HNO6004 Evidence And Research For Practice


Reexamine the articles and their research. Then, evaluate the relevance of the findings to your practice as a nurse and the case study that was done using evidence-based practices principles.

What were the major points and the explanation of reason?

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Is there a literature review?

This study was important.

What link does this study have with nursing?

What were the specific purposes of the research

Answer to Question: HNO6004 Evidence And Research For Practice


This journal article explains the implications of the emergency departments (EDs) triage practice environments on the triage practices of nurses who triage clients diagnosed with mental illness.

This was necessary because there is an increase in mental patients in Australian emergency department.

It was published in Australia.

The journal provides important information and explains why the ED triage environment must be set in a way that protects mental patient’s privacy. (Broadbent Moxham & Dwyer, 2014).

The information was sourced from the Ph.D.s of the first authors.

They are experts because they did all the research themselves and did not copy the work of other authors.

This research was required at the Australasian college for emergency nursing.

These authors are Ph.D. holders, who are extremely competent.

The authors’ information gives you confidence in your research, which encourages you to put into practice what you have read in the journal in order to help clients with mental illness.Background Aims

The research question was: How will the triage nurses ensure a triage emergency department environment that enhances mental health care for clients with mental illness?

The main points of this article concern the background, mental health, triage nurse, health care and emergency department. This is all used to create the significance of the study.

Dobson & Dobson (2016, p. 3) The purpose of this research is to create a triage system that promotes privacy and security for mental patients so that the patients are not subject to public scrutiny.

The infrastructure should permit mental patients to be kept in an enclosed room that can be viewed by the nurses and triage nurses, allowing them to monitor their progress.

The literature review will involve the redesigning of and occupying new emergency rooms.

Because of the tension caused in waiting rooms by mentally ill people, while they wait to see a mental health specialist (Sandoval 2016).

This is why the emergency room triage environment should be so designed that it increases the patient’s privacy and security.

This study is significant because it aims at redesigning the emergency departments to reduce the time required to get to the ED and improve client care (Townsend, 2014).

This study shows that triage nurses should be involved in nursing activities, including assessment and care of clients. They should also provide the needed care to patients and families in their waiting rooms.

The research had the following specific objectives:

To create an emergency room environment that is easily accessible and has the necessary equipment to ensure safety for both the patients with mental illness and the nurses who triage them.

Engage architects in the design and construction of emergency rooms in a way that is private, but visible to the triage nurse so as to enhance privacy for mentally ill patient while they wait for clinician attention (Pich, 2017.


The ethnographic design allowed for the observation of how triaging nurses offered services at triaging emergencies to patients who had mental illness (Broadbent 2014).

The research also included findings from an ethnographic observation, which was used to assess the relationship between the triage nursing staff and the triage mental specialist triage. These data are very reliable and efficient.

The data collection process was completed in eight weeks. Participants were engaged for sufficient time.

The forty-five employees who were trained to carry out data collection triage were the participants in the study.

To ensure that they were able to gather quality data, the participants were assigned roles. They had to work for three shifts in one day.

The morning shift required one nurse, the afternoon shift required two and the night shift needed one. Patients are always brought into the hospital so it was important that everyone was available.

The ethnographic design, which reflects the evidence, is the best design.

This was enhanced by the qualification of the nurses for triage, which was achieved through the training of the nurses.

The population in which data were collected was well defined. The sample that was used for data collection was intended to reflect the entire Australian population.

Therefore, the sample was from an Australian regional hospital with a large emergency section that included approximately forty-four million sections. These sections are easily separated for clients.

These patients had a high percentage of mental illness, which made it a suitable sample size.

Triage nurses used a sample from twenty eight clients to reflect the whole population of mentally ill clients. They couldn’t collect all the data.Critique Of Qualitative Research Article

Data Collection

This type of qualitative research required data collection that was very suitable.

There were many data collection methods. These included observation, formal and informal interviews and field findings.

All the data collection methods are crucial to triangulation.

There was enough data collected during the period to provide sufficient information for the required findings.

The data collected were rich in information and pertinent. In particular, the interview made it easy for the researcher to confirm the field observations, making the recording process more efficient (Messac, 2013,).


Because the records were taken directly from clients suffering from mental illness and were accurate, the data collection was also very precise.

A tape recording of interviews and a verbatim transcribing before analysis showed a less bias data.

Enhancement Of Trustworthiness

Critical strategies that increased integrity and trustworthiness were employed by researchers. They were excellent as they made sure the ethical standards were upheld.

Interviewing nurses were part of triage training, which ensured they were ready for the task.

It was also important that they had the experience and qualifications to help them interpret and generate confidence in their results.


A constant comparative analysis was used to analyze field data. It is a good method for qualitative data analysis.

This type analysis is systematic because it integrates people’s thoughts and intuitions with the relevant field data.

Analysis of data is done by comparing the data with other sources to produce different theories. This makes it the best method to analyze this data.

The analytic procedure was not biased, as the authors analysed the data and compared them with different sources. They then did theoretical coding separately and then compared them for consistency and to make sure there is no bias.


The findings could be grouped into three categories, which are the triage context, the triage assessment, or client management.

It is remarkable how you can use excerpts to support your arguments in the findings. These are well quoted to show that they are words spoken during the research process.

The findings clearly capture the meanings of the data. The triage environment highlights the need for the environment, and how it should best be found. Client Management encompasses the emergency room nurses, who discuss how they feel the clients with mental health should be cared for in a way that is reassuring to both them and their families. (Sandoval (2016)).

This proves that the researcher was able to conceptualize the themes in the data and improve the effectiveness of care and management of clients with mental illnesses by structuring triage environments that protect their privacy and ensure their safety while they wait to be seen by mental specialists.

The analysis revealed a compelling, insightful, and provocative view on the case. It is therefore necessary to make changes.

Conclusion and Summary

The study findings are trustworthy and include important facts that make the reader feel confident in it. They have illustrated the research process well, showing a detailed literature review, data gathering process, and discussion of the findings.

It clearly outlined what architectural steps are needed for a triage nurse to be able to provide optimal mental health care (Grove Burns & Gray 2014.

This improves the ability to communicate well with the patients and also provides privacy and security, which was the reason for the study.

The study provided evidence to support the necessity for nurses to use a triage system to help them manage the overcrowded waiting room and make quick decisions.

The environment reduces tension between clients who are mentally ill and the nurses, thereby reducing stress between them and the staff.

This is how mentally ill clients can be helped by a better emergency department triage environment that suits their needs.

Relevance to Nursing Case StudyPrinciples Of Evidence-Based PracticePatient Values

This research focuses on patients with mental illness and the patient’s values.

Patients should always be given first priority. Hospitals should be patient-centered.

Patients-centered approaches are very important, especially when dealing with complex illnesses such as mental health ( 2013).

Patients’ values and preferences should be considered by nurses.

This is why evidence-based nursing can be facilitated by a patient-centered approach. It leads to positive outcomes and rapid decision making.

Clinical Expertise

Clinical expertise is one best evidence-based practice.

It is the integration of knowledge and skills acquired in health care activities. Then, it applies that knowledge to inform clinical decisions ( (2014)).

Clinical expertise is a valuable asset to the nurse’s ability and skill to provide care.

Clinical expertise is gained through the experience and qualification of the researchers in order to provide high-quality healthcare.

This can be enhanced by applying the findings to the research.

Available Evidence

Other sources of evidence, such as scientific sources, case studies and information from experts, should be made available to researchers for research.

They can provide sufficient evidence to enable nurses to refer to them to improve their care for clients who are either mentally ill or have complex medical conditions.

The evidence provided helps improve communication between nurses and patients, thus reducing unnecessary stress.

They should think about incorporating the evidence from the study into their daily practice in order to provide better health care facilities. (Schneider & Whitehead (2013)


To ensure that evidence-based practices are implemented, it is necessary to understand the context.

To ensure that the evidence-based approach is implemented successfully, it needs to be supported by the environment (Hall & Roussel 2016).

In order to provide better mental health care for clients with mental illness, it is essential that the context be drawn from research findings.BibliographyBroadbent, M., Moxham, L., & Dwyer, T. (2014).

Implications for clients with a mental disorder at triage in an Australian environment:

Australasian Emergent Nursing Journal, 17(1). 23-29.Broadbent, M., Mozham, L. J., & Dwyer, T.A. (2014).

(2013). Implications of an Australian emergency room environment on triage practice in clients with mental illnesses.DiCenso, A., Guyatt, G., & Ciliska, D.. (2014).

Evidence-Based Nursing Ebook: A Guide to Clinical Practice. Elsevier Health Sciences.Dobson, D., & Dobson, K. S. (2016).

Cognitive-behavioral Therapy: Evidence-based Practice

Guilford Publications.Grove, S. K., Burns, N., & Gray, J. (2014). Understanding nursing research: Building an evidence-based practice. Elsevier Health Sciences.Hall, H. R., & Roussel, L. A. (2016). Evidence-based practice. Jones & Bartlett Publishers.Hamer, S., & Collinson, G. (2014).

E-book for practitioners: Achieving Evidence Based Practice E-Book. Elsevier Health Sciences.Messac, L., Ciccarone, D., Draine, J., & Bourgois, P. (2013).

Four ethnographic case study studies on the science-and-politics that anthropological collaboration can bring to clinical research based on evidence:

Social science and medicine 99, 176-186.Montori, V. M., Brito, J. P., & Murad, M. H.. (2013).

The optimal practice for evidence-based medicine involves incorporating patient preferences into practice guides. 310(23), 2503-2504.Oliver, K., Lorenc, T., & Innvaer, S. (2014).

An analysis of the literature to identify new directions in evidence-based, policy-based research.

Health Research Policy and Systems, 12(1): 34.Palinkas, L. A., Horwitz, S. M., Green, C. A., Wisdom, J. P., Duan, N., & Hoagwood, K.. (2015).

For qualitative data collection and analysis using mixed methods implementation research, purposeful sampling.

Administration and Policy in Mental Health and Mental Health Services Research. 42(5): 533-544.Pich, J. V., Kable, A., & Hazelton, M. . (2017).


Australasian emergency nurse journal.Sandoval, D. (2016).

Implementing Change to Reduce Emergency Department Visits for Pediatric Clients Referred by Mental Health Services.Sandoval, D.. (2016).

Implementing Change to Reduce Emergency Department Visits for Pediatric Clients Referred by Mental Health Services.Schneider, Z., & Whitehead, D… (2013).

Methods and appraisals in nursing and midwifery research for evidence-based practice.

Elsevier Australia.Townsend, M. C. (2014).

Psychiatric Mental Health Nursing: Concepts in Evidence-Based Practice.

FA Davis.