Timothy Wand1, Gemma Collett2, Alexa Cutten3, Sally Buchanan-Hagen4, Amanda Stack5, Kathryn White6. 1. University of Sydney and Sydney Local Health District, Emergency Department, Royal Prince Alfred Hospital, Missenden Rd, Camperdown, NSW 2050, Australia. Electronic address: tim.wand@health.nsw.gov.au. 2. Translational Research Manager, Sydney Nursing School, Faculty of Medicine and Health, University of Sydney, NSW, Australia. Electronic address: gemma.collett@sydney.edu.au. 3. Translational Research Manager, Hunter New England Local Health District, Australia. Electronic address: Alexa.Cutten@health.nsw.gov.au. 4. School of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Victoria, Australia. Electronic address: s.buchananhagen@deakin.edu.au. 5. Translational Research Manager, Western NSW Local Health District, Australia. Electronic address: Amanda.Stack@health.nsw.gov.au. 6. Sydney Nursing School, Faculty of Medicine and Health, University of Sydney, Australia. Electronic address: kate.white@sydney.edu.au.
Abstract
BACKGROUND: As part of a larger multi-site translational research project this study explored patient and staff experiences, perspectives and recommendations in relation to a mental health liaison nursing (MHLN) service implemented in the emergency department (ED) of two rural hospitals in New South Wales, Australia. METHODS: Semi-structured interviews were conducted across the two sites with a sample of ED patients (n = 32), ED nurses (n = 14), ED medical officers (n = 11) and psychiatrists (n = 3). Data were analysed thematically. FINDINGS: Patients highlighted the therapeutic benefits of the MHLNs, particularly being listened to and understood. Patients appreciated being seen promptly and having effective follow-up. Some negative experiences were encountered. Staff recognized that embedding the new model of care in the ED impacted positively on ED culture and practice. A nurse practitioner position as clinical lead instituted at one site made the most substantial contribution to integrating mental health care within the ED. Room for improvement was also noted. CONCLUSIONS: Findings from this study indicate that an ED-based model of MHLN care developed in a metropolitan setting was successfully translated to two rural EDs. While translating a model of care from one context to another is not without its challenges, adherence to the key principles of this model of MHLN care was associated with the most positive outcome. Crown
BACKGROUND: As part of a larger multi-site translational research project this study explored patient and staff experiences, perspectives and recommendations in relation to a mental health liaison nursing (MHLN) service implemented in the emergency department (ED) of two rural hospitals in New South Wales, Australia. METHODS: Semi-structured interviews were conducted across the two sites with a sample of ED patients (n = 32), ED nurses (n = 14), ED medical officers (n = 11) and psychiatrists (n = 3). Data were analysed thematically. FINDINGS:Patients highlighted the therapeutic benefits of the MHLNs, particularly being listened to and understood. Patients appreciated being seen promptly and having effective follow-up. Some negative experiences were encountered. Staff recognized that embedding the new model of care in the ED impacted positively on ED culture and practice. A nurse practitioner position as clinical lead instituted at one site made the most substantial contribution to integrating mental health care within the ED. Room for improvement was also noted. CONCLUSIONS: Findings from this study indicate that an ED-based model of MHLN care developed in a metropolitan setting was successfully translated to two rural EDs. While translating a model of care from one context to another is not without its challenges, adherence to the key principles of this model of MHLN care was associated with the most positive outcome. Crown
Authors: Krista Glowacki; Madelyn Whyte; Jade Weinstein; Kirsten Marchand; David Barbic; Frank Scheuermeyer; Steve Mathias; Skye Barbic Journal: BMC Health Serv Res Date: 2022-05-07 Impact factor: 2.908