Objective: To evaluate population trends in presentations for mental health problems presenting to emergency departments (EDs) New South Wales during 2010–2014, particularly patients with suicidal ideation, self-harm, or intentional poisoning. Design, setting and participants: This was a retrospective, descriptive analysis of linked Emergency Department Data Collection registry data NSW public hospital EDs over five calendar years, 2010–2014. Patients were included if they had presented an...

Self-care practice within the palliative care workforce is often discussed, yet seemingly under-researched. While professionals are required to implement and maintain effective self-care strategies, there appears little evidence guide them. Moreover, an apparent need clarify meaning of in practice. This paper reports qualitative findings context a broader mixed-methods study. The aim present study was explore as described by nurses doctors.A purposive sample 24 doctors across Australia...

This study examined levels of, and relationships between, self-care ability, self-compassion, compassion among palliative care nurses doctors.A total of 369 participants across Australia completed a cross-sectional survey comprising demographic questionnaire outcome measures for each variable. Descriptive inferential statistics were analysed, controlling potential social-desirability bias.Levels compassion, self-compassion ability varied, with some individuals scoring high or low in each....

The purpose of the study was to examine knowledge and attitudes nurses on pressure injury prevention determine if there a relationship between knowledge, attitude, years experience following an unexplained increase in reported hospital-acquired injuries across 1 health district Sydney, Australia.Multisite cross-sectional study.Registered enrolled working acute, medical, rehabilitation units 4 hospitals 5 community centers local district.Using modified version Pressure Ulcer Knowledge Test...

The landscape of mental health care and service delivery is changing, as our understanding the underlying causes for distress. It now apparent that biogenic explanations have been overstated instead experiences trauma adversity constitute main contributor to people's challenges. shortcomings treatments traditionally used in are also evident, with a contemporary focus on person-centred care, utility diagnostic labels has called into question. Taking all this consideration, study sought...

Mental health risk-assessments are an important part of nursing in mental settings, to protect patients or others from harm. Even so, nurses often have difficulty identifying posing a credible risk (either self others), so guidance is recommended. However, despite extensive and growing body risk-oriented literature, comparatively little expands upon contemporary knowledge patient assessment. Therefore, it remains unclear how understand undertake their assessments. To address this gap nurses'...

ABSTRACT: This paper describes the establishment of a mental health nurse practitioner (MHNP) position in New South Wales, Australia. The authors report on MHNP role that functions collaboratively within large inner city emergency department. Attention is centred what constitutes advanced nursing practice department setting. Three areas associated with work MHNPs – therapeutic techniques, prescribing and care coordination referral are highlighted to explore scope role. propose success this...

Evaluation has become progressively popular within public health and healthcare programme research, with an emphasis on outcomes a desire to improve practice service delivery. Mixed methods approaches are consequently being employed capture the multidimensional characteristics of programmes that aim address problematic situations affecting targeted populations. This paper provides overview critical realism, modern philosophical perspective seeks contextualised causal understandings social...

The mental health liaison nurse role in the emergency department (ED) has demonstrated a range of positive outcomes for both consumers and staff. In Australia, added value associated with establishing practitioner (MHNP) positions based on this model is emerging. This paper presents qualitative findings from study using mixed-method design to evaluate an ED-based MHNP outpatient service Sydney, Australia. evaluating new service, semistructured interviews were conducted random selection...

Abstract Objective The present study describes patients with acute behavioural disturbance presenting to the ED, impact they have on department and any complications that occur. Methods We performed a prospective observational of adult (>17 years old) requiring parenteral sedation for over 13 month period. Demographic data, mode arrival, indication, drug type dosing used were collected. Departmental data recorded including staff numbers involved condition department. main outcomes from...

Solution focused therapy (SFT) is a relatively new and increasingly popular model of brief intervention in mental health care. The central assertion SFT that the individual's problem or difficulty (and its cause) need not determine direction which discussion proceeds. Instead role practitioner to identify what individual wants be different then explore elaborate on difference. This paper outlines principles highlights compatibility this approach with core values nursing practice. Specific...