'Nurse specialling': Direct nursing observation in the emergency department compared to other wards of an urban teaching hospital in Sydney

Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists
Maryssa PortelliNicholas Glozier

Abstract

This study examined the patterns of direct observation of patients by nursing staff ('nurse specials') and compared those required for mental health/drug health (MH/DH)-related presentations to other patient groups in different care settings. A retrospective review of nurse special shifts requested during the 2014 calendar year at an urban teaching hospital. Hospital-wide 14,021 8-hour nursing shifts were ordered for special observation of patients, an average of 39 per day. Of these, 30% were requested for MH/DH-related presentations, with the majority (70%) required for medically unstable patients. However, of the 1917 shifts required in the emergency department, 1841 (96%) were for MH/DH presentations compared to 76 (4%) for patients with unrelated medical conditions (odds ratio 98.2; 95% confidence interval 77.71-124.06, P<0.0001). In contrast to the rest of the hospital, emergency department-based nurse special requests were significantly more likely to be for MH/DH presentations. This figure represents a considerable staff and financial burden and may be reduced by diversion or more rapid transfer of such presentations to an appropriate inpatient ward.

References

Jul 25, 2000·Psychosomatics·M BlumenfieldB Orlowski
Mar 8, 2002·Journal of Psychiatric and Mental Health Nursing·P Dodds, N Bowles
Jan 22, 2005·The Australian and New Zealand Journal of Psychiatry·Ross KalucyDiane King
Dec 14, 2011·Emergency Medicine Australasia : EMA·Tracey J WeilandGeorge A Jelinek
Dec 14, 2011·Emergency Medicine Australasia : EMA·Alan S TankelRick van der Zwan
Jul 22, 2015·Drug and Alcohol Review·Kerryn ButlerLucinda Burns
Aug 20, 2015·Collegian : Journal of the Royal College of Nursing, Australia·Darrin CowanMark Joyce

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Citations

May 19, 2020·International Journal of Older People Nursing·Jacquelene CookLynn Chenoweth
Sep 2, 2020·Issues in Mental Health Nursing·Neville Baker, Phil Maude
Mar 21, 2021·International Journal of Mental Health Nursing·Michael A RocheChris Rossiter

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