Evidence map›Paper›PMID 42070900›Full record

ArticleJournal of clinical nursing2026

Nurses' Experiences Caring for People Presenting to the Emergency Department With Mental Health Concerns.

Caitlin Kent, Catherine Stephen, Elizabeth Halcomb

Abstract read
In one paragraph

Article in Journal of clinical nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

3 authors.

Caitlin KentSchool of Nursing, University of Wollongong, Wollongong, Australia.ORCID https://orcid.org/0009-0003-9256-569X
Catherine StephenSchool of Nursing, University of Wollongong, Wollongong, Australia.ORCID https://orcid.org/0000-0002-3864-1300
Elizabeth HalcombSchool of Nursing, University of Wollongong, Wollongong, Australia.ORCID https://orcid.org/0000-0001-8099-986X

Funding

Australian College of Nursing Emerging Research Leader Program
6 · The paper itself

Abstract

aimTo explore the experiences of Emergency Department nurses when caring for patients presenting to the Emergency Department with mental health issues.

designQualitative descriptive study.

methodsTen nurses with experience caring for mental health patients participated in face-to-face, semi-structured interviews. Nurses were recruited if they were employed at a single tertiary Emergency Department in the Northern Territory, Australia. Interviews were audio-recorded, transcribed, and analysed using thematic analysis. The COREQ checklist guided reporting.

resultsThe four key themes were: systemic factors; emotional impact and staff culture; influence of communication; education and training. Systemic factors, such as overcrowding, staff shortages, long stays, and unsuitable Emergency Department environments, restricted therapeutic care and increased patient distress. The emotional impact of caring for mental health patients, combined with reactive workplace culture and stigma, contributed to moral distress and burnout. Clear communication and teamwork supported care, while limited mental health education left nurses underprepared and reliant on informal learning. Participants emphasised the need for clear protocols, targeted training, and structured support to enhance patient outcomes, nurse confidence, and well-being.

conclusionEmergency Department nurses face systemic, cultural, and educational barriers that compromise patient care while contributing to stress, fatigue, and burnout. Addressing these challenges through integrated care pathways, targeted education, and staff support is essential to improve patient outcomes and sustain the nursing workforce. IMPLICATIONS FOR PRACTICE: Data from this study identifies there is an urgent need to implement practical strategies to reduce challenges for nurses in caring for patients presenting to the ED with mental health issues. IMPACT: This study revealed that systemic pressures, emotional fatigue, and limited training hinder effective care. This research can inform hospital leaders, policymakers, and educators to improve support, training, and care pathways within ED settings. REPORTING

methodThe authors have adhered to the COnsolidated criteria for REporting Qualitative research (COREQ). PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution was made.

Indexed as

Attitude of Health PersonnelEmergency NursingEmergency Service, HospitalMental DisordersNursing Staff, HospitalAdultBurnout, ProfessionalFemaleHumansMaleMiddle AgedNorthern TerritoryQualitative Researchemergency departmentemergency nursingexperiencesmental health crisisnursingpatientpsychiatric emergencyqualitative descriptivesemi‐structured interviews

Identifiers

PMID42070900
PMCPMC13432290

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.