Evidence map›Paper›PMID 41852269›Full record

ArticleInternational journal of mental health nursing2026

Distress, Discomfort and Moral Injury: Emergency Department Clinicians Experiences Caring for People With a Psychosocial Disability and a National Disability Insurance Scheme Plan.

Heather McIntyre, Mark Loughhead, Laura Hayes, Anit Manudhane, Caroline Allen, Dean Barton-Smith, Brooke Bickley, Louis Vega, Jewels Smith, Ursula Wharton and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of mental health nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Heather McIntyreMental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0001-8475-769X
Mark LoughheadMental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-3610-1482
Laura HayesMIND Australia, Burnley, Victoria, Australia.ORCID https://orcid.org/0000-0003-2109-6091
Anit ManudhaneCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0009-0001-6345-0194
Caroline AllenMental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia.
Dean Barton-SmithMental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia.
Brooke BickleyMental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia.
Louis VegaMental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia.
Jewels SmithMental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia.
Ursula WhartonMental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia.
Nicholas ProcterMental Health and Suicide Prevention Research and Education Group, University of South Australia, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-7289-3165

Funding

Mind Australia
6 · The paper itself

Abstract

People with a psychosocial disability (PSD) and a National Disability Insurance Scheme (NDIS) plan may at times require emergency care. This study aimed to gather evidence of current practice and experiences from the perspective of emergency department clinicians that care for people with a PSD and an NDIS plan. A national anonymous survey was conducted between December 2022 and June 2023. Emergency department (ED) clinicians who had attended to a person with a PSD and an NDIS plan in the ED within the last 2 years were able to participate in the study. The COREQ standards were used for reporting. Results of this qualitative online survey, conducted nationally in Australia, were thematically analysed. Experiences of ED clinicians when caring for people with PSD and an NDIS plan, plus perspectives about care, communication and continuity of care are discussed. Themes generated were: System and service drivers: who cares for whom? And when?; Providing care in pressured environments; Connect the service silos; Inclusion of carers/support workers. This study provides new information on clinician experience's when caring for people with psychosocial disability and an NDIS plan in the ED and information about system challenges, limitations and inability to comply with fundamentals of care.

Indexed as

Attitude of Health PersonnelEmergency Service, HospitalInsurance, DisabilityPersons with DisabilitiesAustraliaHumanscontinuity of careemergency departmentNational Disability Insurance Schemepsychosocial disabilityservice integration

Identifiers

PMID41852269
PMCPMC13000669

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.