Anti‐racism in the emergency department: Navigating clinician experiences of racism

2021 ◽  
Author(s):  
Lai Heng Foong
Keyword(s):  
Emergency Department ◽  
Clinician Experiences

Building empathy among the people of an Emergency Department: Staff and patients, a two-way interaction

2017 ◽  
Vol 5 (3) ◽  
pp. 329 ◽  
Author(s):  
Matt Luther ◽  
Fergus Gardiner ◽  
Bernadette Brady
Keyword(s):  
Emergency Department ◽  
Lived Experience ◽  
Weighted Average ◽  
Significant Others ◽  
Significant Other ◽  
Emergency Department Staff ◽  
Department Staff ◽  
The People ◽  
Audio Recordings ◽  
Clinician Experiences

Background: The sharing of a story, related to a co-worker or patient, is believed to lead to an increased personalisation of the empathy message. Previous clinical interventions aimed at improving empathy, primarily considered one stakeholder and were often patient-centric. Objective: The aim of this study was to test whether an intervention consisting of audio clips concerning the experiences of the people of an Emergency Department, can lead to increases in measured empathy.Methods: To promote a multidisciplinary approach, the researchers included patients (including their significant others) and clinical staff in the study design. The researchers recorded interviews focusing on the participants lived experience within the Emergency Department (ED).The audio recordings aimed to capture the perspective of: working in the ED (including the multidisciplinary team), being a patient in the ED and being a significant other in the ED (the people of an Emergency Department). This design enabled sharing of the lived experience of the participants, thus encouraging empathetic feelings bilaterally, between the patient and clinician. Results: Participants indicated that after listening to a story, 93.2% (n=55) felt they had a better understanding of the situation experienced by emergency department staff, patients or their visitors/significant others. Furthermore, 88.3% (n=53) of participants indicated that their empathy towards the people of the ED increased. Participants were asked to indicate their ability to empathise before listening to a recording, with a resulting weighted average of 3.25/5. This was then compared to their weighted average result, following listening to an audio recording of 4.17/5. Overall, the participant results were highly significant t(6.1174)=0.0001, p=<0.001. Conclusion: Audio recordings, demonstrating patient and healthcare clinician experiences, from a 360° perspective, are an effective way to share the familiarities of the people of an ED, promoting an ability in the listener to ‘walk in another’s shoes’.

Patient and clinician experiences with an emergency department‐based mental health liaison nurse service in a metropolitan setting

2020 ◽  
Vol 29 (6) ◽  
pp. 1202-1217
Author(s):  
Timothy Wand ◽  
Gemma Collett ◽  
Alexa Cutten ◽  
Sally Buchanan‐Hagen ◽  
Amanda Stack ◽  
...  
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Clinician Experiences ◽  
Liaison Nurse

Analysis of Deliberate Self-Wrist-Cutting Episodes Presenting to the Emergency Department

Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 155-160 ◽  
Author(s):  
Jin Kim ◽  
Han Joon Kim ◽  
Soo Hyun Kim ◽  
Sang Hoon Oh ◽  
Kyu Nam Park
Keyword(s):  
Emergency Department ◽  
Medical Records ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Psychiatric Interview ◽  
Clinical Variables ◽  
Completed Suicide ◽  
Number Of Patients ◽  
Group A ◽  
Efficacy Of Treatment

Abstract. Background: Previous suicide attempts increase the risk of a completed suicide. However, a large proportion of patients with deliberate self-wrist cutting (DSWC) are often discharged without undergoing a psychiatric interview. Aims: The aims of this study were to investigate the differences in the characteristics and outcomes of patients with DSWC and those with deliberate self-poisoning (DSP) episodes. The results of this study may be used to improve the efficacy of treatment for DSWC patients. Method: We retrospectively reviewed the medical records of 598 patients with DSWC and DSP who were treated at the emergency department of Seoul Saint Mary's Hospital between 2008 and 2013. We assessed sociodemographic information, clinical variables, the reasons for the suicide attempts, and the severity of the suicide attempts. Results: A total of 141 (23.6%) patients were included in the DSWC group, and 457 (76.4%) were included in the DSP group. A significantly greater number of patients in the DSWC group had previously attempted suicide (p = .014). A total of 63 patients (44.7%) in the DSWC group and 409 patients (89.5%) in the DSP group underwent psychiatric interviews. Conclusion: More DSWC patients had previously attempted suicide, but fewer of them underwent psychiatric interviews compared with the DSP patients.

Emergency Department Admission and Mortality Rate for Suicidal Behavior

Crisis ◽  
2014 ◽  
Vol 35 (6) ◽  
pp. 406-414 ◽  
Author(s):  
Raimondo Maria Pavarin ◽  
Angelo Fioritti ◽  
Francesca Fontana ◽  
Silvia Marani ◽  
Alessandra Paparelli ◽  
...  
Keyword(s):  
Emergency Department ◽  
Metropolitan Area ◽  
Suicidal Behavior ◽  
Mortality Risk ◽  
Illicit Drugs ◽  
Attempted Suicide ◽  
Cox Model ◽  
Emergency Department Admission ◽  
Completed Suicide

Background: The international literature reports that for every completed suicide there are between 8 and 22 visits to an Emergency Department (ED) for attempted suicide/suicidal behavior. Aims: To describe the characteristics of admission to emergency departments (EDs) for suicide-related presenting complaints in the metropolitan area of Bologna; to estimate the risk for all-cause mortality and for suicide; to identify the profiles of subjects most at risk. Method: Follow-up of patients admitted to the EDs of the metropolitan area of Bologna between January 2004 and December 2010 for attempted suicide. A Cox model was used to evaluate the association between sociodemographic variables and the general mortality risk. Results: We identified 505 cases of attempted suicide, which were more frequent for female subjects, over the weekend, and at night (8:00 p.m./8:00 a.m.). The most used suicide methods were psychotropic drugs, sharp or blunt objects, and jumping from high places. In this cohort, 3.6% of subjects completed suicide (4.5% of males vs. 2.9% of females), 2.3% within 1 year of the start of follow-up. The most common causes of death were drug use and hanging. In the multivariate analysis, those who used illicit drugs 24 hr prior to admission to the ED (hazard ratio [HR] = 3.46, 95% CI = 1.23–9.73) and patients who refused the treatment (HR = 6.74, 95% CI = 1.86–24.40) showed an increased mortality risk for suicide. Conclusion: Deliberate self-harm patients presenting to the ED who refuse treatment represent a specific target group for setting up dedicated prevention schemes.

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