What general emergency nurses want to know about mental health patients presenting to their emergency department

Accid Emerg Nurs. 2007 Jan;15(1):48-55. doi: 10.1016/j.aaen.2006.09.003. Epub 2007 Jan 2.

Abstract

This paper presents the findings of a qualitative project conducted to investigate the education and training requirements that non-mental health trained emergency nurses need to enable them to effectively care for psychiatric patients presenting to a West Australian emergency department. Non-mental health trained nurses are ill-equipped in their psychiatric knowledge, assessment and communication skills to provide best possible care to the one in ten patients presenting to the emergency department with a complex mental health issue. The area of assessment and management of mental health patients in the emergency department is a complex one and staff are required to assess, triage and manage these patients appropriately. Furthermore, with aggression and violence increasing, emergency department nurses are concerned about their safety in the workplace. Focus groups with emergency nurses and semi-structured interviews with subject matter experts were conducted at one West Australian teaching hospital. The findings of the project demonstrated that these nurses considered that customer focus, workplace aggression and violence, psychiatric theory, mental health assessment and chemical dependence as key learning areas. These findings will form a platform for further education and training for ED staff.

MeSH terms

  • Attitude of Health Personnel*
  • Clinical Competence / standards
  • Communication Barriers
  • Emergency Nursing / education*
  • Emergency Service, Hospital
  • Emergency Services, Psychiatric
  • Focus Groups
  • Hospitals, Teaching
  • Humans
  • Mental Disorders / diagnosis
  • Mental Disorders / nursing*
  • Mental Disorders / psychology
  • Needs Assessment / organization & administration*
  • Nursing Assessment
  • Nursing Education Research
  • Nursing Methodology Research
  • Nursing Staff, Hospital* / education
  • Nursing Staff, Hospital* / psychology
  • Nursing Theory
  • Occupational Health
  • Patient-Centered Care
  • Psychiatric Nursing / education*
  • Qualitative Research
  • Safety Management
  • Self Efficacy
  • Surveys and Questionnaires
  • Triage
  • Western Australia