Change of home visit frequency by public health nurses predicts emergency escorts for psychiatric patients living in the community: A retrospective medical record review

Frontiers in Public Health

Public Health

Chia-Chun Hung¹  Meng-Chieh Wu²  Tony Szu-Hsien Lee³  Su-Chen Fang⁴ 

[1] Continuing Education Master's Program of Addiction Prevention and Treatment, National Taiwan Normal University, Taipei, Taiwan;Department of Health Education and Health Promotion, National Taiwan Normal University, Taipei, Taiwan;Department of Health Education and Health Promotion, National Taiwan Normal University, Taipei, Taiwan;Continuing Education Master's Program of Addiction Prevention and Treatment, National Taiwan Normal University, Taipei, Taiwan;Department of Nursing, Mackay Medical College, New Taipei City, Taiwan;

关键词: public health nurse;    home visit;    case management;    mental disorder;    emergency escort;    community;   

DOI  :  10.3389/fpubh.2023.1066908

 received in 2022-10-11, accepted in 2023-01-17,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundImproper or insufficient treatment of mental health illness harms individuals, families, and society. When psychiatric treatment shifts from a hospital-based to a community-based health care system, risk management is essential to the provision of effective care.ObjectiveWe examine whether an upgrade in home visit frequency of psychiatric patients as identified by public health nurses can predict the subsequent need for emergency escort services for medical treatment.DesignA 2-year retrospective medical record review.Setting(s)A district of New Taipei City in Taiwan.ParticipantsA total of 425 patients with a diagnosed mental health illness cared for through home visits by public health nurses from January 2018 to December 2019.MethodsWe accessed the Ministry of Health and Welfare's psychiatric care management information system to identify a set of medical records, and analyzed these records using chi-square and regression analyses.ResultsThe analyses indicated that the groups experiencing the greatest need for emergency escort services were: male, 35–49 years old, with a senior high school level of education, without a disability identification card, with a schizophrenia diagnosis, and had been reported by the nurse as having progressed to a serious level. Nurses' increased frequency of home visits (an indicator that the patient's overall condition was worsening) and nurses' reports of increased severity of problems were significant predictors of the need for emergency escort services.ConclusionsThe nurses' adjustment of visit frequency based on the results of the visit assessment predicts the need for emergency escort services for mental patients. The findings support not only the professional roles and functions of public health nurses, but also the importance of strengthening psychiatric health community support services.

【 授权许可】

Unknown   
Copyright © 2023 Wu, Hung, Fang and Lee.