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Health Education Journal
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Health education and the inappropriate use of accident and emergency departments: the views of accident and emergency nurses

Judith Green, MSC

Department of General Practice Studies King's College School of Medicine and Dentistry, London

Jeremy Dale, MRCGP

Department of General Practice Studies King's College School of Medicine and Dentistry, London

PATIENTS who refer themselves to accident and emergency (A&E) departments with primary care problems are generally described as making inap propriate use of the service. Health education in vari ous forms has been widely advocated as a means of reducing this misuse. One suggestion is that the pub lic be given clear guidelines about appropriate re sponses to health problems. A questionnaire was developed to examine the views of A&E nurses on inappropriate attendance. These were assessed, and case vignettes simulating A&E patient presenta tions were used to measure the level of agreement about the inappropriate use of A&E. The results sug gest that nurses view health education as important, but their response to the case vignettes also suggests that consensus about the definition of the 'appropri ateness' of A&E attendance may be limited. The dis agreement evident amongst experienced A&E nursing staff makes it highly unlikely that written guidelines for the public could be developed in any thing but the broadest of terms.

Health Education Journal, Vol. 49, No. 4, 157-161 (1990)
DOI: 10.1177/001789699004900402
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