Measuring the effectiveness of the national Mental Health Triage Scale in an emergency department
The mainstreaming process has significantly altered the means of access to mental health services in Australia. Increasingly people seeking mental health care present at general hospital emergency departments. The triage system, which has proven effective for prioritizing physical illness and injury...
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| Veröffentlicht in: | International journal of mental health nursing 2003-12, Vol.12 (4), p.288-292 |
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| container_title | International journal of mental health nursing |
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| creator | Happell, Brenda Summers, Monica Pinikahana, Jaya |
| description | The mainstreaming process has significantly altered the means of access to mental health services in Australia. Increasingly people seeking mental health care present at general hospital emergency departments. The triage system, which has proven effective for prioritizing physical illness and injury, has proven problematic when applied to mental health‐related problems. This paper presents the results of a study undertaken in the emergency department of a Victorian public hospital. The Mental Health Triage Scale was introduced and used independently by triage nurses and the psychiatric nurse consultants employed in the department. Following a 3‐month period, the two sets of triage scores for psychiatric presentations (n = 137) were compared. The findings suggest that triage nurses are rating clients experiencing mental health problems as in more urgent need of care than their psychiatric nursing counterparts. This suggests that the introduction of the guidelines alone is insufficient, and that education is required for more effective use of the tool. |
| doi_str_mv | 10.1046/j.1447-0349.2003.t01-7-.x |
| format | Article |
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Increasingly people seeking mental health care present at general hospital emergency departments. The triage system, which has proven effective for prioritizing physical illness and injury, has proven problematic when applied to mental health‐related problems. This paper presents the results of a study undertaken in the emergency department of a Victorian public hospital. The Mental Health Triage Scale was introduced and used independently by triage nurses and the psychiatric nurse consultants employed in the department. Following a 3‐month period, the two sets of triage scores for psychiatric presentations (n = 137) were compared. The findings suggest that triage nurses are rating clients experiencing mental health problems as in more urgent need of care than their psychiatric nursing counterparts. 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Increasingly people seeking mental health care present at general hospital emergency departments. The triage system, which has proven effective for prioritizing physical illness and injury, has proven problematic when applied to mental health‐related problems. This paper presents the results of a study undertaken in the emergency department of a Victorian public hospital. The Mental Health Triage Scale was introduced and used independently by triage nurses and the psychiatric nurse consultants employed in the department. Following a 3‐month period, the two sets of triage scores for psychiatric presentations (n = 137) were compared. The findings suggest that triage nurses are rating clients experiencing mental health problems as in more urgent need of care than their psychiatric nursing counterparts. This suggests that the introduction of the guidelines alone is insufficient, and that education is required for more effective use of the tool.</description><subject>Accident and emergency departments</subject><subject>Australia</subject><subject>Comparisons</subject><subject>Decision making</subject><subject>emergency department</subject><subject>Emergency Nursing - education</subject><subject>Emergency Nursing - methods</subject><subject>Emergency Nursing - standards</subject><subject>Emergency Services, Psychiatric</subject><subject>Guidelines</subject><subject>Hospitals</subject><subject>Hospitals, Public</subject><subject>Humans</subject><subject>mental health</subject><subject>Mental illness</subject><subject>Nurse Clinicians - standards</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Nursing Assessment - methods</subject><subject>Nursing Assessment - standards</subject><subject>Nursing Evaluation Research</subject><subject>Nursing Staff, Hospital - education</subject><subject>Nursing Staff, Hospital - standards</subject><subject>Patient ranking</subject><subject>Patients</subject><subject>Practice Guidelines as Topic</subject><subject>psychiatric</subject><subject>Psychiatric disorders</subject><subject>Psychiatric nurses</subject><subject>Psychiatric Nursing - methods</subject><subject>Psychiatric Nursing - standards</subject><subject>Risk Assessment - methods</subject><subject>Risk Assessment - standards</subject><subject>Triage</subject><subject>Triage - standards</subject><subject>Triage nurses</subject><subject>Victoria</subject><issn>1445-8330</issn><issn>1447-0349</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkU1vEzEQhlcIREvhL6CFA5w2-GvXWYkLRDSt1ARRgjiOZjfjxGE_gu1A-u_xJlGROAAnW57nfWc8b5K84GzEmSrebEZcKZ0xqcqRYEyOAuOZzkb7B8n5feXh4Z5nYynZWfLE-w1jXJdcPU7OuNI5K0V5nuCM0O-c7VZpWFNKxlAd7A_qyPu0N4fHDoPtO2zSGXUhHleETVinC2dxRennGhtKbZdil1JLbkVdfZcuaYsutFHwNHlksPH07HReJF8uPywmV9nNx-n15N1NVud5wTPJciGQUBmDqhwjVktjBBdklK5qkUtGrCbNxkLXlVGUi0JVpdZV_ImQNZMXyeuj79b133fkA7TW19Q02FG_86ALJdiYFTqSr_5O8pznSql_grnmXEk-gC__ADf9zsWVeRBirJUUbGhbHqHa9d47MrB1tkV3B5zBkCtsYEgPhvRgyBVirqAB9lH7_NRgV7W0_K08BRmBt0fgp23o7n-d93A9n0nGo_zyKHetDYBbNAHWIWw9LDEg2M70h0rvVrDs7eArJS_AUhPhwVIxFkeJRtnRyPpA-_s50H2DuHmdw9f5FD7xxfR2fvseJvIXorvZMg</recordid><startdate>200312</startdate><enddate>200312</enddate><creator>Happell, Brenda</creator><creator>Summers, Monica</creator><creator>Pinikahana, Jaya</creator><general>Blackwell Science, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>200312</creationdate><title>Measuring the effectiveness of the national Mental Health Triage Scale in an emergency department</title><author>Happell, Brenda ; 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| ispartof | International journal of mental health nursing, 2003-12, Vol.12 (4), p.288-292 |
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| subjects | Accident and emergency departments Australia Comparisons Decision making emergency department Emergency Nursing - education Emergency Nursing - methods Emergency Nursing - standards Emergency Services, Psychiatric Guidelines Hospitals Hospitals, Public Humans mental health Mental illness Nurse Clinicians - standards Nurses Nursing Nursing Assessment - methods Nursing Assessment - standards Nursing Evaluation Research Nursing Staff, Hospital - education Nursing Staff, Hospital - standards Patient ranking Patients Practice Guidelines as Topic psychiatric Psychiatric disorders Psychiatric nurses Psychiatric Nursing - methods Psychiatric Nursing - standards Risk Assessment - methods Risk Assessment - standards Triage Triage - standards Triage nurses Victoria |
| title | Measuring the effectiveness of the national Mental Health Triage Scale in an emergency department |
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