Journal articles: 'Behavioural emergency'

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Cowling, Susan A., Margaret A. McKeon, and Tracey J. Weiland. "Managing acute behavioural disturbance in an emergency department using a behavioural assessment room." Australian Health Review 31, no. 2 (2007): 296. http://dx.doi.org/10.1071/ah070296.

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This study was conducted to evaluate a behavioural assessment room (BAR) as a strategy in the management of people exhibiting acute behavioural disturbance in the St Vincent?s Hospital, Melbourne Emergency Department (ED). The study involved a retrospective audit of the data documented for BAR use over a 12-month period and a structured questionnaire of clinical and nonclinical emergency department staff. Patients managed in the BAR presented with various behaviours; 58% were substance induced. The median duration of stay in the room was 20 minutes, during which assessment and containment or ?behavioural resuscitation? proceeded. 98.5% of questionnaire respondents believed that the BAR created a safer environment for all ED patients, staff and others.

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Piwowarski, Juliusz, and Wojciech Czajkowski. "Behavioural and Motivational Factors of Individual’s Behaviour in Emergency Situations." International conference KNOWLEDGE-BASED ORGANIZATION 24, no. 2 (June 1, 2018): 362–72. http://dx.doi.org/10.1515/kbo-2018-0116.

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Abstract In the presented research project we observed the influence of physical culture on the level of security culture, on personality, behavioural and axiological determinants of individual’s functioning in the context of physical activity under threatening conditions. We focused on testing of a group of people who were trained to act in the roles closely professionally related to security, including to hand-to-hand combat. It was assumed that their personality will develop in the direction of specific characteristics associated with security culture and display these characteristics. Considering this issue we took a securitological perspective focusing in particular on the first (of three: mental, organizational and material) dimension of security culture. In the research we referred the issue of personality and normative modifications of behaviour. We also touched on the subject of interpretation of people’s behaviour in the axiological categories which are essential for the full image of martial arts

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Lim, Magdalen, Tracey Weiland, Marie Gerdtz, and Andrew Dent. "Expectations of Care, Perceived Safety, and Anxiety following Acute Behavioural Disturbance in the Emergency Department." Emergency Medicine International 2011 (2011): 1–7. http://dx.doi.org/10.1155/2011/165738.

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Objective. We explored perspectives of emergency department users (patients and visitors) regarding the management of acute behavioural disturbances in the emergency department and whether these disturbances influenced their levels of anxiety.Methods. Emergency department patients and visitors were surveyed using the State-Trait Anxiety Inventory, and a purpose-designed questionnaire and semistructured interview. The main outcome measures were themes that emerged from the questionnaires, the interviews, and scores from the state component of the State-Trait Anxiety Inventory.Results. 70 participants were recruited. Users of the emergency department preferred behaviourally disturbed people be managed in a separate area from the general emergency department population so that the disturbance was inaudible () and out of view (). The state anxiety levels of those that witnessed an acute behavioural disturbance were within the normal range and did not differ to that of ED patients that were not present during such a disturbance (median, control = 37, Code Grey = 33).Conclusions. Behavioural disturbances in the emergency department do not provoke anxiety in other users. However, there is a preference that such disturbances be managed out of visual and audible range. Innovative design features may be required to achieve this.

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BEKAR, Fevziye, and Handan Çam. "Covid-19 Sürecinde Akademisyenlerin Acil Uzaktan Eğitim Sistemi Kullanım Algılarının Planlı Davranış Teorisi Temelinde Teknoloji Kabul Modeli ile İncelenmesi." Journal of Social Research and Behavioral Sciences 7, no. 14 (December 10, 2021): 115–36. http://dx.doi.org/10.52096/jsrbs.7.14.5.

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Face-to-face education gave way to online emergency education due to the new Coronavirus pandemic. Regarding this change, this study aims to determine how academics perceive emergency distance education systems and the factors that affect their perceptions. Technology Acceptance Model was used for the theory of planned behaviour in this study. The population consisted of academics. Convenience and snowball sampling methods were used to reach the 444 academics that work in 43 different universities. The data were collected with online questionnaire forms through Google Forms. The collected data were tested through reliability, validity and confirmatory factor analyses and the research model was reviewed through the structural equation model. As a result, seven out of the nine suggested hypotheses were accepted. The research concluded that the subjective norm variables based on the theory of planned behaviour such as interpersonal effects and external effects did not have an impact on behavioural intention; perceived usefulness and perceived ease of use had a significantly positive effect on satisfaction towards the use of distant education; satisfaction and perceived behavioural control had a significantly positive effect on behaviour and that behavioural intention had a significantly positive effect on behaviour towards the use of distant education. Keywords: New Coronavirus Pandemic, Technology Acceptance Model, Theory of Planned Behaviour, Emergency Distance Education System, Academics

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Gadai, Pradeepika. "Behavioural insights and COVID-19 pandemic in India." Socioloski pregled 54, no. 3 (2020): 920–60. http://dx.doi.org/10.5937/socpreg54-27205.

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The emergence of the novel COVID-19 has made pandemic preparedness a crucial issue for public health worldwide. A little is known about people behaviour in a pandemic situation. Such knowledge is however critical. Understanding the associated psychological and behavioural responses is vital for future intervention development. During the period of Lockdown Stage, from 25th March to 14th April 2020 in India, a survey was conducted among 700 people in Delhi NCR and Haryana state, to explore changes in their psychological and behavioural responses to the COVID-19 virus epidemic based on Protection Motivation Theory (PMT) which distinguishes two phases, namely a threat appraisal and a coping appraisal is applied . Further infected people should be isolated to minimize the spread of pandemic diseases. Therefore, the factors related to self-isolation (SI) should not be neglected, and it is important to investigate the factors leading the infected (or possibly infected) people to choose to self-isolate. For this purpose, the theory of planned behaviour (TPB) is used for providing conceptual framework for SI when facing a pandemic risk and a regression method is applied to investigate how attitude (ATT), subjective norms (SN), and perceived behavioural control (PBC) influence SI when facing a pandemic emergency. The results of this study provide relevant information that promotes theoretical understanding of psychological and behavioural intentions of people and enables us to shape future intervention development.

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Hargrave, Claire. "Why integrate preventative behavioural advice and first aid into routine practice?" Veterinary Nurse 10, no. 7 (September 2, 2019): 365–71. http://dx.doi.org/10.12968/vetn.2019.10.7.365.

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As the first indicator of unwellness in companion animals is the behavioural change that leads to owners presenting their pets, there is an intrinsic and undeniable link between veterinary health/welfare and companion animal behaviour. Despite this, many practices are unable to offer a consistent level of evidence-based behavioural support to their clients. This article, considering why a veterinary practice should offer basic behavioural support for companion animals, forms the first of a series of articles that will go on to consider the specific preventative and first aid behavioural advice suitable for members of a range of species. Such advice should assist the veterinary team in offering an acceptable level of preventative and emergency behavioural support during routine encounters and consultations with clients.

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Watson, Mando, and Mitch Blair. "Emergency departments and minor illness: some behavioural insights." Archives of Disease in Childhood 103, no. 4 (January 9, 2018): 309–10. http://dx.doi.org/10.1136/archdischild-2017-314057.

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Argyris, Nikolaos, and Simon French. "Nuclear emergency decision support: A behavioural OR perspective." European Journal of Operational Research 262, no. 1 (October 2017): 180–93. http://dx.doi.org/10.1016/j.ejor.2017.03.059.

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Porter, Richard, and Nicol Ferrier. "Emergency treatment of depression." Advances in Psychiatric Treatment 5, no. 1 (January 1999): 3–10. http://dx.doi.org/10.1192/apt.5.1.3.

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Psychiatric emergencies are common and each case presents particular problems and difficulties. This article focuses on one subset of psychiatric emergencies, that of severe depression, and on the role of and use of antidepressant treatments in these conditions. The clinical situations to be discussed in this article include active suicidality, severe psychomotor retardation (with associated problems of hydration and nutrition), affective psychosis, bipolar depression and behavioural disturbance.

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Bradley, Elspeth, and Jodi Lofchy. "Learning disability in the accident and emergency department." Advances in Psychiatric Treatment 11, no. 1 (January 2005): 45–57. http://dx.doi.org/10.1192/apt.11.1.45.

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Generally, people with learning disabilities now live in community settings and use generic health services. Those who develop behavioural or psychiatric disturbances may be taken to a hospital accident and emergency (A&E) department. An A&E visit can be the starting point of a comprehensive assessment of these disturbances. This article provides a framework for the initial assessment, management and disposition of patients with learning disabilities and behavioural disturbance presenting to an A&E department.

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Wong, Ambrose H., Jessica M. Ray, Christopher Eixenberger, Lauren J. Crispino, John B. Parker, Alana Rosenberg, Leah Robinson, et al. "Qualitative study of patient experiences and care observations during agitation events in the emergency department: implications for systems-based practice." BMJ Open 12, no. 5 (May 2022): e059876. http://dx.doi.org/10.1136/bmjopen-2021-059876.

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ObjectivesAgitation, defined as excessive psychomotor activity leading to aggressive or violent behaviour, is prevalent in the emergency department (ED) due to rising behavioural-related visits. Experts recommend use of verbal de-escalation and avoidance of physical restraint to manage agitation. However, bedside applications of these recommendations may be limited by system challenges in emergency care. This qualitative study aims to use a systems-based approach, which considers the larger context and system of healthcare delivery, to identify sociotechnical, structural, and process-related factors leading to agitation events and physical restraint use in the ED.DesignQualitative study using a grounded theory approach to triangulate interviews of patients who have been physically restrained with direct observations of agitation events.SettingTwo EDs in the Northeast USA, one at a tertiary care academic centre and the other at a community-based teaching hospital.ParticipantsWe recruited 25 individuals who experienced physical restraint during an ED visit. In addition, we performed 95 observations of clinical encounters of agitation events on unique patients. Patients represented both behavioural (psychiatric, alcohol/drug use) and non-behavioural (medical, trauma) chief complaints.ResultsThree primary themes with implications for systems-based practice of agitation events in the ED emerged: (1) pathways within health and social systems; (2) interpersonal contexts as reflections of systemic stressors on behavioural emergency care and (3) systems-based and patient-oriented strategies and solutions.ConclusionsAgitation events represented manifestations of patients’ structural barriers to care from socioeconomic inequities and high burden of emotional and physical trauma as well as staff members’ simultaneous exposure to external stressors from social and healthcare systems. Potential long-term solutions may include care approaches that recognise agitated patients’ exposure to psychological trauma, improved coordination within the mental health emergency care network, and optimisation of physical environment conditions and organisational culture.

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Hong, Wei Han, Vinod Pallath, Donnie Adams, Yew Kong Lee, Kit Mun Tan, and Chan Choong Foong. "Now You See Me, Now You Don’t: Exploring Medical Students’ Cognitive, Emotional and Behavioural Engagement with Emergency Remote Learning During the COVID-19 Pandemic." Education in Medicine Journal 14, no. 3 (September 28, 2022): 109–22. http://dx.doi.org/10.21315/eimj2022.14.3.8.

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The COVID-19 pandemic had forced medical students to study at home, transitioning to an emergency remote learning mode of instruction. Its impact on students was unknown and likely to be of concern. Therefore, this study assessed cognitive, emotional and behavioural engagements of medical students during emergency remote learning, and examined its associations with regard to their age, gender, stages of study and ethnic groups. A self-administered questionnaire was distributed to undergraduate medical students at one public medical school in Malaysia. Emergency remote learning was conducted via Microsoft Teams (synchronous) and web resources (asynchronous). The questionnaire consisted of four sections: demographic background, emotional, behavioural, and cognitive engagements with emergency remote learning. Three hundred twenty-nine students (n = 329) completed the questionnaire. The three engagement dimension scores were 3.36/4.00 (behaviour – act), 3.16 (cognition – think) and 3.07 (emotion – feel), respectively. There was a significant difference between the engagement dimension scores (paired data), implying that what students feel, think and act on emergency remote learning did not seem to align. Next, engagements of these students were not significantly associated with their age, stages of study, and ethnic groups, but male students had higher dimension mean scores for cognitive and emotional engagements. Emergency remote learning had a considerable impact on student engagements. The study calls for continuing efforts in improving effectiveness and equity in learning engagements among medical students in the post-pandemic era.

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Battista, Umberto, Pietro De Vito, Davide Ottonello, and Deborah Hugon. "Agent-Based Simulation of Heterogeneous Crowd Flows in Critical Infrastructures During Emergencies." International Journal of Cyber Warfare and Terrorism 12, no. 2 (April 1, 2022): 1–18. http://dx.doi.org/10.4018/ijcwt.305861.

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Scope of this work was the development of a model able to simulate the flows and behaviours of heterogeneous crowds in a large transport hub, both in normal conditions and during an emergency, like a terrorist attack. These places are indeed also so-called “soft targets”, public spaces which are preferred targets of terrorists because they provide them with the opportunity to maximize casualties and publicity. Different modelling approaches were investigated and finally agent-based modelling and the BDI (belief-desire-intention) architecture were selected. Several scenarios were also identified to simulate the crowd behaviour. Flowcharts were developed to model users’ actions and interactions; while statecharts to model emergency conditions and behavioural changes. Simulations were then used to identify weak points in the infrastructure and to analyse the evacuation times for each user category investigated. Finally, various solutions were proposed and simulated, to improve crowd flows and reduce evacuation times.

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Hanna Sawalha, Ihab. "Behavioural response patterns: an investigation of the early stages of major incidents." foresight 20, no. 4 (August 13, 2018): 337–52. http://dx.doi.org/10.1108/fs-12-2017-0073.

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Purpose This paper aims to investigate the different patterns of organizational behavioural responses to major incidents and develop an original classification of these patterns. Design/methodology/approach An extensive literature review was made to investigate the different patterns of behavioural responses to major incidents and then to develop an original classification of these patterns. Several sources of information, such as case studies, technical reports, academic journal articles and organizational internal reports were used. Findings Organizations respond differently to major incidents. This was clear from the different behavioural patterns investigated and identified. Behavioural patterns determine levels of resilience and ability of organizations to overcome and ultimately survive major incidents. Practical implications To promote effective and organized behavioural response patterns to major incidents and improve consistency of responses across the organization, relevant authorities should demonstrate to all private and public enterprises the significance of effective behavioural responses, thus enabling them to better respond to various potential emergencies. Originality/value A number of models of human behaviour have been introduced in the literature to understand how people respond to emergency situations. They each take a different perspective on human behaviour but no single theory has emerged as the leading paradigm. This highlights the complexity of understanding human behaviour in such situations and the need for a better classification of behavioural patterns. To the author’s knowledge, this is one of very few studies to investigate, identify and categorize behavioural response patterns to major incidents. This research is expected to be of a substantial value for those interested in improving organizational behaviour during major incidents, as well as those interested in improving organizational resilience.

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Zaneva, Mirela, and Tsvetomira Dumbalska. "Green nudges: Applying behavioural economics to the fight against climate change." PsyPag Quarterly 1, no. 116 (September 2020): 27–31. http://dx.doi.org/10.53841/bpspag.2020.1.116.27.

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The climate emergency requires prompt, wide-scale, all-encompassing action. Here, we discuss how insights from behavioural economics and decision-making have been applied to the fight against climate change in the form of ‘green nudges’, or behavioural interventions prompting individuals to make more environmentally friendly choices. We further consider how the potential positive impact of green nudges can be maximised and sketch out future steps in the field of green nudging based on a framework which considers the characteristics of targeted behaviours, such as scale of impact, susceptibility to intervention, and heterogeneity across the population.

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Koch, Sebastian, Stefan Riedel, and Gero Langer. "Intention of German non-medical staff in preclinical emergency and rescue medicine to graduate from an academic programme in emergency paramedics: a structural equation analysis based on the theory of planned behaviour of Icek Ajzen." BMJ Evidence-Based Medicine 24, no. 6 (May 25, 2019): 212–18. http://dx.doi.org/10.1136/bmjebm-2019-111203.

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According to the theory of planned behaviour, a real behaviour that a person thinks about is best predicted by a certain intention (behavioural intention). Until now there is little known about the intention of German non-medical staff in preclinical emergency and rescue medicine to study emergency paramedics. For the verification of the data of 1.585 non-medical staff in preclinical emergency and rescue medicine from all 16 federal states of Germany collected by questionnaires, a linear structural equation model (SEM) was presented by means of inference statistical quality criteria (fit model) and evaluated by IBM SPSS Amos Grad Pack V.24.0. A complete causal model (SEM) with four measurement models (four-factor solution) could be created by using a path diagram. The measurement models of the present SEM should be investigated in further studies (Quality: root mean square error of approximation 0.121 and χ2/df 24.273). The results obtained in this study confirm positive intention of non-medical staff in preclinical emergency and rescue medicine to graduate from an undergraduate degree course in emergency paramedics. Personal behaviour as well as management should be critically debated, as far as an intention to study to become an emergency paramedic is concerned.

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Lucchese, Stephanie, Daniela Bellicoso, Kien Dang, and Ifat Witz. "Promoting Safety: Behavioural Emergency Response during the COVID-19 Pandemic." Healthcare Quarterly 24, no. 1 (April 16, 2021): 50–53. http://dx.doi.org/10.12927/hcq.2021.26465.

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Dashi, G., N. McGraw, A. Szulewski, R. Egan, A. Hall, D. Dagnone, and D. Howes. "P031: Assessing differences between high- and low-performing resuscitation team leaders using gaze-tracking technology." CJEM 18, S1 (May 2016): S88—S89. http://dx.doi.org/10.1017/cem.2016.207.

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Introduction: Crisis decision-making is an important responsibility of the resuscitation team leader but a difficult process to study. The purpose of this study was to evaluate visual and behavioural differences between team leaders with different objective performance scores using gaze-tracking technology. Methods: Twenty-eight emergency medicine residents in different stages of training completed four simulated resuscitation scenarios. Participants wore gaze-tracking glasses during each station. An outside expert blinded to participant training level assessed performances using a validated assessment tool for simulation scenarios. Several visual endpoints were measured, including time, frequency, order, and latency to observation of task-relevant and task-redundant items. Non-visual endpoints included behaviours such as summarizing, verbalizing concerns, and calling for definitive treatments, among others. Results: Preliminary findings suggest significant differences between high and low performers. High performers check vitals signs faster, and look at patients and vital signs more often than low performers. Low-performing leaders display a more fixed gaze when starting a scenario. Lastly, high performers summarize, verbalize concerns, predict and prepare for future steps, and call for definitive treatment more often than low performers. Conclusion: There are significant differences between high and low-performing resuscitation team leaders in terms of their visual and behavioural patterns. These differences identify potential focus points for competency evaluations, and may direct educational interventions that could facilitate more efficient development of expertise. The potential to study crisis decision-making behaviours and performances using the methods and metrics identified, both in simulated and real-world settings, is substantial.

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Thompson, Alanna, Adam Vaughan, Laurie D. Pearce, and Ciara Moran. "Perceptions of Psychosocial Training on Behavioural Responses in Emergency Operations Centres." International Journal of Mass Emergencies & Disasters 35, no. 1 (March 2017): 61–83. http://dx.doi.org/10.1177/028072701703500104.

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When a disaster strikes, the well-being of Emergency Operations Centre (EOC) personnel is often not the first priority for emergency managers working to help provide support to their local community and the incident command site. Through the development and testing of an iterative series of simulation exercises with EOC personnel, this study identified adverse psychosocial outcomes that may emerge within an EOC during an emergency. Having identified a number of practices which led to less than desired psychosocial outcomes, researchers developed a training and awareness video to identify the practices and demonstrate strategies to overcome negative impacts. A comparative analysis was undertaken to compare EOC actions pre- and post-exposure to the video. The results indicated a change in behaviour following the viewing of the video and supported training initiatives that stress the importance of strong leadership in an EOC, encouraging staff to take breaks, respecting diversity, and providing psychosocial support.

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Anjum, Rubina, Ashok Roy, and Geoff Marston. "Antipsychotic induced priapism in a man with an intellectual disability." Irish Journal of Psychological Medicine 18, no. 3 (September 2001): 106–7. http://dx.doi.org/10.1017/s0790966700006510.

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AbstractPriapism is a rare urological emergency, which can be associated with the use of psychotropic medication. The authors were able to find only one brief report of this condition in people with an intellectual disability. A case is reported in a man with moderate intellectual disability, who was receiving antipsychotic medication to manage extreme challenging behaviour. We discuss the condition and its implications for pharmacological treatments of behavioural disturbance in susceptible individuals.

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Runyan, Carol W., Sara Brandspigel, Catherine W. Barber, Marian Betz, Deborah Azrael, and Matthew Miller. "Lessons learned in conducting youth suicide prevention research in emergency departments." Injury Prevention 26, no. 2 (December 30, 2019): 159–63. http://dx.doi.org/10.1136/injuryprev-2019-043471.

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IntroductionTo address youth suicide, we recruited seven emergency departments (EDs) for what we believe is the first controlled trial of an intervention to promote safer firearm and medication storage after a child was seen in an ED by a behavioural health clinician. We provided training and a common protocol that required behavioural health clinicians to counsel about reducing access to household firearms and medication and provide locking devices. This paper examines how we addressed implementation challenges and considers how lessons learnt might inform future studies and interventions.MethodsWe tracked enrolment numbers and documented, through project records, the challenges in recruiting and developing partnerships with hospitals, as well as implementing the intervention and carrying out data collection.ResultsWe encountered challenges identifying hospitals with sufficient patient volumes to meet our analytic requirements, obtaining contact information from families in the ED and providing supplies to the sites. These challenges were compounded by lack of uniformity in data systems, making it difficult to estimate total ED encounters meeting our eligibility criteria, and by differences in patterns of behavioural healthcare delivery across sites. The strategies we devised to address these challenges included creating visual materials that appealed to parents’ altruistic desire to help other families, laminated ‘cheat sheets’ and hang tags for clinician badges reminding them of the key points of the intervention and contracting with a distribution centre to coordinate shipping.DiscussionDespite the challenges noted, we found that the behavioural health clinicians in the EDs followed the protocol and found it useful in engaging families in discussions about both firearm and medication storage. Several hospitals intend to continue the intervention on their own as the new usual care, suggesting that the challenges encountered can be and are worth tackling.

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Nagarajan, Magesh, and Duncan Shaw. "A behavioural simulation study of allocating evacuees to public emergency shelters." International Journal of Disaster Risk Reduction 55 (March 2021): 102083. http://dx.doi.org/10.1016/j.ijdrr.2021.102083.

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Fry, John, and Jane M. Binner. "Elementary modelling and behavioural analysis for emergency evacuations using social media." European Journal of Operational Research 249, no. 3 (March 2016): 1014–23. http://dx.doi.org/10.1016/j.ejor.2015.05.049.

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McCaskill, Mary E., and Earle Durheim. "Managing adolescent behavioural and mental health problems in the Emergency Department." Journal of Paediatrics and Child Health 52, no. 2 (February 2016): 241–45. http://dx.doi.org/10.1111/jpc.13104.

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Djokic-Pjescic, Katarina, Radmila Ristic-Dimitrijevic, Milutin Nenadovic, Slobodan Jovicic, Sonja Nesic, Tatjana Rajcic, Tatjana Vlaskovic, and Nikolaos Klidonas. "Hetero-aggressive outbursts in patients’ behaviour in emergency psychiatry." Srpski arhiv za celokupno lekarstvo 139, suppl. 1 (2011): 57–60. http://dx.doi.org/10.2298/sarh11s1057d.

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Introduction. Hetero-aggressive behaviour in patients with mental disorders is frequent and requires special skills of doctors and other medical staff in order to urgently protect the patient and indicate hospitalization. Objective. The objective of this paper was to examine the frequency of the most common diagnostic categories in psychiatric patients with hetero-aggressive behaviour. The secondary objective was to examine aspects of realized hospitalization (voluntary, involuntary) and socio-demographic characteristics of these patients. Methods. The sample was formed of 100 patients who expressed hetero-aggressive behaviour just before and during admission for hospital treatment. The data was collected from auto-anamnesis and hetero-anamnesis, and they were based on general somatic, neurological and psychiatric examination. The statistical analysis used descriptive analysis and Pearson?s ?2-test. Results. The frequency of the most common diagnostic categories was: F20-F29 73%; F10-F19 19%; F60- F69 11%; F00-F09 8%; F30-F39 and F70-F79 6%. Involuntary hospitalization was implemented in 56%. Socio-demographic characteristics of examinees revealed that the most common were: male gender (63%) and younger age, dominant secondary school qualification (74%), unmarried (76%), unemployed (76%), frequently repeated hospitalizations (66%). Conclusion. The most common diagnostic categories to which the patients with hetero-aggressive behavioural outbursts belonged were from the schizophrenic circuit, followed by substance abuse, personality disorders, etc. Involuntary hospitalization was the most common form of hospitalization in patients with violent behaviour. Socio-demographic characteristics of examinees revealed this profile as the most common: male gender, younger age, secondary education, unmarried and unemployed, repeatedly hospitalized.

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Ganiyu, Bello. "Colleges of education science student engagement in Emergency Remote Teaching amidst COVID-19 in Nigeria." JPBI (Jurnal Pendidikan Biologi Indonesia) 7, no. 3 (November 14, 2021): 258–66. http://dx.doi.org/10.22219/jpbi.v7i3.16249.

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There is paucity of studies on the affective, behavioural, and cognitive dimensions of student engagement under Emergency Remote Teaching (ERT) during COVID-19 pandemic, especially among pre-service science teachers in Colleges of Education in Nigeria. The purpose of this descriptive survey study was to examine the affective, behavioural, cognitive, and general level of engagement of pre-service science teachers in Colleges of Education in Kwara State, Nigeria in online ERT class. Purposive and snowballing sampling techniques were used to select six education colleges and 241 students which participated in the study respectively. The reliability coefficient of the online questionnaire used for data collection in the study was 0.81. The data gathered in this study were analysed using mean and independent t-test. The findings indicated that the level of student general engagement was high and there was significant gender difference in the levels of student behavioural engagement (X2(2) = 7.561, p = 0.023< .05) in favour of male students. It was concluded that Colleges of Education students’ level of affective, behavioural, cognitive, and general engagement in ERT was high. The researcher recommended that students should extend their high level of general engagement in online ERT class to face-to-face classes after COVID-19 pandemic.

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Flowerdew, Lynsey. "The assessment of non-technical skills in the emergency department: Figure 1." Emergency Medicine Journal 27, Suppl 1 (September 2010): A2.3—A3. http://dx.doi.org/10.1136/emj.2010.103150.07.

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IntroductionAnalysis of adverse events in the Emergency Department (ED) reveals that contributory factors commonly relate to non-technical skills such as decision-making. Crisis Resource Management courses, designed to improve non-technical skills, invariably centre on the critically ill patient. While resuscitation is undeniably important, little attention has been paid to the skills necessary for routine management of the ED and the vital leadership role of registrars. Furthermore, many UK trainees receive little specific assessment or feedback on the behavioural aspects of performance.Figure 1Distribution of time spent in emergency departments by ageAimTo produce an observational tool for the assessment of registrar non-technical skills in the ED, with a particular focus on leadership.MethodsFollowing a successful feasibility study, data was gathered from a variety of sources to allow subsequent triangulation of results. A literature review was undertaken to explore the evidence linking non-technical skills to safety in the ED. Various curricula were studied to ensure the observational tool reflected these competencies. Transcripts from an interview study with ED staff were analysed to determine which skills were considered to be important for effective teamwork. A series of observations were carried out to identify skills that were both observable and sufficiently common. The final skill set was reviewed by a team of behavioural psychologists and Emergency Medicine (EM) physicians.ResultsA taxonomy for non-technical skills was developed that consisted of 12 skills, each with observable behaviours indicative of good or poor performance. These skills were organised into four categories: (1) supervision and management; (2) teamwork and cooperation; (3) decision-making and (4) situation awareness.DiscussionThis observational tool is empirically based in Emergency Medicine and explicitly describes the skills required to structure observation and feedback for trainees during everyday activities. The validity of the skills taxonomy is currently being tested and future studies are planned to assess reliability, usability and acceptability.

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Flowerdew, Lynsey. "The assessment of non-technical skills in the emergency department: Figure 1." Emergency Medicine Journal 27, Suppl 1 (September 2010): A2.3—A3. http://dx.doi.org/10.1136/emj.2010.103150.07.

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IntroductionAnalysis of adverse events in the Emergency Department (ED) reveals that contributory factors commonly relate to non-technical skills such as decision-making. Crisis Resource Management courses, designed to improve non-technical skills, invariably centre on the critically ill patient. While resuscitation is undeniably important, little attention has been paid to the skills necessary for routine management of the ED and the vital leadership role of registrars. Furthermore, many UK trainees receive little specific assessment or feedback on the behavioural aspects of performance.Figure 1Distribution of time spent in emergency departments by ageAimTo produce an observational tool for the assessment of registrar non-technical skills in the ED, with a particular focus on leadership.MethodsFollowing a successful feasibility study, data was gathered from a variety of sources to allow subsequent triangulation of results. A literature review was undertaken to explore the evidence linking non-technical skills to safety in the ED. Various curricula were studied to ensure the observational tool reflected these competencies. Transcripts from an interview study with ED staff were analysed to determine which skills were considered to be important for effective teamwork. A series of observations were carried out to identify skills that were both observable and sufficiently common. The final skill set was reviewed by a team of behavioural psychologists and Emergency Medicine (EM) physicians.ResultsA taxonomy for non-technical skills was developed that consisted of 12 skills, each with observable behaviours indicative of good or poor performance. These skills were organised into four categories: (1) supervision and management; (2) teamwork and cooperation; (3) decision-making and (4) situation awareness.DiscussionThis observational tool is empirically based in Emergency Medicine and explicitly describes the skills required to structure observation and feedback for trainees during everyday activities. The validity of the skills taxonomy is currently being tested and future studies are planned to assess reliability, usability and acceptability.

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Doyle, H., and J. Varian. "An Unusual Psychiatric Emergency: Herpes Simplex Encephalitis." Behavioural Neurology 7, no. 2 (1994): 93–95. http://dx.doi.org/10.1155/1994/960310.

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A case of fatal herpes simplex virus (HSV) encephalitis, presenting as a psychiatric emergency, is reported. The possibility of HSV encephalitis presenting mainly or solely with psychiatric symptoms is highlighted. HSV can cause a severe form of encephalitis which may present with mainly psychiatric symptoms in some cases. Early treatment with anti-viral agents can reduce mortality and morbidity, but accurate early diagnosis may be very difficult. HSV encephalopathy may mimic psychiatric illness and has been likened to syphilis as the great imitator. The case presented here should serve to raise awareness of the psychiatric features and the need to consider this diagnosis in patients with atypical behavioural disturbance.

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Lightfoot, Joshua, Daniel Harris, and Daniel Haustead. "Challenge of managing patients with COVID ‐19 and acute behavioural disturbances." Emergency Medicine Australasia 32, no. 4 (April 28, 2020): 714–15. http://dx.doi.org/10.1111/1742-6723.13522.

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Carison, Anna, Franz E. Babl, Ashley Hill, and Sinead M. O'Donnell. "Children and adolescents with severe acute behavioural disturbance in the emergency department." Emergency Medicine Australasia 32, no. 5 (April 28, 2020): 747–55. http://dx.doi.org/10.1111/1742-6723.13515.

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Calver, Leonie A., Barrie Stokes, and Geoffrey K. Isbister. "Sedation assessment tool to score acute behavioural disturbance in the emergency department." Emergency Medicine Australasia 23, no. 6 (August 30, 2011): 732–40. http://dx.doi.org/10.1111/j.1742-6723.2011.01484.x.

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Yap, Celene Y. L., David McD Taylor, David C. M. Kong, Jonathan C. Knott, Simone E. Taylor, Andis Graudins, Gerben Keijzers, et al. "Management of behavioural emergencies: a prospective observational study in Australian emergency departments." Journal of Pharmacy Practice and Research 49, no. 4 (July 9, 2019): 341–48. http://dx.doi.org/10.1002/jppr.1522.

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Vroegindewey, Gary. "Veterinary behavioural health issues associated with disaster response." July 2021 10.47389/36, no. 36.3 (July 2021): 78–84. http://dx.doi.org/10.47389/36.3.78.

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Emergencies and disasters create stressful situations that can exacerbate ongoing behavioural health issues. Veterinarians have been identified as a professional group at elevated risk for behavioural health issues when they are involved with an emergency response. Prior studies looking at transboundary animal disease disaster management demonstrate the significant and long-lasting mental health effects experienced by veterinary responders. To examine the scale and scope of behavioural health issues exhibited by veterinary responders, an online and anonymous survey was conducted with veterinarians who had participated in events in the Asia-Pacific, Africa, Europe, Latin America and North America regions. The results of the survey showed that behavioural health issues were reported by 51 per cent of respondents during and up to 6 months after the disaster. Behavioural health issues reported included loss of sleep, anxiety, difficulty with personal and professional relationships, mood swings, depression, nightmares and flashbacks and suicidal thoughts. The scope and magnitude of veterinarians with behavioural health issues associated with disasters underscores the need for guidelines, standards, education, training and further research in this area.

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Downes, Michael A., Craig W. Sadler, Sam Vidler, and Caitlyn J. Lovett. "Difficult to sedate case of acute behavioural disturbance secondary to baclofen withdrawal." Emergency Medicine Australasia 31, no. 3 (April 8, 2019): 493–94. http://dx.doi.org/10.1111/1742-6723.13289.

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Wani, Rajvi Jayant, Shinobu Watanabe-Galloway, Hyo Jung Tak, Li-Wu Chen, Nizar Wehbi, and Fernando Wilson. "Utilisation of emergency departments of behavioural disorders and supply of workforce in Nebraska." Evidence Based Mental Health 23, no. 2 (January 6, 2020): 57–66. http://dx.doi.org/10.1136/ebmental-2019-300125.

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BackgroundEmergency departments (EDs) have become entry points for treating behavioural health (BH) conditions, thereby rendering the evaluation of their utilisation necessary.ObjectivesThis study estimated behavioural-related hospital-based ED visits and outcomes of leaving against medical advice as well as the incurred charges within the primarily rural State of Nebraska. Also, the study correlated behavioural workforce distribution and location of EDs with ED utilisation.MethodsNebraska State Emergency Department Database provided information on utilisation of services, charges, diagnoses and demographic. Health Professional Tracking Services survey provided the distribution of EDs and BH workforce by region. To examine the effect of patient characteristics on discharge against medical advice, multivariable logistic regression modelling was used.FindingsUS$96.4 million were ED charges for 52 035 visits for BH disorders over 3 years. Of these, 35% and 50% were between 25 and 44-years old and privately insured, respectively. The uninsured (OR:1.53, p=0.0047) and 45–64 years old (OR:2.31, p<0.001) had higher odds of leaving against medical advice. The findings from this study identified ED outcomes among high-risk cohort.ConclusionsThere were high ED rates among the limited number EDs facilities in rural Nebraska. Rural regions of Nebraska faced workforce shortages and had high numbers of ED visits at relatively few accessible EDs.Clinical implicationsCustomised rural-centric public health programmes, which are based in clinical settings, can encourage patients to adhere to ED-treatment. Also, increasing the availability of BH workforce (either via telehealth or part-time presence) in rural areas can alleviate the problem and reduce ED revisits.

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Dixon, Charlotte, David John Edwards, Monica Mateo-Garcia, Joseph Lai, Wellington Didibhuku Didibhuku Thwala, and Mark Shelbourn. "An investigation into the erroneous access and egress behaviours of building users and their impact upon building performance." Facilities 38, no. 9/10 (April 27, 2020): 739–60. http://dx.doi.org/10.1108/f-05-2019-0053.

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Purpose This study aims to investigate the behaviour of building users and how this impacts upon building energy performance. Specifically, the work examines the behavioural traits of able-bodied users of a large higher education building who erroneously access and egress the building using doorways intended for disabled users. Design/methodology/approach An inductive methodological approach is adopted that uses grounded theory to devise new insights into building users’ access and egress habits. Structured interviews are conducted to collect primary data from 68 building users of a large educational building over a four-week period. Responses to questions posed provide the basis for a tabularisation of behavioural traits. Findings Reasons for able-bodied building users’ preferences to using disabled access are identified and discussed; these are thematically grouped under the headings of apathy, convenience, emergency, ergonomics, ignorance and phobia. Building upon these findings, the research then offers insights into the approaches that could be adopted to change the erroneous behaviours. These approaches include education of building users on the impact their behaviour has upon building performance and environmental pollution, more stringent regulation to penalise repeat offenders and changes to building entrance design using obtrusive (i.e. radio frequency identification tags) and unobstrusive control measures (i.e. a second entrance doorway or slower opening mechanism). Originality/value To the best of the author’s knowledge, this study is the first of its kind to investigate the rationale for able-bodied building users erroneously using disabled persons’ access and egress doorways within a building, which as a consequence, inadvertently reduces the building’s environmental performance.

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Lateef, Fatimah. "Psychological Safety in the Emergency Department during the COVID-19 Pandemic: A Single Centre Survey Study." Current Research in Emergency Medicine (CREM) 2, no. 3 (April 4, 2022): 1–7. http://dx.doi.org/10.54026/crem/1027.

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The Emergency Department represents a complex healthcare setting for delivery of acute and emergent care, 24 hours a day. We set out to measure the level of psychological safety among emergency department staff during the ongoing Covid-19 pandemic. We have employed Clark TR’s definition of psychological safety, which comes in four stages namely: Inclusivity, Learning Safety, Contributory Safety and Challenger Safety to carry this out through the use of a series of questions. Our team also decided to innovate and add another domain known as Behavioural Safety. This was thus considered as the fifth stage of psychological safety in our survey. As this is the first such survey on psychological safety conducted in our ED, we intended to view these parameters and domains as a baseline, for future studies as well as interventions. Moreover, having been through the Covid-19 pandemic, we do realise there may be some new perspectives, feelings and behaviours, which may have become inculcated by the experience of the staff. We thus felt this would be beneficial in gauging the current state of psychological safety as well as the future directions and trajectory we can plan for our survey results showed that across all the stages of psychological safety in the emergency department, doctors demonstrated a higher level of psychological safety as compared to nurses; with inclusion safety, learning safety and behaviour safety being the highest, whilst challenger safety was the lowest. In addition, there were no significant differences during subgroup analysis on gender and seniority and its impact on psychological safety.

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Bielinska, Anna-Maria, Stephanie Archer, Ara Darzi, and Catherine Urch. "Co-designing an intervention to increase uptake of advance care planning in later life following emergency hospitalisation: a research protocol using accelerated experience-based co-design (AEBCD) and the behaviour change wheel (BCW)." BMJ Open 12, no. 5 (May 2022): e055347. http://dx.doi.org/10.1136/bmjopen-2021-055347.

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IntroductionDespite the potential benefits of advance care planning, uptake in older adults is low. In general, there is a lack of guidance as to how to initiate advance care planning conversations and encourage individuals to take action in planning their future care, including after emergency hospitalisation. Participatory action research methods are harnessed in health services research to design interventions that are relevant to end-users and stakeholders. This study aims to involve older persons, carers and healthcare professionals in co-designing an intervention to increase uptake of advance care planning in later life, which can be used by social contacts and healthcare professionals, particularly in the context of a recent emergency hospitalisation.Methods and analysisThe theory-driven participatory design research method integrates and adapts accelerated experience-based co-design with the behaviour change wheel, in the form of a collaborative multi-stakeholder co-design workshop. In total, 12 participants, comprising 4 lay persons aged 70+, 4 carers and 4 healthcare professionals with experience in elder care, will be recruited to participate in two online half-day sessions, together comprising one online workshop. There will be a maximum of two workshops. First, in the discovery phase, participants will reflect on findings from earlier qualitative research on views and experiences of advance care planning from three workstreams: patients, carers and healthcare professionals. Second, in the co-design phase, participants will explore practical mechanisms in which older persons aged 70+ can be encouraged to adopt advance care planning behaviours based on the behaviour change wheel, in order to co-design a behavioural intervention to increase uptake of advance care planning in older adults after an emergency hospitalisation.Ethics and disseminationEthical approval has been obtained from the Science Engineering Technology Research Ethics Committee at Imperial College London (Reference: 19IC5538). The findings from this study will be disseminated through publications, conferences and meetings.

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Horasan, Mahmut, and D. Bruck. "Investigation Of A Behavioural Response Model For Fire Emergency Situations In Secondary Schools." Fire Safety Science 4 (1994): 715–26. http://dx.doi.org/10.3801/iafss.fss.4-715.

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Gartner, Daniel, and Rema Padman. "Machine learning for healthcare behavioural OR: Addressing waiting time perceptions in emergency care." Journal of the Operational Research Society 71, no. 7 (April 15, 2019): 1087–101. http://dx.doi.org/10.1080/01605682.2019.1571005.

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Tropea, Joanne, Dina LoGiudice, and Luciana Kelly. "People with dementia in the emergency department: Behavioural symptoms and use of restraint." Emergency Medicine Australasia 29, no. 5 (August 2, 2017): 605–6. http://dx.doi.org/10.1111/1742-6723.12838.

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Gaynor, Nicholas J. "Clinical management of acute behavioural disturbance associated with volatile solvent intoxication." Australasian Emergency Nursing Journal 12, no. 2 (May 2009): 55–58. http://dx.doi.org/10.1016/j.aenj.2009.02.002.

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Quao, Nana Serwaa Agyeman, and Irene Kretchy. "Factors associated with health care seeking behaviour: A cross-sectional study at an emergency department in a teaching hospital." African Journal of Health Sciences 35, no. 6 (January 19, 2023): 768–82. http://dx.doi.org/10.4314/ajhs.v35i6.11.

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BACKGROUNDEmergent conditions are time-sensitive and delays in receiving emergency care can cause mortality and morbidity. Different healthcare-seeking behaviours (HSB) are influenced by several factors which impact choices in seeking healthcare. This study aimed to determine the factors associated with HSB among patients admitted to the Emergency Department of Korle Bu Teaching Hospital (KBTH).METHODOLOGYThis was a cross-sectional study among patients admitted at the Accident and Emergency Centre of KBTH from May to June 2020 using the quantitative approach in data collection. Simple random sampling was used to select 400 participants who met the inclusion criteria after which the questionnaires were administered. Participants were assessed on their HSB based on Andersen's Behavioural Model of Health. Pearson's chi-square test was used to assess the association between categorical independent variables and the HSB of patients while Welch’s t-test was used to compare means of triage vital signs at admission between patients who sought formal and informal care. All factors significant from Pearson's chi-square test were introduced into the binary logistic regression model. P-values less than 0.05 were considered statistically significant in this study.RESULTSOf the 400 respondents interviewed, the mean age was 51 years with 56.5% being women. The majority of respondents (61.50%) sought formal health care as their initial action when sick whiles the remaining sought informal care. The adjusted odds for seeking formal health care were higher among patients who self-rated their illness as severe, those who travelled more than 30 minutes to the nearest health facility and those who were classified as red according to South African Triage Scale (SATS).CONCLUSIONSelf-rating of the severity of illness, distance to health facility and patient classification as red by SATS were significant factors associated with healthcare-seeking behaviour. Knowledge about the factors associated with healthcare-seeking behaviour is vital for health education and health promotion campaigns towards appropriate health care seeking behaviour.

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Wirth, Tanja, Claudia Peters, Albert Nienhaus, and Anja Schablon. "Interventions for Workplace Violence Prevention in Emergency Departments: A Systematic Review." International Journal of Environmental Research and Public Health 18, no. 16 (August 10, 2021): 8459. http://dx.doi.org/10.3390/ijerph18168459.

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Emergency departments (EDs) are high-risk settings for workplace violence, but interventions to prevent violent incidents and to prepare staff are not yet consistently implemented, and their effectiveness is often unclear. This study aims to summarise evidence on workplace violence prevention interventions that were implemented in EDs to reduce violent incidents caused by patients/relatives or to increase the knowledge, skills or feelings of safety of ED staff. A systematic review was conducted. The databases MEDLINE, Web of Science, Cochrane Library, CINAHL and PsycINFO were searched for studies dated between January 2010 and May 2021. Interventional and observational studies reporting on behavioural, organisational or environmental interventions among healthcare workers in hospital EDs were included. Studies were assessed for methodological quality using the Johanna Briggs Institute Tools. Key findings of studies were summarised narratively. Fifteen studies were included, of which eleven examined behavioural interventions (classroom, online or hybrid training programmes) on de-escalation skills, violent person management or self-defence techniques. Four studies included in addition, organisational and environmental interventions. Most studies showed that interventions had a positive effect in the form of a reduction of violent incidents or an improvement in how prepared staff were to deal with violent situations; however, evidence is still sparse. Further studies should consider in particular, environmental and organisational interventions and ensure a high methodological quality.

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Dragovic, Milan, Viki Pascu, Tammy Hall, Jesse Ingram, and Flavie Waters. "Emergency department mental health presentations before and during the COVID-19 outbreak in Western Australia." Australasian Psychiatry 28, no. 6 (September 22, 2020): 627–31. http://dx.doi.org/10.1177/1039856220960673.

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Objective: Coronavirus (COVID-19) has led to high levels of psychological distress in the community. This study aimed to examine whether emergency departments (EDs) also recorded a rise in mental health presentations. Method: Changes in the number, and type, of mental health presentations to Western Australia EDs were examined between January and May 2020, and compared to 2019. Results: Data showed an unexpected decrease in the number of mental health presentations, compared to 2019, which was temporally coincident with the rise in local COVID-19 cases. Presentations for anxiety and panic symptoms, and social and behavioural issues, increased by 11.1% and 6.5%, respectively, but suicidal and self-harm behaviours decreased by 26%. Conclusion: A rise in local COVID-19 cases was associated with a decrease in mental health presentations to EDs. This has important implications for the planning and provision of healthcare services in the current pandemic.

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Wilsterman, Kathryn, Mattina M. Alonge, Darcy K. Ernst, Cody Limber, Lisa A. Treidel, and George E. Bentley. "Flexibility in an emergency life-history stage: acute food deprivation prevents sickness behaviour but not the immune response." Proceedings of the Royal Society B: Biological Sciences 287, no. 1929 (June 17, 2020): 20200842. http://dx.doi.org/10.1098/rspb.2020.0842.

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The emergency life-history stage (ELHS) can be divided into two subcategories that describe distinct, coordinated responses to disease- or non-disease-related physiological challenges. Whether an individual can simultaneously express aspects of both subcategories when faced with multiple challenges is poorly understood. Emergency life-history theory suggests that disease- and non-disease-related responses are coordinated at the level of the whole organism and therefore cannot be expressed simultaneously. However, the reactive scope and physiological regulatory network models suggest that traits can be independently regulated, allowing for components of both disease- and non-disease-related responses to be simultaneously expressed within a single organism. To test these ideas experimentally, we subjected female zebra finches to food deprivation, an immune challenge, both, or neither, and measured a suite of behavioural and physiological traits involved in the ELHS. We examined whether the trait values expressed by birds experiencing simultaneous challenges resembled trait values of birds experiencing a single challenge or if birds could express a mixture of trait values concurrently. We find that birds can respond to simultaneous challenges by regulating components of the behavioural and immune responses independently of one another. Modularity within these physio-behavioural networks adds additional dimensions to how we evaluate the intensity or quality of an ELHS. Whether modularity provides fitness advantages or costs in nature remains to be determined.

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Moskalyk, M., R. Ohle, A. Henson, S. McIsaac, C. Barriault, B. Doran, and N. Martin. "MP25: Assessing the learning impact of the Northern City of Heroes public exhibit on bystander cardiopulmonary resuscitation response." CJEM 22, S1 (May 2020): S51. http://dx.doi.org/10.1017/cem.2020.173.

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Innovation Concept: In Sudbury, ON 44% of out-of-hospital cardiac arrest (OHCA) patients receive bystander CPR (bCPR), and only 4.7% survive cardiac arrest. The Northern City of Heroes (NCH) community initiative was launched in April 2019 with a goal of improving survival from OHCA through hands-only bCPR in the municipality. One NCH initiative is an interactive exhibit at Science North, a science centre in Sudbury that hosts 250,000 visitors annually. The exhibit employs simulation trainers for CPR, accompanying signage and interactive elements. The goals of the exhibit are to activate bCPR, change and measure behaviours through exhibit interactions on how to deliver excellent CPR, and improve survival rates in OHCA patients. Methods: Data is being collected from 3000 visitors using self-reported surveying via SurveyGizmo to assess likelihood of performing bCPR, pre and post interacting with the exhibit. Visitor behaviour will be examined at the exhibit using video-recorded interactions and coding those behaviours using BORIS software. Behavioural data will be analyzed using the Visitor Engagement Framework (VEF) where initiation, transition and breakthrough learning-behaviours are coded and an exhibit Visitor Engagement Profile (VEP) is created. The VEF and VEP are tools used in informal learning settings to assess exhibit impacts on learning. Curriculum, Tool, or Material: The use of an easily-apprehendable, hands-on exhibit tool located in a public setting, such as a science centre, creates a platform for engaging large and diverse public audiences. This type of bCPR exhibitry has not been implemented in other similar environments. The informal learning setting allows the science centre staff to engage in personalized interactions that can solidify the quality of learning and confidence in employing the new skills developed. Conclusion: The NCH exhibit and new strategies for embedding informal curriculum are powerful tools to reach diverse audiences, build knowledge and skills, and have a measurable impact on bCPR and OHCA survival rates. Data is being captured and tracked by Health Sciences North around the City of Greater Sudbury's bCPR and OHCA survival rates to monitor long-term impacts of the NCH community initiatives. Limitations of the study may be found in the focused demographics as well as the nature of self-reported learning. Future research directions include broader geographical surveying to assess improvements in community response to OHCA as a direct result of an interactive bCPR exhibitry.

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Hicks, Christopher M., Alex Kiss, Glen W. Bandiera, and Christopher J. Denny. "Crisis Resources for Emergency Workers (CREW II): results of a pilot study and simulation-based crisis resource management course for emergency medicine residents." CJEM 14, no. 06 (November 2012): 354–62. http://dx.doi.org/10.2310/8000.2012.120580.

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ABSTRACTObjectives:Emergency department resuscitation requires the coordinated efforts of an interdisciplinary team. Aviationbased crisis resource management (CRM) training can improve safety and performance during complex events. We describe the development, piloting, and multilevel evaluation of “Crisis Resources for Emergency Workers” (CREW), a simulation-based CRM curriculum for emergency medicine (EM) residents.Methods:Curriculum development was informed by an a priori needs assessment survey. We constructed a 1-day course using simulated resuscitation scenarios paired with focused debriefing sessions. Attitudinal shifts regarding team behaviours were assessed using the Human Factors Attitude Survey (HFAS). A subset of 10 residents participated in standardized pre- and postcourse simulated resuscitation scenarios to quantify the effect of CREW training on our primary outcome of CRM performance. Pre/post scenarios were videotaped and scored by two blinded reviewers using a validated behavioural rating scale, the Ottawa CRM Global Rating Scale (GRS).Results:Postcourse survey responses were highly favourable, with the majority of participants reporting that CREW training can reduce errors and improve patient safety. There was a nonsignificant trend toward improved teambased attitudes as assessed by the HFAS (p= 0.210). Postcourse performance demonstrated a similar trend toward improved scores in all categories on the Ottawa GRS (p= 0.16).Conclusions:EM residents find simulation-based CRM instruction to be useful, effective, and highly relevant to their practice. Trends toward improved performance and attitudes may have arisen because our study was underpowered to detect a difference. Future efforts should focus on interdisciplinary training and recruiting a larger sample size.

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Oliver, Matthew, Aaron A. Adonopulos, Paul S. Haber, Michael M. Dinh, Tim Green, Tim Wand, Alexandre Vitte, and Dane Chalkley. "Impact of acutely behavioural disturbed patients in the emergency department: A prospective observational study." Emergency Medicine Australasia 31, no. 3 (September 19, 2018): 387–92. http://dx.doi.org/10.1111/1742-6723.13173.

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Journal articles on the topic 'Behavioural emergency'

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