A clash of cultures: A&amp;E and mental health

Crowley, Jill J.

doi:10.1054/aaen.1999.0061

Cited by 53 publications

(44 citation statements)

References 15 publications

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“…A 13 perceived lack of skills was identified as one of the main barriers to communicating effectively with suicidal patients. Results from a study by Crowley (2000) also found that ED nurses were unsure of their clinical skills in relation to communicating with this patient group. Here, ED nurses were able to communicate effectively with distressed relatives but had difficulty communicating when faced with a mental health attender.…”

Section: Discussionmentioning

confidence: 96%

“…Here, ED nurses were able to communicate effectively with distressed relatives but had difficulty communicating when faced with a mental health attender. Crowley (2000) suggests that this was as a result of nurses' lack of belief in their own skills and their perceived inability to apply their communication skills to patients presenting with mental health problems. In the present study, all participants made reference to the importance of referral of the patient to the mental health services.…”

Section: Discussionmentioning

confidence: 99%

“…Perego (1999) reported that ED staff felt unskilled and lacked confidence in dealing with mental health issues and also felt largely unsupported by mental health services. Similarly, Crowley's (2000) study found that ED nursing staff reported a deficit in mental health knowledge and a total absence of opportunities to develop skills on mental health issues. As a result Arbuthnot & Gillespie (2005) argue that staff tend to focus largely on medical rather than psychological assessment and interventions.…”

Section: Literature Reviewmentioning

confidence: 93%

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Caring for patients with suicidal behaviour: an exploratory study

2007

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Presentation to the Emergency Department (ED) of patients with suicidal behaviours is relatively common. While many of these patients may be referred on to specialist mental health services, many are either discharged with no psychiatric follow-up or leave before being seen. There is therefore an increasing onus on the staff of Emergency Departments to become involved in the assessment and initial management of this patient group. The aim of this study was to describe the experiences and challenges that nurses encounter when caring for patients who present to the ED with suicidal behaviour. Forty-two ED nurses completed a 15-item semi-structured questionnaire. Participants in this study identified risk assessment as part of their role but did not focus on psychosocial assessment or psychological management of this patient group. Feelings of sympathy and compassion were reported towards these patients; however, there was often a prior judgement of the perceived 'genuineness' of the presentation. Finally, challenges experienced included a lack of appropriate communication skills and insufficient resources within the ED department to adequately care for this vulnerable patient group.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 93%

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Caring for patients with suicidal behaviour: an exploratory study

2007

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“…This will inevitably cause frustration when the patient's condition fails to improve and the nurse may start to withdraw and believe that personality disorders are not treatable (O'Donavon 2007). A similar speculation is made by Crowley (2000) who examines how time pressures lead to cynical attitudes of staff.…”

Section: Criterion -Borderline Personality Disordermentioning

confidence: 93%

Staff attitudes towards inpatients with borderline personality disorder

Weight

Kendal

2013

Mental Health Practice

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“…The implications for the triage of psychiatric clients are significant. The available research suggests that nurses do not consider themselves to have the skills and experience or the appropriate facilities to meet the needs of psychiatric clients (Gillette & Bucknell, 1996;Putman, 1998;Bailey, 1998;Crowley, 2000). This has reportedly resulted in increased waiting times, with the result that many clients leave the emergency department before being seen (Gillette & Bucknell, 1996;Bailey, 1998;Putman, 1998, Smart et al, 1998Crowley, 2000).…”

mentioning

confidence: 99%

Satisfaction with psychiatric services in the emergency department

Happell

Summers

2004

Int. psychiatry

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it was essentially qualitative in character. The patients who were most satisfied with the care they had received were those who were able to form a warm, empathic relationship with staff, whether this was in an out-patient or an in-patient setting. There was a fascinating dissonance between the perceptions of patients, for whom time was elastic and who wished to have more contact with staff, and the availability of those staff.

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A clash of cultures: A&E and mental health

Cited by 53 publications

References 15 publications

Caring for patients with suicidal behaviour: an exploratory study

Caring for patients with suicidal behaviour: an exploratory study

Staff attitudes towards inpatients with borderline personality disorder

Satisfaction with psychiatric services in the emergency department

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