Registered nurses’ experiences of assessing patients with mental illness in emergency care: A qualitative descriptive study

Holmberg, Mats; Hammarbäck, Staffan; Andersson, Henrik

doi:10.1177/2057158520941753

Cited by 15 publications

(25 citation statements)

References 41 publications

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“…In a stressful situation, the condition needs to be categorized and the nurse has to decide whether the patient is suffering from a physical or mental illness. Holmberg et al [ 8 ] state that lack of time to care for the patient may cause nurses to question their responsibility for caring for the patient. The nurses complained that the information they received before the assignment did not always correspond to what they encountered on arrival.…”

Section: Discussionmentioning

confidence: 99%

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Nurses’ experiences of encountering patients with mental illness in prehospital emergency care – a qualitative interview study

et al. 2022

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Background Nurses working in prehospital emergency care (PEC) encounter patients with all types of health conditions. Increasingly, they are encountering patients suffering from mental illness and this trend reflects the worldwide increase in mental illness. There is very little current knowledge of encounters between nurses and patients with mental illness in ‘PEC’, especially from the nurses’ perspectives. Aim The aim of the study is to investigate nurses’ experiences of encountering patients with mental illness in ‘PEC’. Methods The participants were recruited in a region in southeast Sweden (that covers approximately 5600 km2 and has 300,000 inhabitants). In total, 17 nurses consented to participate. The participants were asked to narrate their individual experience of encountering patients with mental illness. The interviews were transcribed verbatim, then analysed with qualitative content analysis. Results The result is presented in terms of three themes and eight sub-themes. The main themes are ‘Lacking trust in the patient and one’s own abilities’, ‘Being under internal and external influences’ and ‘Moving towards a genuine nurse-patient relationship’. Conclusion The results show that nurses strive to lay the foundation for a trusting relationship. Simultaneously nurses encountering is characterized by a mistrust and it is influenced by pre-understanding and emotions when they take care for patients. The findings could be used to develop nurses’ readiness and capability to encounter patients with mental illness and to respond appropriately to the patients somatic and mental care needs.

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Section: Discussionmentioning

confidence: 99%

“…Earlier research has identified the complexity of assessing patients with mental illness in emergency care. It has also shown that nurses find such patients less interesting than patients with emergency somatic conditions [ 8 ]. Nurses were also found to need increased knowledge to be able to make the required assessments [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Nurses’ experiences of encountering patients with mental illness in prehospital emergency care – a qualitative interview study

et al. 2022

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“…The present study does not examine the ambulance nurses’ attitudes regarding mental illness, but in both Swedish and foreign contexts it has been described that biomedical conditions and diagnosis are more natural to work with. One reason that can be mentioned may be the stigma that exists in society, of which nurses are a part, around mental illness [ 18 , 26 , 27 ]. Thoroughly defining a professional competence is thus complex because it can be seen as consisting of several separate specific knowledge areas required within a professional specialty [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

Self-Perceived Competence of Ambulance Nurses in the Care of Patients with Mental Illness: A Questionnaire Survey

Önnheim¹,

Johansson

Ivarsson

et al. 2022

Nursing Reports

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Ambulance nurses in prehospital emergency care must assess, treat, and triage patients with mental health issues. This study aimed to investigate the self-perceived competence of ambulance nurses in prehospital emergency care of patients with mental illness. A cross-sectional questionnaire survey was done, a question-index value (Q-IV; range: 0–1.0) was defined as a summary of the proportion of positive responses (%). Correlations of self-perceived competence with education and professional experience were also examined. Overall self-perceived competence was good (mean Q-IV, 0.80). For six of the nine questions, women rated their abilities slightly lower than men. Women rated themselves as fairly good in providing “information about types of effective help available” (Q-IV, 0.55) and in “suggesting tactics for helping a person with mental illness feel better” (Q-IV, 0.56). Men rated their competence as fairly good in “directing patients to appropriate sources of help” (Q-IV, 0.58). Self-perceived competence did not correlate with education level or professional experience. In conclusion, these results indicate that in encounters with patients who have mental illness, ambulance nurses perceive their overall competencies as good, with some sex-based differences in self-perception for specific knowledge areas. Education level and professional experience did not correlate with self-perceived competence.

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“…Research on GEC staffs' experiences of caring for people with mental ill health is limited (Koning et al 2018;Ryan et al 2021). However, GEC staff often report their lack of knowledge and training as a major barrier to providing appropriate care for people with mental ill health (Chapman & Martin 2014;Holmberg et al 2020;Jelinek et al 2013;Marynowski-Traczyk & Broadbent 2011;Plant & White 2013;Weiland et al 2011). The physical environment of the ED and short interactions due to time pressures further challenge the ability of GEC staff to meet patients' emotional needs (Broadbent et al 2014;Marynowski-Traczyk & Broadbent 2011;Weiland et al 2011).…”

Section: Introductionmentioning

confidence: 99%

“…2013), they still must make advanced assessments, including both physical and existential dimensions (Holmberg et al . 2020).…”

Section: Introductionmentioning

confidence: 99%

‘Acknowledge me as a capable person’: How people with mental ill health describe their experiences with general emergency care staff – A qualitative interview study

Derblom

Molin

Gabrielsson

2021

Int J Mental Health Nurs

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People with mental ill health attend general emergency care more often than others for physical and psychiatric care needs. Staff in general emergency care report they lack knowledge and strategies to meet with and care for people with mental ill health. This study aimed to describe how people with mental ill health experience encounters with staff in general emergency care. We conducted individual semi-structured interviews with 11 people with mental ill health about their experiences in general emergency care and subjected the interview data to qualitative content analysis. Our results show the importance to people with mental ill health of being acknowledged as capable persons, and how this relates to their experiences of being recognized, ignored, or dismissed by staff in general emergency care. Even small, ordinary aspects of staff/patient interactions can have major impacts on a person's recovery and well-being. The study is reported according to the consolidated criteria for reporting qualitative research (COREQ) guidelines.

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Registered nurses’ experiences of assessing patients with mental illness in emergency care: A qualitative descriptive study

Cited by 15 publications

References 41 publications

Nurses’ experiences of encountering patients with mental illness in prehospital emergency care – a qualitative interview study

Nurses’ experiences of encountering patients with mental illness in prehospital emergency care – a qualitative interview study

Self-Perceived Competence of Ambulance Nurses in the Care of Patients with Mental Illness: A Questionnaire Survey

‘Acknowledge me as a capable person’: How people with mental ill health describe their experiences with general emergency care staff – A qualitative interview study

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