RN, MS, DNSc Cynthia M Stuhlmiller (Professor of Nursing (Mental Health) School of Nursing and Midwifery) , RN, MS Barry Tolchard (Senior Lecturer and Course Coordinator School of Medicine and School of Nursing and Midwifery) , BA (Hons), MPHC Lyndall J Thomas (Senior Project Officer, Department of Human Services) , RN, PhD, FRCNA Charlotte F de Crespigny (Professor of Nursing (Alcoho & Other Drugs) School of Nursing and Midwifery) , MBBS, FRANZCP Ross S Kalucy am (Professor, Department of Psychiatry) , MBBS, FACEM Diane King (Director Emergency Medicine)
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引用次数: 37
Abstract
Introduction
This paper reports on one major finding of an educational initiative aimed at improving the care of persons presenting to emergency departments (EDs) with mental health issues. This goal, to improve care, was based on the premise that enhanced knowledge and skills of ED staff in mental health, including drug and alcohol issues, would result in increased confidence and competence of staff. The outcome of this would be that they could provide more effective and efficient service and thus better facilitate triage of persons with these problems.
Objective
To increase the confidence of staff in working with increasing numbers of mental health presentations in EDs.
Methods
Pre and post Emergency Mental Health Alcohol and Other Drugs (EMHAD) course questionnaires assessed self-ratings of clinical confidence in working with people with mental health issues. Follow-up interviews assessed if new found confidence in mental health had been integrated into daily ED practice.
Results
Self ratings of clinical confidence, including knowledge and skills, showed a significant improvement on all questions following the course. Responses to the follow-up interviews suggest that participants in the course had retained and integrated information into practice. This was especially evident in their ability to talk to people about mental health problems and to triage more appropriately.
Conclusion
Since attending the course staff feel more confident and competent to deal with mental health, including alcohol and other drug presentations, in the emergency department.
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