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International Journal of Mental Health Nursing

Sjobha R N van den Berg, Barbara Stringer, Roland van de Sande, Stasja Draisma
Currently, support tools are lacking to prioritize steps in the care coordination process to enable safe practice and effective clinical pathways in the first phase of acute psychiatric admissions. This study describes the development, validity, and reliability of an acute care coordination support tool, the Admission Team Score List (ATSL). The ATSL assists in care provider allocation during admissions. Face validity and feasibility of the ATSL were tested in 77 acute admissions. Endscores of filled out ATSL's were translated to recommended team compositions...
May 18, 2018: International Journal of Mental Health Nursing
Michelle Cleary, Toby Raeburn, Sancia West, Phil Escott, Violeta Lopez
Recovery-oriented principles underpin modern-day mental health care and are enhanced by consumer participation in decision-making. Understanding how consumer participation can be maximized is central to promoting recovery-oriented care. This study explored the key strategies used by mental health registered nurses and perceived by nurses to be used by peer support workers in facilitating consumer decision-making to determine similarities, differences, and possible tensions. A qualitative descriptive approach using semi-structured interviews was conducted with nine nurses employed in mental health care...
May 16, 2018: International Journal of Mental Health Nursing
Jenni Konttila, Hanna-Mari Pesonen, Helvi Kyngäs
Violence against nurses has increased particularly in psychiatric outpatient settings as psychiatric care shifts from being inpatient-based to being outpatient-based. Violence is a complex phenomenon that must be explored in different psychiatric nursing environments and settings. Violence in psychiatric outpatient settings should especially be explored as violence in this context has scarcely been examined. The aim of this systematic review was to elucidate violence committed against nursing staff by patients in adult psychiatric outpatient settings, based on reports from previous studies...
May 15, 2018: International Journal of Mental Health Nursing
Adam Gerace, Eimear Muir-Cochrane, Deb O'Kane, Leah Couzner, Christine Palmer, Karleen Thornton
Nursing students, regardless of setting, require skills in working with people with mental health issues. One way to provide students with learning opportunities within the context of limited undergraduate mental health content and lack of mental health placements is through employment as assistants in nursing (AIN). The purpose of the study was to investigate the use of AINs employed in an emergency department in South Australia to supervise (continuous observation) mental health consumers on inpatient treatment orders...
May 15, 2018: International Journal of Mental Health Nursing
Maeve Morrison, Vicki Cope, Melanie Murray
Medication errors remain a commonly reported clinical incident in health care as highlighted by the World Health Organization's focus to reduce medication-related harm. This retrospective quantitative analysis examined medication errors reported by staff using an electronic Clinical Incident Management System (CIMS) during a 3-year period from April 2014 to April 2017 at a metropolitan mental health ward in Western Australia. The aim of the project was to identify types of medication errors and the context in which they occur and to consider recourse so that medication errors can be reduced...
May 15, 2018: International Journal of Mental Health Nursing
Mphindisi Nqwaku, Simon Draycott, Luke Aldridge-Waddon, Emma-Louise Bush, Alexandra Tsirimokou, Dominic Jones, Ignazio Puzzo
This project evaluated the predictive validity of the Dynamic Appraisal of Situational Aggression - Inpatient Version (DASA-IV) in a high-secure psychiatric hospital in the UK over 24 hours and over a single nursing shift. DASA-IV scores from three sequential nursing shifts over a 24-hour period were compared with the mean (average of three scores across the 24-hour period) and peak (highest of the three scores across the 24-hour period) scores across these shifts. In addition, scores from a single nursing shift were used to predict aggressive incidents over each of the following three shifts...
May 10, 2018: International Journal of Mental Health Nursing
Scott Brunero, Lucie M Ramjan, Yenna Salamonson, Daniel Nicholls
Generalist health professionals (GHPs) or those healthcare professionals working in nonmental health facilities are increasingly being required to provide care to consumers with a mental illness. The review aimed to synthesize the qualitative research evidence on the meanings and interpretations made by GHPs (nonmental health professional) who interact with consumers with mental illness in nonmental health settings. A systematic review of the qualitative literature was undertaken for the years 1994-2016. The following electronic databases were searched: CINAHL, MEDLINE, PsycINFO, and Sociological Abstracts...
May 10, 2018: International Journal of Mental Health Nursing
Michelle Cleary, Toby Raeburn, Phil Escott, Sancia West, Violeta Lopez
In adult mental health services, the participation of consumers is essential. The aim of this study was to explore the challenges faced by peer support workers when involving mental health consumers in decision-making about their care and the strategies they employed to overcome these challenges so as to improve mental health consumers' participation in decision-making and recovery. Semi-structured individual interviews were conducted with six peer support workers currently employed in psychiatric hospitals and/or community mental health systems...
May 9, 2018: International Journal of Mental Health Nursing
Sebastian von Peter, Gwen Schulz
To date, there is little research on personal crisis experiences of mental health professionals. The aim of this study was to explore some of the reasons for why self-disclosure is so difficult and how these difficulties may prevent productive forms of coproduction. These questions are addressed both from a psychiatrist's autoethnographic account and from the perspective of a peer worker who works in various coproductive relationships. It is shown that mental health professionals often revert to an "I-as-we", speaking of themselves as a collective and thereby reifying the boundaries between 'vulnerable users' and 'invulnerable professionals'...
May 2, 2018: International Journal of Mental Health Nursing
Ratika Sharma-Kumar, Carla Meurk, Pauline Ford, Diana Beere, Coral Gartner
Provision of smoking cessation support in the form of advice and information is central to increasing quit rates, including among people with mental illness (MI), who have 3-5 times higher odds of smoking than those without MI. This study investigated the extent and perceived utility of quit smoking advice and information available to Australian smokers with MI through face-to-face, semi-structured, in-depth interviews with 29 current smokers with MI. Qualitative analysis identified four major sources of quit smoking advice and information: (i) mental health practitioners; (ii) Quitline; (iii) social networks; and (iv) Internet and media...
May 2, 2018: International Journal of Mental Health Nursing
Trentham Furness, Elizabeth Wallace, Jo McElhinney, Brian McKenna, Celeste Cuzzillo, Kim Foster
For people with severe mental illness, accredited practising dietitians may assist with a nutrition care plan that considers the medical, psychiatric, psychological, social, spiritual, and pharmacological aspects of their care. However, consumers' access to care has been limited by difficulties attending appointments and suboptimal interface between nutritional and mental health services. Therefore, the objectives of this exploratory study were to describe access to, and key stakeholder perspectives of, the accredited practising dietitian role colocated in a community mental health service...
April 27, 2018: International Journal of Mental Health Nursing
Joanne E Porter, Robyn Cant, Karen Missen, Anita Raymond, Anne Churchill
Nursing management of physical deterioration of patients within acute mental health settings is observed, recorded, and actively managed with the use of standardized Adult Deterioration Detection System (ADDS) charts. Patient deterioration may require the urgent assistance of a hospital rapid response or Medical Emergency Team. A five-and-a-half-year (2011-2016) audit of hospital-wide Medical Emergency Team attendances was conducted in an acute mental health unit of a single large 250 bed regional hospital in Victoria, Australia...
April 27, 2018: International Journal of Mental Health Nursing
Jenny Molin, Britt-Marie Lindgren, Ulla Hällgren Graneheim, Anders Ringnér
The facilitation of quality time between patients and staff in psychiatric inpatient care is useful to promote recovery and reduce stress experienced by staff. However, interventions are reported to be complex to implement and are poorly described in the literature. This multisite study aimed to evaluate the feasibility and effects of the nursing intervention Time Together, using mixed methods. Data consisted of notes from participant observations and logs to evaluate feasibility, and questionnaires to evaluate effects...
April 25, 2018: International Journal of Mental Health Nursing
Katey Thom, Dave Burnside
Co-production has begun to make inroads into research, policy, and practice in mental health and addictions. Little is known, however, about the role co-production has or could have in shaping how the criminal justice system responds to mental health and addictions. Given that a large majority of prisoners in Aotearoa New Zealand have been diagnosed with either a mental health or substance use disorder within their lifetime, it is imperative alternative approaches are considered if we are to reduce the high imprisonment rates and contribute positively to health, safety, and well-being of all New Zealanders...
April 17, 2018: International Journal of Mental Health Nursing
Stephen Parker, Carla Meurk, Ellie Newman, Clayton Fletcher, Isabella Swinson, Frances Dark
This study explores how consumers expect community-based residential mental health rehabilitation to compare with previous experiences of care. Understanding what consumers hope to receive from mental health services, and listening to their perspectives about what has and has not worked in previous care settings, may illuminate pathways to improved service engagement and outcomes. A mixed-methods research design taking a pragmatic approach to grounded theory guided the analysis of 24 semi-structured interviews with consumers on commencement at three Community Care Units (CCUs) in Australia...
April 16, 2018: International Journal of Mental Health Nursing
Angus S Forsyth, Rebecca Trevarrow
In recent years, there has been growing interest in the use of sensory techniques to help with emotional regulation in adult mental health populations. This is against a backdrop of international policies aimed at reducing restrictive interventions and improving the effectiveness of de-escalation techniques. A sensory room was designed and implemented on a male adult acute psychiatric ward. Staff perspectives were sought to evaluate the effectiveness of the room in managing emotional distress by exploring staff awareness of a broader range of de-escalation strategies and by exploring what effect the room had on staff behaviours with respect to sensory interventions...
April 16, 2018: International Journal of Mental Health Nursing
Rebecca Reid, Phil Escott, Sophie Isobel
This qualitative study explores inpatient mental health consumer perceptions of how collaborative care planning with mental health nurses impacts personal recovery. Semi-structured interviews were conducted with consumers close to discharge from one unit in Sydney, Australia. The unit had been undertaking a collaborative care planning project which encouraged nurses to use care plan documentation to promote person-centred and goal-focussed interactions and the development of meaningful strategies to aid consumer recovery...
April 14, 2018: International Journal of Mental Health Nursing
Candice Groenewald
The impact of adolescent substance abuse is widespread and significantly compromises the psychosocial well-being of those closest to the adolescent. This is evidentially so for parents who are required to cope with the adolescent's misconduct. Using an interpretative phenomenological methodology, this article describes mothers' experiences of living with an adolescent who is dependent on drugs. Specifically, the article explores the mothers' accounts of the pernicious behaviours that the adolescents engage(d) in during their drug abuse period...
March 25, 2018: International Journal of Mental Health Nursing
Brett Bellingham, Niels Buus, Andrea McCloughen, Lisa Dawson, Richard Schweizer, Kristof Mikes-Liu, Amy Peetz, Katherine Boydell, Jo River
Open Dialogue is a resource-oriented approach to mental health care that originated in Finland. As Open Dialogue has been adopted across diverse international healthcare settings, it has been adapted according to contextual factors. One important development in Open Dialogue has been the incorporation of paid, formal peer work. Peer work draws on the knowledge and wisdom gained through lived experience of distress and hardship to establish mutual, reciprocal, and supportive relationships with service users...
March 25, 2018: International Journal of Mental Health Nursing
Chris Quinn, Chris Platania-Phung, Christopher Bale, Brenda Happell, Elizabeth Hughes
Nurses in mental health settings avoid talking to consumers about sexual health concerns. It is unclear whether this avoidance prevents the provision of sexual healthcare. The present study gathered information about how mental health nurses respond to sexual health issues within their routine practice, what issues they address, and their view on their role in promoting sexual health for consumers. A cross-sectional study using an electronic survey questionnaire, originally generated from a previous study in the united kingdom, was employed...
March 25, 2018: International Journal of Mental Health Nursing
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