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Consumer Evaluation of a Mental Health Liaison Nurse Service in the Emergency Department
Timothy Wand
Mental Health Nurse Practitioner, Emergency Department, Royal Prince Alfred Hospital, Camperdown NSW
Peter Schaecken
Area Coordinator of Consumer Initiatives, Central Sydney Area Mental Health Service, Sydney NSW
Abstract
The mainstreaming of mental health services into the general healthcare system has added to the demands placed on Emergency Departments (EDs) in terms of the assessment, management and disposition of mental health related presentations. There is a growing body of research that highlights the difficulties encountered by consumers presenting to the ED with mental health concerns (Summers and Happell 2003).
This paper describes a study undertaken to evaluate the Mental Health Liaison Nurse (MHLN) role in the ED of an inner city teaching hospital in Sydney Australia. The surveys, in a telephone interview conducted by a Consumer Consultant employed by the Area Mental Health Service (AMHS), provide mental health consumers with an opportunity for anonymous feedback on their experiences in the ED, their satisfaction with the MHLN role and follow-up arrangements in the community.
Quantitative and qualitative data generated from the study are presented and discussed. The authors share their observations and experiences in conducting the study in order to further develop this avenue of service evaluation.
Keywords
Consumer evaluation, mental health liaison nursing, emergency departments
References
Australian Health Ministers (2003) The National Mental Health Plan 2003-2008. Canberra: Australian Government
Callaghan P, Eales S, Coates T, Bowers L and Bunker J (2002) Patient feedback on liaison mental health care in A&E. Nursing Times 98(21): 34-36
Cutcliffe J (2002) The beguiling effects of nurse-prescribing in mental health nursing: re-examining the debate. Journal of Psychiatric and Mental Health Nursing 9(3): 369-375
Diamond B, Parkin G, Morris K, Bettinis J and Bettesworth C (2003) User involvement: Substance or spin? Journal of Mental Health 12(6): 613-626
Eisen S, Dickey B and Sederer L (2000) A self-report symptom and problem rating scale to increase inpatients' involvement in treatment. Psychiatric Services 51(3): 349-353
Gillette J, Bucknell M and Meegan E (1996) Evaluation of psychiatric nurse consultancy in emergency departments project. RMIT Faculty of Nursing, Melbourne
Hall M (1995) Patient satisfaction or acquiescence? Comparing mail and telephone survey results. Journal of Health Care Marketing 15(1): 54-61
Powell R, Holloway F, Lee J and Sitzia J (2004) Satisfaction research and the uncrowned king: Challenges and future directions. Journal of Mental Health 13(1): 11-20
Roberts D (1997) Liaison mental health nursing: origins, definitions and prospects. Journal of Advanced Nursing 25: 101-108
Simpson E and House A (2002) Involving users in the delivery and evaluation of mental health services: systemic review. British Medical Journal 325: 1265-1268
Sturges J and Hanrahan K (2004) Comparing telephone and face to face qualitative interviewing: a research note. Qualitative Research 4(1): 107-118
Summers M and Happell B (2003) Patient satisfaction with psychiatric services provided by a Melbourne tertiary hospital emergency department. Journal of Psychiatric and Mental Health Nursing 10(3): 351-357
Trivedi P and Wykes T (2002) From passive subjects to equal partners: Qualitative review of user involvement in research. British Journal of Psychiatry 181: 468-472
Wand T and Happell B (2001) The Mental Health Nurse: Contributing to improved outcomes for patients in the emergency department. Accident and Emergency Nursing 9: 1-11
Wand T (2004) Mental health liaison nurses in the emergency department: on-site expertise and enhanced coordination of care. Australian Journal of Advanced Nursing 22(2): 25-31
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