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Best practice nursing with illness mental

Sinead Hennessy, Angela M Cocoman
Individuals with a severe mental illness have a gap in life expectancy of up to twenty years in comparison to the general population. Nurses who work in mental health services have been identified as best placed to improve the physical health outcomes of individuals with mental illness. The literature identifies a lack of nursing knowledge related to physical health care and the presence of metabolic syndrome which is impeding nurses in providing essential physical health care to patients. An integrated literature review was carried out due to the dearth of research evidence pertaining to the impact of targeted education specifically with psychiatric/mental health nurses in the provision of physical healthcare...
February 21, 2018: Issues in Mental Health Nursing
Revital Ordan, Ron Shor, Michal Liebergall-Wischnitzer, Lawrence Noble, Anita Noble
AIMS AND OBJECTIVES: To examine professional stigma and attitudes of parenthood towards postpartum women with severe mental illness and the association between postpartum nurses' attitudes and nursing interventions that promote motherhood. BACKGROUND: Stigma and attitudes towards parenthood of women with severe mental illness may influence nurses' clinical practices. DESIGN: Cross-sectional, mixed methods. METHODS: The Stigma among Health Professionals towards People with Severe Mental Illness, Attitudes towards Parenthood among People with Severe Mental Illness and Nursing Interventions that Promote Becoming a Mother Questionnaires were used in the study, as well as qualitative analysis...
April 2018: Journal of Clinical Nursing
Chunfeng Cai, Liping Yu
The aim of the current study was to examine the relationships among demographic characteristics, psychosocial variables, symptom severity, and quality of life (QOL), and the way these variables affect QOL in patients with schizophrenia living in Hubei, China. A convenience sample of 178 individuals with schizophrenia participated. The results suggest that the Schizophrenia Quality of Life Scale was positively and statistically significantly correlated with employment status (r = 0.232, p < 0.01) and monthly household income (r = 0...
August 1, 2017: Journal of Psychosocial Nursing and Mental Health Services
Debra Webster, Judith M Jarosinski
Use of standardized patients (SPs) to teach mental health nursing skills is increasing. Although the literature regarding the effectiveness of this teaching strategy supports its use, information regarding the effect of portraying mental illness on SPs is lacking. Using a qualitative approach incorporating art as expression, this effect was examined. Five SPs created an artistic expression to describe their work portraying an individual with mental illness while working with senior nursing students enrolled in a psychiatric-mental health clinical nursing course...
August 1, 2017: Journal of Psychosocial Nursing and Mental Health Services
Brenda G Kucirka
BACKGROUND: There is an increase in students enrolled in higher education diagnosed with mental illness or experiencing symptoms suggestive of mental health issues (MHI). This has a significant impact on the faculty-student relationship. OBJECTIVES: The purpose of this study was to identify the basic social psychological process that occurs when nursing faculty interact with students with MHI. DESIGN: Grounded theory methodology was implemented to identify the basic social psychological process that occurs when faculty encounter students with MHI...
April 1, 2017: Journal of the American Psychiatric Nurses Association
Horace Ellis, Vinette Alexander
Individuals with serious mental illnesses (SMI) who are incarcerated pose major treatment challenges for both correctional personnel and healthcare providers, yet deserve the same high standards of care as those in traditional mental health facilities. The literature references these challenges as types of mental health treatment disparities, and calls for improvement measures from clinicians, researchers, policy-makers, and advocates. From the standpoint of psychiatric-mental health (PMH) nursing, this paper explores, examines, and offers some contemporary clinical and practice perspectives for providing best-practice psychiatric care for SMI individuals who are in jails...
April 2017: Archives of Psychiatric Nursing
L Doyle, A Sheridan, M P Treacy
WHAT IS KNOWN ON THE SUBJECT?: Self-harm is a relatively common occurrence in adolescents; however, there remains a lack of understanding about the motivations behind adolescent self-harm, and this poor understanding can have a negative impact on how mental health professionals respond to young people who self-harm. WHAT DOES THIS PAPER ADD TO EXISTING KNOWLEDGE?: This paper identifies the reasons for self-harm in a community sample of young people and finds that the functions of self-harm differ for different people and that there may be multiple reasons for self-harm...
January 25, 2017: Journal of Psychiatric and Mental Health Nursing
Peter B Rosenquist, W Vaughn McCall, Nagy Youssef
Electroconvulsive therapy (ECT) is one of the oldest and best treatments for severe mental illness. A safe and highly effective option for treatment-resistant mood disorders, ECT can be a lifesaving treatment for people suffering from catatonia and acute suicidality. Less recognized are the benefits of ECT in the treatment of primary psychotic disorders, Parkinson's disease, and status epilepticus. Evidence from multisite clinical trials in the past decade shows an evolving standard for the delivery of ECT to achieve and maintain remission and quality of life...
December 1, 2016: Journal of Psychosocial Nursing and Mental Health Services
Herbert Mwebe
AIMS AND OBJECTIVES: To explore nurses' views of their role in the screening and monitoring of the physical care needs of people with serious mental illness in a mental health service provider. BACKGROUND: There is increasing awareness through research that people with serious mental illness disproportionately experience and die early from physical health conditions. Mental health nurses are best placed as front-line workers to offer screening, monitoring and interventions; however, their views on physical care interventions are not studied often...
October 2017: Journal of Clinical Nursing
Pras Ramluggun, Mahmood Anjoyeb, Gibson D'Cruz
There is substantial evidence that people (service users) living with a serious mental illness experience poorer physical health than the general population and die prematurely from life-threatening illnesses. Mental health nurses are best placed to address the physical health needs of service users but evidence points to numerous challenges, including a deficit in their proficiency to meet these needs. Nurse education and mental health services are being reshaped to better equip nurses with the skill set to meet the care needs of service users...
November 14, 2016: International Journal of Mental Health Nursing
Karen Wells, Marie McCaig
BACKGROUND: This paper uses a case study to describe the implementation of the Magic Wand Question (MWQ), also known as the miracle question, in a child and adolescent mental health service (CAMHS) in Scotland. The MWQ, a common intervention, is based on a Solution-Focused Brief Therapy (SFBT) approach. This intervention was undertaken by a third year student nurse with the intention of demonstrating how practice can be more closely aligned to a recovery-focused, strengths-based approach, which is in line with national policy...
November 2016: Journal of Child and Adolescent Psychiatric Nursing
Horace Ellis, Vinette Alexander
There has been renewed, global interest in developing new and transformative models of facilitating access to high-quality, cost-effective, and individually-centered health care for severe mentally-ill (SMI) persons of diverse racial/ethnic, cultural and socioeconomic backgrounds. However, in our present-day health-service delivery systems, scholars have identified layers of barriers to widespread dispersal of well-needed mental health care both nationally and internationally. It is crucial that contemporary models directed at eradicating barriers to mental health services are interdisciplinary in context, design, scope, sequence, and best-practice standards...
June 2016: Archives of Psychiatric Nursing
Vinette Alexander, Horace Ellis, Barbara Barrett
The literature consistently shows that medical-surgical nurses frequently lack the knowledge, skills, and attitudes necessary to render holistic nursing care to patients with severe mental illness (SMI). The negative perceptions often portrayed by medical-surgical nurses towards SMI patients with comorbid medical-surgical disorders must be addressed in order to ameliorate treatment gaps. Current concepts, issues, and challenges associated with the perceptions of nurses who care for patients with (SMI) in medical-surgical settings can prove overwhelming to both nurses and patients, and can result in concerning practice gaps...
April 2016: Archives of Psychiatric Nursing
Colette Anne Selmer
The mental health of patients with cancer is a vital part of their overall wellbeing. Unmet mental health needs have an adverse effect on a patient's ability to cope with illness and its treatment and contribute to an increased burden on health services. Low staffing levels and inadequate training and support in the use of psychological skills may result in patients' psychological difficulties going unnoticed. This article aims to improve nurses' understanding of psychosocial issues that may arise during a diagnosis of cancer and its treatment and examines national guidance on the provision of psychological support to patients with cancer and their families...
July 1, 2015: Nursing Standard
Marian I Zegwaard, Marja J Aartsen, Mieke H F Grypdonck, Pim Cuijpers
BACKGROUND: Literature has shown the serious impact of severe mental illness on the daily life of caregivers. We studied reported caregiver support practices by mental health nurses for use in the development of a nursing intervention. We aimed to explore current caregiver support practices by mental health nurses. METHODS: Twenty-one participants completed semi-structured interviews, and 17 participants attended two focus groups. All interviews were audio-taped, transcribed and coded for qualitative analysis...
2015: BMC Nursing
Horace A Ellis
In order to provide culturally authentic healthcare, psychiatric-mental health nurses and other professionals must familiarize themselves with the culture-specific syndromes, idioms of distress, beliefs and practices that may present among the diverse patient groups with whom they work. Psychiatric conditions relating to the Jamaican belief in "Obeah" are specific, culturally-interpreted phenomena that psychiatric nurses may encounter among Jamaican patients. This paper describes the phenomenon of Obeah and its influences on the worldview of life, health, illness; psychiatric conditions in the form of culture-bound syndromes; and help-seeking behaviors throughout Jamaican cultural communities...
April 2015: Archives of Psychiatric Nursing
Kimberly D Helms, Laura Pruitt Walker
BACKGROUND: Nurse educators continually search for alternative methods of instruction that provide a meaningful experience while meeting clinical objectives. One approach incorporated the Quality Safety Education for Nurses (QSEN) competencies' evidence-based practice (EBP) into the clinical setting. METHOD: The Paint a Picture of Mental Illness assignment is a creative teaching approach in the Psychiatric Mental Health Nursing course. Students prepare a poster presentation using pictures, drawings, and illustrations demonstrating the mental, emotional, physical, financial, and spiritual impact of the mental illness...
April 2015: Journal of Nursing Education
E Brown, R Gray
Although people with schizophrenia require medication to manage symptoms such as hearing voices, most do not take it as prescribed (they are non-adherent). We talked to psychiatrists, nurses and pharmacists about how they work with patients to help them be better at sticking with their medication. Although the professionals that we talked to recognized that treatment adherence was a major issue in their clinical work, they did not make best use of evidence-based interventions to address the problem. Often their practice was based on what they believed would work (e...
April 2015: Journal of Psychiatric and Mental Health Nursing
E Cheah, S Rajaram, H C Chua, H L Ng, H M Tim, S Cinnappan, S T Lim
INTRODUCTION: Cognitive impairment is no longer considered a normal and inevitable change of ageing. Although older adults are at a higher risk than the rest of the population, changes in cognitive function often call for prompt and aggressive function. In older patients cognitive functioning is especially likely to decline during illness or injury. The nurses' assessment of an older adult's cognitive status is instrumental in identifying early changes in physiological status, ability to learn and learning responses to treatment...
June 2011: BMJ Supportive & Palliative Care
Marc Broadbent, Lorna Moxham, Trudy Dwyer
BACKGROUND: The practice environment of the emergency department (ED) refers to both the people and physical factors (architecture) in the environment in which health care is provided. ED triage practice environments are the very places where caring or the delivery of health care often begins. This paper examines the implications of the emergency department triage practice environment on the triage practice of nurses who triage clients with a mental illness. METHODS: An observational ethnographic approach inclusive of participant observation, formal and informal semi structured interviews, examination of documents and the collation of field notes were the means of data collection...
February 2014: Australasian Emergency Nursing Journal: AENJ
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