Evidence map›Paper›PMID 36669922›Full record

ArticleAnnals of emergency medicine2023

A Qualitative Study of Emergency Physicians' and Nurses' Experiences Caring for Patients With Psychiatric Conditions and/or Substance Use Disorders.

Linda M Isbell, Hannah Chimowitz, Nathan R Huff, Guanyu Liu, Ezekiel Kimball, Edwin Boudreaux

Open access · hybridAbstract read
In one paragraph

Article in Annals of emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 17 citations in OpenAlex.

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  8. Improving prehospital and emergency care for patients with mental dysregulation: a comprehensive research agenda.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Linda M IsbellDepartment of Psychological and Brain Sciences, University of Massachusetts Amherst, Amherst, MA. Electronic address: lisbell@umass.edu.
Hannah ChimowitzDepartment of Psychological and Brain Sciences, University of Massachusetts Amherst, Amherst, MA.
Nathan R HuffDepartment of Psychological and Brain Sciences, University of Massachusetts Amherst, Amherst, MA.
Guanyu LiuDepartment of Psychological and Brain Sciences, University of Massachusetts Amherst, Amherst, MA.
Ezekiel KimballCollege of Education, University of Massachusetts Amherst, Amherst, MA.
Edwin BoudreauxDepartment of Emergency Medicine, Psychiatry, and Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA.
University of Massachusetts Amherst · USAmherst College · USUniversity of Massachusetts Chan Medical School · US

Funding

Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Approach to Understand Diagnostic Failure and Facilitate Improvement for Patients with and without Mental IllnessR01HS025752 · AHRQ · UNIVERSITY OF MASSACHUSETTS AMHERST · PI ISBELL, LINDA M · 2017 to 2021
$1.7M
AHRQ HHS R01 HS025752
6 · The paper itself

Abstract

STUDY

objectivePatients with psychiatric conditions and/or substance use disorders (SUDs) frequently seek care in emergency departments (EDs), where providing care for these populations can involve considerable challenges. This study aimed to develop a comprehensive data-driven model of the complex challenges and unique dynamics associated with caring for these populations in the ED, as well as the effect on patient care quality.

methodsWe conducted a preplanned topical analysis of grounded theory data obtained from semistructured interviews with 86 ED physicians and nurses from 8 hospitals in the Northeastern USA. Participants provided detailed descriptions of their experiences and challenges in caring for patients with psychiatric conditions and/or SUDs. We identified themes inductively using constant comparative analysis and developed a grounded model of physicians' and nurses' perceptions of challenges, biases, and effects on patient care.

resultsEmergency physicians and nurses described emotional, diagnostic, and logistical challenges that patients with psychiatric conditions and/or SUDs present. These challenges are magnified by existing health care system issues and social structures, which fuel and reinforce negative attitudes, expectations, and biases. In combination, these processes create negative health care experiences for patients, physicians, and nurses and can adversely affect patient care quality and ED staff well-being.

conclusionOur findings uncover a cyclical process whereby challenges and biases associated with patients with psychiatric conditions and/or SUDs can reciprocally threaten patient care quality. Systemic changes and localized interventions are urgently needed to mitigate challenges, reduce bias, improve patient care, and improve physicians' and nurses' experiences in the ED.

Indexed as

NursesPhysiciansSubstance-Related DisordersAttitude of Health PersonnelEmergency Service, HospitalHumansQualitative Research

Identifiers

PMID36669922
PMCPMC11970558
OpenAlexW4317436733

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.