Publications by authors named "Marie F Gerdtz"
Purpose: To explore factors that influence presentation to an emergency department during ambulatory systemic anti-cancer therapy.
Methods: This study was an exploratory qualitative study using semi-structured interviews. A purposive sample of adult patients with any cancer who had commenced systemic anti-cancer therapy in the ambulatory setting up to six months prior participated in semi-structured interviews between November 2016-December 2017.
Safewards is a multi-intervention mental health nursing model of practice improvement aimed at preventing and reducing conflict and containment. The use of Safewards has now extended beyond mental health settings. Implementation of Safewards has been reported to be challenging and therefore requires an evidence-informed and structured approach.
View Article and Find Full Text PDFBackground: The wellbeing of individuals influences organisational outcomes. Insight into nurses' wellbeing is crucial to a sustaining a high-quality workforce.
Aim: To describe nurses' perceptions and experiences of wellbeing, work wellbeing, and mental health.
Aim: To describe the common elements of Graduate Entry Master of Nursing curricula and identify a set of standards and quality indicators for benchmarking purposes within and across jurisdictions.
Background: Internationally, there has been an increase in universities offering Graduate Entry Masters programs in Nursing. Such programs specify a bachelor degree as an entry requirement and then offer an intensive program of study that prepares graduates for registration as a nurse.
Background: The contribution of work to positive mental health is increasingly apparent. Transition into the workplace causes a range of stressors for new graduate nurses who experience both psychological wellbeing and illbeing in their first year of practice.
Objective: To determine published prevalence, predictors, barriers and enablers of new graduate registered nurse wellbeing, work wellbeing and mental health.
Objective: Undergraduate nursing students may experience high levels of stress, anxiety or depression. This can not only influence their personal wellbeing and academic performance, but also communication with patients during clinical placement and the quality and safety of the healthcare delivered. The objective of the review was to identify interventions that target stress, anxiety or depressed mood in undergraduate nursing students during their undergraduate course.
View Article and Find Full Text PDFObjective: To evaluate the use of management plans for people who frequently attend the emergency department (ED).
Background: Management plans are used to decrease ED utilisation by people who frequently attend. There is limited evidence regarding the use management plans for this population and the perspectives of staff who use them has previously not been considered.
Background: Emergency department (ED) presentations made by patients having cancer treatment are associated with worth outcomes. This study aimed to explore the socio-demographic and disease related characteristics associated with ED presentation, frequent ED presentations, and place of discharge for cancer patients receiving systemic cancer therapies in the ambulatory setting.
Methods: This was a single site, retrospective observational cohort design.
Background: The number of natural disasters occurring worldwide has increased, including Indonesia, a country that continues to experience natural disasters of varying level of severity. Despite this evidence, limited information is available about nurses' disaster preparedness in Indonesia particularly in community settings. This study aims to identify the current level of disaster preparedness and learning needs for managing natural disasters as perceived by community health nurse (CHN) coordinators who are working in community health settings in South Sulawesi, Indonesia.
View Article and Find Full Text PDFBackground: There is no clear treatment pathway for people presenting to Australian emergency departments with deliberate self-harm.
Purpose: To explore variations in mental health nurses' disposition decisions for patients following risk assessment for deliberate self-harm.
Design And Method: A survey was distributed to mental health nurses.
Background: Triage systems provide a centralised safety mechanism where all patients are assessed for clinical urgency at point of entry to the ED.
Objective: The present study aims to evaluate the effect of a multifaceted intervention on triage documentation rates and guideline adherence.
Methods: A before-and-after design was used.
Background: Patient aggression is a common source of occupational violence in emergency departments. Staff attitudes regarding the causes for aggression influence the way they manage it. The Management of Clinical Aggression - Rapid Emergency Department Intervention is a 45 min educational program that aims to promote the use of de-escalation techniques and effective communication skills to prevent patient aggression.
View Article and Find Full Text PDFObjective: To explore ED staff perceptions of the factors that influence accuracy of triage for people with mental health problems.
Methods: This qualitative learning needs analysis used a descriptive exploratory design. Participants were Australian emergency nurses and doctors.
Objective: To prospectively evaluate the accuracy of a predictive model to identify homeless people at risk of representation to an emergency department.
Methods: A prospective cohort analysis utilised one month of data from a Principal Referral Hospital in Melbourne, Australia. All visits involving people classified as homeless were included, excluding those who died.
Objective: To identify the mental health-related learning needs of doctors and nurses working in Australian EDs.
Methods: A purpose-designed survey was developed, and face validity was verified by 12 doctors and nurses. A cross-sectional survey of a national sample of nurses and senior doctors (registrars and consultants) working in EDs across Australia was then undertaken.
Objectives: The study aimed to describe: (i) the perceived barriers faced by emergency clinicians in the assessment and management of patients presenting with a mental health complaint to Australian hospital EDs; and (ii) perceived strategies to optimize care of the mentally unwell in the ED.
Methods: Semistructured interviews with open and closed question formats were used to explore the barriers perceived by ED doctors and nurses in assessing and managing patients with mental health presentations. Interviews were transcribed verbatim and thematically coded by two researchers using the Framework Approach.
Background: Homeless people face many challenges in accessing and utilising health services to obtain psychosocial supports offered in hospital and community settings. The complex nature of health issues is compounded by lack of accessibility to services and lack of appropriate and safe housing.
Objective: To examine the perceptions and experiences of homeless people in relation to their health service needs as well as those of service providers involved with their care.
Triage is a process that is critical to the effective management of modern emergency departments. Triage systems aim, not only to ensure clinical justice for the patient, but also to provide an effective tool for departmental organisation, monitoring and evaluation. Over the last 20 years, triage systems have been standardised in a number of countries and efforts made to ensure consistency of application.
View Article and Find Full Text PDFTriage is a process that is critical to the effective management of modern emergency departments. Triage systems aim, not only to ensure clinical justice for the patient, but also to provide an effective tool for departmental organisation, monitoring and evaluation. Over the last 20 years, triage systems have been standardised in a number of countries and efforts made to ensure consistency of application.
View Article and Find Full Text PDFBackground: As patients move across transition points of care, medication discrepancies are likely to occur. In the emergency department (ED), patients are vulnerable to medication discrepancies because they are in an environment in which rapid decisions need to be made under high levels of stress.
Objective: To identify the patient-, environment-, and medication-related factors involving unexplained medication discrepancies across transition points after ED presentation.
Objective: To examine the influence of the nurse, the type of patient presentation and the level of hospital service on consistency of triage using the Australasian Triage Scale.
Methods: A secondary analysis of survey data was conducted. The main study was undertaken to measure the reliability of 237 scenarios for inclusion in a national training programme.
Aims And Objectives: We aimed to synthesise evidence from published literature on non-invasive ventilation to inform nurses involved in the clinical management of non-invasive ventilation in the emergency department.
Background: Non-invasive ventilation is a form of ventilatory support that does not require endotracheal intubation and is used in the early management of acute respiratory failure in emergency departments. Safe delivery of this intervention requires a skilled team, educated and experienced in appropriate patient selection, available devices and monitoring priorities.
Use of invasive mechanical ventilation in Australian emergency departments.
Emerg Med Australas
April 2009
Objective: There are few published reports describing the use of invasive mechanical ventilation in EDs. We explored the characteristics of patients receiving mechanical ventilation, the ventilator modes and parameters used as well as the duration of ventilation and the nature of ventilator decision-making in Australian ED.
Methods: We conducted a 2 month prospective survey of adult patients who received invasive mechanical ventilation in 24 Australian ED.
Objective: The Emergency Triage Education Kit was designed to optimize consistency of triage using the Australasian Triage Scale. The present study was conducted to determine the interrater reliability of a set of scenarios for inclusion in the programme.
Methods: A postal survey of 237 paper-based triage scenarios was utilized.