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The Experience of Emergency Nurses Caring for Patients with Mental Illness: A Qualitative Study

Background: The medical burden of psychiatric disorders continues to increase and has caused a major impact on health, society, human rights, and economy in the world. Patients with mental illness have a higher ratio of emergency department visits than non-psychiatric patients. Psychiatric disorder-...

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Autores principales: Chou, Hsin-Ju, Tseng, Kai-Yu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7698619/
https://www.ncbi.nlm.nih.gov/pubmed/33217909
http://dx.doi.org/10.3390/ijerph17228540
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author Chou, Hsin-Ju
Tseng, Kai-Yu
author_facet Chou, Hsin-Ju
Tseng, Kai-Yu
author_sort Chou, Hsin-Ju
collection PubMed
description Background: The medical burden of psychiatric disorders continues to increase and has caused a major impact on health, society, human rights, and economy in the world. Patients with mental illness have a higher ratio of emergency department visits than non-psychiatric patients. Psychiatric disorder-related emergency department care is a stress-causing factor in emergency department work. Therefore, the purpose of this study was to explore the experience of emergency department nurses in caring for patients with mental illness. Methods: A descriptive qualitative research design with purposive sampling was adopted. A total of 17 nurses working in the emergency department in central Taiwan were recruited. In-depth semi-structured interviews were conducted and thematic content analysis was performed. Results: Four themes and six sub-themes emerged that described the experiences of emergency nurse caring for patients with mental illness: (1) Mindset; (2) The predicament of psychiatric care: Violence and isolation and helplessness, and lack of therapeutic communication skills; (3) The influence of open space: insufficient safety and privacy; and (4) The educational needs of psychiatric nursing: improving cognition in psychiatric patients and changing negative thinking into positive thinking. Conclusions: The results revealed the experience of emergency nurses in caring for patients with mental illness. Emergency psychiatric nursing training related to foundational psychiatric knowledge, communication skill, concept of recovery, coping with violence restraining are needed for nurses who work in emergency departments.
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spelling pubmed-76986192020-11-29 The Experience of Emergency Nurses Caring for Patients with Mental Illness: A Qualitative Study Chou, Hsin-Ju Tseng, Kai-Yu Int J Environ Res Public Health Article Background: The medical burden of psychiatric disorders continues to increase and has caused a major impact on health, society, human rights, and economy in the world. Patients with mental illness have a higher ratio of emergency department visits than non-psychiatric patients. Psychiatric disorder-related emergency department care is a stress-causing factor in emergency department work. Therefore, the purpose of this study was to explore the experience of emergency department nurses in caring for patients with mental illness. Methods: A descriptive qualitative research design with purposive sampling was adopted. A total of 17 nurses working in the emergency department in central Taiwan were recruited. In-depth semi-structured interviews were conducted and thematic content analysis was performed. Results: Four themes and six sub-themes emerged that described the experiences of emergency nurse caring for patients with mental illness: (1) Mindset; (2) The predicament of psychiatric care: Violence and isolation and helplessness, and lack of therapeutic communication skills; (3) The influence of open space: insufficient safety and privacy; and (4) The educational needs of psychiatric nursing: improving cognition in psychiatric patients and changing negative thinking into positive thinking. Conclusions: The results revealed the experience of emergency nurses in caring for patients with mental illness. Emergency psychiatric nursing training related to foundational psychiatric knowledge, communication skill, concept of recovery, coping with violence restraining are needed for nurses who work in emergency departments. MDPI 2020-11-18 2020-11 /pmc/articles/PMC7698619/ /pubmed/33217909 http://dx.doi.org/10.3390/ijerph17228540 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chou, Hsin-Ju
Tseng, Kai-Yu
The Experience of Emergency Nurses Caring for Patients with Mental Illness: A Qualitative Study
title The Experience of Emergency Nurses Caring for Patients with Mental Illness: A Qualitative Study
title_full The Experience of Emergency Nurses Caring for Patients with Mental Illness: A Qualitative Study
title_fullStr The Experience of Emergency Nurses Caring for Patients with Mental Illness: A Qualitative Study
title_full_unstemmed The Experience of Emergency Nurses Caring for Patients with Mental Illness: A Qualitative Study
title_short The Experience of Emergency Nurses Caring for Patients with Mental Illness: A Qualitative Study
title_sort experience of emergency nurses caring for patients with mental illness: a qualitative study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7698619/
https://www.ncbi.nlm.nih.gov/pubmed/33217909
http://dx.doi.org/10.3390/ijerph17228540
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