Let Us Keep the Emergency Department Safe: National Disability Insurance Scheme Supports Workers’ Experiences When Supporting People with Psychosocial Disability in the Emergency Department

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Heather McIntyre, Mark Loughhead, Laura Hayes, Caroline Allen, Dean Barton-Smith, Brooke Bickley, Louis Vega, Jewels Smith, Ursula Wharton, Nicholas Procter
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Abstract

Internationally, community healthcare is provided by personal health budgets or personalised schemes as part of a consumer-directed care emphasis. Although the introduction of a personalised scheme in Australia has improved the lives of many, people with psychosocial disability (PSD) and their families have experienced many challenges with service integration. Six focus groups with 17 National Disability Insurance Scheme (NDIS) support workers were conducted between June and November 2022. Participants were asked semistructured questions about their engagement with emergency department (ED) clinicians when presenting with a person with PSD and NDIS plan. They were also asked how they contribute to service integration to improve communication practices between the two services. A qualitative, descriptive thematic analysis approach was used. Results indicate there is a need for improved service integration pathways between the ED and NDIS services. The thematic analyses identified five main themes: the ED is harmful and not safe, but nowhere else to go; make the ED safe; further training for ED staff; improving communication across services; and alternatives to the ED. This study reports NDIS support worker’s experience when supporting a person they are caring for in the ED. NDIS support workers have an understanding of the needs of the people they care for;their wisdom can contribute greatly to ED clinical responses in crisis care. Recommendations are offered to assist with service integration between the two systems.

让我们确保急诊科的安全:国家残疾保险计划支持工作者在急诊科为社会心理残疾者提供支持时的经历
在国际上,社区医疗保健是通过个人医疗预算或个性化计划来提供的,这也是以消费者为导向的护理重点的一部分。虽然澳大利亚推出的个性化计划改善了许多人的生活,但社会心理残疾(PSD)患者及其家人在服务整合方面也遇到了许多挑战。2022 年 6 月至 11 月期间,我们与 17 名国家伤残保险计划(NDIS)支持人员进行了六次焦点小组讨论。我们向参与者提出了一些半结构化问题,内容涉及他们与急诊科(ED)临床医生在接诊 PSD 患者和 NDIS 计划时的接触情况。他们还被问及如何促进服务整合,以改善两种服务之间的沟通方式。研究采用了定性、描述性主题分析方法。结果表明,有必要改进 ED 和 NDIS 服务之间的服务整合途径。主题分析确定了五大主题:急诊室既有害又不安全,但又无处可去;确保急诊室的安全;进一步培训急诊室工作人员;改善各服务部门之间的沟通;以及急诊室的替代方案。本研究报告介绍了 NDIS 支持人员在 ED 中为其照顾的人提供支持时的经验。NDIS 辅助人员了解他们所照顾的人的需求;他们的智慧可以极大地促进急诊室在危机护理方面的临床应对措施。本文提出了一些建议,以帮助两个系统之间的服务整合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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