Adherence to the European Working Time Directive and its influence on clinical experience
Autor: | Ashokkumar G. Patel, Floriana Coccia, Conor McLernon |
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Rok vydání: | 2007 |
Předmět: |
medicine.medical_specialty
business.industry Accident and emergency Liaison nurse Directive Working time 030227 psychiatry 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine Nursing Family medicine medicine Senior house officer 030212 general & internal medicine business |
Zdroj: | Psychiatric Bulletin. 31:295-296 |
ISSN: | 1472-1473 0955-6036 |
Popis: | Aims and MethodTo identify deficits in senior house officer (SHO) on-call experience since the advent of accident and emergency (A&E) liaison nurse cover, by retrospectively examining records of 267 A&E patients between October 2004 and January 2005. We collated our data in terms of presenting symptoms.ResultsThe majority (59%) of A&E referrals received no SHO attention. In particular, SHOs had no involvement in 69% of ‘social’ presentations, 72% of presentations involving drug or alcohol misuse and 63% of presentations with associated suicidality, self-harm or overdose.Clinical ImplicationsClinical experience is being lost in key areas, and is not yet being replaced via other routes. There is a pressing need to consider methods to ensure development of these skills, at the same time as adhering to the European Working Time Directive. |
Databáze: | OpenAIRE |
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