Abstract
PurposeTo explore the experiences of ambulance nurses in emergency care of patients with acute manic and/or psychotic symptoms.MethodsIn this qualitative study, 14 interviews were conducted and analyzed using thematic analysis according to Braun and Clarke (2006).FindingsPsychiatric emergency care causes stress and uncomfortable feelings for ambulance nurses due to a lack of information on the patients, being alone with the patient in a small place and the unpredictability of the situation.Practice implicationsMore information about the specific patient, education, and good collaboration with other professionals could improve care.
Highlights
Manic and/or psychotic symptoms could lead to a mental health crisis, defined as “any situation in which a person's behavior puts them at risk of hurting themselves or others and/or prevents them from being able to care for themselves or function effectively in the community.”[1]
|3 topic of study if distracted during the interview. This aide‐mémoire was based on the literature and was presented to an experienced nurse researcher working in a mobile crisis team and by a physician assistant employed in an regional ambulance services (RAVs)
Our study focused only on emergency care for patients with manic and/or psychotic symptoms, the findings are in line with studies that focused on the experiences of ambulance nurses with general mental health care.[10,11,12]
Summary
Manic and/or psychotic symptoms could lead to a mental health crisis, defined as “any situation in which a person's behavior puts them at risk of hurting themselves or others and/or prevents them from being able to care for themselves or function effectively in the community.”[1]. Experiences of patients with acute manic and/or psychotic symptoms and their family members with psychiatric emergency care were explored.[9] Communication and cooperation was experienced as difficult in several cases. Another study described the working relationship between ambulance nurses and mobile crisis teams as ineffective. These teams extended their scene time and were often difficult to contact. Ambulance nurses emphasized a need for clear policy relating to the interaction between mobile crisis teams and ambulance nurses.[11] The results of previous studies cannot be generalized to Dutch psychiatric emergency care due to differences in legislation, healthcare processes, and culture. The experiences of Dutch ambulance nurses in emergency care for patients with acute manic and/or psychotic symptoms are explored. It is important to create a broader view on emergency care for patients with acute manic and/or psychotic symptoms to find leads to improve the quality of care
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