The Experts below are selected from a list of 5433 Experts worldwide ranked by ideXlab platform
Diana E. Clarke - One of the best experts on this subject based on the ideXlab platform.
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The impact of educational interventions on attitudes of emergency Department Staff towards patients with substance-related presentations: a quantitative systematic review.
International Journal of Evidence-based Healthcare, 2017Co-Authors: Miriam Gonzalez, Diana E. Clarke, Asha Pereira, Krystal Boyce-gaudreau, Celeste Waldman, Lisa Demczuk, Carol LegareAbstract:BACKGROUND: Visits to emergency Departments for substance use/abuse are common worldwide. However, emergency Department health care providers perceive substance-using patients as a challenging group to manage which can lead to negative attitudes. Providing education or experience-based exercises may impact positively on behaviors towards this patient population. Whether Staff attitudes are similarly impacted by knowledge acquired through educational interventions remains unknown. OBJECTIVES: To synthesize available evidence on the relationship between new knowledge gained through substance use educational interventions and emergency Department health care providers' attitudes towards patients with substance-related presentations. INCLUSION CRITERIA TYPES OF PARTICIPANTS: Health care providers working in urban and rural emergency Departments of healthcare facilities worldwide providing care to adult patients with substance-related presentations. TYPE OF INTERVENTION: Quantitative papers examining the impact of substance use educational interventions on health care providers' attitudes towards substance using patients. TYPES OF STUDIES: Experimental and non-experimental study designs. OUTCOMES: Emergency Department Staff attitudes towards patients presenting with substance use/abuse. SEARCH STRATEGY: A three-step search strategy was conducted in August 2015 with a search update in March 2017. Studies published since 1995 in English, French or Spanish were considered for inclusion. METHODOLOGICAL QUALITY: Two reviewers assessed studies for methodological quality using critical appraisal checklists from the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI). Reviewers agreed on JBI-MAStARI methodological criteria a study must meet in order to be included in the review (e.g. appropriate use of statistical analysis). DATA EXTRACTION AND SYNTHESIS: The data extraction instrument from JBI-MAStARI was used. As statistical pooling of the data was not possible, the findings are presented in narrative form. RESULTS: A total of 900 articles were identified as relevant for this review. Following abstract and full text screening, four articles were selected and assessed for methodological quality. One article met methodological criteria for inclusion in the review: use of random assignment and comparable study groups and measurement outcomes in a reliable and consistent manner. The included study was a cluster randomized controlled trial. Participants were emergency medicine residents with a mean age of 30 years. The study assessed the impact of a skills-based educational intervention on residents' attitudes, knowledge and practice towards patients with alcohol problems. While knowledge and practice behaviors improved one year following the intervention, there were no significant differences between groups on attitudinal measures. CONCLUSIONS: Employing educational interventions to improve the attitudes of emergency Department Staff towards individuals with drug and alcohol related presentations is not supported by evidence.
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the impact of knowledge on attitudes of emergency Department Staff towards patients with substance related presentations a quantitative systematic review protocol
International Journal of Evidence-based Healthcare, 2015Co-Authors: Diana E. Clarke, Miriam Gonzalez, Asha Pereira, Celeste Waldman, Krystal Boycegaudreau, Lisa DemczukAbstract:REVIEW QUESTION/OBJECTIVE The overall objective of this systematic review is to synthesize the available evidence on the relationship between new knowledge (gained through educational interventions about substance use/abuse) and health care providers’ attitudes (measured by well validated instruments such as the Drug and Drug Problems Perceptions Questionnaire, the Short Alcohol and Alcohol Problems Perception Questionnaire, etc.) towards patients with substance-related presentations to emergency Departments. The specific review question is: Among emergency Department Staff, does the acquisition of knowledge (on educational interventions about substance use) impact attitudes in relation to their therapeutic role towards patients with substance-related presentations? INCLUSION CRITERIA Types of participants This review will consider studies that include health care providers (nurses, physicians, social workers, psychologists, psychiatrists and other mental health care professionals), working in urban and rural emergency Departments (emergency rooms, accident and emergency rooms) of healthcare facilities worldwide, and providing care to adult patients who indicate some level of substance use. Substance-related presentation phenomena will include hazardous alcohol use, alcohol misuse, use of legal and restricted pharmacological agents, and illicit drug use. Studies that address patient presentations to emergency Departments for traumatic injury, motor vehicle crashes, traumatic presentations secondary to violence, and drug and alcohol overdoses or physical health conditions related to substance usage (such as heart and liver failure, pancreatitis and gastric problems) will be included. Types of intervention(s) Quantitative papers examining the impact of educational interventions about substance use/abuse on health care providers’ attitudes towards substance using patients will be included. TRUNCATED AT 250 WORDS
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emergency Department Staff attitudes towards mental health consumers a literature review and thematic content analysis
International Journal of Mental Health Nursing, 2014Co-Authors: Diana E. Clarke, Rachel Usick, Ana Sanderson, Lori Gilessmith, John BakerAbstract:Visits to the emergency Department (ED) for mental health reasons account for 10–15% of all visits. Consumers of mental health ED services, however, report that they often feel sent to the back of the queue and that their mental health concerns are not taken seriously, suggesting that societal stigma has impacted their care in the ED. In this study, we systematically explore the research concerning the attitudes of ED professional Staff towards those who present with issues related to mental health. Four themes emerge from the literature: consumer perspectives, whose tenor is generally one of negativity; Staff-reported attitudes and influencing factors, such as age, experience, and confidence in working with mental health presentations; the environmental climate of the ED, which might not be conducive to good mental health care; and interventions that have been used to evaluate changes in attitudes.
John Baker - One of the best experts on this subject based on the ideXlab platform.
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emergency Department Staff attitudes towards mental health consumers a literature review and thematic content analysis
International Journal of Mental Health Nursing, 2014Co-Authors: Diana E. Clarke, Rachel Usick, Ana Sanderson, Lori Gilessmith, John BakerAbstract:Visits to the emergency Department (ED) for mental health reasons account for 10–15% of all visits. Consumers of mental health ED services, however, report that they often feel sent to the back of the queue and that their mental health concerns are not taken seriously, suggesting that societal stigma has impacted their care in the ED. In this study, we systematically explore the research concerning the attitudes of ED professional Staff towards those who present with issues related to mental health. Four themes emerge from the literature: consumer perspectives, whose tenor is generally one of negativity; Staff-reported attitudes and influencing factors, such as age, experience, and confidence in working with mental health presentations; the environmental climate of the ED, which might not be conducive to good mental health care; and interventions that have been used to evaluate changes in attitudes.
Rachel M Stanley - One of the best experts on this subject based on the ideXlab platform.
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perspectives of hospital emergency Department Staff on trauma informed care for injured children an australian and new zealand analysis
Journal of Paediatrics and Child Health, 2017Co-Authors: Claire Hoysted, Franz E Babl, Nancy Kassamadams, Markus A Landolt, Laura Jobson, Sarah Curtis, Anupam B Kharbanda, Mark D Lyttle, Niccolo Parri, Rachel M StanleyAbstract:Aim: To examine Australian and New Zealand Emergency Department Staff’s training, knowledge and confidence regarding trauma-informed care for children after trauma, and barriers to implementation. Methods: Emergency Department Staff’s perspectives on trauma-informed care were assessed with a web-based self-report questionnaire. Participants included 468 Emergency Department Staff (375 nursing and 111 medical Staff) from hospitals in Australia and New Zealand. Data analyses included descriptive statistics, chi-square tests and multiple regressions. Results: Over 90% of respondents had not received training in trauma-informed care and almost all respondents (94%) wanted training in this area. While knowledge was associated with respondent’s previous training and profession, confidence was associated with respondent’s previous training, experience level, and workplace. Dominant barriers to implementation of trauma-informed care were lack of time and lack of training. Conclusions: There is a need and desire for training and education of Australian and New Zealand Emergency Department Staff in trauma-informed care. This study demonstrates that experience alone is not sufficient for the development of knowledge of paediatric traumatic stress reactions and trauma-informed care practices. Existing education materials can be adapted for use in the Emergency Department and to accommodate the training preferences of Australian and New Zealand Emergency Department Staff.
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psychosocial care for injured children worldwide survey among hospital emergency Department Staff
The Journal of Pediatrics, 2016Co-Authors: Claire Hoysted, Nancy Kassamadams, Markus A Landolt, Sarah Curtis, Anupam B Kharbanda, Mark D Lyttle, Niccolo Parri, Eva Alisic, Rachel M StanleyAbstract:Objective To examine emergency Department (ED) Staff's knowledge of traumatic stress in children, attitudes toward providing psychosocial care, and confidence in doing so, and also to examine differences in these outcomes according to demographic, professional, and organizational characteristics, and training preferences. Study design We conducted an online survey among Staff in ED and equivalent hospital Departments, based on the Psychological First Aid and Distress-Emotional Support-Family protocols. Main analyses involved descriptive statistics and multiple regressions. Respondents were 2648 ED Staff from 87 countries (62.2% physicians and 37.8% nurses; mean years of experience in emergency care was 9.5 years with an SD of 7.5 years; 25.2% worked in a low- or middle-income country). Results Of the respondents, 1.2% correctly answered all 7 knowledge questions, with 24.7% providing at least 4 correct answers. Almost all respondents (90.1%) saw all 18 identified aspects of psychosocial care as part of their job. Knowledge and confidence scores were associated with respondent characteristics (eg, years of experience, low/middle vs high-income country), although these explained no more than 11%-18% of the variance. Almost all respondents (93.1%) wished to receive training, predominantly through an interactive website or one-off group training. A small minority (11.1%) had previously received training. Conclusions More education of ED Staff regarding child traumatic stress and psychosocial care appears needed and would be welcomed. Universal education packages that are readily available can be modified for use in the ED.
Eva Alisic - One of the best experts on this subject based on the ideXlab platform.
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psychosocial care for injured children worldwide survey among hospital emergency Department Staff
The Journal of Pediatrics, 2016Co-Authors: Claire Hoysted, Nancy Kassamadams, Markus A Landolt, Sarah Curtis, Anupam B Kharbanda, Mark D Lyttle, Niccolo Parri, Eva Alisic, Rachel M StanleyAbstract:Objective To examine emergency Department (ED) Staff's knowledge of traumatic stress in children, attitudes toward providing psychosocial care, and confidence in doing so, and also to examine differences in these outcomes according to demographic, professional, and organizational characteristics, and training preferences. Study design We conducted an online survey among Staff in ED and equivalent hospital Departments, based on the Psychological First Aid and Distress-Emotional Support-Family protocols. Main analyses involved descriptive statistics and multiple regressions. Respondents were 2648 ED Staff from 87 countries (62.2% physicians and 37.8% nurses; mean years of experience in emergency care was 9.5 years with an SD of 7.5 years; 25.2% worked in a low- or middle-income country). Results Of the respondents, 1.2% correctly answered all 7 knowledge questions, with 24.7% providing at least 4 correct answers. Almost all respondents (90.1%) saw all 18 identified aspects of psychosocial care as part of their job. Knowledge and confidence scores were associated with respondent characteristics (eg, years of experience, low/middle vs high-income country), although these explained no more than 11%-18% of the variance. Almost all respondents (93.1%) wished to receive training, predominantly through an interactive website or one-off group training. A small minority (11.1%) had previously received training. Conclusions More education of ED Staff regarding child traumatic stress and psychosocial care appears needed and would be welcomed. Universal education packages that are readily available can be modified for use in the ED.
Kym A Salness - One of the best experts on this subject based on the ideXlab platform.
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aggression directed toward emergency Department Staff at a university teaching hospital
Annals of Emergency Medicine, 1991Co-Authors: Gregg A Pane, Anne Winiarski, Kym A SalnessAbstract:Study objective: To determine the scope and magnitude of patient and visitor aggression directed toward emergency Department Staff. Design: One-year retrospective review of university police log records and ED Staff incident reports. Setting: Medium-sized, urban, noncounty, university Level I teaching hospital treating approximately 40,000 ED patients annually. Type of participants: All violent incidents involving patients/visitors and ED Staff that triggered a police response to the ED area were included in the study. Interventions: None. Measurements and main results: All ED violent episodes were recorded and categorized by shift, type of incident, type of police response, perpetrator, and site of incident. It was found that police responded to the ED nearly twice daily; the night shift had 32% of the cases with only 13% of the patient volume; custody and medical psychiatric clearance patients accounted for 40% of the cases; more than 20% of incidents occurred in the waiting room; and 4.2% of the incidents represented a significant threat to ED Staff. Conclusion: ED violence is a significant and under-reported problem at our medium-sized university teaching hospital. These data are useful in objectively quantifying the scope of violence in our institution, and they underscore the potential risks to emergency patients, visitors, and Staff. There is an acute need for additional studies in other settings so that appropriate and cost-effective security recommendations can be formulated.