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Nurse-led telephone triage in an Australian rural mental health service

Authors

  • Tony Barnett PhD RN BAppSc(AdvNsg) MEd FRCNA FRSA,

    Corresponding author
    1. Associate Professor, School of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Churchill, Victoria, Australia
      Barnett Tony, School of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Switchback Rd., Churchill, Vic. 3842, Australia. Email: tony.barnett@med.monash.edu.au
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  • Susan Henderson MN RN RPN BAppSc(Nsg),

    1. Lecturer, School of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Churchill, Victoria, Australia
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  • Darrin Henry RPN,

    1. Sector Manager, Gippsland Mental Health Services, LaTrobe Regional Hospital, Traralgon, Victoria, Australia
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  • Anne Gumpold Anne Gumpold,

    1. Senior Psychiatric Nurse, Gippsland Mental Health Services, LaTrobe Regional Hospital, Traralgon, Victoria, Australia
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  • Peter Foote RPN,

    1. Triage Clinician, Gippsland Mental Health Services, LaTrobe Regional Hospital, Traralgon, Victoria, Australia
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  • Steve Gallop RPN

    1. Triage Manager, Gippsland Mental Health Services, LaTrobe Regional Hospital, Traralgon, Victoria, Australia
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Barnett Tony, School of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Switchback Rd., Churchill, Vic. 3842, Australia. Email: tony.barnett@med.monash.edu.au

Abstract

This paper reports on changes in referral patterns of a rural mental health telephone triage service based in Gippsland, Victoria, Australia. A retrospective audit of service data over the period 1999–2005 was undertaken as part of a quality improvement exercise. Data collected included service utilization statistics and critical reflection on the role of the mental health triage clinician within the service.

There was an average of 2771 referrals each year and a trend for increased use by general practitioners and hospital emergency departments. Triage nurses reported concerns about: professional isolation, lack of formal education, difficulties in making decisions based on limited data as well as poor understanding of the role by users (patients and referrers). Further research is needed to evaluate the impact of this form of patient assessment on psychiatric nursing practice and clinical outcomes.

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