A Study on Knowledge, Attitude and Practices of Emergency Physicians in Management of Patients with Mental Health Disorders in the City of Hyderabad, India

Bhargav, Akshay; Subhan, Imron; Singh, Namita

doi:10.5152/eajem.2016.63835

Cited by 1 publication

(11 citation statements)

References 17 publications

(17 reference statements)

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“…Therefore, we designed a questionnaire after conducting a thorough literature review and gathering relevant questions from previous studies. [12][13][14]16,20 The questionnaire was reviewed by two emergency consultants and two psychiatric consultants for content and face validity, practicability, and interpretation of answers. Then, to ensure the quality of the questions, an emergency consultant and a psychiatric consultant reviewed the questionnaire to assess the practicability, validity, and interpretation of answers.…”

Section: Study Assessment Toolsmentioning

confidence: 99%

“…14 In India, 83.8% of the physicians examined in one study said that there are no mental health policies in their departments. 12 Two similar studies, one in the United States and another in Australia, have concluded that EPs working in EDs need more knowledge and confidence and require more training. 15,16 In Saudi Arabia, few studies have investigated PEs.…”

Section: Introductionmentioning

confidence: 99%

“…This practice must be integrated into the instructional curriculum and be consistently adapted to the identified training requirement. 12 Another study revealed that 31.4% of the physicians considered had insufficient understanding of mental diseases, while just 25.6% possessed pertinent knowledge. The study reported that 37.8% of the respondents had a positive attitude, whereas 44.7% exhibited a negative attitude towards those with mental illness.…”

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confidence: 99%

“…The confluence of these processes engenders detrimental healthcare experiences for patients, physicians, and nurses, thereby potentially compromising the quality of patient treatment and the well-being of ED staff. 12 In terms of practice, more than one third of the physicians reported being uncertain about or unaware of whether their hospitals had management or referral policies for mentally ill patients, even though all the general hospitals included in the study have psychiatric departments. Compared to a 2016 study in which over 80% of the physicians also reported not having such policies, 12 the present study suggests that some EPs are managing psychiatric patients alone, without a psychiatrist's help, and may be unaware of their hospitals' psychiatric departments.…”

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confidence: 99%

“…12 In terms of practice, more than one third of the physicians reported being uncertain about or unaware of whether their hospitals had management or referral policies for mentally ill patients, even though all the general hospitals included in the study have psychiatric departments. Compared to a 2016 study in which over 80% of the physicians also reported not having such policies, 12 the present study suggests that some EPs are managing psychiatric patients alone, without a psychiatrist's help, and may be unaware of their hospitals' psychiatric departments. Over one third also reported not having psychiatric departments.…”

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confidence: 99%

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Emergency Physicians’ Knowledge, Attitudes, and Practices Related to Psychiatric Emergencies in Makkah’s General Hospitals in Saudi Arabia: A Cross-Sectional Study

Ali,

Aljabri,

Hariri

et al. 2024

AMEP

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This study aims to assess the knowledge, attitudes, and practices of emergency physicians (EPs) related to psychiatric emergencies (PEs) in Makkah's general hospitals. Sample and Methods: This study was an observational cross-sectional study using an online survey distributed to 138 EPs in the emergency departments (EDs) of six public hospitals in Makkah City, Saudi Arabia, between March 15 and May 1, 2023. A convenience sample was used for data collection. The questionnaire was developed after related surveys in the literature were reviewed. Results: 59.9% of the physicians were aged 20-30 years. Most (68.8%) worked in hospitals that had psychiatric facilities. Regarding knowledge, only 30% of the emergency doctors were considered knowledgeable: the majority could identify PEs (79.7%), perform mental status examinations (71.0%), distinguish physical and mental symptoms (66.7%), and communicate with psychiatric patients (58.0%). However, only 52.9% could initiate management plans by prescribing psychiatric medication to patients. In relation to attitude, most physicians disagreed with the idea that healthcare practitioners do not need to advocate for psychiatric patients (67.4%), but many (62.3%) assumed that they do not have the responsibility to manage psychiatric patients, and they felt that conducting psychiatric evaluations in public hospitals is challenging because of the busy environment there. As regards practice, mentally ill patients (60.9%) were managed or referred by practices, and 56.5% of the EPs advised these patients upon discharge. Conclusion:The study showed that EPs have positive attitudes toward psychiatric patients, but their knowledge varied based on age, occupation levels, and years of experience. There were significant knowledge gaps, particularly regarding effective communication with psychiatric patients. Additionally, many EPs manage psychiatric patients without being aware of the psychiatric resources in their hospital. Improving medical school curricula and postgraduate training can enhance care. However, more research in this field is needed.

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