Understanding mental health care experiences in the emergency department using a human factors approach.

IF 2.4 3区工程技术 Q3 ENGINEERING, INDUSTRIAL

Ergonomics Pub Date : 2025-10-07 DOI:10.1080/00140139.2025.2563363

Phoebe Gray, Elizabeth Austin, Colleen Cheek, Lieke Richardson, Emilie Francis-Auton, Nema Hayba, Robyn Clay-Williams

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引用次数: 0

Abstract

Hospital emergency departments (EDs) play a critical role in providing acute psychiatric care, however mental health patients and staff report poor care experiences. This study used an ED work domain analysis (WDA), as a framework for understanding care delivery experiences for mental health patients and epistemic experts. Interviews with 29 patients and 16 mental health epistemic experts from two Australian metropolitan hospitals revealed key concerns about care delivery. Patients reported issues including poor communication, unnecessarily repetitive assessments, and patient sensory overload in the ED environment. Epistemic experts described inadequacies of the broader mental health care system, including inadequate community follow-up care and a lack of mental health-specific training for staff. Findings suggest targeted interventions to improve system functions, processes, and environmental factors, ultimately enhancing patient care. Future research can apply this WDA model to other hospitals to improve ED experiences for mental health patients.

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医院急诊科（EDs）在提供急性精神病学护理方面发挥着关键作用，然而，精神卫生患者和工作人员报告的护理经验很差。本研究使用ED工作域分析（WDA）作为理解精神健康患者和认知专家的护理服务经验的框架。对来自澳大利亚两家大城市医院的29名患者和16名心理健康认知专家的采访揭示了对护理服务的主要关注。患者报告的问题包括沟通不良，不必要的重复评估，以及患者在急诊科环境中的感觉过载。认知专家描述了更广泛的精神卫生保健系统的不足之处，包括社区后续护理不足和对工作人员缺乏专门的精神卫生培训。研究结果表明，有针对性的干预措施可以改善系统功能、流程和环境因素，最终提高患者的护理水平。未来的研究可以将WDA模型应用于其他医院，以改善心理健康患者的急诊体验。

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

Ergonomics 工程技术-工程：工业

CiteScore

4.60

自引率

12.50%

发文量

147

审稿时长

6 months

期刊介绍： Ergonomics, also known as human factors, is the scientific discipline that seeks to understand and improve human interactions with products, equipment, environments and systems. Drawing upon human biology, psychology, engineering and design, Ergonomics aims to develop and apply knowledge and techniques to optimise system performance, whilst protecting the health, safety and well-being of individuals involved. The attention of ergonomics extends across work, leisure and other aspects of our daily lives. The journal Ergonomics is an international refereed publication, with a 60 year tradition of disseminating high quality research. Original submissions, both theoretical and applied, are invited from across the subject, including physical, cognitive, organisational and environmental ergonomics. Papers reporting the findings of research from cognate disciplines are also welcome, where these contribute to understanding equipment, tasks, jobs, systems and environments and the corresponding needs, abilities and limitations of people. All published research articles in this journal have undergone rigorous peer review, based on initial editor screening and anonymous refereeing by independent expert referees.