Approaches to Behavioral Emergencies in U.S. Emergency Departments

2.50
Hdl Handle:
http://hdl.handle.net/10755/150100
Type:
Presentation
Title:
Approaches to Behavioral Emergencies in U.S. Emergency Departments
Abstract:
Approaches to Behavioral Emergencies in U.S. Emergency Departments
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Author:MacLean, Susan, RN, PhD
P.I. Institution Name:Emergency Nurses Association
Title:Group Director: Research, Education, Practice, and Injury Prevention Institute
Co-Authors:Pierre Desy, BSc
Objective: Most nurses have limited experience and comfort providing care for agitated and violent patients. Yet, establishing a patient - nurse alliance is believed to improve long-term outcomes. The purpose of this study was to identify the practices and educational needs of emergency nurses when working with patients with behavioral emergencies. Design: A descriptive study was conducted. Sample: Emergency department managers recommended nurses to participate in the study. Eligibility criteria were: Registered Nurse; working full-time; five years ED experience; three years experience with agitated and violent patients; and knowledge of current ED policies and practices. Two hundred nurses were invited to participate, and each will receive $50 upon completion of the survey. Concept: Management of mental health problems are most successful when using a holistic approach to care. Involvement of the patient, family, and care providers in all aspects of care is important whether involving emergency management or everyday living. Methods: A 40-question survey, using 5-point Likert scales, was used to identify emergency assessments and interventions; advanced directives and informed choices; facilitators and barriers to a patient-focused approach; safety; pharmacological interventions; restraints and seclusion; patient and family teaching; facilitation of long-term care; and the educational needs of the nurses. The instrument was reviewed by nine nurses with behavioral emergency expertise. Findings: Data collection will be completed in February 2003. Conclusions: It is anticipated that a range of practices, policies, and continuing education needs of nurses will be identified. Implications: The findings will be used to improve the holistic care of patients, develop education programs for emergency nurses, and improve safety and confidence when working with patients with behavioral emergencies.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleApproaches to Behavioral Emergencies in U.S. Emergency Departmentsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150100-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Approaches to Behavioral Emergencies in U.S. Emergency Departments</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">MacLean, Susan, RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Group Director: Research, Education, Practice, and Injury Prevention Institute</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">smaclean@ena.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Pierre Desy, BSc</td></tr><tr><td colspan="2" class="item-abstract">Objective: Most nurses have limited experience and comfort providing care for agitated and violent patients. Yet, establishing a patient - nurse alliance is believed to improve long-term outcomes. The purpose of this study was to identify the practices and educational needs of emergency nurses when working with patients with behavioral emergencies. Design: A descriptive study was conducted. Sample: Emergency department managers recommended nurses to participate in the study. Eligibility criteria were: Registered Nurse; working full-time; five years ED experience; three years experience with agitated and violent patients; and knowledge of current ED policies and practices. Two hundred nurses were invited to participate, and each will receive $50 upon completion of the survey. Concept: Management of mental health problems are most successful when using a holistic approach to care. Involvement of the patient, family, and care providers in all aspects of care is important whether involving emergency management or everyday living. Methods: A 40-question survey, using 5-point Likert scales, was used to identify emergency assessments and interventions; advanced directives and informed choices; facilitators and barriers to a patient-focused approach; safety; pharmacological interventions; restraints and seclusion; patient and family teaching; facilitation of long-term care; and the educational needs of the nurses. The instrument was reviewed by nine nurses with behavioral emergency expertise. Findings: Data collection will be completed in February 2003. Conclusions: It is anticipated that a range of practices, policies, and continuing education needs of nurses will be identified. Implications: The findings will be used to improve the holistic care of patients, develop education programs for emergency nurses, and improve safety and confidence when working with patients with behavioral emergencies.</td></tr></table>en_GB
dc.date.available2011-10-26T10:16:28Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:16:28Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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