Emergency department nurses’ care of psychiatric patients: A scoping review

•Emergency department nurses face many challenges when caring for individuals with mental illness.•Experiences of stigma and diagnostic overshadowing impact emergency department nurses’ delivery of care to individuals with mental illness.•Lack of knowledge and confidence have been found to impede em...

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Bibliographic Details
Published in:International emergency nursing 2021-01, Vol.54, p.100929, Article 100929
Main Author: Perrone McIntosh, Jennifer T.
Format: Article
Language:English
Subjects:
Emergency Department
Emergency medical care
Emergency nursing
Emergency services
Health care
Illnesses
Mental disorders
Mental illness
Nurses
Nurses’ role
Psychiatric nurses
Psychiatric patients
Role theory
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Summary:•Emergency department nurses face many challenges when caring for individuals with mental illness.•Experiences of stigma and diagnostic overshadowing impact emergency department nurses’ delivery of care to individuals with mental illness.•Lack of knowledge and confidence have been found to impede emergency department nurses’ care of individuals with mental illness.•The general emergency department environment is not conducive to providing therapeutic and quality care to individuals with mental illness. The emergency department (ED) is a difficult place for psychiatric patients. However, individuals with mental illness often use the Emergency Department as a primary source of healthcare. This study was conducted to identify and examine published literature related to ED nurses’ care of individuals with mental illness and to identify associated research gaps. A scoping review within the Arksey and O’Malley [11] framework was undertaken to answer, “what factors influence ED nurses’ care of individuals with mental illness?” Sixteen studies met the inclusion criteria. The PRISMA method [16] was used to illustrate the flow of studies. The review resulted in three main themes influencing ED nurses’ care for psychiatric patients. These were concerns related to environment; beliefs and perceptions; and knowledge and confidence. The results are described and framed within Biddle's role theory [33], and the gaps in the literature related to research and recommendations for specific investigations are presented.
ISSN:1755-599X
1532-9267
1878-013X
DOI:10.1016/j.ienj.2020.100929