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International Journal of Mental Health Nursing

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https://www.readbyqxmd.com/read/28337845/nurses-attitudes-towards-the-use-of-prn-psychotropic-medications-in-acute-and-forensic-mental-health-settings
#1
Lesley Barr, Dianne Wynaden, Karen Heslop
Many countries now have national mental health policies and guidelines to decrease or eliminate the use of seclusion and restraint yet the use of Pro Re Nata (PRN) medications has received less practice evaluation. This research aimed to identify mental health nurses' attitudes towards the use of PRN medications with mental health consumers. Participants were working in forensic mental health and non-forensic acute mental health settings. The "Attitudes towards PRN medication use survey" was used and data were collected online...
March 24, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28322492/lethal-hopelessness-understanding-and-responding-to-asylum-seeker-distress-and-mental-deterioration
#2
Nicholas G Procter, Mary Anne Kenny, Heather Eaton, Carol Grech
The mental deterioration of the so called 'legacy caseload' (asylum seekers who arrived in Australia by boat between August 2012-December 2013) has become a national concern and is garnering international attention. Prolonged uncertainty is contributing to mental deterioration and despair. There have been at least 11 deaths by suicide since June 2014. Social support services have been limited and legal assistance in short supply; this is associated with lengthy delays with visa applications. Thwarted belongingness, purpose and identity, a shortage of available services, and barriers to legal support for processes attendant upon Refugee Status Determination increase the likelihood that the mental health of asylum seekers will deteriorate further, potentially developing into worsening decline, which will lead to increased self-harm and suicide...
March 21, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28317329/predicting-psychological-distress-of-informal-carers-of-individuals-with-major-depression-or-bipolar-disorder
#3
David Wasley, Samantha Eden
Caring for someone with a mental illness is associated with high levels of burden and psychological distress. Understanding these factors could be important to prevent the development of physical and mental health problems in carers. The purpose of the present study was to determine the contribution of coping styles and social support in predicting the psychological distress reported by informal carers (IC) of individuals with major depression or bipolar disorder. IC (n = 72) of adults with a diagnosed depressive illness were recruited from mental health organizations within the community setting...
March 19, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28299868/impact-of-a-nurse-practitioner-role-on-metabolic-monitoring-completion-and-referrals-for-consumers-admitted-to-the-intensive-care-area-of-an-acute-inpatient-psychiatric-unit
#4
Trudy Brown, Brian McKenna, Trentham Furness
Mental illness increases a person's risk of physical health issues, including cardiovascular disease, leading to premature morbidity and mortality. Screening for cardiovascular disease through metabolic monitoring is recommended to aid in early detection. The aim of the present study was to ascertain whether consumers admitted to an inpatient mental health unit receive routine metabolic monitoring, and to explore the contribution of a nurse practitioner to metabolic monitoring and the actioning of abnormal results...
March 16, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28299858/psychoeducation-for-bipolar-disorder-a-discourse-analysis
#5
Lynere Wilson, Marie Crowe, Anne Scott, Cameron Lacey
Psychoeducation has become a common intervention within mental health settings. It aims to increase people's ability to manage a life with a long-term illness. For people with bipolar disorder, psychoeducation is one of a range of psychosocial interventions now considered part of contemporary mental health practice. It has taken on a 'common sense' status that results in little critique of psychoeducation practices. Using a published manual on psychoeducation and bipolar disorder as its data, Foucauldian discourse analysis was used in the present study for a critical perspective on psychoeducation in order to explore the taken-for-granted assumptions on which it is based...
March 16, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28295948/nurses-experiences-of-delivering-care-in-acute-inpatient-mental-health-settings-a-narrative-synthesis-of-the-literature
#6
REVIEW
Marianne Wyder, Carolyn Ehrlich, David Crompton, Leianne McArthur, Caroline Delaforce, Fiona Dziopa, Shulamit Ramon, Elizabeth Powell
Inpatient psychiatric care requires a balance between working with consumers' priorities and goals, managing expectations of the community, legal, professional and service responsibilities. In order to improve service delivery within acute mental health units, it is important to understand the constraints and facilitating factors for good care. We conducted a systematic narrative synthesis, where findings of qualitative studies are synthesised to generate new insights. 21 articles were identified. Our results show that personal qualities, professional skills as well as environmental factors all influence the ability to provide recovery focused care...
March 14, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28266805/educational-intervention-to-decrease-stigmatizing-attitudes-of-undergraduate-nurses-towards-people-with-mental-illness
#7
Helen Bingham, Anthony John O'Brien
Health professionals can hold stigmatizing views about people with mental illness. In addition to being discriminatory, these beliefs cause anxiety that can affect learning in the clinical environment. A review of an undergraduate nursing curriculum introduced the Modern Apprenticeship curriculum model and provided an opportunity for an educational intervention designed to address stigmatizing beliefs about people with mental health and addiction problems. The aim of the present study was to measure the extent to which an educational intervention - guided clinical experience in an acute mental health unit during the first year of the curriculum - decreased stigmatizing beliefs of undergraduate nurses towards those with mental health and addiction issues...
March 7, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28247580/analysis-of-non-pharmacological-interventions-attempted-prior-to-pro-re-nata-medication-use
#8
Krystle Martin, Vinita Arora, Ilan Fischler, Renee Tremblay
The aim of the present study was to elucidate what non-pharmacological interventions are applied by nursing staff prior to the administration of psychotropic pro re nata (PRN) medication. Best practices would instruct clinical staff to provide non-pharmacological strategies, such as de-escalation and skills coaching, as the first response to patient distress, anxiety, or agitation. Non-pharmacological strategies might be safer for patients, promote more collaborative relationships, and facilitate greater skills development for managing symptoms...
March 1, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28247475/new-way-of-working-professionals-expectations-and-experiences-of-the-culture-and-health-project-for-clients-with-psychiatric-disabilities-a-focus-group-study
#9
Birgitta A Wästberg, Boel Sandström, Anna Birgitta Gunnarsson
There is a need for various types of interventions when meeting needs of clients with psychiatric disabilities and complementary interventions may also influence their well-being. The Culture and Health project, based on complementary interventions with 270 clients, was created in a county in Sweden for clients with psychiatric disabilities and for professionals to carry out the interventions. The aim of this study was to investigate the professionals' expectations regarding the project and their clients' possibilities for participating, and to investigate the professionals' experiences of the project after its completion...
March 1, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28233407/evaluation-of-a-general-practitioner-led-cardiometabolic-clinic-physical-health-profile-and%C3%A2-treatment-outcomes-for-clients-on-clozapine
#10
Dominiek Coates, Patricia Woodford, Oliver Higgins, Deborah Grover
The present study is a review of a cardiometabolic clinic for consumers taking clozapine. This clinic was recently established and co-located with the clozapine clinic at a regional hospital in New South Wales, Australia, to enhance engagement and improve the physical health outcomes of consumers taking antipsychotic medication. A descriptive analysis of clients' (n = 73) information collected during routine care for the first 6 months of the clinic's operation, from January 2016 to July 2016, was conducted...
February 24, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28229546/lessons-from-the-past-family-involvement-in-patient-admission-and-discharge-beechworth-lunatic-asylum-1900-1912
#11
Eileen Clark
In this study, document analysis is used to examine case books from the Beechworth Lunatic Asylum with the aim of determining the extent of family involvement in patients' admission and discharge. There were 420 male and 278 female patients admitted in the study period, with over half transferred from other Victorian asylums. Next of kin were identified for 64% of male and 84% of female patients. Families were involved in the admission of 52 (12%) male and 50 (18%) female patients, usually by bringing patients to the asylum or providing evidence of behavioural changes...
February 23, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28220616/exploring-the-relationship-between-activities-and-emotional-experience-using-a-diary-in-a-mental-health-inpatient-setting
#12
Fredrik Folke, Timo Hursti, Jonathan W Kanter, Hans Arinell, Stefan Tungström, Per Söderberg, Lisa Ekselius
Mental health inpatient milieus have repeatedly been found to be associated with passivity, social disengagement, and low levels of interaction with staff. However, little is known about patients' experiences related to different ward activities. In the present study, we aimed to study the reports of activities and associated experiences of patients admitted to acute psychiatric inpatient wards. Disengaged, inactive, and solitary activities were hypothesized to be associated with less reward and more distress than their counterparts...
February 20, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28205346/do-professional-boundaries-limit-trust
#13
Elizabeth Smythe, Julia Hennessy, Max Abbott, Frances Hughes
The present study uses stories of mental health support workers talking about their relationship with clients to wonder about how trust might be limited by the professional boundaries of nursing. The writing arose out of an appreciative inquiry study looking at the role of mental health support workers. Participants talked about how they worked with their clients. As researchers, we were struck by the depth of trust that was built between worker and client. We have brought a phenomenological lens to wonder about the nature of trust, as shown in the data...
February 15, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28165178/experience-of-providing-cultural-safety-in-mental-health-to-aboriginal-patients-a-grounded-theory-study
#14
Shirley McGough, Dianne Wynaden, Michael Wright
The need for mental health clinicians to practice cultural safety is vital in ensuring meaningful care and in moving towards improving the mental health outcomes for Aboriginal people. The concept of cultural safety is particularly relevant to mental health professionals as it seeks to promote cultural integrity and the promotion of social justice, equity and respect. A substantive theory that explained the experience of providing cultural safety in mental health care to Aboriginal patients was developed using grounded theory methodology...
February 6, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28160392/enabling-healthy-living-experiences-of-people-with-severe-mental-illness-in-psychiatric-outpatient-services
#15
Marjut Blomqvist, Anna Sandgren, Ing-Marie Carlsson, Henrika Jormfeldt
It is well known that people with severe mental illness have a reduced life expectancy and a greater risk of being affected by preventable physical illnesses such as metabolic syndrome, cardiovascular disease and type 2 diabetes. There are still, however, only a few published studies focusing on what enables healthy living for this group. This study thus aimed to describe what enables healthy living among people with severe mental illness in psychiatric outpatient services. The data were collected in qualitative interviews (n = 16) and content analysis was used to analyze the data...
February 3, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28160384/australian-mental-health-care-practitioners-practices-and-attitudes-for-encouraging-smoking-cessation-and-tobacco-harm-reduction-in-smokers-with-severe-mental-illness
#16
Ratika Sharma, Carla Meurk, Stephanie Bell, Pauline Ford, Coral Gartner
Reducing the burden of physical illness among people living with severe mental illnesses (SMI) is a key priority. Smoking is strongly associated with SMIs resulting in excessive smoking related morbidity and mortality in smokers with SMI. Smoking cessation advice and assistance from mental health practitioners would assist with reducing smoking and smoking-related harms in this group. This study examined the attitudes and practices of Australian mental health practitioners towards smoking cessation and tobacco harm reduction for smokers with SMI, including adherence to the 5As (ask, assess, advise, assist and arrange follow up) of smoking cessation...
February 3, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28160378/job-satisfaction-and-resilience-in-psychiatric-nurses-a-study-at-the-institute-of-mental-health-singapore
#17
Zhimin Zheng, Poornima Gangaram, Huiting Xie, Stephanie Chua, Samantha Bee Cheng Ong, Sioh Eng Koh
Job satisfaction ranks highly as one of the main factors influencing turnover rates among nurses. Mental health nursing has been reported to be a particularly stressful specialty, yet little is known about the level of job satisfaction among psychiatric nurses in Singapore. Resilience is defined as a means of adapting to stress at the workplace, and could serve as a factor influencing job satisfaction. The present study aimed to explore the current level of job satisfaction among psychiatric nurses working in the only tertiary psychiatric institution in Singapore, the influencing factors, and the relationship between resilience and job satisfaction...
February 3, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28160371/effect-of-immersive-workplace-experience-on-undergraduate-nurses-mental-health-clinical-confidence
#18
Christopher Patterson, Lorna Moxham, Ellie K Taylor, Dana Perlman, Renee Brighton, Susan Sumskis, Tim Heffernan, Benjamin Lee-Bates
Preregistration education needs to ensure that student nurses are properly trained with the required skills and knowledge, and have the confidence to work with people who have a mental illness. With increased attention on non-traditional mental health clinical placements, further research is required to determine the effects of non-traditional mental health clinical placements on mental health clinical confidence. The aim of the present study was to investigate the impact of a non-traditional mental health clinical placement on mental health nursing clinical confidence compared to nursing students undergoing traditional clinical placements...
February 3, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28145617/improving-exchange-with-consumers-within-mental-health-organizations-recognizing-mental-ill-health-experience-as-a-sneaky-special-degree
#19
Brett Scholz, Julia Bocking, Brenda Happell
Stigmatizing views towards consumers may be held even by those working within mental health organizations. Contemporary mental health policies require organizations to work collaboratively with consumers in producing and delivering services. Using social exchange theory, which emphasises mutual exchange to maximise benefits in partnership, the current study explores the perspectives of those working within organizations that have some level of consumer leadership. Interviews were conducted with 14 participants from a range of mental health organizations...
February 1, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28102616/development-and-psychometric-testing-of-the-attitudes-subjective-norms-perceived-behavioural-control-and-intention-to-pursue-a-career-in-mental-health-nursing-scale
#20
Mark Wilbourn, Yenna Salamonson, Lucie Ramjan, Sungwon Chang
The aim of the present study was to develop and test the psychometric properties of the Attitudes, Subjective Norms, Perceived Behavioural Control, and Intention to Pursue a Career in Mental Health Nursing (ASPIRE) scale, an instrument to assess nursing students' intention to work in mental health nursing. Understanding the factors influencing undergraduate nursing students' career intentions might lead to improved recruitment strategies. However, there are no standardized tools to measure and assess students' intention to pursue a career in mental health nursing...
January 19, 2017: International Journal of Mental Health Nursing
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