2.50
Hdl Handle:
http://hdl.handle.net/10755/160599
Type:
Presentation
Title:
Psychiatric Consultation-Liaison Nursing Interventions and Outcomes
Abstract:
Psychiatric Consultation-Liaison Nursing Interventions and Outcomes
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Yakimo, Richard
P.I. Institution Name:Saint Louis University
Title:Graduate Assistant
Contact Address:School of Nursing, 3525 Caroline Street, St. Louis, MO, 63104, USA
Contact Telephone:314.577.8910
Purpose: To document psychiatric consultation-liaison nurses (PCLNs) interventions and outcomes with patients, families, and staff on medical-surgical units of a Midwestern metropolitan hospital. Conceptual Framework: Consultation and crisis theories. Sample: Data were extracted from PCLN consultation notes (all from January 1 through September 30, 2000) without direct contact with patients, families, or staff (N=300). Methodology: The following data were gathered: a) patients' medical diagnosis(es); b) family responses prompting consultation; c) staff concerns; d) nursing diagnosis(es); e) nursing interventions; f) follow-up visits; and g) consultee outcomes. Data were categorized and analyzed descriptively by frequency and percentage. Results: Medical diagnoses were primarily related to trauma, organ transplants, and malignant disorders. Nursing staff concerns prompted most consultations. Prevalent nursing diagnoses were Anticipatory Grieving, Anxiety, Ineffective Individual Coping, and Sleep Pattern Disturbance. Family members were typically present at consultations and expressed concerns about providing appropriate support and resolving grief. Psychosocial interventions included clarifying feelings, providing supportive and grief counseling, and recommending diversional activities. Educational interventions included explaining treatment plans and teaching relaxation methods. Staff were educated about patient psychosocial needs and treatment issues. Follow-up sessions ranged from one through thirty; one to two sessions were most common due to brief hospital stays. Representative outcomes were distress reduction, positive response to education and grief counseling, and acceptance of referrals. Conclusions: Patients with diverse medical conditions showed significant psychosocial distress that is responsive to nursing interventions, such as psychosocial therapies and education. Outcomes included stabilization of patient care situations and enhancement of staff practice with patients and families. PCLN practice reflects the holistic nature of nursing, contributes to patient satisfaction, and prepares patients for optimal outcomes following discharge.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePsychiatric Consultation-Liaison Nursing Interventions and Outcomesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160599-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Psychiatric Consultation-Liaison Nursing Interventions and Outcomes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Yakimo, Richard</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Saint Louis University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Graduate Assistant</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 3525 Caroline Street, St. Louis, MO, 63104, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">314.577.8910</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">yakimor@slu.edu</td></tr><tr><td colspan="2" class="item-abstract">Purpose: To document psychiatric consultation-liaison nurses (PCLNs) interventions and outcomes with patients, families, and staff on medical-surgical units of a Midwestern metropolitan hospital. Conceptual Framework: Consultation and crisis theories. Sample: Data were extracted from PCLN consultation notes (all from January 1 through September 30, 2000) without direct contact with patients, families, or staff (N=300). Methodology: The following data were gathered: a) patients' medical diagnosis(es); b) family responses prompting consultation; c) staff concerns; d) nursing diagnosis(es); e) nursing interventions; f) follow-up visits; and g) consultee outcomes. Data were categorized and analyzed descriptively by frequency and percentage. Results: Medical diagnoses were primarily related to trauma, organ transplants, and malignant disorders. Nursing staff concerns prompted most consultations. Prevalent nursing diagnoses were Anticipatory Grieving, Anxiety, Ineffective Individual Coping, and Sleep Pattern Disturbance. Family members were typically present at consultations and expressed concerns about providing appropriate support and resolving grief. Psychosocial interventions included clarifying feelings, providing supportive and grief counseling, and recommending diversional activities. Educational interventions included explaining treatment plans and teaching relaxation methods. Staff were educated about patient psychosocial needs and treatment issues. Follow-up sessions ranged from one through thirty; one to two sessions were most common due to brief hospital stays. Representative outcomes were distress reduction, positive response to education and grief counseling, and acceptance of referrals. Conclusions: Patients with diverse medical conditions showed significant psychosocial distress that is responsive to nursing interventions, such as psychosocial therapies and education. Outcomes included stabilization of patient care situations and enhancement of staff practice with patients and families. PCLN practice reflects the holistic nature of nursing, contributes to patient satisfaction, and prepares patients for optimal outcomes following discharge.</td></tr></table>en_GB
dc.date.available2011-10-26T23:05:54Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:05:54Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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