ED-HOME: Improving educator confidence and patient education in the Emergency Department

Coombs, Nicole; Porter, Joanne E.; Beauchamp, Alison

doi:10.1016/j.aenj.2016.01.002

Cited by 6 publications

(9 citation statements)

References 11 publications

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“…Studies took place in the following countries: 11 in the US [ 13 , 14 , 16 , 18 , 20 , 22 , 23 , 25 – 28 ], 1 in Jordan [ 30 ], 2 in the UK [ 17 , 24 ], 4 in Australia [ 15 , 19 , 21 , 31 ] and 1 in Canada [ 29 ]. The characteristics of the included studies and participants are described in Table 3 .…”

Section: Resultsmentioning

confidence: 99%

“…Using a structured education tool improved nurse confidence in undertaking personalised education prior to discharge from the ED. [ 19 ] A computer kiosk to promote child safety in a randomised controlled trial in an urban paediatric emergency department demonstrated the applicability of computer technology for education in a busy ED. [ 13 ]…”

Section: Resultsmentioning

confidence: 99%

“…There was a statement of continued need for education in health promotion roles in those studies where staff views were collected [ 19 , 21 , 24 , 26 , 30 , 31 ]. Nurses felt they lacked competency [ 30 ], were less knowledgeable on some health topics than others [ 24 , 26 , 31 ], and requested a structured approach [ 16 ].…”

Section: Resultsmentioning

confidence: 99%

“…(2017) US [ 18 ] Survey then brief intervention delivered, followed by appropriate referral Patients 14–21 yrs. screened for high-risk behaviour (survey), received a brief intervention with written handout and a list of community support programmes 2149 patients screened, 834 screened positive for at least 1 health risk and received a referral, 636 received a brief intervention and 546 referred for specialist treatment Convincing staff that prevention-based services in the ED could be helpful; educating staff; use of a Health Promotion Advocate integrated with the ED team low Coombs N.M. (2016) Australia [ 19 ] Quantitative, pre and post-test questionnaire comparison study Data were collected before and after the implementation of a staff education session, including introducing a new education tool; ED-HOME. Convenience sample of 14 ED nurses - (102 permanent nursing staff) Using the structured tool led to improvement in confidence in providing education; more structured personalised education being given.…”

Section: Methodsmentioning

confidence: 99%

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What are the barriers and facilitators to effective health promotion in urgent and emergency care? A systematic review

et al. 2022

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Background There are potential health gains such as reducing early deaths, years spent in ill-health and costs to society and the health and care system by encouraging NHS staff to use encounters with patients to help individuals significantly reduce their risk of disease. Emergency department staff and paramedics are in a unique position to engage with a wide range of the population and to use these contacts as opportunities to help people improve their health. The aim of this research was to examine barriers and facilitators to effective health promotion by urgent and emergency care staff. Methods A systematic search of the literature was performed to review and synthesise published evidence relating to barriers and facilitators to effective health promotion by urgent and emergency care staff. Medical and social science databases were searched for articles published between January 2000 and December 2021 and the reference lists of included articles were hand searched. Two reviewers independently screened the studies and assessed risk of bias. Data was extracted using a bespoke form created for the study. Results A total of 19 papers were included in the study. Four themes capture the narratives of the included research papers: 1) should it be part of our job?; 2) staff comfort in broaching the topic; 3) format of health education; 4) competency and training needs. Whilst urgent and emergency care staff view health promotion as part of their job, time restraints and a lack of knowledge and experience are identified as barriers to undertaking health promotion interventions. Staff and patients have different priorities in terms of the health topics they feel should be addressed. Patients reported receiving books and leaflets as well as speaking with a knowledgeable person as their preferred health promotion approach. Staff often stated the need for more training. Conclusions Few studies have investigated the barriers to health promotion interventions in urgent and emergency care settings and there is a lack of evidence about the acceptability of health promotion activity. Additional research is needed to determine whether extending the role of paramedics and emergency nurses to include health promotion interventions will be acceptable to staff and patients.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

What are the barriers and facilitators to effective health promotion in urgent and emergency care? A systematic review

et al. 2022

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“…Accordingly, EDs face challenges due to overcrowding and the chaotic nature of the activities, leading to reduced patient satisfaction (4)(5). Patient education in EDs is widely recognized as difficult due to the unique and unpredictable clinical setting and diverse patient population (6). In practice, EDs' packed and noisy atmosphere presents particular hurdles to patient education (7)(8).…”

Section: Introductionmentioning

confidence: 99%

A narrative review of patient education in emergency departments: challenges and solutions

2022

jsurgery

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Patient education in emergency departments faces complexities and challenges due to the wide variety of clinical care provided in this setting. Despite widespread recognition of the value and benefits of education, we frequently see that patient education in hospital emergency departments is less than optimal and that emergency departments are not employed as venues conducive to providing suitable and effective patient education. This study was conducted to ascertain the issues associated with patient education in emergency departments and the most relevant solutions. In this narrative review, the data were collected by searching the keywords patient education, emergency department, emergency medical services, health education, challenges of patient education, the importance of patient education, and barriers to patient education in Persian and English both separately and in combination using Boolean operators. The databases comprised Sid, Iranmedex, Magiran, Pubmed, Elsevier, Medlin, and Scopus, as well as the Google Scholar search engine. Sixty-five full-text articles were included in the study based on inclusion and exclusion criteria. Results from the review of articles revealed that hospital emergency departments face challenges in educating patients, including environmental factors (overcrowding, lack of time), patients’ low health literacy levels, communication skills, nurses’attitudes, and interest in patient education, and nurses’ scientific knowledge. To revive and enhance patient education, nursing managers and emergency department nurses should work proportionately to the current challenges by developing novel, innovative approaches or implementing appropriate practical solutions that will drastically alter how this critical issue is carried out in hospital emergency departments.

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Public health messaging during disasters: Practice and attitudes of Australian emergency nurses

Coombs

Porter

Barbagallo

et al. 2023

Australasian Emergency Care

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ED-HOME: Improving educator confidence and patient education in the Emergency Department

Cited by 6 publications

References 11 publications

What are the barriers and facilitators to effective health promotion in urgent and emergency care? A systematic review

What are the barriers and facilitators to effective health promotion in urgent and emergency care? A systematic review

A narrative review of patient education in emergency departments: challenges and solutions

Public health messaging during disasters: Practice and attitudes of Australian emergency nurses

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