Amaya H Diana1, Mark Olfson2, Sara Wiesel Cullen3, Steven C Marcus4. 1. Amaya H. Diana, The University of Pennsylvania, Philadelphia, PA, USA. 2. Mark Olfson, MD, MPH, Columbia University, New York, NY, USA. 3. Sara Wiesel Cullen, PhD, MSW, The University of Pennsylvania, Philadelphia, PA, USA. 4. Steven C. Marcus, PhD, The University of Pennsylvania, Philadelphia, PA, USA.
Abstract
OBJECTIVE: To understand the extent to which implementation of evidence-based practices affects emergency department (ED) nurse managers' perceptions of quality of care provided to deliberate self-harm patients. METHODS: ED nursing leadership from a nationally representative sample of 513 hospitals completed a survey on the ED management of deliberate self-harm patients, including the quality of care for deliberate self-harm patients on a 1 to 5 point Likert-type scale. Unadjusted and adjusted analyses, controlling for relevant hospital characteristics, examined associations between the provision of evidence-based practices and quality of care. RESULTS: The overall mean quality rating was 3.09. Adjusted quality ratings were higher for EDs that routinely engaged in discharge planning (β = 0.488) and safety planning (β = 0.736) processes. Ratings were also higher for hospitals with higher levels of mental health staff (β = 0.368) and for teaching hospitals (β = 0.319). CONCLUSION: Preliminary findings suggest a national institutional readiness for further implementation of evidence-based practices for deliberate self-harm patients.
OBJECTIVE: To understand the extent to which implementation of evidence-based practices affects emergency department (ED) nurse managers' perceptions of quality of care provided to deliberate self-harm patients. METHODS: ED nursing leadership from a nationally representative sample of 513 hospitals completed a survey on the ED management of deliberate self-harm patients, including the quality of care for deliberate self-harm patients on a 1 to 5 point Likert-type scale. Unadjusted and adjusted analyses, controlling for relevant hospital characteristics, examined associations between the provision of evidence-based practices and quality of care. RESULTS: The overall mean quality rating was 3.09. Adjusted quality ratings were higher for EDs that routinely engaged in discharge planning (β = 0.488) and safety planning (β = 0.736) processes. Ratings were also higher for hospitals with higher levels of mental health staff (β = 0.368) and for teaching hospitals (β = 0.319). CONCLUSION: Preliminary findings suggest a national institutional readiness for further implementation of evidence-based practices for deliberate self-harm patients.
Authors: Sara Wiesel Cullen; Cadence F Bowden; Mark Olfson; Steven C Marcus; Jeffrey M Caterino; Abigail M Ross; Stephanie K Doupnik; Gala True Journal: Community Ment Health J Date: 2022-08-05
Authors: Gala True; Miranda Pollock; Cadence F Bowden; Sara Wiesel Cullen; Abigail M Ross; Stephanie K Doupnik; Jeffrey M Caterino; Mark Olfson; Steven C Marcus Journal: J Emerg Nurs Date: 2021-02-17 Impact factor: 1.836