Implementation and use of the Safewards model in healthcare services: A scoping review.

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.

An evaluation of the use of management care plans for people who frequently attend the emergency department.

Objective: 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.

Disaster preparedness and learning needs among community health nurse coordinators in South Sulawesi Indonesia.

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.

Mental health nurses' dispositional decision-making for people presenting to the emergency department with deliberate self-harm: an exploratory study.

Background: 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.

The outcome of a rapid training program on nurses' attitudes regarding the prevention of aggression in emergency departments: a multi-site evaluation.

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.

Prospective validation of a predictive model that identifies homeless people at risk of re-presentation to the emergency department.

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.

Complex health service needs for people who are homeless.

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.

Republished paper: Emergency department triage revisited.

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.

Emergency department triage revisited.

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.

Medication use across transition points from the emergency department: identifying factors associated with medication discrepancies.

Background: 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.

Optimizing triage consistency in Australian emergency departments: the Emergency Triage Education Kit.

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.