Keslar Rachel, Bacon Cindy, Epstein Crystal, Snyder Audrey, Rhew Denise
Department of Nursing, Elon University, Elon, North Carolina, USA.
School of Nursing, University of North Carolina Greensboro, Greensboro, North Carolina, USA.
Issues Ment Health Nurs. 2025 May;46(5):444-450. doi: 10.1080/01612840.2025.2473381. Epub 2025 Mar 6.
Many patients seek mental health care through emergency departments. Emergency departments use many ways to care for mental health patients, however, one major challenge is boarding where medically cleared patients cannot be dispositioned from the emergency department because of inadequate health services. This study's goal was to determine emergency nurses' perceptions on mental health treatments in the emergency department in caring for mental health patients who were boarding. This qualitative descriptive study used one-on-one semi-structured interviews of bedside emergency nurses. Interviews took place remotely. Codes were derived from the data itself and then condensed into findings. Eighteen bedside emergency nurses participated. Four themes around mental health treatment for mental health patients who were boarding were discovered: safety precautions, basic medications, mental health team, and disposition for definitive care. With each aspect of care, benefits and barriers were dependent on resource adequacy or workflow challenges. To adequately care for mental health patients who are boarding, sufficient resource provision and efficient workflows for achieving good mental health care in the emergency department should be in place. Emergency nurses may be allies in supporting non-emergency department mental health services so that mental health patients can be adequately supported and boarding times decreases.
许多患者通过急诊科寻求心理健康护理。急诊科采用多种方式护理心理健康患者，然而，一个主要挑战是“滞留”问题，即那些医学上已获诊治的患者因卫生服务不足而无法从急诊科转出。本研究的目的是确定急诊护士对于急诊科在护理滞留心理健康患者时进行心理健康治疗的看法。这项定性描述性研究采用了对床边急诊护士进行一对一的半结构化访谈。访谈通过远程方式进行。编码从数据本身得出，然后浓缩为研究结果。18名床边急诊护士参与了研究。围绕滞留心理健康患者的心理健康治疗发现了四个主题：安全预防措施、基本药物、心理健康团队以及确定性护理的处置。对于护理的每个方面，益处和障碍都取决于资源充足程度或工作流程挑战。为了充分护理滞留的心理健康患者，应具备足够的资源供应以及在急诊科实现良好心理健康护理的高效工作流程。急诊护士可能成为支持非急诊科心理健康服务的盟友，从而使心理健康患者能够得到充分支持并缩短滞留时间。
