve practice. It also provides another perspective in terms of understanding the influence of service user factors (motivation and mental state) in designing and implementing of future training in mental health settings.

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Section: Discussionmentioning

confidence: 99%

The views and perceptions of training in physical health care amongst mental health nurses, managers of mental health nurses and trainers: A systematically constructed narrative synthesis

Jabbie,

Walshe,

Ahmed

2023

Int J Mental Health Nurs

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“…Additionally, the potential for violence from people BIBP is another consideration that may hamper care delivery (Wolf et al., 2014). Some ED staff have identified that they feel unprepared and unqualified when caring for people with mental health problems (Ryan et al., 2021), which is common in people BIBP (Crilly et al., 2019; Wardrop et al., 2022b). Yet, this does not provide a comprehensive picture of actual care delivery in the ED for people BIBP.…”

Section: Introductionmentioning

confidence: 99%

Clinicians' experiences of caring for people brought in by police to the emergency department: A qualitative interpretive study

Wardrop,

Ranse,

Crilly

et al. 2023

Journal of Advanced Nursing

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AimTo explore nurses' and doctors' experiences of providing care to people brought in by police (BIBP) to the emergency department (ED).DesignA qualitative interpretive study using in‐depth individual interviews.MethodsSemi‐structured interviews were conducted with nurses and doctors who worked in various EDs in one Australian state and were involved in the care of people BIBP. Interviews were undertaken between May and October 2022 and focused on the structures (i.e., what), processes (i.e., how) and outcomes of care for people BIBP. Data were analysed using deductive and then inductive content analysis.ResultsNine nurses and eight doctors were interviewed. Structures described by participants included human structures (staff) and organizational structures (areas for assessment, involuntary assessment orders, investigations, chemical/physical restraints). For processes, participants described practices including risk/mental health assessments, legal considerations, and increased/decreased levels of care compared to other presentations. Communication processes were largely between police and health care staff. Service outcomes pertained to discharge location (custody, community, hospital admission) and length of stay.ConclusionThe current care delivery for people BIBP to the ED is unique and complex, often occurring in high traffic, resource‐intensive areas. There is a need to strengthen structures and processes, to improve service outcomes.Implications for the ProfessionUnderstanding the care requirements for people brought into ED by police enables the delivery of targeted care alongside appropriate resource allocation.ImpactThis study provides a comprehensive understanding of the health care requirements for people BIBP to EDs. Interventions delivered in the ED to support health care delivery for people BIBP and foster clinician and police relationships are required to optimize patient and health service outcomes.Reporting MethodThis study adheres to the COREQ checklist (Table S1) of the EQUATOR guidelines.Patient or Public ContributionThis study focused on ED staff experiences.

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“…Therefore, emergency personnel need to have the knowledge and skills to evaluate the patients physiologically and psychosocially, to provide appropriate treatment and care, to foresee possible risk, to create a safe environment, and to appropriately manage crises (Büyükbayram & Engin, 2018). However, difficulties arise from emergency staff harboring negative attitudes toward patients (Chou & Tseng, 2020), lack of knowledge and skills (Broadbent et al, 2020; Chou & Tseng, 2020; Ryan et al, 2021), physical conditions in the emergency department (Liddicoat et al, 2020; Ryan et al, 2021) and systematic problems in emergency department functioning (Büyükbayram & Engin, 2018; Mackway‐Jones & Mackway‐Jones, 2020). These situations can lead to the patients being stigmatized, having a prolonged hospital stay, and a delay in treatment (Karman et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the effectiveness of the Australian Mental Health Triage Scale in the emergency department: The case of Turkey

Arslan

Engin

Kıyan

2022

Perspect Psychiatric Care

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Purpose To examine the effectiveness of the Australian Mental Health Triage Scale(AMHTS) in Turkey. Design and Methods The study is a methodological and semiexperimental study. It was carried out with 30 emergency service nurses and 378 psychiatric patients at a university hospital. The validity and reliability of the AMHTS were examined. Findings The reliability of the AMHTS is good level (Cohen's κ = 0.631, p < 0.05). It is valid for making the patients’ waiting time in triage more efficient(p < 0.05), and increases the nurses’ ability to determine the treatment acuity. Practice Implications It is an important tool that affects the quality of emergency psychiatric care for nurses working in the emergency departments of general hospitals.

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Emergency Nurses' Experiences in Treating Patients With Mental Illness: A Qualitative, Interpretive Metasynthesis

Cited by 8 publications

References 30 publications

The views and perceptions of training in physical health care amongst mental health nurses, managers of mental health nurses and trainers: A systematically constructed narrative synthesis

The views and perceptions of training in physical health care amongst mental health nurses, managers of mental health nurses and trainers: A systematically constructed narrative synthesis

Clinicians' experiences of caring for people brought in by police to the emergency department: A qualitative interpretive study

Evaluation of the effectiveness of the Australian Mental Health Triage Scale in the emergency department: The case of Turkey

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