Emergency Nurses' Care of Psychiatric Patients

Area of Science:

• Nursing
• Mental Health
• Emergency Medicine

Background:

• Increasing mental illness patients in EDs pose challenges.
• Nurse stigma and workplace violence (WPV) create barriers to care.
• Resilience is crucial for nurses managing WPV and providing care.

Purpose of the Study:

• Investigate stigma, resilience, and WPV impact on nurse behavioral care competence.
• Examine the relationship between these factors and nurse work performance.
• Address gaps in understanding barriers to therapeutic care for mental illness patients in the ED.

Main Methods:

• Survey data collected using Brief Resilience Scale, Individual Work Performance Questionnaire, and Behavioral Healthcare Competency (BHCC) survey.
• Opening Minds Scale for Healthcare Providers and WPV experience questions were included.
• Independent t-tests and correlations analyzed relationships between scale scores and descriptive data.

Main Results:

• 60% of nurses experienced personal injury from WPV.
• Higher behavioral competence correlated with lower stigma and better work performance.
• Nurses with WPV injury reported higher BHCC and work performance scores.

Conclusions:

• Workplace violence may motivate nurses to enhance behavioral health practices.
• Teamwork and improved practice are potential outcomes of WPV experiences.
• Further research needed on WPV's complex impact on nursing care.