dc.contributor.author | Bost, Nerolie | |
dc.contributor.author | Johnston, Amy | |
dc.contributor.author | Broadbent, Marc | |
dc.contributor.author | Crilly, Julia | |
dc.date.accessioned | 2018-03-05T05:57:28Z | |
dc.date.available | 2018-03-05T05:57:28Z | |
dc.date.issued | 2018 | |
dc.identifier.issn | 1322-7696 | |
dc.identifier.doi | 10.1016/j.colegn.2017.10.007 | |
dc.identifier.uri | http://hdl.handle.net/10072/370506 | |
dc.description.abstract | Background: The increasing number of presentations to hospital emergency departments has seen the
implementation of a variety of strategies in an effort to enhance care delivery and care continuity. One
such strategy was designed and implemented to improve the transition of mental health consumers
presenting to an Australian emergency department and admitted to a hospital mental health ward.
Aim: The aimofthispaper is topresentthefindings of a study that exploredclinicianperceptions regarding
the implementation of a mental health consumer flow strategy.
Methods: This was a qualitative study. Semi structured interviews were conducted with four emergency
and four mental health clinicians employed at the hospital.
Findings: Three key themes emerged regarding the consumer flow strategy. ‘Bridging the care provision
gap’ revealed a lack of shared understanding between departments, insufficient education and lack of
process consistency that impacted on care provision. ‘Ownership of and responsibility for consumers’
revealed misunderstandings about ownership of the person with a mental illness in the emergency
department. ‘Dissonance in expectations of quality and timely care’ revealed that the quality and timeliness
of care was impacted by physical, organisational and communication barriers.
Discussion: Findings suggest that the implementation of the consumer flow strategy was supported in
principal by clinicians. However, to improve the process and foster a shared understanding between
departments, the provision of recurring education and adequate resources was required.
Conclusion: This paper identifies the complexities of introducing a new process to two hospital departments. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Elsevier | |
dc.relation.ispartofpagefrom | 1 | |
dc.relation.ispartofpageto | 6 | |
dc.relation.ispartofjournal | Collegian | |
dc.subject.fieldofresearch | Nursing | |
dc.subject.fieldofresearch | Nursing not elsewhere classified | |
dc.subject.fieldofresearchcode | 4205 | |
dc.subject.fieldofresearchcode | 420599 | |
dc.title | Clinician perspectives of a mental health consumer flow strategy in an emergency department | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
gro.faculty | Griffith Health, School of Nursing and Midwifery | |
gro.description.notepublic | This publication has been entered into Griffith Research Online as an Advanced Online Version. | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Crilly, Julia | |