Improving the Assessment and Triage of Patients with Mental Illness ...

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Acknowledgements. I wish to sincerely thank, all the staff of the Emergency Department most notably Anna Helen and Martina for your invaluable contributions and assistance throughout this project, Mr. John Lawson my principal tutor and Ms. Pauline Joyce course co-ordinator and all the staff in the Institute for Leadership and Management, Aisling for your constant encouragement and advice, Emily for your valuable input and finally to my husband Trevor and two children Conor and Aoife, for your overwhelming patience, understanding and inspiration. I am truly grateful. ii
Table of Contents Abstract Acknowledgements i ii Chapter 1 Introduction 1.1 Introduction 1 1.2 Background Rationale for Change Management Project 2 1.3 Conclusion 4 Chapter 2 The Literature Review 2.1 Introduction 5 2.2 Mental Illness 6 2.3 Negative attitudes to mental illness 8 2.4 A Triage Tool for Assessing Mental Illness in the ED 9 2.5 Conclusion 12 Chapter 3 Methods and the Change Process 3.1 Introduction 13 3.2 Organisational Change 14 3.3 The Change Model 15 3.4 Rationale for Choosing the Change Model 16 iii
Page 1 and 2: Royal College of Surgeons in Irelan
Page 3 and 4: Improving the Assessment and Triage
Page 5: Abstract Since the amalgamation of
Page 9 and 10: Chapter 1 Introduction 1.1 Introduc
Page 11 and 12: However there are a large number of
Page 13 and 14: Chapter 2 The Literature Review 2.1
Page 15 and 16: with mental health issues, who pres
Page 17 and 18: Australia. The data was collected b
Page 19 and 20: Following implementation of the Nat
Page 21 and 22: Consequently the subsequent chapter
Page 23 and 24: must analyse their surroundings and
Page 25 and 26: After consideration of the aforemen
Page 27 and 28: questioning the patient about their
Page 29 and 30: The benefits of successful implemen
Page 31 and 32: Establishing trust was significant
Page 33 and 34: Group One: Nursing documentation- C
Page 35 and 36: Developing the implementation plan.
Page 37 and 38: Communication As discussed in relat
Page 39 and 40: Nevertheless as a change agent and
Page 41 and 42: crucial. The change agent or change
Page 43 and 44: The observational audit carried out
Page 45 and 46: Limitations arise as the project wa
Page 47 and 48: 5.5 Conclusion Improving the triage
Page 49 and 50: Cartwright, T., Baldwin, D. (2007)
Page 51 and 52: Happell, B., Summers, M., Pinikahan
Page 53 and 54: McAuliffe, E., Van Vaerenbergh, C.
Page 55 and 56: National Institute for Clinical Exc
Page 57 and 58:
Wand, T. (2004) Mental Health Liais
Page 59 and 60:
Appendices Appendix A Mental Illnes
Page 61 and 62:
Appendix A Mental Illness Nursing A
Page 63 and 64:
Appendix C Recommendations in World
Page 65 and 66:
Appendix E Manchester Triage Algori
Page 67 and 68:
Appendix G Health Service Executive
Page 69 and 70:
Appendix I Change Management Projec
Page 71 and 72:
Appendix K Mental Illness Triage To
Page 73 and 74:
Appendix M Force Field Analysis Dri
Page 75 and 76:
Appendix O Questionnaire results re
Page 77:
Appendix Q 16 Triage Category alloc
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