An Algorithm to Improve a Nurse's Sense of Effectiveness in Triaging Psychiatric Emergencies

2.50
Hdl Handle:
http://hdl.handle.net/10755/163005
Type:
Presentation
Title:
An Algorithm to Improve a Nurse's Sense of Effectiveness in Triaging Psychiatric Emergencies
Abstract:
An Algorithm to Improve a Nurse's Sense of Effectiveness in Triaging Psychiatric Emergencies
Conference Sponsor:Emergency Nurses Association
Conference Year:2005
Author:Westman, Julie, RN, BSN, MEd, CEN
P.I. Institution Name:St. Paul's Hospital
Contact Address:1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada
Contact Telephone:(604) 682-2344
Clinical Topic: In the past two years, triage nurses working at a Canadian inner-city hospital have experienced a 300% increase in the number of psychiatric patients presenting to the emergency department (ED). Coinciding with this dramatic increase was the critical need for more effective ways of triaging this patient population. Nurses completing needs-assessment surveys have repeatedly identified psychiatric emergencies as one of the most challenging patients to triage. Following a comprehensive review of the literature and consultation with practitioners experienced in this area, two educators developed a decision-making algorithm to assist nurses in the triage of psychiatric emergency patients. An anticipated outcome of this project was to increase the triage nurse's sense of effectiveness when dealing with psychiatric emergencies. Implementation: The following implementation plan was developed based on the recommendations of this EDT's triage and psychiatric nurses, as well as a nurse researcher from the University of British of Columbia: 1) Design a survey and interview a random sample of triage nurses currently working in this facility's emergency department; 2) Educate the department staff regarding application of the decision-making algorithm during biannual education days; and 3) Conduct follow-up surveys with the triage nurses, assessing changes in their sense of effectiveness managing psychiatric emergency patients. Outcomes: The results of the surveys are currently unavailable at the time of this writing. The preliminary interviews are underway. The education sessions are scheduled for Jan. 31 and Feb. 7, 14, 21, and 28, 2005, and the follow up interviews will be conducted throughout March 2005. Through application of the proposed decision-making algorithm, it is anticipated that nurses will experience an increased sense of effectiveness when triaging psychiatric patients. Outcomes will be available May 2005. Recommendations: The Decision Making Algorithm for Triaging Psychiatric Emergencies may be a valuable tool for promoting the nurse?s sense of effectiveness when triaging psychiatric patients. Based upon project outcomes, the decision-making algorithm will be used in a nursing research study. The intention will be to involve other emergency departments in the area.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAn Algorithm to Improve a Nurse's Sense of Effectiveness in Triaging Psychiatric Emergenciesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/163005-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Algorithm to Improve a Nurse's Sense of Effectiveness in Triaging Psychiatric Emergencies</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Westman, Julie, RN, BSN, MEd, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">St. Paul's Hospital</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(604) 682-2344</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jwestman@providencehealth.bc.ca</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: In the past two years, triage nurses working at a Canadian inner-city hospital have experienced a 300% increase in the number of psychiatric patients presenting to the emergency department (ED). Coinciding with this dramatic increase was the critical need for more effective ways of triaging this patient population. Nurses completing needs-assessment surveys have repeatedly identified psychiatric emergencies as one of the most challenging patients to triage. Following a comprehensive review of the literature and consultation with practitioners experienced in this area, two educators developed a decision-making algorithm to assist nurses in the triage of psychiatric emergency patients. An anticipated outcome of this project was to increase the triage nurse's sense of effectiveness when dealing with psychiatric emergencies. Implementation: The following implementation plan was developed based on the recommendations of this EDT's triage and psychiatric nurses, as well as a nurse researcher from the University of British of Columbia: 1) Design a survey and interview a random sample of triage nurses currently working in this facility's emergency department; 2) Educate the department staff regarding application of the decision-making algorithm during biannual education days; and 3) Conduct follow-up surveys with the triage nurses, assessing changes in their sense of effectiveness managing psychiatric emergency patients. Outcomes: The results of the surveys are currently unavailable at the time of this writing. The preliminary interviews are underway. The education sessions are scheduled for Jan. 31 and Feb. 7, 14, 21, and 28, 2005, and the follow up interviews will be conducted throughout March 2005. Through application of the proposed decision-making algorithm, it is anticipated that nurses will experience an increased sense of effectiveness when triaging psychiatric patients. Outcomes will be available May 2005. Recommendations: The Decision Making Algorithm for Triaging Psychiatric Emergencies may be a valuable tool for promoting the nurse?s sense of effectiveness when triaging psychiatric patients. Based upon project outcomes, the decision-making algorithm will be used in a nursing research study. The intention will be to involve other emergency departments in the area.</td></tr></table>en_GB
dc.date.available2011-10-27T10:37:54Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:37:54Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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