Clarke Diana E, Brown Anne-Marie, Hughes Linda, Motluk Lori
University of Manitoba, Winnipeg, MB, Canada R3T 2N2.
Accid Emerg Nurs. 2006 Oct;14(4):210-8. doi: 10.1016/j.aaen.2006.08.005. Epub 2006 Oct 25.
General hospital emergency departments (EDs) are obvious places for individuals in distress or in a mental health crisis to seek assistance. However, triage nurses admit to a lack of expertise and confidence in psychiatric assessment which can result in less accurate assessments than for medical or trauma presentations. The objectives of a collaborative project between an Adult Mental Health Program and an Adult Emergency Program in a Canadian regional health authority were to: provide education and training to triage nurses regarding mental health and illness; monitor the transit of mental health patients through the ED; monitor wait times; and determine the adequacy of the Canadian Triage Acuity and Assessment Scale in the triage of psychiatric presentations. Although the percentages of patients triaged as "emergent" did not change as a result of the education, the percentage of patients who were triaged as "not urgent" but required hospitalization was significantly reduced. Although average lengths of stay in the ED were also reduced after the education, this may or may not have been related to the educational sessions. The project was successful in increasing collaboration between the two departments and has resulted in enhanced, on-going mental health education for ED nurses.
综合医院急诊科是处于困境或心理健康危机中的个人寻求帮助的明显场所。然而，分诊护士承认在精神科评估方面缺乏专业知识和信心，这可能导致评估结果不如对医疗或创伤情况的评估准确。加拿大一个地区卫生当局的成人心理健康项目和成人急诊科项目之间的合作项目目标是：为分诊护士提供有关心理健康和疾病的教育与培训；监测心理健康患者在急诊科的转诊情况；监测等待时间；以及确定加拿大分诊 acuity 和评估量表在精神科分诊中的适用性。尽管接受教育后被分诊为“紧急”的患者百分比没有变化，但被分诊为“不紧急”但需要住院治疗的患者百分比显著降低。尽管教育后急诊科的平均住院时间也有所减少，但这可能与教育课程有关，也可能无关。该项目成功地加强了两个部门之间的合作，并为急诊科护士带来了持续的、强化的心理健康教育。
