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International Journal of Mental Health Nursing

Julie Kelly, Hemalatha Jayaram, Sunil Bhar, Sahaya Jesto, Kuruvilla George
This study examines the need for, and outcomes of, a psychotherapeutic skills training programme, within an acute psychogeriatric unit. Nursing staff were surveyed to explore their training needs in psychotherapeutic skills with inpatients diagnosed with depressive, anxiety, or neurocognitive disorders. Staff were then invited to participate in a focus group (n = 6) to identify content of such training, possible barriers, and an implementation strategy. Next, to ascertain the feasibility and acceptability of such training, materials and schedules were developed and piloted with a small group of nurses (n = 8), before being administered to nurses across the unit (n = 23)...
November 13, 2018: International Journal of Mental Health Nursing
Katrina Campbell, Deb Massey, Marc Broadbent, Karen-Ann Clarke
Medical diagnosis has traditionally been the role of medical officers. However, mental health nurses working in crisis/emergency settings within Australia are expected to provide a provisional diagnosis postassessment of a consumer. There is limited literature and understanding how mental health nurses develop a provisional diagnosis. In this scoping review, we aimed to first identify and describe the clinical decision-making processes used by mental health nurses across a variety of clinical settings. Second, we sought to explore the factors influencing mental health nurse's diagnostic practice in a variety of settings...
November 4, 2018: International Journal of Mental Health Nursing
Timothy Wand
No abstract text is available yet for this article.
November 3, 2018: International Journal of Mental Health Nursing
Brenda Happell, Chris Platania-Phung, Brett Scholz, Julia Bocking, Aine Horgan, Fionnuala Manning, Rory Doody, Elisabeth Hals, Arild Granerud, Mari Lahti, Jarmo Pullo, Annaliina Vatula, Johanna Koski, Kornelis Jan van der Vaart, Jerry Allon, Martha Griffin, Siobhan Russell, Liam MacGabhann, Einar Bjornsson, Pall Biering
Reform to nursing education is essential to ensure future generations of nurses are strongly positioned to value, know, and deliver strength-based, recovery-oriented mental health practice. A promising pathway to effectively drive reform is the coproduction of curricula by nursing academics and people with lived experience of recovery from mental distress referred to as Experts by Experience. The Co-production in Mental Health Nursing Education (COMMUNE) project is an international collaboration for development and implementation of consumer coproduced curricula...
November 3, 2018: International Journal of Mental Health Nursing
Gillian Rayner, Joanna Blackburn, Karen-Leigh Edward, John Stephenson, Karen Ousey
Self-harm is a major challenge to public health. Emergency department (ED) nurses treat significant proportions of patients with self-harm injuries, and positive therapeutic patient-nurse interactions are imperative to the physical and psychological outcome of this vulnerable patient group. Research, both nationally and internationally, suggests that treating those with self-harm injuries is emotionally challenging, and ambivalence, powerlessness, and ineffectiveness are commonly manifested in negative attitudes towards these patients...
November 1, 2018: International Journal of Mental Health Nursing
Leah Shalanski, Carol Ewashen
In this interpretive phenomenological study, understandings of resilience from the perspective of teenage girls recovering from mental illness were explored. The primary research question was as follows: How is resilience portrayed through teen girls' experiences of health and mental illness? Benner's interpretive phenomenology informed by Gadamerian concepts of conversation, prejudices, and fusion of horizons guided the research design. The interpretive description process involved close reading of how the world experienced by participants was understood while listening for relational, gendered and cultural nuances...
October 24, 2018: International Journal of Mental Health Nursing
Ellen B Tingleff, Lise Hounsgaard, Stephen K Bradley, Frederik A Gildberg
To reduce the use and duration of mechanical restraint in forensic settings and ensure evidence-based patient care, we need more knowledge about patients' subjective experiences and perceptions. The aim was to investigate forensic psychiatric patients' perceptions of situations associated with the use of mechanical restraint and what they perceive as factors impacting the use and duration of mechanical restraint. Twenty participants were interviewed. Four themes were identified through a thematic analysis: 'overt protest reactions', 'silent protest reactions', 'illness-related behaviour', and 'genuinely calm', which together characterize patients' perceptions of their ways of acting and reacting during mechanical restraint episodes...
October 19, 2018: International Journal of Mental Health Nursing
Noortje Houben, Eveline P C J Janssen, Marike R C Hendriks, Digna van der Kellen, Bas P J van Alphen, Berno van Meijel
The objective was to use various somatic parameters as basis for investigating the physical health of older adults with severe mental illnesses (SMI). A cross-sectional study design is performed by using baseline data from the Physical Health in SMI-elderly (PHiSMI-E) study. Data were collected using the Nursing Monitoring of Somatic Status and Lifestyle - Mental Health instrument in adults aged over 60 with SMI in a large Dutch mental health institute. Ninety-nine elderly SMI patients were included. Somatic comorbidity (84...
October 7, 2018: International Journal of Mental Health Nursing
Kim Foster, Michael Roche, Cynthia Delgado, Celeste Cuzzillo, Jo-Ann Giandinoto, Trentham Furness
Mental health nurses work in challenging and potentially high stress settings. Stressors can occur in the context of consumer, family, and/or staff relationships, as well as the work environment and organization. The cumulative effects of stress and professional challenges can lead to harmful impacts for mental health nurses including burnout and poorer physical and mental health. Resilience involves a process of positive adaptation to stress and adversity. The aims of this integrative review were to examine understandings and perspectives on resilience, and explore and synthesize the state of knowledge on resilience in mental health nursing...
October 7, 2018: International Journal of Mental Health Nursing
Stephanie Stewart, Brett Scholz, Sarah Gordon, Brenda Happell
Contemporary mental health policies call for increased involvement of consumers in leadership across mental health service design, delivery, and evaluation. However, consumer leadership is not currently well understood within academia or in mental health services themselves. This study investigates how consumer leadership is currently conceptualized by stakeholders at the service delivery level. To this end, semistructured interviews were conducted with 14 mental health organization members identifying as consumer leaders, colleagues supporting consumer leaders, or organization executives...
October 3, 2018: International Journal of Mental Health Nursing
Emily Hielscher, Sandra Diminic, Meredith Harris, David Castle, Yong Yi Lee, Jan Kealton, Harvey Whiteford
Informal carers play a vital role in supporting Australians living with a mental illness, including during the acute phases of illness; however, little is known about their impact on length of hospital stay. We aimed to investigate the impact of having a carer and of carer burden on length of hospital stay for mental health. Two Australian datasets were used. Data from the 2010 National Survey of High Impact Psychosis (n = 1825) were used to investigate the impact of having versus not having a carer on length of hospital stay for mental health...
September 23, 2018: International Journal of Mental Health Nursing
José Guzmán-Parra, Carlos Aguilera-Serrano, Juan Antonio García-Sanchez, Edgar García-Spínola, Daniel Torres-Campos, José María Villagrán, Berta Moreno-Küstner, Fermín Mayoral-Cleries
Coercive measures are frequently used in psychiatric hospitalization. However, there are few studies that analyse perceived coercion, post-traumatic stress, and subjective satisfaction with the hospitalization treatment associated with different types of coercive measures. The sample consisted of 111 patients admitted to two psychiatric units and divided into three groups based on the measure applied: involuntary medication (N = 41), mechanical restraint (N = 32), and combined measures (mechanical restraint and involuntary medication; N = 38)...
September 21, 2018: International Journal of Mental Health Nursing
Cheng Cheng, Kerry Inder, Sally Wai-Chi Chan
Multiple chronic conditions (MCCs) pose a major and growing burden on the individuals' health. The ways in which people cope with their stresses related to their chronic conditions are significant to their health outcomes. This review sought to understand lived experiences of coping with MCCs by a meta-ethnography of qualitative studies. Twenty-six studies were identified in four electronic databases including PubMed, PsycINFO, EMBASE, and CINAHL that were searched from 1966 to 2017. A seven-step analytic method was used after a quality evaluation based on Joanna Briggs Institute Qualitative Assessment and Review Instrument (JBI-QARI)...
September 19, 2018: International Journal of Mental Health Nursing
Kim Foster, Melinda Goodyear, Anne Grant, Bente Weimand, Joanne Nicholson
This paper provides a framework for essential family-focused practices (EASE: Engage, Assess, Support, Educate) for clinicians to support parents with mental illness in the context of their family. The framework is underpinned by relational recovery as the parent/consumer's recovery is considered within the context of their relationships, including the relationship between clinician and parent/consumer. The central aim is to strengthen nurses' and other clinicians' capacity to address key psychosocial needs of parents and to strengthen relational recovery in families where parents have mental illness...
September 6, 2018: International Journal of Mental Health Nursing
Gin-Liang Chee, Dianne Wynaden, Karen Heslop
Young people experiencing first-episode psychosis taking antipsychotic medications often develop comorbidities such as obesity and cardiometabolic abnormalities at an earlier age than young people in the general population. Therefore, it is important to explore the healthcare needs and experiences of this group of consumers. This paper reports research conducted to obtain an informed understanding of young people's health literacy, physical healthcare needs, and interest and knowledge about their physical health...
September 3, 2018: International Journal of Mental Health Nursing
Peter de Looff, Robert Didden, Petri Embregts, Henk Nijman
Burnout in nursing staff is a major cause for turnover and absenteeism. Identifying risk and protective factors may be helpful in decreasing burnout symptoms. Moreover, research indicates that ambulatory assessments of the autonomic nervous system might be helpful in detecting long-term stress and burnout symptoms. One hundred and ten forensic nursing staff members completed questionnaires measuring experiences with aggressive behaviour, emotional intelligence, personality, and job stress during four waves of data collection across a 2-year period...
August 28, 2018: International Journal of Mental Health Nursing
Helen Paris Hamer, Michael Rowe, Carol Ann Seymour
The theoretical framework of citizenship is increasingly being used in mental health settings to inform practice. This exploratory qualitative study describes in more detail the acts of citizenship embedded in the everyday practices of mental health workers that promote the social inclusion of people in their care. Acts make a claim for justice when one's rights and responsibilities of citizenship are denied. Semistructured interviews were conducted with 12 participants, seven mental health clinicians and five peer support workers, recruited from a mental health facility in Connecticut, USA...
August 27, 2018: International Journal of Mental Health Nursing
Richard Clancy, Terry J Lewin, Jenny A Bowman, Brian J Kelly, Antony D Mullen, Karen Flanagan, Michael J Hazelton
The prevalence of health risk behaviours and associated poor physical health is high in people with severe mental illness. Mental health service guidelines and policies stipulate that mental health services should address physical health of people who access services. This study reports results from a large, interdisciplinary, cross-sectional study exploring mental health clinicians' (n = 385) views of role legitimacy in physical health service provision. All disciplines reported that mental health clinicians have a role to play in addressing the physical health of consumers...
August 27, 2018: International Journal of Mental Health Nursing
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