2.50
Hdl Handle:
http://hdl.handle.net/10755/161552
Type:
Presentation
Title:
Caring for Psychiatric Patients in the General Hospital Emergency Department
Abstract:
Caring for Psychiatric Patients in the General Hospital Emergency Department
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Linde, Beverly
P.I. Institution Name:Indiana University
Title:Assistant Clinical Professor
Contact Address:School of Nursing, 1111 Middle Drive, NU 419, Indianapolis, IN, 46202, USA
Contact Telephone:317.278.2033
The number of acutely ill psychiatric patients that seek care in general hospital emergency departments (ED's) has grown tremendously in recent years, posing problems for psychiatric and ED health care givers. This study was designed to improve scientific understanding of the process and issues involved in providing care to psychiatric patients in the general hospital ED. This study utilized both qualitative and quantitative methodologies to examine these processes and dynamics. The core set of data are systematic observations gathered by the research team as well as reports of the short survey tool distributed to the ED and psychiatric staff. The survey tool was an adaptation of Glisson's tool to measure organizational climate. The survey instrument included several scales designed to measure staff members perceptions of their work environment, attitudes toward mental illness and it's treatment, staff's comfort with clinical work with psychiatric patients in the ED, and select demographic and professional background characteristics. Survey data were analyzed using multivariate statistics showing that staff members subjective understanding of the needs of patients with mental health problems are shaped primarily by organizational climate and individual-level mental health experiences. Perceptions of the fairness and equity of their work environment (b=27, P< .05) is associated with higher level of understanding while feelings of work role ambiguity is correlated with lower levels of understanding. Role ambiguity was the most important organizational climate-related variable in the model. Nurses bear the bulk of responsibility of care for these patients and observational data showed a poor fit between what psychiatric patients need and want and what general ED staff are able and expected to provide. A final conclusion showed that the organizational context of health care settings can impact the quality of care provided by health care professionals.
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.titleCaring for Psychiatric Patients in the General Hospital Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/161552-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Caring for Psychiatric Patients in the General Hospital Emergency Department</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">Linde, Beverly</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Indiana University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Clinical Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 1111 Middle Drive, NU 419, Indianapolis, IN, 46202, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">317.278.2033</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">blinde@iupui.edu</td></tr><tr><td colspan="2" class="item-abstract">The number of acutely ill psychiatric patients that seek care in general hospital emergency departments (ED's) has grown tremendously in recent years, posing problems for psychiatric and ED health care givers. This study was designed to improve scientific understanding of the process and issues involved in providing care to psychiatric patients in the general hospital ED. This study utilized both qualitative and quantitative methodologies to examine these processes and dynamics. The core set of data are systematic observations gathered by the research team as well as reports of the short survey tool distributed to the ED and psychiatric staff. The survey tool was an adaptation of Glisson's tool to measure organizational climate. The survey instrument included several scales designed to measure staff members perceptions of their work environment, attitudes toward mental illness and it's treatment, staff's comfort with clinical work with psychiatric patients in the ED, and select demographic and professional background characteristics. Survey data were analyzed using multivariate statistics showing that staff members subjective understanding of the needs of patients with mental health problems are shaped primarily by organizational climate and individual-level mental health experiences. Perceptions of the fairness and equity of their work environment (b=27, P&lt; .05) is associated with higher level of understanding while feelings of work role ambiguity is correlated with lower levels of understanding. Role ambiguity was the most important organizational climate-related variable in the model. Nurses bear the bulk of responsibility of care for these patients and observational data showed a poor fit between what psychiatric patients need and want and what general ED staff are able and expected to provide. A final conclusion showed that the organizational context of health care settings can impact the quality of care provided by health care professionals.</td></tr></table>en_GB
dc.date.available2011-10-26T23:23:14Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:23:14Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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