OBJECTIVE To evaluate the Mental Health Liaison Nurse (MHLN) service based in the emergency department (ED) of a large, inner city teaching hospital in Sydney, Australia. DESIGN Data were gathered over the first two years of the position. Information is presented regarding the length of time that patients waited to be seen by the MHLN. Results from two rounds of surveys conducted with ED nurs...

BACKGROUND Correctional centre populations are one of the populations most at risk of contracting HIV infection for many reasons, such as unprotected sex, violence, rape and tattooing with contaminated equipment. Specific data on drug users in correctional centres is not available for the majority of countries, including South Africa. The study aimed to identify the attitudes and knowledge of k...

Nurses, particularly those working in non-psychiatric settings, report that they do not feel adequately prepared to meet the mental health needs of patients. The psychiatric consultation-liaison nursing role has arisen in part, as a response to these difficulties and aims to facilitate access to mental health nursing expertise for general hospital patients and staff. The impact of the introduct...

This paper describes the evaluation of a case study of health service reform in southern Adelaide. A mail survey, interviews and focus groups were used to gain an understanding of health care providers' perceptions and experiences of reform. The paper discusses lessons learnt about health service reform and its impact on people working in the health system. It finds that continual change that i...

A B S T R AC T NHS Direct is a relatively new, nurse-based, 24-hour health advice line run as part of the UK’s National Health Service (NHS). The service delivers health advice remotely via the telephone. A central aspect of the service is the attempt to provide a standard level of health advice regardless of time, space or the background of the nurse. At the heart of this attempt is an innovat...

The aim of the study was to describe the expectations and experiences of end-of-life care of older people resident in care homes, and how care home staff and the healthcare practitioners who visited the care home interpreted their role. A mixed-method design was used. The everyday experience of 121 residents from six care homes in the East of England were tracked; 63 residents, 30 care home sta...

conclusions the quality gap in the services provided by maternity units showed that these units are not able to meet pregnant women’s expectations completely. the negative quality gaps can be used as a guideline to improve the maternal health care quality and reduce maternal mortality, particularly in high-risk women such as those living in rural areas. results there was a negative gap in all d...

OBJECTIVE Hierarchically organized board-and-staff-run consumer-operated service programs (COSPs) are viewed as organizations that promote recovery while working in concert with community mental health agencies (CMHAs). This study's objective was to determine the effectiveness of such combined services for people with serious mental illness. METHODS A board-and-staff-run consumer-operated dro...

background recent british national health service (nhs) reforms, in response to austerity and alleged ‘health tourism,’ could impose additional barriers to healthcare access for non-european economic area (eea) migrants. this study explores policy reform challenges and implications, using excerpts from the perspectives of non-eea migrants and health advocates in london.   methods a qualitative ...

Objectives The aim of this study was to investigate service utilization by students and staff in the 18 months following the September 13, 2006, shooting at Dawson College, Montreal, as well as the determinants of this utilization within the context of Canada's publicly managed healthcare system. Methods A sample of 948 from among the college's 10,091 students and staff agreed to complete an ...