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Best practice nursing mental illness

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
Donna Marynowski-Traczyk, Lorna Moxham, Marc Broadbent
The Emergency Department has increasingly become the initial point of contact for mental health crisis assessment and intervention, and is the interface between community and inpatient care. Questions regarding the appropriateness of the Emergency Department in providing a suitable environment for people who have a mental health issue abound with commentary regarding the confidence and competence of general Registered Nurses to provide mental health care. Emergency Departments are busy noisy places where rapid assessments and response is the norm and is counterintuitive to contemporary mental health care...
August 2013: Australasian Emergency Nursing Journal: AENJ
Richard Griffith
The law has long recognised that providing continued life-sustaining treatment to very sick and critically ill patients may be futile. The courts have consistently rejected an absolutist approach to care and treatment that requires doctors and nurses to continue with futile treatment right up to the point of death. If it is no longer in the best interests of the patient to receive treatment, then even life-sustaining treatment may be lawfully withdrawn. It is essential that nurses know when care and treatment becomes futile to ensure they are acting lawfully if a decision is taken to withdraw that care and treatment...
May 23, 2013: British Journal of Nursing: BJN
A B Irvine, M B Billow, E McMahon, M G Eberhage, J R Seeley, M Bourgeois
Internet training courses for nurse aides (NAs) in long-term care facilities (LTCs) have been shown to be effective. Little is known, however, about Internet training effects on NAs in a non-research context, or about continued utilization of an available training programme. In this research, a replication study was conducted with the Internet training programme Caring Skills: Working with Mental Illness. Three LTCs provided the training to all NAs, each within a 1-month interval scheduled during consecutive months...
December 2013: Journal of Psychiatric and Mental Health Nursing
Carla Stanke, Virginia Murray, Richard AmlĂ´t, Jo Nurse, Richard Williams
Introduction While most people who are involved in disasters recover with the support of their families, friends and colleagues, the effects on some people's health, relationships and welfare can be extensive and sustained. Flooding can pose substantial social and mental health problems that may continue over extended periods of time. Flooding can challenge the psychosocial resilience of the hardiest of people who are affected. Methods The Health Protection Agency (HPA) undertook a review of the literature published from 2004 to 2010...
2012: PLoS Currents
Sally Hardy, Ben Thomas
Insufficient priority is being given to meet the physical health-care needs of people with mental illness. Mental health nurses, as the largest professional group working in mental health care, have a pivotal role in improving the physical health and well-being of people with mental illness. Through health-promotion strategies, alongside recovery-focused support aimed at avoiding deteriorating physical health, mental health nurses can significantly contribute to improving the current rate of premature death experienced by people with enduring mental illness...
June 2012: International Journal of Mental Health Nursing
Tim Bradshaw, Rebecca Pedley
Life expectancy in members of the general population has steadily improved in most countries since 1960. However, during the same period, the life expectancy of people with serious mental illness (SMI) has actually reduced. The majority of premature deaths result from natural causes, such as coronary heart disease. Obesity, a key risk factor for heart disease in this client group, might be caused both by unhealthy lifestyle behaviours and the side-effects of antipsychotic medication. Mental health nurses (MHN) nurses have an important role to play in improving the physical health of people with SMI...
June 2012: International Journal of Mental Health Nursing
Siobhan Tranter, Fiona Irvine, Eve Collins
AIMS AND OBJECTIVES: The aim of this paper is to report an integrative review of the literature that focused on innovations aimed at enhancing the physical health of people with serious mental illness. BACKGROUND: Despite the abundance of literature that highlights the relationship between serious mental illness and physical ill health, the provision of physical health care for the seriously mental ill remains a challenge. Many different strategies have been developed, which endeavour to address the poor physical health of people with serious mental illness...
May 2012: Journal of Clinical Nursing
Jill V Radtke, Judith A Tate, Mary Beth Happ
OBJECTIVE: To describe the experience and perceptions of nurse study participants regarding a communication intervention (training and communication tools) for use with nonspeaking, critically ill patients. RESEARCH METHODOLOGY/DESIGN: Small focus groups and an individual interview were conducted with six critical care nurses. Transcripts were analysed using qualitative content analysis and constant comparison. SETTING: Two ICUs within a large, metropolitan medical centre in western Pennsylvania, United States of America...
February 2012: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
Chris Taua, Julie Hepworth, Christine Neville
This article examines literature on the role of the nurse caring for people with a dual disability (DD) of intellectual disability and mental illness. A search of the literature between 2000 and 2010 resulted in a total of 21 articles that met the inclusion criteria. Seven key categories of the role of the nurse were identified: (i) advocacy/health promotion (including working with family); (ii) assessment/case management; (iii) behavioural interventions; (iv) communication; (v) leadership and the nurse's role within the multidisciplinary team; (vi) functions regarding medication administration; and (vii) safety/risk management...
April 2012: International Journal of Mental Health Nursing
Holly Harner, Ann W Burgess
Available health and social services in women's correctional facilities often do not consider the interrelationship of gender, trauma, and mental illness. As a result, preexisting health issues are often exacerbated, leaving women to reenter their communities with more complex health needs. We propose that a trauma-informed framework can be used to guide clinical interactions with female inmates. A case study is presented as an example of proposed best clinical practice. Future trauma-related practice implications are provided...
July 2011: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
Barbara K Buxton
Quality care for clients with mental illness begins in the classroom. This article describes an effective use of drama with undergraduate nursing students. Because of nursing students' fear and anxiety related to the psychiatric-mental health clinical experience, dramatic presentations are used as a way to expose students to a "real-life" client in a controlled setting. A student volunteer portraying a nurse and the faculty person portraying an individual with a mental illness interact without a written script in front of the class...
May 2011: Journal of Psychosocial Nursing and Mental Health Services
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