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Development and Implementation of a Pediatric Nursing Emergency Behavioral Health Assessment Tool
Journal of Emergency Nursing
|April 10, 2024
Summary
A new pediatric emergency nurse tool objectively measures mental health acuity, leading to reduced restraint use and fewer patient/staff injuries in emergency departments. This improves care for pediatric behavioral health patients.
Area of Science:
- Pediatric Emergency Medicine
- Nursing Quality Improvement
- Mental and Behavioral Health
Background:
- The national pediatric mental and behavioral health crisis has increased emergency department (ED) visits, impacting nursing practice.
- Existing nursing tools for assessing pediatric mental/behavioral health acuity in the ED are lacking.
- Objective acuity assessment is crucial for appropriate resource allocation and intervention in pediatric behavioral health cases.
Purpose of the Study:
- To develop and implement a novel pediatric emergency nurse tool: the Emergency Behavioral Health Acuity Assessment Tool.
- To objectively measure pediatric mental and behavioral health patient acuity within the emergency department setting.
- To assess the impact of the tool on patient acuity, length-of-stay, restraint use, and injuries.
Main Methods:
- A quality improvement project utilizing the Plan-Do-Study-Act model for tool design and refinement.
- A non-experimental descriptive design was employed to evaluate outcomes at a Level 1 pediatric trauma center.
- The tool was developed using evidence, nurse feedback, and expert opinion, capturing acuity and suggesting interventions.
Main Results:
- The ED manages over 3000 mental/behavioral health visits annually, with an average of 23 such patients daily.
- Implementation of the Emergency Behavioral Health Acuity Assessment Tool dashboard in August 2021.
- While length-of-stay remained unchanged, patient restraint use and patient/staff injuries significantly declined; restraint use correlated with moderate acuity.
Conclusions:
- The Emergency Behavioral Health Acuity Assessment Tool provides emergency nurses with an objective measure of pediatric patient acuity.
- This objective assessment facilitates targeted interventions, enhancing the care quality for pediatric mental and behavioral health patients in the ED.
- The tool supports improved patient safety and nursing practice in managing high-acuity behavioral health presentations.
Keywords:
Behavioral medicineEmergency departmentEmergency nursingMental healthPatient acuityPediatricsMore Related Videos
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