What are the experiences of Emergency Department nurses in caring for clients with a mental illness in the Emergency Department?

Australasian Emergency Nursing Journal

Volumn 14, Issue 3, 2011, Pages 172-179

  Marynowski Traczyk, Donna ^a   Broadbent, Marc ^b  

^a CENTRAL QUEENSLAND UNIVERSITY   (Australia)

^b CENTRAL QUEENSLAND UNIVERSITY   (Australia)

Author keywords

Emergency Department; Mental health; Nursing care; Phenomenology

Indexed keywords

EID: 79960715003     PISSN: 15746267     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.aenj.2011.05.003     Document Type: Article

References (54)

1. Broadbent M., Creaton A., Moxham L., Dwyer T. Review of triage reform: the case for national consensus on a single triage scale for clients with a mental illness in Australian emergency departments. Journal of Clinical Nursing 2010, 19(5-6):712-715.
2. Brunero S., Fairbrother G., Lee S., Davis M. Clinical characteristics of people with mental health problems who frequently attend an Australian emergency department. Australian Health Review 2007, 31(3):462-470.
3. Reed F., Fitzgerald L. The mixed attitudes of nurse's to caring for people with mental illness in a rural general hospital. International Journal of Mental Health Nursing 2005, 14(4):249-257.
4. Shaban R. Mental illness in the emergency care setting: a global challenge, emergency mental health: where are we now?. Australasian Emergency Nursing Journal 2008, 11(2):67-69.
5. Sharrock J., Bryant J., McNamara P., Forster J., Happell B. Exploratory study of mental health consultation-liaison nursing in Australia. Part 1. Demographics and role characteristics. International Journal of Mental Health Nursing 2008, 17(3):180-188.
6. Wand T., White K. Examining models of mental health service delivery in the emergency department. Australian and New Zealand Journal of Psychiatry 2007, 41(10):784-791.
7. Knott J., Pleban A., Taylor D., Castle D. Management of mental health patients attending Victorian emergency departments. Australian and New Zealand Journal of Psychiatry 2007, 41(9):759-767.
8. Doessel D., Scheurer R., Chant D., Whiteford H. Australia's mental health strategy and deinstitutionalization: some empirical results. Australian and New Zealand Journal of Psychiatry 2005, 39(11/12):989-994.
9. Kalucy R., Thomas L., King D. Changing demand for mental health services in the emergency department of a public hospital. Australian and New Zealand Journal of Psychiatry 2005, 39(1/2):74-80.
10. World Health Organization. Mental health: what are the arguments for community-based mental health care?; 2003. Available from: [accessed 28.12.10]. http://www.euro.who.int/document/E82976.pdf.
11. Kelly S., McKenna P. Risks to mental health patients discharged into the community. Health, Risk & Society 2004, 6(4):377-385.
12. Rosen A. The Australian experience of deinstitutionalization: interaction of Australian culture with the development and reform of its mental health services. Acta Psychiatrica Scandinavia 2006, 113(Suppl. 429):81-89.
13. Australian Government Parliament of Australia, Senate Select Committee on Mental Health. A national approach to mental health - from crisis to community first report 30 March 2006; 2006. Available from: [accessed 17.01.10]. http://www.aph.gov.au/Senate/Committee/mentalhealth_ctte/index.htm.
14. Australian Government Department of Health and Ageing, National Mental Health Report. Summary of twelve years of reform in Australia's mental health services under the national mental health strategy 1993-2005: part a highlights of progress under the National Mental Health Strategy 1993-2005; 2007. Available from: [accessed 23.01.10]. http://www.health.gov.au/internet/main/publishing.nsf/content/mental-pubs-n-report07.
15. Whiteford H., Buckingham W. Ten years of mental health service reform in Australia: are we getting it right?. Medical Journal of Australia 2005, 182(8):396-400.
16. Kalucy R., Thomas L., Lia B., Slattery T., Norris D. Managing increased demand for mental health services in a public hospital emergency department: a trial of 'hospital-in-the-home' for mental health consumers. International Journal of Mental Health Nursing 2004, 13(4):275-281.
17. Fry M., Brunero S. The characteristics and outcomes of mental health patients presenting to an emergency department over a twelve month period. Australian Emergency Nursing Journal 2004, 7(2):21-55.
18. Clarke D., Brown A., Hughes L., Motluk L. Education to improve the triage of mental health patients in general hospital emergency departments. Accident and Emergency Nursing 2006, 14(4):210-218.
19. Huckson S. Implementation of the Victorian emergency department mental health triage tool. Australasian Emergency Nursing Journal 2008, 11(2):80-84.
20. Stuhlmiller C., Tolchard B., Thomas L., de Crespigny C., Kalucy R., King D. Increasing confidence of emergency department staff in responding to mental health issues: an educational initiative. Australian Emergency Nursing Journal 2004, 7(1):9-17.
21. Broadbent M., Jarman H., Berk M. Emergency department mental health triage scales improve outcomes. Journal of Evaluation in Clinical Practice 2004, 10(1):57-62.
22. Broadbent M., Moxham L., Dwyer T. The development and use of mental health triage scales in Australia. International Journal of Mental Health Nursing 2007, 16(6):413-421.
23. Mackey S. Phenomenological nursing research: methodological insights derived from Heidegger's interpretive phenomenology. International Journal of Nursing Studies 2005, 42(2):179-186.
24. Starks H., Brown Trinidad S. Choose your method: a comparison of phenomenology, discourse analysis and grounded theory. Qualitative Health Research 2007, 17(10):1372-1380.
25. Lopez K., Willis D. Descriptive versus interpretive phenomenology; their contributions to nursing knowledge. Qualitative Health Research 2004, 14(5):726-735.
26. Bassett C. Qualitative research in health care 2006, John Wiley & Sons Ltd., Philadelphia.
27. Van der Zalm J., Bergum V. Hermeneutic-phenomenology: providing living knowledge for nursing practice. Journal of Advanced Nursing 2000, 31(1):211-218.
28. Finlay L. Exploring lived experience: principles and practice of phenomenological research. International Journal of Therapy and Rehabilitation 2009, 16(9):474-481.
29. Mapp T. Understanding phenomenology: the lived experience. British Journal of Midwifery 2008, 16(5):308-311.
30. Higginbottom G. Sampling issues in qualitative research. Nurse Researcher 2004, 12(1):7-19.
31. Taylor B., Kermode S., Roberts K. Research in nursing and health care: evidence for practice 2006, Thomson, Victoria.
32. Buetow S., Janes R., Steed R., Ihimaera L., Elley R. Why don't some women return for cervical smears? A hermeneutic phenomenological investigation. Health Care for Women International 2007, 28(9):843-852.
33. Vivar C., McQueen A., Whyte D., Armayor N. Getting started with qualitative research: developing a research proposal. Nurse Researcher 2007, 14(3):60-73.
34. Walker W. Hermenuetic inquiry: insights into the process of interviewing. Nurse Researcher 2011, 18(2):19-27.
35. Ryan F., Coughlan M., Cronin P. Step-by-step guide to critiquing research. Part 2. Qualitative research. British Journal of Nursing 2007, 16(12):738-744.
36. Snow S. Nothing ventured, nothing gained: a journey into phenomenology (part 1). British Journal of Midwifery 2009, 17(5):288-290.
37. McConnell-Henry T., Chapman Y., Francis K Unpacking Heideggerian phenomenology. Southern Online Journal of Nursing Research 2009, 9(1):1-8.
38. Finlay L., Ballinger C. Qualitative research for allied health professionals: challenging choices 2006, John Wiley & Sons Ltd., Chichester.
39. Finlay L. "Outing the researcher" the provenance, process and practice of reflexitivity. Qualitative Health Research 2002, 12(4):531-545.
40. Liamputtong P. Qualitative data analysis: conceptual and practical considerations. Health Promotion Journal of Australia 2009, 20(2):133-139.
41. Fossey E., Harvey C., McDermott F., Davidson L. Understanding and evaluating qualitative research. Australian and New Zealand Journal of Psychiatry 2002, 36(6):717-732.
42. Braun V., Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology 2006, 3(2):77-101.
43. Johnson D., Wilson M. ACCCN's critical care nursing 2007, Mosby, Sydney.
44. Ross C., Goldner E. Stigma, negative attitudes and discrimination towards mental illness within the nursing profession: a review of the literature. Journal of Psychiatric and Mental Health Nursing 2009, 16(6):558-567.
45. King D., Kalucy R., de Crespigny C., Stuhlmiller C., Thomas L. Mental health and alcohol and other drug training for emergency department workers; one solution to help manage increasing demand. Emergency Medicine Australasia 2004, 16(2):155-160.
46. McArthur M., Montgomery P. The experience of gatekeeping: a psychiatric nurse in an emergency department. Issues in Mental Health Nursing 2004, 25(5):487-501.
47. Slade M., Taber D., McGuire Clarke M., Johnson C., Kapoor D., Leikin J., et al. Best practices for the treatment of patients with mental and substance use illnesses in the emergency department. Disease-a-Month 2007, 53(11-12):536-580.
48. Walker-Cillo G., Jones C., McCoy E. Psychiatric nurse: a role in overcrowding. Journal of Emergency Nursing 2008, 34(5):455-457.
49. Winokur E., Senteno J. Guesting area: an alternative for boarding mental health patients seen in emergency departments. Journal of Emergency Nursing 2009, 35(5):429-433.
50. Foureur M., Davis D., Fenwick J., Leap N., Iedema R., Forbes I., et al. The relationship between birth unit design and safe, satisfying birth: developing a hypothetical model. Midwifery 2010, 26(5):520-525.
51. McGuire P. New hope for people with schizophrenia. Monitor on Psychology 2000, 31(2):1-11.
52. Australian Government Department of Health and Aging. Fourth national mental health plan: an agenda for collaborative government action in mental health 2009-2014; 2010. Available from: [accessed 16.10.10]. http://www.health.gov.au/internet/main/publishing.nsf/Content/mental-pubs-f-plan09.
53. Queensland Government Queensland Health. Sharing responsibility for recovery: creating and sustaining recovery oriented systems of care for mental health; 2005. Available from: [accessed 04.06.10]. http://www.health.qld.gov/mentalhealth/docs%3FRecovery-Paper-2005.pdf.
54. Wooden M., Air T., Schrader G., Wieland B., Goldney R. Frequent attenders with mental disorders at a general hospital emergency department. Emergency Medicine Australasia 2009, 21(3):191-195.