4.1 Article

HELP! CARING FOR PEOPLE WITH MENTAL HEALTH PROBLEMS IN THE EMERGENCY DEPARTMENT: A QUALITATIVE STUDY

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JOURNAL OF EMERGENCY NURSING
卷 49, 期 5, 页码 765-775

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ELSEVIER SCIENCE INC
DOI: 10.1016/j.jen.2023.04.007

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Emergency care; Mental health; Nursing; Qualitative research

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This study describes the experiences of nursing staff in the emergency department in caring for patients with mental health problems, as well as their experiences in healthcare settings. The main findings of the study highlight the need to train emergency nurses in caring for individuals with mental health issues, including bias education, and the implementation of standardized protocols. While emergency nurses never doubted their ability to care for individuals with mental health disorders, they recognized the need for support from specialized professionals at critical moments.
Introduction: After coronavirus disease 2019, there has been an increase in patients in the emergency department with mental health conditions. They are usually received by professionals who are not specialized in mental health. This study aimed to describe nursing staff's experiences in the emergency department, in the care they provide to people with mental health problems who often feel stigmatized by society and also in health care settings.Methods: This is a descriptive qualitative study with a phenomenological approach. The participants were nurses from the Spanish Health Service from the emergency department of the Community of Madrid hospitals. Recruitment was performed by convenience sampling snowball sampling until data satruation was met. Data were collected through semistructured interviews conducted during January and February 2022.Results: The exhaustive and detailed analysis of the nurses' interviews made it possible to extract 3 main categories- health care, psychiatric patient, and work environment-with 10 subcategories.Discussion: The main study findings were the need to train emergency nurses to be prepared to care for people who experience mental health concerns including bias education and the need for implementation of standardized protocols. Emergency nurses never doubted their ability to care for people experi encing mental health disorders. Still, they recognized that they needed specialized professionals' support at certain critical moments.

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