Crilly Julia, Polong-Brown Josea, Lincoln Cathy, Timms Jo, Becker Ken, Scuffham Paul, Van Buuren Nelle, Fisher Andrew, Murphy Danny, Green David
Menzies Health Institute Queensland, Griffith University, Queensland, Australia; Department of Emergency Medicine, Gold Coast Health, Queensland, Australia.
Department of Emergency Medicine, Gold Coast Health, Queensland, Australia.
Int Emerg Nurs. 2019 Nov;47:100790. doi: 10.1016/j.ienj.2019.100790. Epub 2019 Sep 3.
Increasing presentations to the Emergency Department (ED) via police (which include detainees, prisoners and community residing persons) and the increase in chronic and mental health illness in detainee and prisoner populations has prompted an increased requirement for healthcare delivery within the custodial environment. This study aimed to describe the Watch House Emergency Nurse (WHEN) role, focusing on structures and processes underpinning the role.
In this qualitative, descriptive study, semi-structured interviews were undertaken in 2015 with 14 key stakeholders from health, police, and ambulance services. Interviews were analysed using content analysis to inform the findings.
Important structural elements of the WHEN role included an ED triage competent registered nurse, a 2-day integrated training program, and clear guidelines to provide a framework for identifying, prioritising and managing healthcare needs. Important process elements were clear communication between nurses, police, and medical staff, and a clear understanding of roles and responsibilities to facilitate continuity of care and appropriate referral. The underpinning perceived benefit of the WHEN role was 'safety'. This was in terms of personal, professional, and detainee safety.
The structures and processes underpinning the innovative WHEN role provides a valuable foundation for guiding evaluations of other nursing roles in other early custody settings.
通过警方（包括被拘留者、囚犯和社区居民）前往急诊科（ED）就诊的人数不断增加，以及被拘留者和囚犯群体中慢性病和精神疾病患者数量的增加，促使在羁押环境中提供医疗服务的需求增加。本研究旨在描述看守所急诊护士（WHEN）的角色，重点关注该角色的结构和流程。
在这项定性描述性研究中，2015年对来自卫生、警察和救护服务部门的14名关键利益相关者进行了半结构化访谈。使用内容分析法对访谈进行分析以得出研究结果。
WHEN角色的重要结构要素包括一名具备急诊科分诊能力的注册护士、一个为期两天的综合培训项目，以及明确的指南，为确定、优先处理和管理医疗需求提供框架。重要的流程要素包括护士、警察和医务人员之间的清晰沟通，以及对角色和职责的清晰理解，以促进护理的连续性和适当的转诊。WHEN角色的潜在益处在于“安全”。这涉及个人、职业和被拘留者的安全。
支撑创新的WHEN角色的结构和流程为指导评估其他早期羁押环境中的护理角色提供了宝贵的基础。
