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At least 667 records · Page 37Linked to original sources
PubMed2001

Telephone triage: an Irish view.

This paper examines the issue of telephone triage for an Irish Emergency Department and includes definitions of triage and telephone triage. At St. James Hospital, Dublin the first attempt at formal telephone triage failed. In hindsight this was attributed to inadequate research into the topic and lack of staff motivation. This paper forms part of a larger literature review undertaken by the author following the first failed attempt. An overview of the international literature addresses both the positive and negative sides of a telephone helpline. The body of literature reviewed suggests telephone triage can be successful but advises the use of formal protocols, training of staff and accurate documentation. The purpose of this paper is therefore to investigate the benefits and recommended practices of implementing telephone triage with a view to successfully changing policy and practice in a busy Emergency Department.

Communication↗
PubMed2001

The next step for emergency contraception: over-the-counter availability.

Emergency contraception to prevent pregnancy after episodes of unprotected sexual intercourse has existed since ancient times. Modern medicine began to use hormonal methods in the 1960s, and today emergency contraception is used regularly in many countries. In the United States, providers do not routinely prescribe it, nor do they adequately inform their patients that it is available. This occurs even though sufficient information exists on the safety and efficacy of this method. Because the effectiveness of emergency contraceptive pills relies heavily on prompt administration, better access for patients is essential. Recently, proponents of emergency contraception have attempted to better inform the public of this resource. In addition, two oral contraceptive products are now available and marketed specifically for emergency contraception. The purpose of this article is to discuss the safety and efficacy of emergency contraceptive pills and the potential for them to become available without a prescription.

Contraceptives, Postcoital↗
PubMed2002

[About the addiction to using the telephone or a structural approach in the crisis intervention for a better work with long-term users].

The presented document discusses the problems of psychological/psychiatric and emergency long term users. The author, director of the East Berlin Crisis Centre, describes the long-term patient phenomenon from different perspectives. He develops ideas to change the concept of acute intervention. The crisis intervention is established in the context of the Empowerment Theory. The developed structural basis will be discussed accompanied by practical examples.

Behavior, Addictive↗
PubMed2002

HealthConnect: a trial of an after-hours telephone triage service.

This paper describes HealthConnect, an after-hours telephone triage and advice service which operated for 15 months in 2000 and 2001. We describe the service, discuss utilisation and implementation issues, and conclude with a description of the key lessons learned from the trial. The service received over of 12,000 calls, of which over half were for information rather than immediately seeking care. Continuing marketing appears to be required in order to ensure ongoing demand for services of this kind. Quality assurance is essential to ensure that an optimal service is provided, and staff recruitment and training are critical to this. A national standardised approach to services of this kind is desirable to provide a consistent service to consumers and realise economies of scale.

Clinical Protocols↗
PubMed2003

The Griffith area palliative care service: a pilot project.

In September 2000 the Commonwealth released, as part of its National Palliative Care Strategy under the Australian Health Care Agreements, a National Framework for Palliative Care Service Development. The new National Framework stressed an important set of values to guide models of palliative care delivery. It notes that the challenge is to secure the place of palliative care as an integral part of health care across Australia, routinely available within local communities to those people who need it. Care and support for people who are dying and their families need to be built not only into health care services, but also into the fabric of communities and their support networks. While few would disagree with this, little is known about how best to achieve it in rural Australia. The Griffith Area Palliative Care Service (GAPS) is a two-year pilot project delivering a palliative care service through a truly integrated approach to care for patients, their carers and families within the Griffith Local Government Area and Carrathool Shire areas. This paper describes how GAPS is successfully meeting the challenges of service provision to rural and remote areas.

Case Management↗
PubMed2005

Use of a community sexual health information line.

BACKGROUND: Since 1989 Sydney Sexual Health Centre has provided a community phone information line (PIL). The service aims to educate and promote the sexual health of the community and facilitate efficient use of the centre's resources through the provision of information and advice to the community and health professionals; a referral service; and patient triage. In October 1997 a comprehensive computerised database was developed to collect caller information. In 2003, a 5-year review of the PIL database was undertaken with the express aim of describing the profile of people using the service. METHODS: We analysed data from the PIL from 16 October 1997 to end 20 December 2002 using SPSS. RESULTS: A total of 34,013 callers were in the PIL database. Every year the service has seen an increase in demand from 5295 calls in 1998 (first full year of service) to 8401 in 2002. The majority of callers lived in central and southeast Sydney geographical area, however, calls were registered from over 55% of postcodes in NSW and from interstate. The average caller age each year was 32 years with similar standard deviation and the distribution over time has not changed. There were equal numbers of male and female callers each year. Peak times for people to call the PIL were 2-4 pm with a high number of callers at 10 am. In general, calls were between 4 and 6 min duration. Overall, 14,098 (41.4%) of calls in the database were for general sexual health information. The majority of the information callers over the period who have been calling about infections have called about herpes simplex virus. CONCLUSIONS: As is evident the PIL meets a specific community need. This study did not, however, look at patient outcomes and this area needs investigation to fully evaluate the benefits of a community PIL.

Adult↗
PubMed1990

Lunar phases and crisis center telephone calls.

The lunar hypothesis, that is, the notion that lunar phases can directly affect human behavior, was tested by time-series analysis of 4,575 crisis center telephone calls (all calls recorded for a 6-month interval). As expected, the lunar hypothesis was not supported. The 28-day lunar cycle accounted for less than 1% of the variance of the frequency of crisis center calls. Also, as hypothesized from an attribution theory framework, crisis center workers reported significantly greater belief in lunar effects than a non-crisis-center-worker comparison group.

Adult↗
PubMedDate not supplied

TIPS: telephone intervention--problem solving for persons with schizophrenia.

A prospective experimental design was used to examine whether face-to-face meetings designed to establish rapport had an effect on the verbal responses of persons with schizophrenia in subsequent Telephone Intervention--Problem Solving (TIPS). Verbal responsiveness was operationalized as length of telephone conversation, number of feeling statements expressed, and number of one-word responses. Experimental participants met with the TIPS provider twice during hospitalization, while controls did not meet with the TIPS provider. All subjects received TIPS weekly from a psychiatric nurse for six weeks after hospital discharge. Compared to controls, experimental participants conversed longer at every measurement point, and significantly longer during weeks one through three. Experimental participants were approximately twice as likely to make a feeling statement as those in the control group. These data suggest that psychiatric nurses who would like to employ TIPS to support clients in the community should plan for at least two face-to-face interventions to establish rapport prior to initiating TIPS.

Adult↗
PubMedDate not supplied

Mandatory reporting of abuse: practical, moral, and legal issues for psychiatric home healthcare nurses.

Psychiatric home healthcare nurses (PHHNs) work directly with clients and their families in the community and serve as consultants to other home health nurses when concerns of mental health arise. They must be able to identify areas of possible or actual family violence or abuse and intervene appropriately. They must be cognizant of the laws regarding abuse reporting in their states. Decisions to report abuse are practical and moral and, when combined with legal imperatives, create ethical dilemmas for healthcare professionals. Guidelines are presented to help PHHNs understand the complex issues associated with mandatory reporting of abuse.

Adult↗
PubMed2005

Responding to suicidal calls: does trait anxiety hinder or help?

To see if trait anxiety and suicidality interfered with the ability to respond to suicidal crisis calls, 279 undergraduates completed measures of trait anxiety and suicidality in the past week, and the revised Suicide Intervention Response Inventory (SIRI-2). Unexpectedly, trait anxiety (but not suicidality) correlated with better SIRI-2 scores. In addition, students scored significantly more like the experts on the SIRI-2 if they were European-American, were relatively older, had completed a crisis intervention course, had undergone psychotherapy, or had ever been suicidal in their lives. Trait anxiety does not hinder, and may even help, in responding to a suicidal phone call.

Anxiety↗