ORCID Profile
0000-0002-7293-6583
Current Organisation
Southern Cross University
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Research Topics
In Research Link Australia (RLA), "Research Topics" refer to ANZSRC FOR and SEO codes. These topics are either sourced from ANZSRC FOR and SEO codes listed in researchers' related grants or generated by a large language model (LLM) based on their publications.
Top 5 Research Topics
ANZSRC Field of Research (FoR)
Nursing | Mental Health Nursing | Assessment And Evaluation | Aged Care Nursing | Health Promotion | Public Health And Health Services Not Elsewhere Classified
ANZSRC Socio-Economic Objective (SEO)
Mental health | Nursing | Health related to specific ethnic groups | Social structure and health | Rural health |
Related Links
Publications
Developing more positive attitudes towards mental health nursing in undergraduate students: Part 2-the impact of theory and clinical experience
Publisher: Wiley
Date: 29-07-2008
DOI: 10.1111/J.1365-2850.2007.01233.X
Abstract: Previous research examining the impact of education on nursing students' attitudes towards mental health nursing as a career has highlighted clinical experience as the primary influencing factor and generally has not considered the impact of theory. The current study compared a cohort of second-year and a cohort of third-year nursing students from the same university. Second-year students had received more theory and clinical experience than their counterparts. Questionnaires were distributed to the total population of students before commencement of, and after completion of clinical placement. This paper examines students' perceived preparedness for and satisfaction with clinical experience, attitudes towards people with mental illness, and attitudes towards mental health nursing as a career option following the completion of differing amounts of theory and clinical experience. The results demonstrate some statistically significant differences with increased amounts of theory and clinical experience in the second-year cohort being positively influential. The findings suggest that an increased component of theoretical and clinical experience in psychiatric/mental health nursing is likely to produce more positive attitudes towards people with mental illness and psychiatric/mental health nursing. However, little difference in perceived preparedness for and satisfaction with clinical experience was noted between the two cohorts.
Exploring Patterns of Seclusion Use in Australian Mental Health Services
Publisher: Elsevier BV
Date: 10-2011
DOI: 10.1016/J.APNU.2011.04.001
Abstract: Seclusion has remained a common practice in mental health services. In Australia, recent mental health policy has reflected a desire to reduce (and, if possible, eliminate) the use of seclusion. The collection and analysis of data on the use of seclusion have been identified as an important component of the success of reduction initiatives. A cross-sectional design was used in the collection of inpatient unit data on seclusions that occurred in 11 mental health services in Australia over a 6-month period. During this time, there were 4,337 episodes of care. One or more seclusions occurred in 6.8% of episodes of care, with consumers being secluded, on average, 2.32 times and with 44% of them having been secluded more than once. The average length of the seclusions was 2 hours 52 minutes, with 51.4% of seclusions being less than 2 hours. These rates were lower than those reported in previous research studies. The practice of seclusion occurred more commonly on the first 2 days following admission, on weekdays than weekends, and between the hours of 9:00 a.m. and midnight. An understanding of seclusion data can provide fundamental information from which strategies to reduce seclusion can be developed.
The views of heads of schools of nursing about mental health nursing content in undergraduate programs
Publisher: Informa UK Limited
Date: 25-04-2014
DOI: 10.3109/01612840.2013.863413
Abstract: Criticisms about the mental health nursing content of Bachelor of Nursing programs have been common since the introduction of comprehensive nursing education in Australia. Most criticism has come from the mental health nursing sector and the views of key stakeholders have not been systematically reported. Heads of Schools of Nursing have considerable influence over the content of nursing programs, and their perspectives must be part of ongoing discussions about the educational preparation of nurses. This article reports the findings of a qualitative exploratory study, involving in-depth interviews with Heads of Schools of Nursing from Queensland, Australia. Thematic data analysis revealed two main themes: Realising the Goal? and Influencing Factors. Overall, participants did not believe current programs were preparing graduates for beginning level practice in mental health settings. In particular, participants believed that the quality of mental health content was influenced by the overcrowded curriculum, the availability of quality clinical placements, the strength of the mental health team, and the degree of consumer focus. The findings suggest the current model of nursing education in Australia does not provide an adequate foundation for mental health nursing practice and alternative approaches should be pursued as a matter of urgency.
Recognising our role: Improved confidence of general nurses providing care to young people with a mental illness in a rural paediatric unit
Publisher: Wiley
Date: 08-04-2010
DOI: 10.1111/J.1365-2702.2009.02993.X
Abstract: Objective. To implement and evaluate strategies suggested by general nurses to improve management of children and adolescents with mental health problems admitted to a paediatric unit of a general hospital. Background. The first phase of a study using a Participatory Action Research approach identified several concerns associated with general nurses providing care to young people with mental disorders in paediatric units of general hospitals, together with suggestions for strategies to address these issues. This paper describes the second and third phase of the Participatory Action Research study, involving the implementation and evaluation of these strategies. Design. Participatory Action Research. Methods. Actions that occurred during phase two of the Participatory Action Research study included revision and introduction of policies and procedures for mental health care in the unit, education and training sessions for paediatric nursing staff and opportunities to strengthen communication between existing mental health services. In phase three, two focus groups were conducted to explore current perceptions of mental health care delivery in the unit and evaluate change, following phase two. Results. Changes in clinical practice for paediatric mental health care were acknowledged by participants. Reflection has assisted nurses to better understand their strengths and weaknesses and to acknowledge and challenge the assumptions on which their ideas, feelings and actions about patients with mental health issues are based. Participants also recognised the existing skills and expertise they possess that are relevant to the management of young people with a mental health problem, although they continue to seek ongoing education and support in this field. Conclusions. This study demonstrates that through Participatory Action Research it is possible to enhance mental health nursing care in a rural paediatric unit. Relevance to clinical practice. Such changes have the potential to improve the experience of young people and their families whilst receiving treatment for mental health conditions in a general paediatric unit.
Implementing clinical supervision: Part 1: Laying the ground work
Publisher: Wiley
Date: 16-01-2008
DOI: 10.1111/J.1447-0349.2007.00511.X
Abstract: Australia, like other countries, is experiencing a crisis in the recruitment and retention of nurses. Clinical supervision has been suggested as a potential strategy to enhance retention. However, there is a paucity of literature regarding the successful implementation of clinical supervision. The aim of this study is to explore and evaluate ways of implementing clinical supervision as undertaken in a rural health-care organization in Victoria. Qualitative methodology was used including a documentation audit and in idual interviews with the staff responsible for implementation. The findings demonstrate that the successful implementation had occurred in five interrelated stages. This paper, one in a series of three, focuses on the preimplementation phase leading up to initial implementation. The main themes identified during these stages were: organizational culture, exploring the possibilities, leadership and education and training which will be examined. These issues were essential in laying the foundation for the systematic introduction of clinical supervision.
'It depends what you mean by leadership': An analysis of stakeholder perspectives on consumer leadership.
Publisher: Wiley
Date: 03-10-2019
DOI: 10.1111/INM.12542
Abstract: 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. Interview data were analysed using an inductive thematic analysis to develop a broad understanding of participants' perceptions of consumer leadership. Findings indicate constructions of consumer leadership within mental health organizations can be understood in relation to four themes: consumer leadership roles, requirements, purpose, and process. Inconsistencies across participants' perceptions of consumer leadership were identified as constituting barriers to its development, highlighting the need to better clarify the nature of consumer leadership.
Community mental health nurses, caseloads, and practices: A literature review
Publisher: Wiley
Date: 30-10-2011
DOI: 10.1111/J.1447-0349.2011.00777.X
Abstract: Deinstitutionalization, and more recently, earlier discharges from psychiatric inpatient units, have created and intensified the need for case management in community mental health. Nurses have been at the forefront of providing this case management. This literature review provides a synthesis of research and policy on the contribution of mental health nurses to community case management. The focus of this review is on the proportion of case management that mental health nurses undertake, the caseloads of case managers, and the interventions that mental health nurses most frequently perform in the community. The professional compositions of mental health case management workforces have been associated with economic imperatives, professional priorities, and the choice of case management models. The influence of mental health nurses in the case management workforce is particularly strong in the U.K. and Australia, but less so in the U.S.A. where social workers and people without mental health qualifications perform similar roles. Although heavy caseloads seem to be common among case managers, the research in this area is quite weak. The interventions that mental health nurses perform most often include case management (e.g., coordinating care), counselling, and medication management. Caring for the physical health of consumers might often be overlooked.
Response to Commentary by Russo, Beresford, and O'Hagan To Happell, Brenda, & Scholz, Brett (2018). Doing what we can, but knowing our place: Being an ally to promote consumer leadership in mental health. International Journal of Mental Health Nursing, 27(1), 440-447
Publisher: Wiley
Date: 03-10-2019
DOI: 10.1111/INM.12545
Throwing the baby out with the bathwater? A lateral view of nursing research: Editorial
Publisher: Wiley
Date: 04-2007
Understanding the Role of Allies in Systemic Consumer Empowerment: A Literature Review
Publisher: Informa UK Limited
Date: 11-02-2019
DOI: 10.1080/01612840.2018.1553004
Abstract: Contemporary mental health policies call for the inclusion of consumers in the development, implementation and evaluation of mental health services. Barriers to systemic consumer engagement have been related to unequal distributions of power. One of the goals of the consumer movement is to address imbalances of power, resources and knowledge. Empowerment through consumer leadership in the mental health sector has been identified as a fundamental goal of the consumer movement and has been considered the philosophical basis for alternative models of mental health care. However, currently such systemic empowerment is poorly understood, assuming erse and at times contradictory definitions within mental health literature. The role of allies as facilitators of systemic empowerment opportunities has been recognised and valued within numerous social movements. Currently, there is a lack of research in regards to the potential role of allies in the consumer movement and more specifically in systemic consumer empowerment. Future research should seek to more clearly define systemic consumer empowerment. Additionally, future research collaborations between consumer and ally perspectives should specifically investigate the role of allies in systemic consumer empowerment, to highlight potential opportunities and limitations.
Nursing home employment for nursing students: Valuable experience or a harsh deterrent?
Publisher: Wiley
Date: 09-2002
DOI: 10.1046/J.1365-2648.2002.02321.X
Abstract: The primary aim of the study was to examine the attitudes of undergraduate nursing students at the both the beginning and end of their nursing course. Throughout Australia there is increasing awareness of the ageing of the population and the widespread implications this will have for the future. The ramifications for the health system are expected to be wide and far-reaching. For the nursing profession the increase in the number of aged people will increase the demand for nurses to practice within the aged care area. This raises serious concerns in light of the negative attitudes that Registered Nurses and undergraduate nursing students hold towards working with older people. This paper reports the results of a longitudinal study of undergraduate nursing students at the start (n = 793) and at the end (n = 524) of their nursing education programme. The findings support the literature in demonstrating that working with older people is the least preferred area of practice for students, and that its popularity actually declines during the education process. One interesting finding from this research suggests that part-time employment of student nurses in nursing homes can further influence students' negative attitudes. If nursing students are to continue working in aged care, strategies to address the potential detrimental impact need to be identified and developed as a matter of urgency.
Facilitating consumer participation: An approach to finding the 'right' consumer
Publisher: Elsevier BV
Date: 09-2010
DOI: 10.1016/J.COLEGN.2010.03.001
Abstract: Contemporary health care increasingly dictates that consumers of services should become active participants in the health care system. This has placed responsibility on administrators, managers and clinicians to include consumers in key strategic and decision making initiatives. However, this direction has not been accompanied by clear policies or guidelines. Consequently confusion about selecting consumers able to provide valuable input is identified as a barrier to active consumer involvement. The purpose of this paper is to address some concerns raised in the quest to find the "right" consumer, including: finding a consumer without an axe to grind ensuring the consumer is representative of broader views health professionals as consumer representatives. While these concerns are common they have not yet been extensively debated and discussed in the broader Literature. Strategies necessary to support consumers in participatory roles are also considered and the controversial subject of financial remuneration for consumers is also explored.
Review and analysis of the Mental Health Nurse Incentive Program
Publisher: CSIRO Publishing
Date: 2017
DOI: 10.1071/AH17017
Abstract: Objective The aim of the present study was to review and synthesise research on the Mental Health Nurse Incentive Program (MHNIP) to ascertain the benefits and limitations of this initiative for people with mental illness, general practitioners, mental health nurses and the wider community. Methods An electronic and manual search was made of the research literature for MHNIP in May 2017. Features of studies, including cohorts and findings, were tabulated and cross-study patterns in program processes and outcomes were closely compared. Results Seventeen reports of primary research data have been released. Triangulation of data from different cohorts, regions and design show that the program has been successful on the primary objectives of increased access to primary mental health care, and has received positive feedback from all major stakeholders. Although the program has been broadly beneficial to consumer health, there are inequities in access for people with mental illness. Conclusions The MHNIP greatly benefits the health of people with mental illness. Larger and more representative s ling of consumers is needed, as well as intensive case studies to provide a more comprehensive and effective understanding of the benefits and limitations of the program as it evolves with the establishment of primary health networks. What is known about the topic? The MHNIP is designed to increase access to mental health care in primary care settings such as general practice clinics. Studies have reported favourable views about the program. However, research is limited and further investigation is required to demonstrate the strengths and limitations of the program. What does this paper add? All studies reviewed reported that the MHNIP had positive implications for people with severe and persistent mental illness. Qualitative research has been most prevalent for mental health nurse views and research on Health of the Nation Outcome Scale scores for recipients of the program. There is more research on system dimensions than on person-centred care. Mental health consumers, carers and families have been neglected in the establishment, engagement and evaluation of the MHNIP. What are the implications for practitioners? A more systematic, national-level research program into the MHNIP is required that is centred more on the experiences of people with mental illness.
Guided by priority: How clinicians manage access to opioid replacement therapy
Publisher: Informa UK Limited
Date: 23-05-2014
DOI: 10.3109/01612840.2013.873102
Abstract: Access to opioid replacement therapy is a problem in some parts of Australia and it is not known how clinicians respond to this situation. The aim of this study is to develop a conceptual understanding of how clinicians apply clinical judgements in managing access to treatment. Grounded theory methodology was used to guide this study. Thirty-five clinicians were interviewed. The substantive theory presented to explain the process is Guided by Priority. By presenting this understanding of practice, clinicians can reflect on their actions related to the task and determine if they are beneficial or detrimental to consumers, which may influence their future practice.
It's the anxiety: Facilitators and inhibitors to nursing students' career interests in mental health nursing
Publisher: Informa UK Limited
Date: 18-12-2014
DOI: 10.3109/01612840.2013.837123
Abstract: Increasing the rate of recruitment of nursing students into mental health nursing (MHN) is vital to long-term sustainability of health care system support for people diagnosed with mental illness. However MHN is not a popular career path this raises questions about what attitudes and beliefs may ert or attract students to this specialisation. The current research involved a survey of undergraduate nursing students at a regional university in Australia to clarify the nature of relationships between attitudes (e.g., the value of mental health nursing, stereotypes of people with mental illness) and how they may be antecedents to considering MHN as a career path. Through a structural equation model, it was ascertained that anxiety surrounding mental illness leads to less interest in MHN as a future career and suggests that anxiety is (a) partly due to negative stereotypes, and (b) countered by preparedness for a MHN role. Beliefs on how MHN can make a valuable contribution to people's well-being did not affect interest in pursuing MHN. These findings reconfirm the need to reduce anxiety about mental illness by educational approaches that effectively prepare students for MHN, combined with challenging negative stereotypes.
Challenges and controversy in mental health nursing
Publisher: Wiley
Date: 06-2006
We can't find the solution until we know the problem: Understanding the mental health nursing labour force
Publisher: SAGE Publications
Date: 04-2007
DOI: 10.1080/10398560601148341
Abstract: Objective: Difficulties recruiting and retaining adequate numbers of mental health nurses have been extensively documented in the Australian literature. The continued increase in the average age of practicing mental health nurses has intensified concerns that a workforce crisis is rapidly approaching. Despite the urgency of this situation, there has been no comprehensive, co-ordinated collection of labour force data. The aim of this paper is to synthesise and present labour force data gathered from various official sources to more clearly identify and articulate the nature and extent of the problem. Method: Relevant labour force data was obtained from reports produced by the Australian Institute of Health and Welfare and the Victorian Department of Human Services. Information was collated, synthesised and, in some cases, re-analysed to provide a clearer picture of the current national and Victorian mental health nursing labour force, as well as requirement and supply projections. Results: Findings are consistent with conclusions in the available literature but suggest that the magnitude of the problem is likely to be greater than previously anticipated. Conclusions: The systematic and coordinated collection of mental health nursing labour force data is crucial in order that appropriate interventions can be implemented and evaluated.
Clinical experience in mental health nursing: Determining satisfaction and the influential factors
Publisher: Elsevier BV
Date: 10-2008
DOI: 10.1016/J.NEDT.2008.01.003
Abstract: Clinical exposure to the mental health environment has been identified as a major factor in promoting a more favourable attitude towards mental health nursing. However, little attention has been devoted to measuring specific aspects of the clinical placement experience. This paper presents the findings of a survey of 703 undergraduate nursing students designed to measure satisfaction and identify factors influencing satisfaction (length and type of placement, time spent with a preceptor). A questionnaire was administered to undergraduate nursing students in Victoria, Australia, at the conclusion of their clinical experience in mental health. The findings demonstrate a high level of satisfaction, particularly in feeling welcomed, well oriented and supported, and opportunities for patient care. Students' views were influenced by the duration and type of placement and time spent with a preceptor. These findings provide valuable information about characteristics of a positive clinical experience that should be considered in structuring clinical placements in the mental health field.
Who cares for whom? Re-examining the nurse - Patient relationship
Publisher: Wiley
Date: 27-10-2008
A call to action
Publisher: CSIRO Publishing
Date: 2015
DOI: 10.1071/PY14054
Abstract: Mental illness affects the lives of a significant number of Australians. In addition to pharmacological and psychological interventions, exercise has demonstrated benefits for people with mental illness including symptom reduction, improved cardiovascular risk profile and improved physical capacity. Unfortunately, evidence shows that clinician-delivered exercise advice is not routinely offered. This is despite patient acceptability for exercise. This article summarises the recent evidence supporting the prescription of exercise for people with mental illness and offers a model incorporating basic exercise prescription, and referral pathways for specialised advice. Current exercise prescription patterns for people with mental illness may not meet patient expectations therefore, clinicians should consider exercise referral schemes to increase the accessibility of interventions for people with a mental illness.
Promoting genuine consumer participation in mental health education: A consumer academic role
Publisher: Elsevier BV
Date: 08-2009
DOI: 10.1016/J.NEDT.2008.01.004
Abstract: Mental health policy reform in Australia has led to the expectation of increased consumer participation not only in all aspects of service delivery, but also in the education and training of mental health professionals. The aim of this paper is to explore the development and introduction of a role for a consumer of mental health services within an academic institution, including achievements of the role and the principles contributing to successful implementation. The consumer academic position was successfully implemented and has proved a valuable role. The success of the role was considered to be dependent on the following factors: partnership and commitment, support, scope and autonomy. In conclusion, a consumer can play a valuable role within an academic institution. However, success will depend upon a number of important environmental factors that promote the independence of the consumer voice.
Student nurses' attitudes toward a career in community health
Publisher: Springer Science and Business Media LLC
Date: 1998
Abstract: Changes in the practice of health care delivery to include a greater focus on community-based care is becoming an issue of increasing importance throughout the Western World. In Australia, factors such as a reduction in the average patient stay within acute care hospitals and the allocation of additional funds to community resources presents evidence of this change in focus. Nurses, who form the largest professional group involved with health care delivery, must by necessity become an important part of such change. A significantly larger number of nurses will be required to work in the community in the future. Despite this trend, there is a paucity of research examining the attitudes of student nurses towards a possible career in the area of community health. In order to address this deficit, a longitudinal study examining the career preferences of undergraduate nursing students is being conducted. The study s le comprises undergraduate nursing students from 9 universities in the State of Victoria. The results of stage 1 of this research are presented in this paper. The findings indicate that at the commencement of their educational program, undergraduate student nurses do not have a strong understanding of or interest in the area of community health nursing. A preference for employment within a hospital environment, particularly in the highly technical areas, and in the care of mothers and babies, is evident. The implication of these findings for the future of community health nursing is briefly discussed.
Promoting the Value of Mental Health Nursing: The Contribution of a Consumer Academic
Publisher: Informa UK Limited
Date: 02-2019
DOI: 10.1080/01612840.2018.1490834
Abstract: Mental illness is known to occur frequently in the general population and is more common within the general health care system. High-quality health care requires nurses to have the skills, knowledge and attitudes to provide care for people experiencing mental illness or mental distress. Research suggests health professionals, including nurses, tend to share similar negative attitudes to mental illness as the general population, and consequently, mental health nursing is not a popular career path. These two factors signify a need to influence more positive attitudes toward mental illness and mental health nursing among nursing students. A qualitative exploratory research study was undertaken to examine the experiences, opinions and attitudes of an academic and research team to the introduction of a consumer academic within an undergraduate mental health nursing subject. In-depth interviews were conducted with teaching and research team members. The importance of mental health skills emerged as a major theme and included sub-themes: mental health across the health care system contribution of consumer academic to nursing skills addressing fear and stigma, and inspiring passion in mental health nursing. Findings suggest academic input from people with lived experience of recovery from mental illness can influence the development of mental health nursing skills and enhance the popularity of mental health nursing as a career.
“Not an afterthought”: Power imbalances in systemic partnerships between health service providers and consumers in a hospital setting
Publisher: Elsevier BV
Date: 08-2018
DOI: 10.1016/J.HEALTHPOL.2018.06.007
Abstract: Contemporary health policies require consumers be involved at all stages of health service planning, implementation, delivery, and evaluation. The extent to which this policy is met, however, varies widely across the sector. One barrier to meeting policy requirements is power imbalances within systemic partnerships between consumers and other health professionals. Between September 2016 and February 2017, interviews were conducted with health care managers, clinicians, and consumers working on partnerships across various health service departments in one hospital. An exploratory, qualitative approach was used. Data were analysed using principles of discursive psychology, which focuses on the way power is constructed through participants' accounts of partnerships. The findings suggest providers have significant power over consumers in partnerships at the systematic level of health services. Managers were responsible for setting the parameters for partnerships, and consumers were seen more as a resource to be used by health services rather than as equal partners to work with. The findings suggest that although contemporary health policies require partnership with consumers, better guidelines are needed to specifically address and challenge power imbalances within these partnerships.
The language of risk: Common understanding or diverse perspectives?
Publisher: Informa UK Limited
Date: 25-06-2014
DOI: 10.3109/01612840.2014.880139
Abstract: Risk as a concept now takes high priority in contemporary mental health services, with increasing pressure on mental health services to develop risk assessment and management practices. This focus on risk has been criticised for its over-reliance on measurement and management at the expense of therapeutic care and is perpetuated by the language of risk which reinforces power differentials and limits capacity for consumers and carers to influence discussions and debates. Furthermore, to date, most work in this area reflects adult settings with limited consideration of the unique needs of older people and the impact of risk assessment on the care they receive. A qualitative, exploratory approach was undertaken using in idual interviews and focus groups to enhance understanding of how risk is conceptualised within an older persons' setting. Managers, clinicians, consumers, and carers from a large metropolitan service participated (n = 57). The language of risk was a major theme emerging from this work. This language, so familiar to providers of services, was not familiar to consumers and carers. A reframing of risk is necessary to reflect consumers' and carers' experiences and understandings. This approach will be essential in promoting consumer and carer participation within recovery-based services, reflecting significant goals of government policy.
A better way to do this? Views of mental health nursing directors about preparation for mental health nursing practice
Publisher: CSIRO Publishing
Date: 2015
DOI: 10.1071/AH14099
Abstract: Objective Nursing directors in mental health services hold important leadership positions that include responsibility for the nursing workforce. The comprehensive or generalist approach to undergraduate nursing education consistently poses significant recruitment problems. Specialisation in mental health within Bachelor of Nursing programs has been suggested as a potential solution. This paper presents the views and opinions of mental health nursing directors regarding undergraduate specialisation. Methods A qualitative exploratory study was undertaken. Thirteen nursing directors from Queensland Mental Health Services participated in an in-depth telephone interview. The data were analysed thematically. Results Nursing directors were very supportive of specialisation in mental health at the undergraduate level. Thematic analysis revealed four main themes: perceived advantages of the specialist stream knowledge and experience increased recruitment and commitment. Conclusions Nursing directors are important stakeholders in educational preparation for practice in mental health settings. The research participants described many potential benefits to undergraduate specialisation. Their voice provides an important contribution to this issue. What is known about the topic? The current model of nurse education in Australia aims to prepare graduates for practice in a broad range of healthcare settings with specialisation occurring at the postgraduate level. Mental health nursing is identified as one of the least popular career options for nursing graduates, and mental health services struggle to recruit sufficient graduates for their nursing workforce this is attributed, at least in part, to the current model of education. What does this paper add? This paper gives voice to the perspectives of nursing directors from the mental health service delivery sector about the educational preparation for nursing practice in mental health. Nursing directors support the introduction of specialist preparation in mental health nursing at the undergraduate level. A more skilled and committed workforce is seen as contributing to addressing current recruitment problems. What are the implications for practitioners? The educational preparation for nursing graduates for mental health practice impacts significantly on nursing leaders, and their perspective is essential in addressing the debate. Mental health nursing directors need to be formally recognised as key stakeholders in the preparation of nursing graduates.
Applying the World Health Organization Mental Health Action Plan to evaluate policy on addressing co-occurrence of physical and mental illnesses in Australia
Publisher: CSIRO Publishing
Date: 2015
DOI: 10.1071/AH14098
Abstract: Objectives The aim of the present study was to document Australian policies on the physical health of people with mental illness and evaluate the capacity of policy to support health needs. Methods A search of state and federal policies on mental and physical illness was conducted, as well as detailed analysis of policy content and the relationships between policies, by applying the World Health Organization Mental Health Action Plan 2013–2020 as an evaluative framework. Results National policy attention to the physical health of people with mental illness has grown, but there is little interconnection at the national and state levels. State policies across the country are inconsistent, and there is little evidence of consistent policy implementation. Conclusions A coherent national health policy framework on addressing co-occurring physical and mental illnesses that includes healthcare system reforms and ensuring the interconnectedness of other relevant services should be prioritised. What is known about the topic? People with mental illness have a lower life expectancy and poorer physical health than people who do not have a mental illness. Government policy is critical to reducing inequalities in physical health and increasing longevity. What does this paper add? Evaluating policy developments against the World Health Organization’s Mental Health Action Plan 2013–2020, this review identified a lack of cohesive national-level policy on how to improve the physical health of people with mental illness. Although there are some state-based policies regarding strategies for better prevention and management of the physical health of people with mental illness, evidence of policy implementation is either scarce or inconsistent. The capacity of current policy to translate into reforms that increase the physical and overall health of people suffering mental health difficulties seems very limited. What are the implications for practitioners? This paper outlines major policy gaps and an overall need for a national-level policy. National-level leadership on integrated health care is required, with monitoring to ensure health care reforms are genuinely informed by consumer and clinician views and are effective.
Polarisation and political correctness: Subtle barriers to consumer participation in mental health services
Publisher: Informa UK Limited
Date: 2008
DOI: 10.5172/JAMH.7.3.150
Implementation of clinical supervision in action: Part 2: Implementation and beyond
Publisher: Wiley
Date: 16-01-2008
DOI: 10.1111/J.1447-0349.2007.00512.X
Abstract: This paper presents the second part of the findings of an Australian study examining the implementation of clinical supervision in a rural mental health service. A qualitative, exploratory approach was adopted, which included the auditing of relevant documentation and interviews with the nurses who oversaw the implementation process. Within this organization, implementation happened through five stages. The first two stages (preimplementation) were described in Part 1 of this paper. Part 2 describes stages 3-5, including: the strategic plan implementing the strategic plan and reflecting on the past and moving forward. The implementation model developed as a result of this research is presented in Part 3. The main findings from these stages included: the role of the implementation committee the need for a strategic approach the necessity of education and training the ongoing importance of assessing organizational culture and considering the sustainability of clinical supervision.
Physical health nurse consultant role to improve physical health in mental health services: A carer's perspective
Publisher: Wiley
Date: 14-02-2016
DOI: 10.1111/INM.12208
Abstract: The physical health of people diagnosed with a mental illness is significantly poorer in comparison with the general population. Awareness of this health disparity is increasing however, strategies to address the problem are limited. Carers play an important role in the physical health care of people with mental illness, particularly in facilitating navigation of and advocating in the health care system. A specialist physical health nurse consultant position has been suggested as a way to address the physical health care disparity and limited research available suggests that positive outcomes are possible. In the present study, a qualitative exploratory research project was undertaken, involving in-depth interviews with people identifying as mental health carers. Two focus groups and one in idual interview were conducted involving a total of 13 carers. The resulting data were analyzed thematically. Views and opinions about the proposed physical health nurse consultant (PHNC) position were sought during these interviews and are reported in this paper. Two main sub-themes were evident relating to characteristics of this role: reliability and consistency and communication and support. Essentially carers expressed a need for support for themselves and consumers in addressing physical health concerns. Successful implementation of this position would require a consistent and reliable approach. Carers are significant stakeholders in the physical health of consumers of mental health services and their active involvement in identifying and tailoring services, including development of the physical health nurse consultant must be seen as a priority.
The nurse bombarded, consumed and vulnerable: An interpretative phenomenological analysis of mental health nurses' self‐care at work
Publisher: Wiley
Date: 03-08-2023
DOI: 10.1111/JPM.12956
Abstract: Self‐care is essential for nurses' wellbeing, with stress posing a major barrier. Research into self‐care is often absorbed into studies of burnout or resilience. Understanding lived experiences of influences on nurses' self‐care practices is essential. There is currently a paucity of literature on this topic. To explore mental health nurses' views about what influences their ability to self‐care in relation to workplace stress and the impact on their practice and work environment. An Interpretative Phenomenological Analysis approach was utilized. In‐depth interviews explored how nurses perceived the influence of environment and relationships on self‐care practices in the workplace. Participants' perceptions and experiences are embodied by the theme: the nurse bombarded , comprising two subordinate themes—the nurse consumed by the intensity of work and therapeutic relationships and feeling vulnerable from colleague relationships and feeling undervalued. Participants described conflict between workload demands and expectations and the desire to provide optimal care. Stressful working environments pose major barriers to effective self‐care. Feeling bombarded and vulnerable, impacts nurses' lives personally and professionally. Mental health nurses' self‐care is crucial for quality practice. Strategies to address relational, personal and environmental barriers to self‐care are therefore necessary.
Quality of Life Outcomes in Community-based Mental Health Consumers: Comparisons with Population Norms and Changes over Time
Publisher: Informa UK Limited
Date: 03-03-2016
DOI: 10.3109/01612840.2015.1119223
Abstract: Quality of life is shown to be lower in people diagnosed with mental illness in comparison to the general population. The aim of this study is to examine the Quality of life in a subset of people accessing mental health services in a regional Queensland Centre. Thirty-seven people accessing mental health services completed the SF36 Health Survey on three occasions. Differences and relationships between Physical Composite Scores and Mental Composite Scores, comparisons with Australian population norms, and temporal change in Quality of Life were examined. Physical Composite Scores were significantly different to, but significantly correlated with, Mental Composite Scores on each occasion. Physical Composite Scores and Mental Composite Scores were significantly different to population norms, and did not vary significantly across time. The poor Quality of life of people with mental illness remains a significant challenge for the mental health workforce.
‘We only come from one perspective’: Exploring experiences of allies supporting expert by experience leadership in mental health education
Publisher: Wiley
Date: 18-07-2023
DOI: 10.1111/JPM.12955
Abstract: Academics from health professional backgrounds have a crucial role in supporting the implementation and sustainability of academic positions for experts by experience in mental health education. Perspectives and experiences of these academics have yet to be extensively explored. A deeper understanding will add to our understanding of this important role and provide guidance for academics with similar aspirations. The aim of the study was to explore the experiences of supporting academic positions for experts by experience in mental health education. A qualitative exploratory design was utilised. In‐depth interviews were conducted with academics who have actively supported academic positions for experts by experience. Allyship was a key theme identified. Participants described allyship as complex, time‐consuming and rewarding, through three sub‐themes: the tension of allyship, the impact of being an ally and interpersonal and relational issues with health professional academics. Allyship was influenced by the negative attitudes of many health professional academics, who do not appreciate the value of this work. Allyship has a crucial role in enhancing experts by experience leadership in the education of health professionals. Understanding the experience of allyship will assist in further understanding and developing these important roles.
Should we or shouldn't we? Mental health nurses' views on physical health care of mental health consumers
Publisher: Wiley
Date: 26-04-2012
DOI: 10.1111/J.1447-0349.2011.00799.X
Abstract: People diagnosed with a mental illness experience poorer physical health than the general population. Nurses have been identified for their potential role in addressing physical health needs of consumers of mental health services. This paper reports on preliminary findings of a qualitative study on health-care services for physical and mental health in a regional area in Australia. A key purpose of the study was to explore the perceptions of nurses working in mental health settings of their physical care with consumers. A qualitative, exploratory approach was undertaken. Semi-structured focus groups were conducted with 38 nurses from one mental health service. Nurse participants described a common co-occurrence of physical problems and mental illness and expressed the importance of health-care services to treatment and prevention. Participants expressed ergent views on nurses' capacity to contribute to better health-care processes.
Screening for Metabolic Syndrome in Mental Health Consumers Using an Electronic Metabolic Monitoring Form
Publisher: Informa UK Limited
Date: 10-03-2016
DOI: 10.3109/01612840.2015.1119221
Abstract: Metabolic syndrome is more prevalent in people with serious mental illness, compared to the general population. The main purpose of this study was to determine the extent electronic metabolic monitoring forms were being completed in a regional mental health service and the extent to which diagnoses of metabolic syndrome could be made using the data available. A retrospective file audit of 721 electronic mental health consumer records was undertaken. Metabolic monitoring data were recorded for 261 (36%) consumers, of which 57 (21.8%) met the clinical criteria for metabolic syndrome, 61 (23.4%) did not meet clinical criteria, and diagnoses could not be made for 143 (54.8%) consumers due to missing data. The limited use of electronic health records may inhibit the detection of risk factors for the diagnosis of metabolic syndrome.
Creating or taking opportunity: Strategies for implementing expert by experience positions in mental health academia
Publisher: Wiley
Date: 15-05-2022
DOI: 10.1111/JPM.12839
Abstract: Experts by experience involvement in the education of health professionals demonstrate positive attitudinal change. Meaningful positions for Experts by Experience are limited and ad hoc, due to attitudinal and other barriers to innovation within the higher education sector. Experiences of allies who have supported the implementation of Expert by Experience positions have not been researched. This is important knowledge that could be utilized by potential allies. Academic allies to experts by experience have a crucial role to play in identifying opportunities to establish, implement and sustain expert by experience positions. Allies who have successfully implemented positions for experts by experience have identified influential factors including: right person, right role, collaboration and coproduction, support, and career pathways. Understanding these factors can provide an important basis for other academics to support a widespread increase in academic roles for experts by experience in mental health education. Establishing and maintaining genuine relationships with service users require significant attitudinal change on the part of mental health professionals. Involving experts by experience in mental health education provides an innovative approach to the challenging of attitudes and the enhancement of more collegial relationships with service users as colleagues in the workplace. This paper demonstrates the importance of allyship to the establishment, implementation and sustainability of expert by experience roles, and highlights critical factors allies have utilized in support of such roles. Nurses and other mental health professional academics have the potential to become allies and support change and innovation. Experts by experience in academia have demonstrated more positive student attitudes towards relationships with service users. Notwithstanding this supportive evidence, academic positions for EBE have not grown substantially. Enhanced understanding of positions that have been implemented is important knowledge for others with similar aspirations. To enrich understanding of the role of allies in identifying and pursuing opportunities to support academic positions for experts by experience. Qualitative exploratory approach, involving In‐depth interviews with allies with expertise in supporting academic positions for experts by experience. Participants were enthusiastic about creating or taking opportunities to secure expert by experience involvement within their programs. Factors facilitating success included right person, right role, collaboration and coproduction, support and career pathways. Significant barriers have prevented proliferation of academic roles for experts by experience. Despite barriers, allies have been successful in supporting the implementation and sustaining of positions, and gained considerable expertise, which may be invaluable to academics with similar aspirations. Realization of policy goals regarding service user involvement in mental health services requires health professionals with the will to embrace partnerships. By creating and taking opportunities, allies have developed expertise to facilitate implementation of positions more widely.
Screening physical health? Yes! But...: Nurses' views on physical health screening in mental health care
Publisher: Wiley
Date: 05-07-2013
DOI: 10.1111/J.1365-2702.2012.04325.X
Abstract: To explore nurses' views on the role of nurses in screening and monitoring for physical care of consumers with serious mental illness, at a regional mental health care service. People with serious mental illness experience heightened incidence of preventable and treatable physical illnesses such as cardiovascular disease and diabetes. Screening and monitoring are considered universal clinical safeguards. Nurses can potentially facilitate systematic screening, but their views on physical health care practices are rarely investigated. Qualitative exploratory study. Focus group interviews with 38 nurses of a regional mental health care service district of Australia. To facilitate discussion, participants were presented with a screening system, called the Health Improvement Profile (HIP), as an exemplar of screening of physical health risks by nurses. Inductive data analysis and theme development were guided by a thematic analysis framework. Nurses argued that treatable and preventable physical health problems were common. Four main themes were identified: screening - essential for good practice the policy-practice gap 'screening then what?' and, is HIP the answer? Screening and monitoring were considered crucial to proper diagnosis and treatment, however, were not performed systematically or consistently. Nurse readiness for an enhanced role in screening was shaped by: role and responsibility issues, legal liability concerns, funding and staff shortages. Participants were concerned that lack of follow up would limit effectiveness of these interventions. Screening was considered an important clinical step in effective diagnosis and treatment however, identified barriers need to be addressed to ensure screening is part of a systemic approach to improve physical health of consumers with serious mental illness. Nurses have potential to influence improvement in physical health outcomes for consumers of mental health services. Such potential can only be realised if a systematic approach to physical health care is taken.
Intentional Modelling: A Process for Clinical Leadership Development in Mental Health Nursing
Publisher: Informa UK Limited
Date: 22-04-2016
DOI: 10.3109/01612840.2016.1158336
Abstract: Clinical leadership is becoming more relevant for nurses, as the positive impact that it can have on the quality of care and outcomes for consumers is better understood and more clearly articulated in the literature. As clinical leadership continues to become more relevant, the need to gain an understanding of how clinical leaders in nursing develop will become increasingly important. While the attributes associated with effective clinical leadership are recognized in current literature there remains a paucity of research on how clinical leaders develop these attributes. This study utilized a grounded theory methodology to generate new insights into the experiences of peer identified clinical leaders in mental health nursing and the process of developing clinical leadership skills. Participants in this study were nurses working in a mental health setting who were identified as clinical leaders by their peers as opposed to identifying them by their role or organizational position. A process of intentional modeling emerged as the substantive theory identified in this study. Intentional modeling was described by participants in this study as a process that enabled them to purposefully identify models that assisted them in developing the characteristics of effective clinical leaders as well as allowing them to model these characteristics to others. Reflection on practice is an important contributor to intentional modelling. Intentional modelling could be developed as a framework for promoting knowledge and skill development in the area of clinical leadership.
The effect of acute exercise on affect and arousal in inpatient mental health consumers
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 09-2016
Comparison of mental health nurses' attitudes towards smoking and smoking behaviour
Publisher: Wiley
Date: 02-11-2009
DOI: 10.1111/J.1447-0349.2009.00628.X
Abstract: Smoking is widely recognized as an important public health issue for the general population and in the mental health field where the rates are particularly high. Mental health nurses are well positioned to take an active role in encouraging and supporting people diagnosed with mental illness to cease smoking. Information about smoking behaviour and the attitudes of mental health nurses is necessary to develop strategies to prepare nurses for this important role. A cross-sectional study was conducted to examine the smoking behaviour and attitudes of mental health nurses in Queensland, Australia, through a random selection of mental health nurses (n = 289). Smoking rates (16%) in this study were lower than those for the Australian population. Smokers were significantly (P < 0.001) less likely to agree that health-care facilities should promote a healthy environment. All participants, but predominantly those who smoked (P < 0.001), supported the in idual's right to smoke. Participants believed they possessed appropriate skills to deliver the antismoking message effectively, although stronger beliefs were characteristic of non-smokers. Participants who smoked perceived that their smoking status assisted in facilitating interactions with consumers (P < 0.001). The findings have implications for the health promotion activities of mental health nurses.
Expert by experience involvement in mental health nursing education: The co-production of standards between Experts by Experience and academics in mental health nursing.
Publisher: Wiley
Date: 24-02-2020
DOI: 10.1111/JPM.12605
Abstract: Expert by Experience (EBE) involvement in mental health nursing education has demonstrated benefits, including enhancing understanding of holistic and recovery-focused practice and enhanced application of interpersonal skills. Structure and support for EBE involvement is lacking often resulting in inadequate preparation and debriefing and tokenistic involvement. Service user involvement in mental health nursing education should be underpinned by lived experience perspectives. An exploration of EBE involvement in nursing education from the perspective of those with lived experience. The development of standards designed to provide structure to better support future EBEs involved in higher education. An exemplar for co-production of standards between EBE and nurse academics which has applicability for other contexts. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The standards could potentially strengthen EBE involvement in mental health nursing education, enhance their confidence and increase the retention of EBEs by creating an inclusive working culture. By increasing support for EBEs, the benefits to mental health nursing practice are likely to be maximized. Introduction Involving people with lived experience of mental distress in mental health nursing education has gained considerable traction yet broader implementation remains ad hoc and tokenistic. Effective involvement requires curricula be informed by lived experience of service use. Aim To develop standards to underpin expert by experience involvement in mental health nursing education based on lived experience of service use. Methods Phase one used qualitative descriptive methods, involving focus groups with service users (n = 50) from six countries to explore perceptions of service user involvement in mental health nursing education. Phase two utilized these findings through consensus building to co-produce standards to support Experts by Experience involvement in mental health nursing education. Results Three themes emerged in Phase one: enablers and barriers, practical and informational support, and emotional and appraisal support. These themes underpinned development of the standards, which reflect nine processes: induction and orientation, external supervision, supportive teamwork, preparation for teaching and assessing, "intervision," mutual mentorship, pre- and post-debriefing, role clarity and equitable payment. Conclusions These standards form the framework entitled Standards for Co-production of Education (Mental Health Nursing) (SCo-PE [MHN]). Implications for Practice The standards aim to support implementation of Expert by Experience roles in mental health nursing education.
Improving exchange with consumers within mental health organizations: Recognizing mental ill health experience as a ‘sneaky, special degree’
Publisher: Wiley
Date: 02-2018
DOI: 10.1111/INM.12312
Abstract: 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. Data were transcribed, and analyzed using thematic analytic and discursive psychological techniques. Findings suggest stigma is still prevalent even in organizations that have consumers in leadership positions, and consumers are often perceived as less able to work in mental health organizations than non-consumers. Several discourses challenged such a view - showing how consumers bring value to mental health organizations through their expertise in the mental health system, and their ability to provide safety and support to other consumers. Through a social exchange theory lens, the authors call for organizations to challenge stigma and promote the value that consumers can bring to maximize mutual benefits.
Factors influencing the supervision of nursing students administering medication: The registered nurse perspective
Publisher: Elsevier BV
Date: 12-2011
DOI: 10.1016/J.COLEGN.2011.05.003
Abstract: Administering medication is an important function of registered nurses. It is therefore necessary that nursing students develop knowledge and skill in this field. Given the propensity for, and negative consequences of, medication errors, it is essential that nursing students are property supervised in this role. There is currently a paucity of research examining the practices of supervising medication administration by nursing students, particularly from the perspectives of registered nurses. The aim of this study was to explore the opinions and insights of registered nurses regarding the supervision of nursing students administering medication. Focus groups were conducted with registered nurses with experience of working with students in the clinical environment. Focus groups were transcribed verbatim and data analysis was conducted using the five stage framework approach. Four main themes were identified that reflected the participants' views of the factors most strongly influencing the provision of supervision: communication, busyness, attitudes, and pressure to conform. The participants identified the importance of providing student supervision and suggested strategies for improvement, such as a closer working relationship between the clinical facilitator and the registered nurses providing supervision.
‘To be treated as a human’: Using co‐production to explore experts by experience involvement in mental health nursing education – The COMMUNE project
Publisher: Wiley
Date: 29-01-2018
DOI: 10.1111/INM.12435
Abstract: Increasingly, experts as deemed by personal experience or mental health service use, are involved in the education of nurses however, accompanying research is limited and focuses primarily on opinions of nurse educators and students. The aim of this study was to develop an understanding of the potential contribution to mental health nursing education by those with experience of mental health service use. The research was part of the international COMMUNE (Co‐production of Mental Health Nursing Education) project, established to develop and evaluate co‐produced mental health content for undergraduate nursing students. A qualitative descriptive design was adopted with data collected through focus group interviews in seven sites across Europe and Australia. Experts by experience (people with experience of distress, service use, and recovery) co‐produced the project in partnership with nursing academics. Co‐production enriched the process of data collection and facilitated the analysis of data from multiple perspectives. Two themes are presented in this paper. The first focuses on how experts by experience can enhance students’ understanding of recovery by seeing the strengths inherent in the ‘human’ behind the diagnostic label. The second highlights the importance of communication and self‐reflection on personal values, where students can explore their own thoughts and feelings about mental distress alongside those with lived experience. Interacting with experts by experience in the classroom can assist in challenging stigmatizing attitudes prior to nursing placements. These findings can be used to inform international nursing curricula by increasing the focus on nursing skills valued by those who use the services.
Response to Commentary by von Peter to Happell, Brenda, & Scholz, Brett (2018). Doing what we can, but knowing our place: Being an ally to promote consumer leadership in mental health. International Journal of Mental Health Nursing, 27(1), 440-447
Publisher: Wiley
Date: 03-11-2019
DOI: 10.1111/INM.12556
When I grow up I want to be a...? where undergraduate student nurses want to work after graduation
Publisher: Wiley
Date: 02-1999
DOI: 10.1046/J.1365-2648.1999.00913.X
Abstract: It is assumed that the majority of students undertaking undergraduate nursing education want to become nurses. Little research, however, has examined the specific areas in which students intend to pursue their careers after graduation. This paper reviews the results of the author's research, which clearly indicates that students have firm preconceived ideas as to the areas in which they wish to practise in the future. Midwifery, paediatrics, operating theatre and critical/intensive care are highly favoured, while working with the elderly, psychiatric nursing and community health nursing are significantly less popular. The implications of this situation for the nursing profession are considered.
Nurses and stress: recognizing causes and seeking solutions
Publisher: Hindawi Limited
Date: 05-2013
DOI: 10.1111/JONM.12037
Abstract: To identify, from the perspectives of nurses, occupational stressors and ways in which they may be reduced. Nurses commonly experience high levels of occupational stress, with negative consequences for their physical and psychological health, health-care organisations and community. There is minimal research on reducing occupational stress. Six focus groups were conducted with 38 registered nurses using a qualitative exploratory approach. Participants were asked to identify sources of occupational stress and possible workplace initiatives to reduce stress. Sources of occupational stress were: high workloads, unavailability of doctors, unsupportive management, human resource issues, interpersonal issues, patients' relatives, shift work, car parking, handover procedures, no common area for nurses, not progressing at work and patient mental health. Suggestions for reduction included: workload modification, non-ward-based initiatives, changing shift hours, forwarding suggestions for change, music, special events, organisational development, ensuring nurses get breaks, massage therapists, acknowledgement from management and leadership within wards. The findings highlight the need to understand local perspectives and the importance of involving nurses in identifying initiatives to reduce occupational stress. Health-care environments can be enhanced through local understanding of the occupational stressors and productively engaging nurses in developing stress reduction initiatives. Nurse managers must facilitate such processes.
Changing attitudes: The impact of Expert by Experience involvement in Mental Health Nursing Education: An international survey study
Publisher: Wiley
Date: 03-11-2019
DOI: 10.1111/INM.12551
Abstract: 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. This study evaluated the inclusion of Expert by Experience-led mental health nursing education on nursing students' attitudes to people labelled with mental illness, mental health nursing, and consumer participation. A repeated self-report measures design was implemented in Australia, Ireland, and Finland to ascertain level of generalizability of consumer involvement within undergraduate nursing programmes. Data were collected from nursing students (n = 194) immediately before and after the education module, using three self-report instruments on attitudes (Mental Health Nurse Education Survey, Consumer Participation Questionnaire, and Opening Minds Scale). Data were analysed using descriptive and inferential statistics. Eighty-nine per cent of the 27 points of change reflected more favourable and accepting attitudinal change. Of these, 41% were significant at Bonferroni adjusted alpha of 0.0025. There was a statistically significant increase in preparedness for practice in the mental health field in each of the three countries. The most pronounced change is related to the social and systemic inclusion of people with a diagnostic label and recovery-oriented care more broadly.
Effect of aging on the perceptions of physical and mental health in an Australian population
Publisher: Wiley
Date: 23-01-2011
DOI: 10.1111/J.1442-2018.2010.00571.X
Abstract: The aim of this study was to examine the impact of age on the perceptions of mental and physical health in an Australian population. A cross-sectional study of the Queensland population was conducted via telephone interviews (n = 1165). The Short Form-12 Health Survey was used to measure the population's perceived physical and mental health and additional demographic information was collected. Groups with participants who were aged 18-24, 25-34, 35-44, 45-54, 55-64, and > 65 years were compared. The results suggested that the participants' perceptions of mental health gradually increased with age, as the 55-64 and > 65 years old age groups scored significantly higher than did the younger age groups. Conversely, the older participants scored significantly lower than the younger participants on the physical health scale. Further research is warranted to consider the factors that might influence the perceptions of mental health across the life span.
A psychometric analysis of the Mental Health Consumer Participation Questionnaire
Publisher: Wiley
Date: 03-11-2010
DOI: 10.1111/J.1447-0349.2010.00692.X
Abstract: If consumer participation is to be translated from rhetoric into reality, the attitudes of health professionals need to be addressed. Educational strategies can play an important role, but measures of attitudes are needed to determine the effectiveness of these strategies. This paper seeks to establish the Mental Health Consumer Participation Questionnaire (MHCPQ) on psychometric grounds, and explore attitude levels. Overall, the 150 nursing students who participated saw consumer participation in a favourable light, although this varied with the nature and extent of involvement. Psychometric properties, attitude structure, and attitude differences are reported. The MHCPQ displays good face validity and can be further developed and used in mental health-care settings.
Knowing is not doing: The relationship between health behaviour knowledge and actual health behaviours in people with serious mental illness
Publisher: Elsevier BV
Date: 09-2014
Reflection without shame - reflection without blame: towards a more collaborative understanding between mental health consumers and nurses
Publisher: Wiley
Date: 18-01-2007
DOI: 10.1111/J.1365-2850.2007.01047.X
Abstract: It is now a clear policy expectation that consumers of mental health services be given the opportunity to be active participants in all aspects of mental health service development and delivery. Psychiatric nurses have an important role to play in ensuring opportunities for genuine participation however, the literature suggests that this role is not always realized in practice. Negative attitudes of health professionals (including nurses) to consumer has been identified as a significant barrier to the realization of this policy goal, with education and training recognized as an important strategy for developing more positive attitudes. This paper describes the implementation of a mental health consumer academic position, through the personal reflections of a nurse academic and a consumer academic. More specifically, the paper addresses the reactions of some nurses to the work of the consumer academic and the apparent feeling of being attacked as nurses. By recognizing this defensiveness, nurses and other health professionals may more effectively move towards promoting consumer participation in mental health care.
Recovery as a lived experience discipline: A grounded theory study
Publisher: Informa UK Limited
Date: 02-12-2015
DOI: 10.3109/01612840.2015.1076548
Abstract: Recovery is government mandated and a core facet of mental health reform. However, Recovery implementation in this country (Australia) has been inhibited by a lack of education of, and understanding from, clinicians. A grounded theory study was undertaken to explore the potential and existing role of lived experience practitioners in assisting meaningful implementations of Recovery within the Australian mental health sector. In-depth interviews were conducted with 13 people employed to work from a lived experience perspective. The findings suggest participants have experienced and observed significant barriers to the implementation of Recovery-focused practice while operating in lived experience roles. Three main issues emerged: (1) Recovery co-opted, (2) Recovery uptake, and (3) Recovery denial. For a genuine Recovery-focused mental health system to be developed, lived experience practitioners must be enabled to take their role as Recovery experts and leaders. Lived experience practitioners are the logical leaders of Recovery implementation due to their own internal experience and understandings of Recovery and the wider lived experience movement's development and ch ioning of the concepts.
Access to physical health care for people with serious mental illness: A nursing perspective and a human rights perspective-common ground
Publisher: Informa UK Limited
Date: 06-2013
DOI: 10.3109/01612840.2012.754974
Abstract: Relative to the general population, people with serious mental illness (SMI) experience elevated risks of physical disease and illness and live shorter lives. A human rights perspective argues that people with serious mental illness have a right to equal access to physical health care. Nurses in mental health services can contribute to improving the availability and accessibility of physical health care. This study, involving focus group interviews with nurses in a large regional and rural mental health care district of Queensland, Australia, revealed significant problems in access to physical health care for service users. The current article reports on our exploratory analysis of nurses' views and perceptions to identify (1) orientation of nurses to human rights, and (2) access of consumers with SMI to general practitioner services. It was rare for nurses to raise the topic of human rights, and when raised, it was not as a strategy for improving access to physical health care services that they felt consumers with SMI greatly needed. Two main themes were identified as causes of poor access: clinical barriers to physical care and attitudinal barriers to physical care. In light of these results, the authors explore a human rights perspective on access and how this provides an inclusive lobbying umbrella under which nurses and other groups can pursue access to physical health services that are adequate, accessible, and non-discriminatory. The article then discusses the implications for these findings for the value of human rights as a perspective and means of increasing physical health of people with SMI.
Exploratory study of mental health consultation-liaison nursing in Australia: Part 2 preparation, support and role satisfaction
Publisher: Wiley
Date: 06-2008
DOI: 10.1111/J.1447-0349.2008.00531.X
Abstract: Mental health Consultation-Liaison (CL) nursing continues to develop and gain recognition as a subspecialty of mental health nursing. CL roles are particularly important given the significant number of people experiencing mental illness and other mental health problems within the general health-care settings. However, despite the potential value of these roles, the literature provides little information about these roles and about the nurses who work in these roles. This is the second part of a two-part paper describing a survey of CL nurses in Australia. Part 1 describes demographic data and characteristics of the CL role. Part 2 provides an exploration of the following factors: educational preparation, support, and work satisfaction. The findings identified specific educational needs in preparation and ongoing support for the role. However, overall the participants expressed a high level of satisfaction with their work. Given the current recruitment problems in mental health nursing, the promotion of the CL nursing role might enhance a more positive view of this branch of nursing.
Mental health nursing: What it is or what it does?
Publisher: Wiley
Date: 04-01-2011
What Physical Health Means to Me: Perspectives of People with Mental Illness
Publisher: Informa UK Limited
Date: 27-10-2016
DOI: 10.1080/01612840.2016.1226999
Abstract: There are significant inequalities in physical health and life expectancy between people with and without a mental illness. Understanding perspectives of people with mental illness on personal meanings of physical health is essential to ensuring health services are aligned with consumer understandings, needs, and values. A qualitative exploratory study was undertaken involving focus groups with 31 consumers in The Australian Capital Territory, Australia. Participants were asked: "What does physical health mean to you?" Thematic analysis was applied to interview transcripts. Five themes are discussed, representing different emphases in the meaning of physical health: (1) physical and mental are interconnected, (2) absence of disease, (3) moving the body, (4) struggling for healthy diet, and (5) functioning and participation. Physical pain was a difficulty that arose across these themes. Mental health consumers see physical health as always connected with well-being. Nurses would benefit from been informed by consumer understandings of physical health. In addition, there should be more attention to quality of life measures of people with mental illness as these are more congruent with consumer perspectives on physical health than biomedical measures.
Citation analysis of mental health nursing journals: How should we rank thee?
Publisher: Wiley
Date: 15-05-2012
DOI: 10.1111/J.1447-0349.2012.00815.X
Abstract: The journal impact factor (JIF), and how best to rate the performance of a journal and the articles they contain, are areas of great debate. The aim of this paper was to assess various ranking methods of journal quality for mental health nursing journals, and to list the top 10 articles that have received the most number of citations to date. Seven mental health nursing journals were chosen for the analysis of citations they received in 2010, as well as their current impact factors from two sources, and other data for ranking purposes. There was very little difference in the top four mental health nursing journals and their overall rankings when combining various bibliometric indicators. That said, the International Journal of Mental Health Nursing is currently the highest ranked mental health nursing journal based on JIF, but publishes fewer articles per year compared to other journals. Overall, very few articles received 50 or more citations. This study shows that researchers need to consider more than one ranking method when deciding where to send or publish their research.
Talking About Sexuality With Consumers of Mental Health Services
Publisher: Hindawi Limited
Date: 12-04-2013
DOI: 10.1111/J.1744-6163.2012.00334.X
Abstract: To explore nurses' perceptions of how consumers of mental health services have responded to mental health nurses discussing sexuality with them. Qualitative exploratory design including in-depth in idual interviews with 14 mental health nurses in Australia on two occasions. Nurse participants were taught the BETTER model in the first interview and were asked to use this in their practice. In the second interview nurse participants described the model as useful and consumer responses as very positive. The findings suggest the BETTER model is a simple and effective intervention that can assist mental health nurses to include sexuality as part of nursing care.
Physical and psychosocial wellbeing of nurses in a regional Queensland hospital
Publisher: Elsevier BV
Date: 03-2014
DOI: 10.1016/J.COLEGN.2013.02.005
Abstract: Occupational stress is common among nurses. Two factors that may influence stress levels are diet and physical activity. The purpose of this study was to investigate the diets and physical activity levels of nurses and to quantify the relationships between these behaviours and anxiety, depressed mood, stress, and burnout. Nurses (N = 52) from one regional hospital completed a survey assessing physical activity, nutrition, and psychological functioning. Almost two-thirds (65%) of participants had met recommended levels of both moderate and vigorous physical activity in the week prior. Participants met recommended levels for fruit, but not vegetable, consumption. Burnout and stress levels were close to norms for physicians and nurses. Scores for depressed mood, anxiety, and stress symptoms were within one standard deviation of norms for the Australian adult population. Several moderately sized correlations were found between the psychological constructs measured and both physical activity and nutrition. Although most of the participants were physically active and seemed to be consuming nutritious diets, some nurses may need encouragement to adopt similarly healthy behaviours.
Stress and burnout in forensic psychiatric nursing
Publisher: Wiley
Date: 2003
DOI: 10.1002/SMI.963
When equality is not really equal: affirmative action and consumer participation
Publisher: Emerald
Date: 09-2006
DOI: 10.1108/17465729200600021
Abstract: Consumer participation in mental health service planning and delivery is now authorised through Australian government policy. While strategies have been implemented to foster opportunities for participation, they have rarely been evaluated for their effectiveness. Furthermore, the inadequacy of these strategies to support policy implementation has been criticised in the literature and identified as a major obstacle to genuine and effective consumer participation in mental health care. This paper argues that there is an urgent need for affirmative action in order to overcome the current and historical discrimination that prevents consumers from active participation.
Utilization and perceptions of primary health care services in Australian adults with mental illness
Publisher: Mary Ann Liebert Inc
Date: 06-2013
Abstract: Persons accessing inpatient mental health services generally experience reduced access to and quality of primary health care. The objective of this study was to compare health service utilization and perceptions, and receipt of specified health services, in Australian adults with and without a previous mental illness diagnosis. A cross-sectional survey was administered by computer-assisted telephone interviewing in 2011 the main outcome measures were receipt of services in the previous 12 months, satisfaction with health care services, and concerns regarding health care affordability. Participants included 1275 adults residing in Queensland, Australia 292 (23%) participants reported a diagnosis of mental illness, largely depression and/or anxiety (87%). The mental illness group had higher scores for concerns regarding health care affordability (mean ranks 778 vs. 706, respectively z=-2.90, P=0.004) and lower scores for perceptions of health care service quality and accessibility (mean ranks 631 vs. 701, respectively z=-2.90, P=0.004). After adjustment for increased utilization of services, the mental illness group had an increased likelihood of having received only 5 of 19 services in the past 12 months (odds ratios: 1.54-1.71). Compared to those with no mental illness, Australians with a mental illness report increased dissatisfaction with health care affordability, accessibility, and quality, and generally have similar odds of primary care services per health care utilization despite being at significantly greater risk of chronic disease.
Can educational methods influence the popularity of psychiatric nursing?
Publisher: Elsevier BV
Date: 05-2000
Are nurses in mental health services providing physical health care for people with serious mental illness an australian perspective
Publisher: Informa UK Limited
Date: 05-03-2013
DOI: 10.3109/01612840.2012.733907
Abstract: People with serious mental illness are at high-risk for physical illnesses and premature death, and nurses can contribute to ensuring mental health services address these risks. There is very little research examining the role of nurses in mental health who provide physical health care. To identify the levels of participation in physical health care of people with serious mental illness (SMI), a national Internet-based survey of nurses working in mental health in Australia was conducted (n = 643). The survey included an adapted version of the Robson and Haddad Physical Health Attitude Scale. Data were analysed through comparison of frequencies, correlations, principal components analysis, and Mann-Whitney tests. Nurses reported regular physical health care in 12 of the 17 tasks presented to them. The three most common self-reported physical health care activities were inquiring about consumers' contact with GPs, doing physical assessments, and providing information on drug use and lifestyle. Although some practices were less common (e.g., contraceptive advice) nurses who provided one type of care tended to do other types as well. In addition, credentialing in mental health nursing was associated with slightly more regular engagement in all practice domains except screening and assessments. Nurses in mental health in Australia may be engaged in improving physical health of consumers with SMI more than is assumed.
Mental health lived experience academics in tertiary education: The views of nurse academics
Publisher: Elsevier BV
Date: 2015
DOI: 10.1016/J.NEDT.2014.07.006
Abstract: Australian national mental health strategy emphasises inclusion of people diagnosed with mental illness in all areas of mental health care, policy development and education of health professionals. However, the way this inclusion has translated to Australian universities is relatively unexplored. Explore views of nurse academics regarding service user involvement in nursing education programmes. Qualitative exploratory. Australian universities offering educational programmes in nursing at postgraduate and undergraduate levels. Thirty four participants from 27 Australian universities participated. Data were collected using semi-structured telephone interviews with academics involved in teaching and/or coordinating undergraduate and/or postgraduate mental health nursing contents. Data were analysed using content analysis based on four cognitive processes: comprehending, synthesising, theorising and re-contextualising data. Four major themes emerged: good idea? long way to go conceptualising the service user academic role strengths of lived experience led student learning and barriers to implementation. Findings indicated strong support for including mental health service users in teaching nursing students. However, at most universities service user engagement was often an informal arrangement, lacking clear guidelines and limited by financial barriers and the positioning of mental health nursing within curricula.
The Recovery Knowledge Inventory for Measurement of Nursing Student Views on Recovery-oriented Mental Health Services
Publisher: Informa UK Limited
Date: 03-10-2015
DOI: 10.3109/01612840.2015.1049310
Abstract: Recovery-oriented services are a goal for policy and practice in the Australian mental health service system. Evidence-based reform requires an instrument to measure knowledge of recovery concepts. The Recovery Knowledge Inventory (RKI) was designed for this purpose, however, its suitability and validity for student health professionals has not been evaluated. The purpose of the current article is to report the psychometric features of the RKI for measuring nursing students' views on recovery. The RKI, a self-report measure, consists of four scales: (I) Roles and Responsibilities, (II) Non-Linearity of the Recovery Process, (III) Roles of Self-Definition and Peers, and (IV) Expectations Regarding Recovery. Confirmatory and exploratory factor analyses of the baseline data (n = 167) were applied to assess validity and reliability. Exploratory factor analyses generally replicated the item structure suggested by the three main scales, however more stringent analyses (confirmatory factor analysis) did not provide strong support for convergent validity. A refined RKI with 16 items had internal reliabilities of α = .75 for Roles and Responsibilities, α = .49 for Roles of Self-Definition and Peers, and α = .72, for Recovery as Non-Linear Process. If the RKI is to be applied to nursing student populations, the conceptual underpinning of the instrument needs to be reworked, and new items should be generated to evaluate and improve scale validity and reliability.
On exploratory factor analysis: A review of recent evidence, an assessment of current practice, and recommendations for future use
Publisher: Elsevier BV
Date: 03-2014
DOI: 10.1016/J.IJNURSTU.2013.10.005
Abstract: Exploratory factor analysis (hereafter, factor analysis) is a complex statistical method that is integral to many fields of research. Using factor analysis requires researchers to make several decisions, each of which affects the solutions generated. In this paper, we focus on five major decisions that are made in conducting factor analysis: (i) establishing how large the s le needs to be, (ii) choosing between factor analysis and principal components analysis, (iii) determining the number of factors to retain, (iv) selecting a method of data extraction, and (v) deciding upon the methods of factor rotation. The purpose of this paper is threefold: (i) to review the literature with respect to these five decisions, (ii) to assess current practices in nursing research, and (iii) to offer recommendations for future use. The literature reviews illustrate that factor analysis remains a dynamic field of study, with recent research having practical implications for those who use this statistical method. The assessment was conducted on 54 factor analysis (and principal components analysis) solutions presented in the results sections of 28 papers published in the 2012 volumes of the 10 highest ranked nursing journals, based on their 5-year impact factors. The main findings from the assessment were that researchers commonly used (a) participants-to-items ratios for determining s le sizes (used for 43% of solutions), (b) principal components analysis (61%) rather than factor analysis (39%), (c) the eigenvalues greater than one rule and screen tests to decide upon the numbers of factors/components to retain (61% and 46%, respectively), (d) principal components analysis and unweighted least squares as methods of data extraction (61% and 19%, respectively), and (e) the Varimax method of rotation (44%). In general, well-established, but out-dated, heuristics and practices informed decision making with respect to the performance of factor analysis in nursing studies. Based on the findings from factor analysis research, it seems likely that the use of such methods may have had a material, adverse effect on the solutions generated. We offer recommendations for future practice with respect to each of the five decisions discussed in this paper.
Appreciating history: The Australian experience of direct-entry mental health nursing education in universities
Publisher: Wiley
Date: 05-01-2009
DOI: 10.1111/J.1447-0349.2008.00565.X
Abstract: More than two decades since the introduction of comprehensive nursing education in Australia, the controversy regarding the type of undergraduate education that would best serve the needs of the mental health nursing profession continues. The ensuing debate tends to be based on a comparison between the current model of comprehensive education in the universities and the specialist mental health nursing programs that previously operated within the hospital system. The previous existence of a tertiary-based direct-entry mental health nursing program in Victoria is generally not recognized. The paper provides a brief overview of mental health nursing education from a historical perspective emphasizing the period following the commencement of the transfer of the nursing education. Articulating the Victorian experience of specialist undergraduate mental health nursing education within universities is essential as discussions about the most appropriate educational preparation for mental health nursing continues.
The mental health benefits of regular physical activity, and its role in preventing future depressive illness
Publisher: Informa UK Limited
Date: 05-2014
DOI: 10.2147/NRR.S41956
Access to dental care and dental ill-health of people with serious mental illness: Views of nurses working in mental health settings in Australia
Publisher: CSIRO Publishing
Date: 2015
DOI: 10.1071/PY13044
Abstract: People with serious mental illness experience higher rates of oral and dental health problems than the wider population. Little is known about how dental health is viewed or addressed by nurses working with mental health consumers. This paper presents the views of nurses regarding the nature and severity of dental health problems of consumers with serious mental illness, and how often they provide advice on dental health. Mental health sector nurses (n = 643) completed an online survey, including questions on dental and oral health issues of people with serious mental illness. The majority of nurses considered the oral and dental conditions of people with serious mental illness to be worse than the wider community. When compared with a range of significant physical health issues (e.g. cardiovascular disease), many nurses emphasised that dental and oral problems are one of the most salient health issues facing people with serious mental illness, their level of access to dental care services is severely inadequate and they suffer significantly worse dental health outcomes as a result. This study highlights the need for reforms to increase access to dental and oral health care for mental health consumers.
Low knowledge of physical health behaviours is associated with poor diet and chronic illness in adults
Publisher: CSIRO Publishing
Date: 2016
DOI: 10.1071/PY14132
Abstract: Governments invest heavily in health promotion strategies to improve physical health behaviours. However, the dietary and physical activity practices of many Australians fail to meet minimum levels for health, leading to the unacceptably high prevalence of chronic and complex illness. Health literacy is known to impact on health behaviour, and to be related to health knowledge however, no studies have specifically examined knowledge of physical health behaviours in an Australian context. We assessed knowledge of physical health behaviours in 1244 adults in Queensland, Australia. Almost two-thirds of respondents had a ‘Good’ knowledge of physical health behaviour. People with ‘Good’ knowledge of physical health behaviours were more likely to be female, educated beyond secondary school, be employed and have an annual household income of $52000 (P .05). People with ‘Low’ knowledge of physical health behaviours were significantly more likely to report insufficient intake of vegetables and have at least one chronic illness (P .05). Binary logistic regression shows low daily intake of vegetables to have the strongest association with low knowledge of physical health behaviours. Given the association between health knowledge and health literacy, assessment of the knowledge of physical health behaviours may provide considerable insight into the effectiveness of future health promotion interventions.
Transition to psychiatric/mental health nursing programs: Expectations and practical considerations: Feature Article
Publisher: Wiley
Date: 02-07-2009
DOI: 10.1111/J.1447-0349.2009.00606.X
Abstract: Mental health services have developed transition programs to attract staff, including new graduates, staff with mental health nursing experience without formal qualifications, experienced nurses wishing to move into mental health, and nurses returning to the workforce. Transition to psychiatric/mental health programs are considered to be particularly significant in the mental health field because of the relative under-representation of mental health content in undergraduate curricula. Unfortunately, transition programs have received only minor attention in the literature and there is a paucity of published evaluations to determine their effectiveness. The aim of this paper is to examine transition programs and consider how they meet the expectations of stakeholders, such as consumers of mental health services, and program participants' expectations. It is concluded that published systematic evaluations are lacking, particularly those considered from the perspective of stakeholders. Consideration of these expectations should be reflected in the design and delivery of mental health nursing transition programs.
'What's she doing here?' Overcoming barriers to the implementation of Expert by Experience positions in academia.
Publisher: Wiley
Date: 12-08-2022
Abstract: Experts by Experience involvement in the education of health professionals has gained momentum as an important strategy in ensuring quality, person-centred education. Despite being a requirement for occupational therapy programs in Australia and internationally, involvement is variable and limited. Barriers to the implementation of academic roles have been identified, including negative attitudes of colleagues, systemic barriers, and insufficient evidence of their value. Mental health academics who do not identify as having lived experience (referred to as allies) have provided crucial support for Experts by Experience. Understanding their perspectives on implementation barriers and how they can be addressed is crucial to facilitating a broader level of meaningful involvement. A qualitative exploratory research project was conducted, involving in-depth interviews with mental health academic allies (n = 16) from Australia, Ireland, and New Zealand. Participants were from the disciplines of nursing, occupational therapy, social work, and psychiatry. Data were analysed thematically. Two main themes were identified from the data analysis process: convincing colleagues and dealing with university barriers. Participants described varying attitudes from colleagues towards Experts by Experience, with many not understanding or appreciating their contribution to education and student outcomes. At the university level, reluctance to embrace innovation and funding and other resource shortages presented impediments to the implementation of Expert by Experience roles. Participants described using creative measures to overcome institutional barriers and encourage greater acceptance of such roles by colleagues. This research describes how allies experienced and overcame barriers they faced when supporting the implementation of academic positions for Experts by Experience. Allies have an important role to play in overcoming systemic barriers, and the approaches they have taken to achieve this may be an important source of learning for others with similar aspirations.
From numbers to understanding: The impact of demographic factors on seclusion rates
Publisher: Wiley
Date: 05-05-2010
DOI: 10.1111/J.1447-0349.2010.00670.X
Abstract: The reduction and, where possible, elimination of seclusion has been recognized as a national safety priority for mental health services in Australia, with significant attention devoted to strategies to achieve this goal. The aim of this study was to compare specific demographic characteristics between consumers who have been secluded to those who have not. Patient data (n = 3244) collected by 11 mental health services across Australia for six months over a 12 month period were analysed using demographic statistics. A comparison was undertaken between those who were secluded one or more times (n = 271) and those who were not secluded (n = 2973). Differences were measured with the use of independent s les t-tests and chi-square statistics. Age, gender, diagnosis, indigenous status and Health of the National Outcomes Scores (HoNOS) were found to be significant factors in relation to seclusion. Men, younger people, and indigenous people were found to be more likely to be secluded. In addition, consumers who scored higher on the behaviour,impairment and social subscales of HoNOS were more likely to be secluded. Comparative analysis of demographic characteristics of secluded and non-secluded patients can provide vital information for consideration when planning and evaluating seclusion reduction strategies.
Australian mental health nurses' attitudes to role expansion
Publisher: Hindawi Limited
Date: 04-2009
DOI: 10.1111/J.1744-6163.2009.00210.X
Abstract: This study examined the attitudes of Australian community mental health nurses toward role expansion. This study used an exploratory descriptive design. An anonymous questionnaire was completed by 154 community mental health nurses in metropolitan and rural areas to explore their attitudes to expanded practice. Nurses demonstrated an overwhelmingly positive attitude toward expanded practice and considered all stakeholders, particularly consumers, would be the beneficiaries if nurses were legally able to undertake tasks such as prescribing medication. As a large proportion of the specialist mental health workforce, mental health nurses comprise a largely underutilized resource. With consumers identified as the primary beneficiaries of expanded practice, it is likely that nurses' motivation to pursue expanded practice roles will assist in the provision of improved mental health care.
Burnout and job satisfaction: A comparative study of psychiatric nurses from forensic and a mainstream mental health service
Publisher: Wiley
Date: 03-2003
DOI: 10.1046/J.1440-0979.2003.00267.X
Abstract: Within the nursing profession stress and burnout are considered to be widely present and problematic. These factors tend to impact negatively on job satisfaction and ultimately affect the retention of nurses. Psychiatric/mental health nursing as a specialty is considered to be a highly stressful environment however, there is a paucity of research in this area. The current study adopted a survey design to compare forensic psychiatric nurses (n = 51) with psychiatric nurses from a mainstreamed mental health service (n = 78) in relation to burnout and job satisfaction. Forensic nurses displayed lower burnout and higher job satisfaction than their counterparts from the mainstreamed services. These findings are surprising in light of the image of forensic psychiatric nursing as dangerous and unpredictable.
Writing for publication
Publisher: CRC Press
Date: 19-04-2009
Obtaining higher research degree qualifications: Key strategies to consider
Publisher: Informa UK Limited
Date: 06-2013
DOI: 10.5172/CONU.2013.44.2.196
Abstract: The literature describing the experience of nurses undertaking higher studies suggests that many students struggle with the demands of study and other aspects of their lives, such as work and family commitments. The aim of this paper is to encourage higher degree students to develop a strategic approach to their studies in order that they: (1) minimize the extra demands created by additional studies and (2) make the most of their work as a student to facilitate the development of their careers and establish a track record in doing so. We also provide an overview of relevant issues to consider, including Thesis marking and discuss some of the practicalities to make the most of higher degree opportunities.
The need for waist circumference as a criterion for metabolic syndrome in people with mental illness
Publisher: Elsevier BV
Date: 08-2017
Motivations for allyship with mental health consumer movements
Publisher: Informa UK Limited
Date: 04-02-2020
Talking or avoiding? Mental health nurses' views about discussing sexual health with consumers
Publisher: Wiley
Date: 04-01-2011
DOI: 10.1111/J.1447-0349.2010.00705.X
Abstract: Mental health consumers are sexual beings however, their sexual desire, capacity, and ability to maintain previous sexual patterns can be altered by their illness or by the effects and side-effects of medications. The sexuality of consumers has been poorly addressed, and the limited evidence suggests that mental health nurses remain ambivalent to including sexuality in their care. This paper presents the findings of a research project investigating the practices of mental health nurses in assessing and supporting the sexuality of consumers. A qualitative, exploratory approach underpinned in idual interviews with 14 mental health nurses from inpatient and community settings. The participants acknowledged the importance of sexuality however, most were reluctant to enquire about consumer concerns and tended to either ignore the issue or refer it to another clinician. Four themes were identified: talking about or avoiding sexuality concerns with consumers sexuality is not an important priority refer to others, as talking about sexuality is not 'my' job and sexuality is poorly addressed by others. It is important that barriers to the assessment and discussion of sexuality are identified, and measures are taken to overcome them.
Implementation of a major in mental health nursing in Australian universities
Publisher: Wiley
Date: 22-02-2011
DOI: 10.1111/J.1447-0349.2010.00728.X
Abstract: The difficulty recruiting and retaining an adequate mental health nursing workforce is acknowledged. The major in mental health nursing has been identified as a strategy to promote this specialist area of practice as desirable for students' future careers. Measuring its success requires the collection of detailed data about the structure, content, and uptake of these programmes. A survey was specifically developed to elicit descriptive information about the structure and content of a major in mental health nursing programmes. Fourteen universities participated in this research. Eight had implemented a major, one intends to do so in 2011, and five had abandoned or suspended their plans for the major. The findings suggest considerable variation in both structure and content of the major in mental health nursing throughout Australia. Students are required to commit to and commence the programme at differing stages, and there is a substantial variation in the theoretical and clinical content in mental health undertaken as a requirement for the major. The numbers of students taking the major is relatively small in most universities however, the retention rates are favourable. These findings provide important data for discussion about the ideal structure and content of a major in mental health nursing.
The triage of psychiatric patients in the hospital emergency department: A comparison between emergency department nurses and psychiatric nurse consultants
Publisher: Elsevier BV
Date: 04-2002
Abstract: The triage of patients in the hospital emergency department (ED) has developed as an efficient method to determine the level of urgency and provide appropriate care and treatment. The triage process has been found to be less effective for patients presenting with mental health related problems. Triage guidelines specifically tailored for mental health needs have been introduced in the attempt to overcome existing problems, however, the effectiveness of these guidelines has not been extensively tested. This paper presents the findings of a study conducted in a large metropolitan hospital in Melbourne, Australia. All presentations to the ED for psychiatric problems (n = 137) were triaged using the mental health guidelines over a 3-month period. The same presentations were triaged by psychiatric nurse consultants employed in the ED and the results compared. The results indicate a high level of difference in the triage ranking by the two groups of nurses, with emergency nurses tending to classify presentations as more urgent than their psychiatric nurse colleagues. These findings suggest that mental health education for emergency nurses is necessary if the guidelines are to be used effectively and improve outcomes for patients presenting with psychiatric problems.
Exploratory study of mental health consultation-liaison nursing in Australia: Part 1 demographics and role characteristics
Publisher: Wiley
Date: 06-2008
DOI: 10.1111/J.1447-0349.2008.00530.X
Abstract: Mental health nursing roles in Consultation-Liaison (CL) psychiatry and emergency departments are rapidly developing within Australia since the mainstreaming of mental health services within the general health-care system. Anecdotal evidence suggests that many of these positions have been initiated and developed in relative isolation and with little formalized support. Consequently, a comprehensive understanding of these roles and the nurses who occupy them is limited. A survey was developed and distributed to gather information on CL nurses in Australia. The survey was aimed at CL nurses working in a range of settings and included questions relating to demographics, qualifications, experience, clinical practice, organizational structure, education, clinical supervision, education and training and work satisfaction. This, the first of a two-part paper, will present the key findings relating to demographics and characteristics of the role. Overall, the findings demonstrated that the CL nurses who responded to the survey (n = 56) were experienced psychiatric/mental health nurses working primarily in general hospital wards and/or emergency departments receive requests for consultation from a range of health professionals but predominantly nurses provide education to a range of staff groups and use a range of titles to identify their role.
The value of routine outcome measurement for consumers of mental health services: Master or servant?
Publisher: SAGE Publications
Date: 07-2008
Abstract: Background: Standardized instruments have been introduced for routine use within Victorian mental health services. The aim of routine outcome measurement (ROM) is to ensure the highest standard of service delivery as demonstrated through quality and accountability processes. Aims: The aim is to determine the extent to which ROM measure against the 12 principles of outcome measurement described by Smith et al. (1997). Method: The three ROM currently used in Victoria were critiqued according to the 12 principles, with the support of a review of the literature regarding outcome measurement. Results: Of the 12 principles articulated, nine are not met by ROM currently used in Victoria. Only one is fully met, one partially met and one cannot be conclusively decided either way in light of current knowledge. Conclusions: ROM currently utilized in Victoria do not reflect the areas considered of most relevance and importance to consumers of mental health services. Priority should therefore be given to developing an alternative consumer-derived approach to determining the effectiveness of mental health services according to those most affected by them.
Doing what we can, but knowing our place: Being an ally to promote consumer leadership in mental health
Publisher: Wiley
Date: 24-11-2018
DOI: 10.1111/INM.12404
Abstract: Consumer participation in all aspects of mental health services is clearly articulated as an expectation of contemporary mental health policy. Consumer leadership has been demonstrated to be beneficial to mental health services. Barriers to implementation have limited the realization of this goal. In this discursive paper, we argue that non-consumers who support consumer partnerships and leadership (known as 'allies') have an important role to play in facilitating and supporting consumers in leadership roles. Allies currently have more potential to influence resource allocation, and might be viewed more credibly by their peers than consumer leaders themselves. We call for allies to ensure their role is one of support and facilitation (doing what they can), rather than directing the content or speaking on behalf of the consumer movement (knowing their place). In the present study, we address the importance of allies for the consumer movement. It proposes some 'rules of engagement' to ensure that allies do not intentionally or otherwise encroach on consumer knowledge and expertise, so that they maintain the important position of supporting consumers and facilitating the valuing and use of consumer knowledge, expertise, and ultimately, leadership.
Health behaviour interventions to improve physical health in individuals diagnosed with a mental illness: A systematic review
Publisher: Wiley
Date: 26-04-2201
DOI: 10.1111/J.1447-0349.2012.00816.X
Abstract: In iduals diagnosed with mental illness experience high rates of morbidity and mortality as a result of poor physical health and unhealthy lifestyle behaviours. The aim of this paper is to systematically review the literature on health behaviour interventions to improve the physical health of in iduals diagnosed with a mental illness. A systematic search strategy was undertaken using four of the major electronic databases. Identified articles were screened for inclusion, included articles were coded, and data were extracted and critically reviewed. A total of 42 articles were identified for inclusion. The most commonly targeted physical health behaviour was weight management. The majority of studies reported improvements in health behaviours following interventions. The findings provide evidence for the positive effect of health behaviour interventions in improving the physical health of in iduals diagnosed with a serious mental illness. A focus on health behaviour interventions within the mental health nursing profession might lead to improvements in health behaviours and general health in consumers of mental health services.
‘Meet Me Where I Am’: Mental health service users’ perspectives on the desirable qualities of a mental health nurse
Publisher: Wiley
Date: 17-08-2020
DOI: 10.1111/INM.12768
A major stream in mental health in undergraduate nursing programmes: Identifying the benefits and acknowledging the innovation
Publisher: Informa UK Limited
Date: 14-11-2014
DOI: 10.3109/01612840.2014.897779
Abstract: The literature demonstrates the problems mental health nursing has faced in securing sufficient graduate nurses to meet current and projected workforce needs. Deficiencies in educational preparation have been identified as a significant contributing factor. A major stream in mental health nursing has been introduced into undergraduate Bachelor of Nursing programmes as one strategy to address this problem. To-date, 11 streams have been introduced into Australian universities and no evaluations of the impact of these initiatives have been published as yet. This qualitative research was undertaken to explore the implementation and outcomes of major streams. In-depth telephone interviews were undertaken with participants from 10 universities, to explore their experiences with and opinions of this initiative. This paper specifically addresses the perceived benefits. Qualitative data analysis revealed many benefits to the major in promoting the value of, and encouraging interest in mental health nursing for undergraduate students. Four main themes were identified: (1) benefits to students (2) benefits to the university (3) benefits to industry and (4) innovative approaches to education. The findings suggest the major in mental health nursing can contribute to addressing workforce problems in mental health nursing.
They are a different breed aren’t they? Exploring how experts by experience influence students through mental health education
Publisher: Wiley
Date: 21-05-2021
DOI: 10.1111/INM.12881
Abstract: Experts by Experience (EBE) in mental health are increasingly becoming involved in the education of health professionals. In response, research findings suggest positive attitudinal change towards people who experience mental distress and enhanced appreciation of recovery and person‐centred approaches to practice. However, this growing body of evidence has not resulted in the broad adoption of these roles in academia. The perspectives of academics instrumental in implementing academic positions for EBE (referred to as allies) have not yet been articulated. Acknowledging this gap, the aim of this research was to explore experiences of allies involved in implementing EBE positions in academia regarding the impact of EBE led education on students. Qualitative exploratory methods were used involving in‐depth interviews with allies. Data were analysed thematically. Participants observed significant positive impacts on students, as evidenced through four themes: contextualized learning, enhancing reflection, feedback from the clinical field, and students’ own lived experience . The fifth sub‐theme, Challenging experiences were observed to potentially detract from the student experience in some instances. Overall, participants were very supportive of EBE involvement and were confident this approach produced more person‐centred and recovery‐oriented clinicians, with the skills, knowledge and attitudes needed to work as practitioners. These findings support previous research and suggest positive implications for clinical practice and for students with their own mental health challenges.
Clinical experience as the panacea! Acknowledging the importance of theory
Publisher: Informa UK Limited
Date: 04-2009
Nurse views on the cardiometabolic health nurse as an approach to improving the physical health of people with serious mental illness in Australia
Publisher: Wiley
Date: 05-12-2013
DOI: 10.1111/J.1447-0349.2012.00892.X
Abstract: People with serious mental illness (SMI) die prematurely from common physical illnesses such as cardiovascular disease and diabetes. These cardiometabolic risks are preventable and manageable yet these aspects of health care have been neglected in mental health services. A potential nurse-based strategy to decisively improve cardiometabolic health of people with SMI is to introduce a cardiometabolic health nurse (CHN) into mental health services. The current study aimed to establish the views of nurses working in mental health care on the potential benefits and limits of CHN to improve physical health-care standards in Australia. All members of the Australian College of Mental Health Nurses were invited to participate in an online survey and 643 participated. Nurses generally agreed that a CHN role would provide a range of improvements to physical health care, such as increased detection, assessment on, and follow up of cardiometabolic risks, and decreased workload for other nurses. While participants were generally supportive of such a role, they felt it would not be suitable in all health-care settings in Australia.
Establishing clinical supervision in acute mental health inpatient units: Acknowledging the challenges
Publisher: Informa UK Limited
Date: 07-2010
DOI: 10.3109/01612841003650546
Abstract: After decades of discussion about clinical supervision and mental health nursing, the reality is that many acute mental health inpatient settings continue to struggle with the notion of clinical supervision and the implementation process. In this article we delineate the key elements of clinical supervision, explore practical and dynamic difficulties associated with clinical supervision and question whether too much is being asked of this one process, especially in acute inpatient settings. For many mental health nurses, existing practices offer many of the purported benefits of clinical supervision. Ultimately, unless clinical supervision is better understood and implemented effectively, it is unlikely to meet expectations. Clinical supervision should ultimately be defined by the nurses participating in it. This article contributes to current discussions regarding the purpose of clinical supervision, the realities of its implementation, and in particular considers the role of clinical supervision relative to existing professional support opportunities.
Evaluating The Role of A Psychiatric Consultation-Liaison Nurse in The Australian General Hospital
Publisher: Informa UK Limited
Date: 2002
DOI: 10.1080/01612840252825473
Abstract: The importance of Psychiatric Consultation-Liaison Nursing (PCLN) in improving health outcomes for patients experiencing mental health problems has received some attention in the nursing literature. However, little effort has been made to evaluate the impact of this role. The study presented in this paper was conducted in order to assist in redressing this paucity. Focus groups were conducted with nurses (n = 17) employed at a large general hospital in Melbourne, Australia. The nurse participants were asked to discuss their views about utilizing the services of the specialist PCLN employed in this hospital. The responses of participants were overwhelmingly positive. The four main themes to emerge from the study were: helping staff, making contact, implementing strategies, and utilizing attributes. These findings are presented and discussed as a contribution to and extension of the existing literature.
‘It is meant to be heart rather than head’; International perspectives of teaching from lived experience in mental health nursing programs
Publisher: Wiley
Date: 28-07-2019
DOI: 10.1111/INM.12635
Abstract: Consumer participation is a clear expectation of contemporary mental health policy. Most activity has concentrated in direct service delivery, and academic roles for mental health consumers have been slow to establish. An international project was undertaken to implement and evaluate meaningful consumer involvement in mental health nursing education. A learning module was co-produced between 'Experts by Experience' (drawing on experience of mental distress and service use) and Mental Health Nurse Academics. This qualitative exploratory study aimed to capture how Experts by Experience perceive their contribution. Interviews were undertaken with Experts by Experience who delivered the learning module. Data were analysed thematically and subsequently interpreted with Critical Social Theory. Two main themes emerged from the findings: 'there wasn't a barrier' described how personal narratives enhanced relationships between Experts by Experience and students and 'made the human being visible', described their experiences of allowing students to see the person behind a diagnosis. These findings suggest Experts by Experience teaching is valuable and potentially a tool in redressing stigma. Addressing poor public perceptions could attract higher numbers of quality practitioners to mental health and meet identified workforce shortages. The findings presented here strengthen the evidence base for Expert by Experience roles in mental health professional education. These findings can be considered in international curricula reviews and aid progress towards a more socio-political, humanistic focus in mental health nursing, congruent with rights-based reform agendas.
Developing an Evidence-Based Specialist Nursing Role to Improve the Physical Health Care of People with Mental Illness
Publisher: Informa UK Limited
Date: 09-05-2019
DOI: 10.1080/01612840.2019.1584655
Abstract: The substantial physical health disadvantage experienced by people diagnosed with mental illness is now identified in a growing body of research evidence. The recent promulgation of improved physical health care as a goal of contemporary Australian Mental Health Policy should provide impetus for initiatives and strategies to address this inequity. To date increased knowledge of the problem has not resulted in obvious and sustained changes. The aim of this article is to introduce the role of the Physical Health Nurse Consultant as a potential strategy. The potential contribution and value of this role is considered by reviewing the evidence from the perspective of multiple stakeholders and considering the suitability of nursing to meet the complex needs involved in improving physical health. The requirement for a multi-faceted and comprehensive evaluation is also articulated. A robust, prospective and long-term evaluation plan includes physical health measures, changes in health behaviours, cost-benefit analysis and consumer acceptability to ensure the intervention is effective in the long term. This thorough approach is essential to provide the level of evidence required to facilitate changes at the practice and policy levels. The specialist nursing role presented in this article, subject to the comprehensive evaluation proposed, could become an integral component of a comprehensive approach to addressing physical health inequities in people with mental illness.
Implications of evidence-based practice for mental health nursing
Publisher: Wiley
Date: 06-05-2009
DOI: 10.1111/J.1447-0349.2009.00607.X
Abstract: The introduction of evidence-based practice (EBP) and the hierarchical approach to evidence it engenders within research and evaluation has aroused controversy in the mental health professions. The aim of this paper is to present a critique of EBP with a specific relationship to mental health nursing. It will be argued that in its current form, EBP presents a potential impediment to the facilitation of consumer participation in mental health services and to the recovery model. The need for the consumer voice and the importance of the lived experience of mental illness are not readily reconciled with a strong scientific paradigm that promotes detachment and objectivity. The importance of evidence in contemporary mental health care will also be acknowledged and discussed in light of the current climate of increased consumer knowledge, fiscal constraint, and extensive social criticism of mental health-care services. The current approach to EBP requires reconstruction to support the consumer-focused nature of mental health nursing, and to facilitate the implementation of a recovery model for mental health care.
‘It is always worth the extra effort’: Organizational structures and barriers to collaboration with consumers in mental health research: Perspectives of non‐consumer researcher allies
Publisher: Wiley
Date: 28-06-2020
DOI: 10.1111/INM.12757
The impact of Mental Health Nurse Consultants on the care of general hospital patients experiencing concurrent mental health conditions: An integrative literature review
Publisher: Wiley
Date: 23-03-2022
DOI: 10.1111/INM.12994
Abstract: Mental Health Nurse Consultants are advanced practice mental health nurses who consult with nurses and other health professionals in a general hospital setting. The aim of this review was to analyse and synthesize the available evidence related to the impact of Mental Health Nurse Consultants on the care of general hospital patients experiencing concurrent mental health conditions. The integrative literature review method was utilized as it allows for the inclusion and integration of quantitative, qualitative, and mixed methods research which produces a synthesized understanding of data to inform practice, policy, and research. The Preferred Reporting Items of Systematic Review and Meta‐Analyses guided the search strategy. All published studies examining the impact of clinical consultations provided by Mental Health Nurse Consultants on the mental health care of general hospital patients were included. The 19 selected articles were from North America, Australia, the United Kingdom, and Europe. Fifteen were quantitative, three were qualitative, and one used mixed methods. The findings highlight the role is generally positively received by hospital staff. The results indicate that clinical consultations provided by Mental Health Nurse Consultants (i) may improve patient experiences of mental health conditions, (ii) influence aspects of care delivery, (iii) are valued by staff, particularly nurses, and (iv) increase staff competence and confidence in the provision of mental health care. The review highlighted significant limitations of the available evidence, the need for contemporary discussion and debate of MHNC theory and practice, and further evaluation of the role to inform future service delivery.
Undergraduate mental health nursing education: Time to shut up?
Publisher: Wiley
Date: 06-07-2011
Rates of alcohol usage among Vietnamese Australian Communities: A literature review
Publisher: Informa UK Limited
Date: 30-07-2010
Comprehensive nursing education in Victoria: Rhetoric or reality?
Publisher: Wiley
Date: 12-2001
Associations between occupational indicators and total, work-based and leisure-time sitting: A cross-sectional study
Publisher: Springer Science and Business Media LLC
Date: 12-2013
Accessibility versus quality of care plus retention: The formula for service delivery in australian opioid replacement therapy?
Publisher: Informa UK Limited
Date: 09-2013
DOI: 10.3109/01612840.2013.804896
Abstract: The aim of this paper is to investigate how Australian Opioid Replacement Therapy (ORT) policy influences access to ORT treatment, including the resources required for implementation. In doing so, we also compare the accessibility of ORT treatment in Australia (AU) with ORT in the United Kingdom (UK) and United States (US). A review of government data and policy that influence service delivery was undertaken. When comparing across AU, the UK, and the US, we found several differences. To improve access to treatment in Australia more general practitioners need to provide ORT. Additionally, criteria for quality care, a centralised intake system, a national ORT treatment outcome measure, and a shift towards a recovery focus are recommended.
Focus on inpatient units
Publisher: Wiley
Date: 12-2006
Learning from experience: Using action research to discover consumer needs in post-seclusion debriefing: Feature Article
Publisher: Wiley
Date: 05-03-2009
DOI: 10.1111/J.1447-0349.2008.00579.X
Abstract: Approximately 16% of consumers are secluded during an inpatient admission. Despite the harmful psychological consequences resulting from the use of physical force, restraint, control, and temporary sequestration of therapeutic communication, there is little evidence of nursing practices to support consumers who are secluded. This paper will outline the findings from an action research project examining post-seclusion debriefing practice. A series of focus groups was undertaken with mental health nurses (MHN) and consumer consultants (CC) to investigate current practice, identify consumer/clinician preferences, and scope future practice possibilities. The findings suggest that CC need assistance in dealing with the negative feelings evoked by seclusion. MHN use a range of approaches for debriefing however, these sometimes do not meet consumer preferences. MHN focus on explaining why seclusion happened and how to avoid it. While mitigation is a critical issue, CC want more emotional support from debriefing. MHN saw the possibility of using the debriefing to support consumers' transit from seclusion to high-dependency status and then to low-dependency status. Opinions raised regarding the potential for CC to have a role in debriefing were ided. The findings will be used to inform the development of a consumer debriefing training program for MHN and CC.
Editorial: Embracing an international perspective (International Journal of Mental Health Nursing (2008) 17, 5, (299))
Publisher: Wiley
Date: 27-10-2008
The importance of clinical experience for mental health nursing - Part 2: Relationships between undergraduate nursing students' attitudes, preparedness, and satisfaction
Publisher: Wiley
Date: 10-2008
DOI: 10.1111/J.1447-0349.2008.00556.X
Abstract: Clinical experience is consistently emphasized in research findings as the primary influence in encouraging more positive attitudes to mental health nursing. The available research, however, presents two major limitations. First, it does not measure the specific factors that might contribute to a positive clinical experience. Second, it does not consider the relationship between clinical experience and attitudes towards people experiencing a mental illness or towards mental health nursing. This is the second of a two-part paper presenting findings from a statewide survey of undergraduate nursing students in Victoria. A pre- ost-test design was used to measure the impact of clinical experience on the following subscales: (i) attitudes towards people experiencing a mental illness (ii) attitudes toward mental health nursing and (iii) preparedness for mental health practice. Subscale (iv) satisfaction with clinical experience was also measured in the post-test phase. The findings demonstrated an improvement on all three subscales in the post-test phase and a high level of satisfaction with clinical experience. Furthermore, a relationship between all four subscales was evident.
Understanding the impact of expert by experience roles in mental health education
Publisher: Elsevier BV
Date: 04-2022
DOI: 10.1016/J.NEDT.2022.105324
Abstract: People with lived experience of mental distress and mental health service use (known as Experts by Experience) in mental health education have demonstrated positive outcomes and attitudinal change in students. Despite these findings, academic positions for Experts by Experience remain limited in number and scope, and the implementation of positions has primarily been driven by supportive mental health academics (known as allies). Less is known about the impact on Experts by Experience themselves, their colleagues and the broader organisation. The aim of this research is to better understand the impact of EBE on the universities they work in, from the perspectives of allies who have supported the implementation and sustainability of their positions. Qualitative exploratory. Academic institutions providing education programs for health professionals, and had implemented academic positions for Experts by Experience, in Australia, Ireland and New Zealand. Allies involved in supporting the implementation of Experts by Experience roles in mental health education (n = 16). Ethics approval was obtained prior to study commencement. In idual in-depth interviews were conducted with 16 participants, based on a broad interview guide. Data were analysed to identify main themes. Analysis was conducted independently by two researchers and reviewed by the team. Participants described the impact of Experts by Experience in mental health education as positively influencing the participants themselves, the Experts by Experience, their colleagues, and the broader organisational culture. Support for the implementation of Experts by Experience roles must move beyond the efforts of allies alone. Demonstrating the benefits beyond student outcomes is crucial to achieving this goal. The positive impact for a broader range of stakeholders provides further evidence of the value of Experts by Experience and supports the need to develop a more strategic approach to implementation of these roles.
Consumer involvement in mental health education for health professionals: Feasibility and support for the role
Publisher: Wiley
Date: 03-09-2015
DOI: 10.1111/JOCN.12957
Abstract: To explore factors impacting on the feasibility of academic and educator roles for consumers of mental health services. The supports required to facilitate these roles from the perspectives of mental health nurse academics and consumer educators/academics will also be explored. Involving consumers in the education of health professionals is becoming more common. Frequently this strategy is viewed as important to influence the attitudes of health professionals towards consumer participation in mental health services. There remains a paucity of research about these roles and the factors which promote and support their feasibility. Qualitative exploratory. In-depth telephone interviews were undertaken with 34 nurse academics and 12 consumer educators or academics. Participants included nurse academics coordinating undergraduate and postgraduate mental health subjects, and consumer academics and educators involved in teaching mental health nursing components. Interviews were 20-45 minutes in duration. Data were analysed thematically. Four subthemes were identified under the broad theme of feasibility and support: Reliability, support, vulnerability and seen to be griping. Significant barriers were identified by nurses and consumers to effective consumer involvement, largely reflecting the impact of mental health challenges. Despite this, there was little evidence of structured support being available to enhance the viability of these positions. Involving consumers in the education of health professionals through teaching, curriculum development, assessment and evaluation, is likely to enhance consumer participation in mental health services and ultimately improve service delivery. This involvement needs to be genuine to be effective. Consumers are often viewed as unreliable, vulnerable and using education to voice their own negative experiences. These issues and lack of support provided pose major barriers to successful roles, strategies to overcome barriers and maximise the effectiveness of roles require investigation and implementation.
EXPLORING THE COMPLEXITY OF COMPLIANCE IN SCHIZOPHRENIA
Publisher: Informa UK Limited
Date: 2002
DOI: 10.1080/01612840290052677
Abstract: A large body of literature indicates that people diagnosed with schizophrenia are highly likely to not comply with their prescribed treatment regime at some stage during the illness process. Factors that indicate the risk of noncompliance have been the subject of considerable research over a number of years. This paper presents an extensive review of the research literature on the subject of compliance in schizophrenia. A number of factors have constituted the focus of research into this area. These include: socio-demographic characteristics, including age, gender and socioeconomic status illness factors including insight, psychiatric symptomatology, duration of illness, substance abuse, and adverse side-effects of medication psychosocial factors such as health beliefs and social supports and treatment factors including the nature of the therapeutic relationship between patients and health care professionals. While the results of relevant research do not provide a clear and conclusive picture of compliance, they provide important information to guide the pivotal role of the mental health nurse in facilitating patient compliance.
Seclusion as a necessary intervention: The relationship between burnout, job satisfaction and therapeutic optimism and justification for the use of seclusion
Publisher: Wiley
Date: 24-01-2011
DOI: 10.1111/J.1365-2648.2010.05570.X
Abstract: This paper is a report of the study of nurses' attitudes to the use of seclusion. More specifically, the aim was to address the relationship between burnout, job satisfaction and therapeutic optimism and justification of the use of seclusion. Research findings demonstrate that nurses continue to view seclusion as a necessary intervention. Factors that might be associated with attitudes have not been examined. Questionnaires were distributed to nurses employed in inpatient units across eight mental health services in Queensland in 2008. Heyman Attitudes to Seclusion Survey, Elsom Therapeutic Optimism Scale, Maslach's Burnout Inventory and Minnesota Satisfaction Questionnaires were completed (N = 123). Data analysis involved descriptive statistics and Pearson product-moment correlation coefficients. Most participants considered certain behaviours particularly those involving harm to self, others or to property as appropriate reasons for the use of seclusion and were consistent with their perceptions of the likely practice on their unit. An association was found between therapeutic optimism and emotional exhaustion (burnout) and justifications for the use of seclusion. Participants with higher optimism scores and lower scores for emotional exhaustion were significantly less likely to support the use of seclusion in specific situations. The relationship between therapeutic optimism and emotional exhaustion gives new information that might influence strategies and approaches taken with the aim of reducing seclusion use. Further research is warranted to explore these relationships and their implications.
There is something about oppression: Allies' perspectives on challenges in relationships with experts by experience
Publisher: Wiley
Date: 16-01-2023
DOI: 10.1111/INM.13117
Abstract: The genuine and meaningful involvement of Experts by Experience in the education of health professionals has consistently demonstrated positive attitudinal change in students. These changes are essential if policy goals for recovery‐oriented services and service user participation in mental health services are to be realized. To date academic roles for Experts by Experience have often relied on the support of allies. Despite the important role allies play, research investigating their experiences is limited. The aim of this research was to explore allies' views on supporting implementation of the academic positions for Experts by Experience. A qualitative exploratory study was undertaken involving in‐depth interviews with 16 allies. Data were analysed thematically. Challenges that can exist between allies and Experts by Experience was one theme identified from the data. Allies described occasional difficulties in their relationships with Experts by Experience where they felt they were perceived as representative of members of their broader profession with whom Experts by Experience had negative experiences. The perspectives of allies are presented in four subthemes: relationships imbedded in history consequences of interpersonal stigma supportive, protective or paternalistic? and the passion remains, which describes allies' ongoing commitment to supporting Expert by Experience involvement. Understanding the challenges can assist allies to respond appropriately in a non‐judgemental and supportive manner. Trauma informed practice may provide a useful framework to address conflicts and facilitate more positive relationships between allies and Experts by Experience. These positive relationships are essential to maximize the positive benefits of Experts by Experience on future clinicians.
Scoping review of research in Australia on the co-occurrence of physical and serious mental illness and integrated care
Publisher: Wiley
Date: 28-07-2015
DOI: 10.1111/INM.12142
Abstract: The physical health of people with serious mental illness (SMI) has become a focal area of research. The aim of the present study was to ascertain the attention and distribution of research from within Australia on physical illness and SMI co-occurrence, and to identify gaps. A scoping review of peer-reviewed research literature from Australia, published between January 2000 and March 2014, was undertaken through an electronic literature search and coding of papers to chart trends. Four trends are highlighted: (i) an almost threefold increase in publications per year from 2000-2006 to 2007-2013 (ii) a steady release of literature reviews, especially from 2010 (iii) health-related behaviours, smoking, integrated-care programmes, and antipsychotic side-effects as the most common topics presented and (iv) paucity of randomized, controlled trials on integrated-care models. Despite a marked increase in research attention to poorer physical health, there remains a large gap between research and the scale of the problem previously identified. More papers were descriptive or reviews, rather than evaluations of interventions. To foster more research, 12 research gaps are outlined. Addressing these gaps will facilitate the reduction of inequalities in physical health for people with SMI. Mental health nurses are well placed to lead multidisciplinary, consumer-informed research in this area.
Administering intramuscular injections: How does research translate into practice over time in the mental health setting?
Publisher: Elsevier BV
Date: 04-2015
DOI: 10.1016/J.NEDT.2014.12.008
Abstract: Increasingly, mental health nurses are expected to base their clinical practice on evidence based knowledge and many of the practice traditions that have passed between generations of nurses must now be examined within this scientific context. Since 2000, there has been an increasing debate on what is best practice for the administration of intramuscular injections particularly in relation to site selection, needle size and technique. Weight gain associated with second generation long acting antipsychotics influences the site and needle size for effective medication delivery. To determine intramuscular injecting practice choices made by nurses working in the mental health setting in 2006 compared to those made by a similar group of nurses in 2012. A descriptive cross sectional study conducted across two time points: 2006 (93 participants) and 2012 (245 participants) utilising the same questionnaire designed to measure nurses' intramuscular injecting practice choices. Data were analysed using SPSS version 20 package. Six statistically significant practice changes were recorded related to needle size, site selection and the use of the Z-tracking technique. A continued higher usage of the dorsogluteal site was also reported in 2012 contrary to the recommendations in the current research for the ventrogluteal site. Whilst some practice changes occurred, translation of research into evidenced based practice is challenging and definitive best practice in the administration of intramuscular injections remains unclear. Education and randomised controlled trials are needed to provide the evidence to ensure the delivery of safe and effective intramuscular injecting practice.
Suicide: Higher than the road toll yet hidden in the shadows
Publisher: Wiley
Date: 25-04-2013
DOI: 10.1111/INM.12022
Consumers in mental health service leadership: A systematic review
Publisher: Wiley
Date: 07-11-2016
DOI: 10.1111/INM.12266
Abstract: Contemporary mental health policies call for greater involvement of mental health service consumers in all aspects and at all levels of service planning, delivery, and evaluation. The extent to which consumers are part of the decision-making function of mental health organizations varies. This systematic review synthesizes empirical and review studies published in peer-reviewed academic journals relating to consumers in leadership roles within mental health organizations. The Cochrane Library, Medline, and PsycINFO were searched for articles specifically analysing and discussing consumers' mental health service leadership. Each article was critically appraised against the inclusion criteria, with 36 articles included in the final review. The findings of the review highlight current understandings of organizational resources and structures in consumer-led organizations, determinants of leadership involvement, and how consumer leadership interacts with traditional mental health service provision. It appears that organizations might still be negotiating the balance between consumer leadership and traditional structures and systems. The majority of included studies represent research about consumer-run organizations, with consumer leadership in mainstream mental health organizations being less represented in the literature. Advocates of consumer leadership should focus more on emphasizing how such leadership itself can be a valuable resource for organizations and how this can be better articulated. This review highlights the current gaps in understandings of consumer leadership in mental health, including a need for more research exploring the benefits of consumer leadership for other consumers of services.
How do different occupational factors influence total, occupational, and leisure-time physical activity?
Publisher: Human Kinetics
Date: 02-2015
Abstract: A better understanding of how occupational indicators influence physical activity levels will aid the design of workplace interventions. Cross-sectional data were collected from 1194 participants through a telephone interview in Queensland, Australia. The IPAQ-long was used to measure physical activity. Multiple logistic regression was applied to examine associations. Of participants, 77.9% were employed full-time, 32.3% had professional jobs, 35.7% were engaged in shift work, 39.5% had physically-demanding jobs, and 66.1% had high physical activity levels. Participants with a physicallydemanding job were less likely to have low total (OR = 0.25, 95% CI = 0.17 to 0.38) and occupational (OR = 0.17, 95% CI = 0.12 to 0.25) physical activity. Technical and trade workers were less likely to report low total physical activity (OR = 0.44, 95% CI = 0.20 to 0.97) compared with white-collar workers. Part-time (OR = 1.74, 95% CI = 1.15 to 2.64) and shift workers (OR = 1.86, 95% CI = 1.21 to 2.88) were more likely to report low leisure-time activity. Overall, the impact of different occupational indicators on physical activity was not strong. As expected, the greatest proportion of total physical activity was derived from occupational physical activity. No evidence was found for compensation effects whereby physically-demanding occupations lead to less leisure-time physical activity or vice versa. This study demonstrates that workplaces are important settings to intervene, and that there is scope to increase leisure-time physical activity irrespective of occupational background.
Evaluation of a transition to practice programme for mental health nursing
Publisher: Wiley
Date: 02-03-2009
DOI: 10.1111/J.1365-2648.2008.04943.X
Abstract: This paper is a report of a study assessing nurses' satisfaction with a 12-month transition to practice programme into mental health nursing and its impact on their perceived knowledge, confidence and self-concept. Transition to practice programmes are necessary to facilitate graduate nurses' professional adjustment into nursing and experienced nurses' movement from one clinical setting or speciality to another. Role transition can be a difficult process, and those who have realistic expectations may experience less stress during the actual transition. A quantitative evaluation design carried out in Australia, using questionnaires for data collection. The study began in 2005 and the participants were three groups (n = 45) of Registered Nurses who all completed the programme during 2006 and 2007. Forty-four nurses (98%) completed pre- and postprogramme surveys. There was a relatively high level of satisfaction with the programme. Most participants found all aspects of the programme to be substantially positive, with the majority intending to continue to work in mental health nursing at programme completion. Data concerning knowledge of and confidence in undertaking a number of nursing tasks showed statistically significant gains postprogramme for most items. No differences were found in The Nurses' Self-Concept Questionnaire scores between pre- and post-test phases, apart from a trend towards improved communication and caring. Transition programmes have the potential to make a positive contribution to the mental health nursing workforce. Continuing professional development opportunities are essential to ensure that skill development is maintained. Future longitudinal research could ascertain the benefits of the programme on staff retention.
Clinical leadership in mental health nursing: The importance of a calm and confident approach
Publisher: Hindawi Limited
Date: 16-04-2015
DOI: 10.1111/PPC.12070
Abstract: Explore the perceptions of nurses working in mental health of effective clinical leadership. In-depth interviews were conducted with registered nurses employed in a mental health setting. Qualitative research using grounded theory. Remaining calm and confident in times of crisis and uncertainty was identified as one attribute of clinical leadership. Participants noted clinical leaders' demeanor during stressful or crisis situations, and their ability to manage unpredictable or unexpected clinical situations as contributing positively to clinical practice. Understanding these characteristics and how they can influence positive outcomes for clients is crucial in addressing the recruitment and retention challenges for the nursing workforce.
Healthy mind, healthy body: A randomized trial testing the efficacy of a computer-tailored vs. interactive web-based intervention for increasing physical activity and reducing depressive symptoms
Publisher: Elsevier BV
Date: 10-2016
Exploring the views of nurses on the cardiometabolic health nurse in mental health services in Australia
Publisher: Informa UK Limited
Date: 14-11-2015
DOI: 10.3109/01612840.2014.901449
Abstract: People with serious mental illness experience premature death due to higher rates of cardiometabolic conditions (e.g. cardiovascular disease, diabetes) than the general population. Mental health services often do not provide sufficient cardiometabolic clinical care to address these risks. The cardiometabolic health nurse (CHN) role has been suggested as a strategy for ensuring integrated care is provided and sustained. The views of nurses in mental health would be essential in informing the viability and development for this initiative. This paper presents the findings of open-ended comments from a cross-sectional online survey of nurses working in mental health in Australia (n = 643) eliciting views about the possible introduction of the cardiometabolic nurse. Thematic analysis was undertaken, of 133 open comments on this topic. The findings suggest that nurses see the specialist role as suitable and valuable for mental health services. Some nurses voiced concern about specialisation leading to fragmentation (e.g. in responsibilities for physical health, ision of mental and physical health care, and less emphasis on equipping all nurses with comprehensive care skills), especially for settings where generalist nursing was seen as already available. The findings suggest this role is viewed favourably by nurses, provided that it is consistent with holistic and comprehensive care. Empirical research is needed to see whether this role increases holism (as valued by consumers and nurses) and cardiometabolic outcomes.
Enabling professional development in mental health nursing: The role of clinical leadership
Publisher: Wiley
Date: 25-05-2015
DOI: 10.1111/JPM.12221
Abstract: Clinical leadership is acknowledged as important to the nursing profession. While studies continue to identify its significance in contributing to positive outcomes for consumers, the role that clinical leadership has in enabling and supporting professional development in mental health nursing is poorly understood. This study utilized a grounded theory methodology to explore the characteristics clinicians consider important for clinical leadership and its significance for mental health nursing in day-to-day clinical practice. In idual face-to-face, semi-structured interviews were conducted with nurses working in mental health settings. Participants described the important role that clinical leaders play in enabling professional development of others through role modelling and clinical teaching. They describe how nurses, whom they perceive as clinical leaders, use role modelling and clinical teaching to influence the professional development of nursing staff and undergraduate nursing students. Attributes such as professionalism and honesty were seen, by participants, as enablers for clinical leaders in effectively and positively supporting the professional development of junior staff and undergraduate nurses in mental health nursing. This paper examines clinical leadership from the perspective of mental health nurses delivering care, and highlights the important role of clinical leaders in supporting professional development in mental health nursing.
Finding voice: Promoting the right of free speech for mental health nurses: Editorial
Publisher: Wiley
Date: 06-05-2009
The mental health nurse: A valuable addition to the consultation-liaison team
Publisher: Wiley
Date: 03-2006
DOI: 10.1111/J.1447-0349.2006.00393.X
Abstract: Nurses, particularly those working in non-psychiatric settings, report that they do not feel adequately prepared to meet the mental health needs of patients. The psychiatric consultation-liaison nursing role has arisen in part, as a response to these difficulties and aims to facilitate access to mental health nursing expertise for general hospital patients and staff. The impact of the introduction of a nursing position into an established consultation-liaison psychiatry service was evaluated using an activity audit, a staff attitude survey, and staff focus groups. The findings demonstrated that the addition of the nursing role to the consultation-liaison psychiatry service improved access of general hospital patients to specialist mental health care. It also provided valued expert assistance to staff in the provision of care to this patient group, particularly those with complex problems and significant psychiatric comorbidity. The study found that the nursing consultation was particularly helpful because of its focus on practical and care-orientated interventions. The model of practice that evolved out of this project is described and the findings support the use of both direct and indirect patient interventions as important psychiatric consultation-liaison nurse activities.
Staff experiences of providing support to students who are managing mental health challenges: A qualitative study from two Australian universities (vol 12, pg 192, 2014)
Publisher: Informa UK Limited
Date: 02-01-2015
Psychiatric/mental health nursing education in Victoria, Australia: Barriers to specialization
Publisher: Elsevier BV
Date: 04-2006
DOI: 10.1016/J.APNU.2005.08.011
Abstract: The introduction of undergraduate comprehensive nursing education in Victoria, Australia, during the 1990s has resulted in significant changes in undergraduate preparation for psychiatric/mental health nursing. Comprehensive programs became charged with the responsibility of preparing graduates to provide care for people experiencing a mental illness across a broad range of health-care settings, as well as providing a pathway for graduates with an interest in specialist practice in this field. The aim of this article is to clearly articulate the issues associated with psychiatric/mental health nursing education at the undergraduate level, including prevalence of mental illness, the inadequacy of psychiatric/mental health nursing theory and practice at undergraduate level, the negative attitudes of students toward this field of practice, and the subsequent failure of nursing education and practice initiatives to provide a clear mechanism for specialization in this important area of nursing practice. Throughout the article, the distinction between generalist and specialist preparation is argued and accompanied by a call for nursing education to recognize and address the issues associated with both domains.
The physical health nurse consultant and mental health consumer: An important therapeutic partnership
Publisher: Wiley
Date: 25-12-2022
DOI: 10.1111/INM.13104
Abstract: People diagnosed with mental illness (hereon referred to as consumers) experience a disproportionately lower life expectancy of up 30 years compared to the general population. Systemic issues such as diagnostic overshadowing and stigma from healthcare professionals have inhibited the development of positive therapeutic partnerships that enable consumers to seek and engage support for their physical health concerns. Consumers have called for healthcare professionals to skillfully develop and prioritize therapeutic partnerships whilst coordinating and providing physical healthcare. The aim of this qualitative descriptive research was to explore consumer views and experiences of their interactions with a specialist mental health nursing role, the Physical Health Nurse Consultant. Semi‐structured interviews were conducted with 14 consumers from a large public Community Mental Health Service in the Australian Capital Territory. Interviews were transcribed and thematically analysed. Therapeutic partnerships were an overarching theme identified from the data and included three sub‐themes: personal attributes of the Physical Health Nurse Consultant behaviour change engagement strategies and impact of the therapeutic partnership. Consumers described the personal and professional attributes of the Physical Health Nurse Consultant that enabled the establishment and maintenance of their highly valued therapeutic partnership. This therapeutic partnership was perceived to positively impact their personal and clinical outcomes. With increasing support from consumers, clinical practice settings should move towards embedding a Physical Health Nurse Consultant role in routine practice. Further research exploring the co‐development of health behaviour change goals and, barriers and facilitators experienced by the consumers regarding the Physical Health Nurse Consultant is required to further role development.
Informing the development of a fit‐for‐purpose mental health nursing curriculum: A survey of mental health nurse academics in Australia
Publisher: Wiley
Date: 13-09-2023
DOI: 10.1111/INM.13226
The silence of mental health issues within university environments: A quantitative study
Publisher: Elsevier BV
Date: 10-2014
DOI: 10.1016/J.APNU.2014.08.003
Abstract: A descriptive study was used to examine the attitudes and experiences of staff and students towards mental health problems. Staff completed the "Attitude towards mental illness survey", and students who self-identified having a mental health problem completed the "Stigma scale". Using an online collection process, data from 270 staff and 201 students showed that the "silence" surrounding mental health problems permeates the university environment and impacts on help seeking behaviors, the provision of support and on the recovery and wellbeing of affected in iduals. Universities must decrease stigma and foster social inclusion to build self-esteem in people who have mental health problems.
The Mental Health Nurse Incentive Program: Desirable knowledge, skills and attitudes from the perspective of nurses
Publisher: Wiley
Date: 15-02-2011
DOI: 10.1111/J.1365-2702.2010.03510.X
Abstract: Aim. To enhance the understanding of the skills and attitudes of mental health nurses working in the Australian Mental Health Nurse Incentive Program. Background. The Mental Health Nurse Incentive Program places qualified mental health nurses alongside community‐based general practitioners, private psychiatric practices and other appropriate organisations to provide clients with mental health conditions with a more integrated treatment plan. Design. An exploratory, qualitative approach was undertaken, given the paucity of relevant research in this area. Methods. Exploratory in idual interviews were conducted with ten mental health nurses working in this scheme. Data analysis was organised and managed using QSR NVivo qualitative analysis software. Results. Respondents identified specific skills and attitudes required for practice under the Mental Health Nurse Incentive Program. Eight areas of skill and attitude were identified as essential for mental health nurses working in this field. This study highlights that many of these skills and attitudes are specific to the setting where mental health nurses are working. Conclusion. Mental health nurses working under this programme have a role to play in the dissemination of knowledge about their practice. More needs to be done by governments and other institutions to ensure that general practitioners and other health professionals understand the role played by mental health nurses in the provision of care. Relevance to clinical practice. The extent to which the Mental Health Nurse Incentive Program becomes a sustainable strategy to promote quality and accessible mental health care will depend to some degree on the capacity to identify the skills and attitudes necessary for practice. The findings presented in this paper provide a significant contribution to articulating the essential characteristics required for this area of practice.
Reduced Ambivalence to the Role of the Cardiometabolic Health Nurse Following a 6-Month Trial
Publisher: Hindawi Limited
Date: 06-03-2015
DOI: 10.1111/PPC.12066
Abstract: To determine the changes in attitudes toward the inclusion of a cardiometabolic health nurse for the physical healthcare management of people with serious mental illness following a 6-month trial. Repeated survey of nurses working in a regional mental health facility. Nurses working in mental health were initially supportive of the role. A 6-month trial of a cardiometabolic health nurse in the workplace reduced ambivalence and increased positivity toward the role. Reduced ambivalence and improved positivity toward the role may facilitate less organization resistance to the implementation of a cardiometabolic health nurse in the mental healthcare setting. Specialized training and role recognition may be needed to further support this role.
Attitudes of nursing students on consumer participation: The effectiveness of the mental health consumer participation questionnaire
Publisher: Hindawi Limited
Date: 12-03-2015
DOI: 10.1111/PPC.12064
Abstract: The aims of this article were to evaluate the Mental Health Consumer Participation Questionnaire, and measure nursing students' attitudes to consumer participation. Undergraduate nursing students (n = 116) completed the Mental Health Consumer Participation Questionnaire at the start of a course on recovery for mental health nursing practice. The current findings confirm an endorsement of consumer participation in in idual care processes, but less agreement with participation in organizational-level processes, such as management of mental health services and education of providers. This article also confirms that the questionnaire can effectively measure attitudes to consumer participation. The participation of consumers is critical for achieving person-centered services mental health services. It is important that nursing education influence positive attitudes.
The role of the nurse practitioner in psychiatric/mental health nursing: Exploring consumer satisfaction
Publisher: Wiley
Date: 19-01-2006
DOI: 10.1111/J.1365-2850.2006.00916.X
Abstract: There is a substantial body of literature pertaining to the role of the nurse practitioner. Research directed towards consumer satisfaction suggests that the care provided by nurse practitioners is perceived as at least equal to that provided by a medical practitioner. However, there is a paucity of literature examining the nurse practitioner role in the psychiatric/mental health field. An evaluation of a Nurse Practitioner demonstration model has recently been undertaken in the Crisis, Assessment and Treatment Team in Victoria, Australia. This article presents the findings of a qualitative, exploratory study. In idual interviews were conducted with consumers (n = 7) who had received care and treatment provided by the nurse practitioner candidate. Data analysis revealed two main themes: the quality of the service provided, and the unique role of the nurse. The findings supported the available literature in articulating the specific aspects of the nurse practitioner role that are favourably perceived by consumers of services. This study contributes to the limited body of knowledge in the psychiatric/mental health nursing field and specifically emphasizes the importance of the relationship between nurse practitioner and consumer in facilitating the provision of effective care and treatment.
Majors in Mental Health Nursing: Issues of Sustainability and Commitment
Publisher: Hindawi Limited
Date: 07-03-2014
DOI: 10.1111/PPC.12063
Abstract: Major streams in mental health nursing in undergraduate nursing programs were introduced in Australia as a strategy to address current and projected workforce shortages. Of the 14 programs originally planned or implemented, only five are continuing. A qualitative exploratory study was conducted involving in-depth interviews with representatives of universities that had ceased the major streams or abandoned plans to introduce them. Significant themes from interview material on abandoned programs were efficient use of resources, expertise, and problems with registration. On the programs now terminated significant themes were viability and commitment to mental health nursing. These findings suggest demonstrable and sustainable commitment to mental health nursing is a precursor to success of major streams and advancement of the mental health nursing specialty.
The tyranny of difference: exploring attitudes to the role of the consumer academic in teaching students of mental health nursing
Publisher: Informa UK Limited
Date: 11-07-2020
The importance of clinical experience for mental health nursing - Part 1: Undergraduate nursing students' attitudes, preparedness and satisfaction: Feature Article
Publisher: Wiley
Date: 10-2008
DOI: 10.1111/J.1447-0349.2008.00555.X
Abstract: Government inquiries and workforce data continue to draw attention to the current and impending crisis in mental health nursing. While undergraduate nursing education has been found at least partially responsible for the negative attitudes nursing students tend to hold towards mental health nursing, clinical experience has been identified as a potential strategy in enhancing more positive attitudes. However, research to date has not focused on the impact of clinical experience on specific factors such as attitudes to mental health nursing to people experiencing mental illness and perceived preparedness for the mental health field. This quasi-experimental study measured changes in students' attitudes to the three factors, including satisfaction with clinical experience following a placement in mental health nursing. A questionnaire was administered to undergraduate nursing students on the first and last day of a mental health clinical placement. This, the first of a two-part paper, compares student responses over the two-time periods and describes satisfaction with the clinical experience. The findings suggest that clinical experience in mental health nursing experience can positively influence attitudes, preparedness for practice, and the popularity of mental health nursing. Satisfaction with clinical experience was also high.
Provision of Preventive Services for Cancer and Infectious Diseases Among Individuals with Serious Mental Illness
Publisher: Elsevier BV
Date: 06-2012
DOI: 10.1016/J.APNU.2011.09.002
Abstract: In iduals living with serious mental illness (SMI) have increased mortality chiefly because of a higher prevalence of chronic disorders, including some cancers and infectious diseases. Although increased prevalence of these disorders may be attributable to lifestyle and risk behaviors, there is evidence that they may not be appropriately addressed by health professionals. We conducted a review of the literature describing preventive services for cancer and infectious diseases provided to in iduals with SMI. Most studies demonstrated a 20%-30% reduced likelihood of breast, cervical, and colorectal cancer screening, or immunizations for influenza and pneumonia, in patients with SMI compared with those without SMI. This is most common in those with the most severe forms of SMI. HIV and hepatitis were more commonly screened for in people with SMI than the general population, likely because of the increased risk for these disorders within this group, but there were still substantial proportions of in iduals with SMI who had never received a screening, or had not received a recent screening, for these disorders. The mental health nursing profession has an opportunity to address the disparity in care for cancer and infectious diseases, as well as other physical disorders, experienced by mental health consumers. With systemic support and ongoing education, mental health nurses may be capable of conducting or recommending screening for disorders and providing lifestyle advice. These practices may help to reduce the increased prevalence of chronic disease in SMI populations.
Lead by vision, not by limitations: Recovery and the mental health nursing profession: Editorial
Publisher: Wiley
Date: 06-01-2010
Improving the cardiometabolic health of people with psychosis: A protocol for a randomised controlled trial of the Physical Health Nurse Consultant service
Publisher: Elsevier BV
Date: 10-2018
DOI: 10.1016/J.CCT.2018.09.001
Abstract: Over 690,000 Australians experience psychosis annually, significantly impacting cardiometabolic illness and healthcare costs. Current models of care are fragmented and a critical implementation gap exists regarding the delivery of coordinated physical healthcare for Australians with psychosis. To describe a trial implementing a Physical Health Nurse Consultant (PHNC) role to coordinate physical health care in a community mental health setting. In this 24-month, 2-group randomised controlled trial, 160 adults with psychosis will be randomised to usual care, or to the PHNC in addition to usual care. Using the Positive Cardiometabolic Health treatment framework and working in collaborative partnerships with consumers (consumer-led co-design), the PHNC will provide care coordination including referral to appropriate programmes or services based on the treatment framework, with the consumer. Burden of Disease risk factors will be collected according to Australian Bureau of Statistics' National Health Survey guidelines. Consumer experience will be assessed using the 'Access', 'Acceptability' and 'Shared Decision Making' dimensions of the Patient Experiences in Primary Healthcare Survey. Cost-effectiveness will be modelled from Burden of Disease data using the Assessing Cost Effectiveness Prevention methodology. Data collection of two years duration will commence in late 2018. Preliminary findings are expected in December 2019. Primary outcomes will be the effect of the PHNC role on physical healthcare in community-based adults with psychosis. The PHNC is an innovative approach to physical health care for adults with psychosis which aims to meet the physical health needs of consumers by addressing barriers to physical health care.
Exercise for mental illness: A systematic review of inpatient studies
Publisher: Wiley
Date: 30-09-2014
DOI: 10.1111/INM.12045
Abstract: A substantial body of evidence supports the role of exercise interventions for people with a mental illness. However, much of this literature is conducted using outpatient and community-based populations. We undertook a systematic review examining the effect of exercise interventions on the health of people hospitalized with depression, schizophrenia, bipolar disorder, or anxiety disorders. Eight studies met our inclusion criteria. Several studies show positive health outcomes from short-term and long-term interventions for people hospitalized due to depression. Although positive, the evidence for inpatients with schizophrenia, bipolar disorder, or anxiety disorders is substantially less. There is an urgent need to address the paucity of literature in this area, in particular the optimal dose and delivery of exercise for people hospitalized as a result of mental illness. Standardization of reporting exercise programme variables, the assessment of mental illness, and the reporting of adverse events must accompany future studies.
Exploring Sexual Risks in a Forensic Mental Health Hospital: Perspectives from Patients and Nurses
Publisher: Informa UK Limited
Date: 02-09-2015
DOI: 10.3109/01612840.2015.1033042
Abstract: Patients utilising forensic mental health inpatient services experience a range of sexual risks, including vulnerability to sexual exploitation and exposure to sexually transmissible infections. However, there is a paucity of research exploring the issue of sexual risks from the standpoint of patients and the nurses who work closely with them in inpatient secure settings. This article presents findings from a qualitative exploratory study, which investigated the views of patients and nurses about sexual relationships in forensic mental health settings. Risk was a major theme arising from the data and is the focus of this article. Subthemes from nurse participants included sexual safety, sexual vulnerability, unplanned pregnancies, and male sexuality issues. Subthemes from patients included risks associated with sexual activity, access to information and sexual health care, unplanned pregnancies, vulnerability, and male sexuality issues. Knowledge about these sexual risks by patients and nurses were well articulated, however information and assistance were considered by patients to be less than satisfactory in improving their knowledge or in providing the support they considered important to reduce sexual risks. The issue of risk needs to be addressed, and nurses would be well placed to contribute however they require education to improve their ability to provide sexual health education to patients along with strategies to ensure patients receive the support and services they require to reduce their exposure to sexual risks.
Expanded practice roles for community mental health nurses in Australia: Confidence, critical factors for preparedness, and perceived barriers
Publisher: Informa UK Limited
Date: 2008
DOI: 10.1080/01612840802129269
Abstract: As the momentum for nurse practitioner roles rapidly increases in Australia, little scholarly attention has been directed towards barriers to role expansion, the confidence necessary to undertake expanded practice roles (other than prescription of medication), or the educational preparation required for expanded roles. This paper reports on community mental health nurses' views regarding confidence to undertake expanded roles, their opinions regarding the necessary preparation for such roles, and barriers to role expansion. An questionnaire was administered to 296 community mental health nurses employed in metropolitan and rural settings in Victoria, Australia. In regards to various domains of expanded practice, nurses were least confident about prescribing but more than half (54%) reported that they would either "definitely" or "probably" feel confident. Over 90% reported "probably" or "definitely" feeling confident to make recommendations for involuntary treatment. Eighty-four percent and 79% reported similar levels of confidence in relation to ordering diagnostic tests and referring patients to medical specialists, respectively. Most (95%) agreed that extra educational preparation was necessary in relation to undertaking expanded practice roles successfully. Factors considered most strongly as barriers to expanded nursing practice included the medical profession, followed by fear of litigation, and government departments and policies.
Assessment of the Opening Minds Scale for use with nursing students.
Publisher: Hindawi Limited
Date: 06-06-2019
DOI: 10.1111/PPC.12393
Abstract: Evaluate the validity of the Opening Minds Scale (OMS) for nursing students via Rasch models and confirmatory factor analysis (CFA). Undergraduate nursing student responses to OMS (n = 423). Validity was evaluated via CFA and Rasch analysis. CFA results were strongest for a three-factor 13-item version of OMS. Rasch modeling supported sound properties for two of three scales. Internal reliabilities ranged between 0.6 and 0.7. OMS has potential as a valid measure for stigma research and antistigma program evaluation. Rasch analysis suggest it is inappropriate to use a total OMS score for nursing student populations.
Web-Based Intervention Preferences and Physical Activity Motivation of People with Depressive Symptoms
Publisher: Ubiquity Press, Ltd.
Date: 30-08-2017
DOI: 10.5334/HPB.3
Abstract: Physical activity is an effective method for managing depressive symptoms, and web-based interventions may be an effective tool for promoting physical activity within this population. People with depressive symptoms may experience condition-specific facilitators and barriers to be considered when developing physical activity interventions. This study provides insight into web-based physical activity intervention preferences and physical activity motivation of people with depressive symptoms. This study was part of a larger trial of a web-based physical activity intervention for people with depressive symptoms. Thematic analysis of participants’ (N = 20) written responses to open-ended survey questions was conducted. Preferences for web-based intervention features included social forums, self-monitoring, suggestions for types of physical activity in different circumstances and information targeted to people with depressive symptoms. When discussing physical activity motivation instrumental beliefs (i.e., beliefs of the benefits and cost of physical activity) and controllability (i.e., whether the behaviour is under their control) were discussed. Additionally, people reported condition-specific barriers of physical activity such as depressive symptoms of apathy, worthlessness, and pain. Further research is needed to test the effectiveness of web-based physical activity interventions targeting people with depressive symptoms, which incorporates these findings.
The Relationship Between Exercise Intensity and Sleep Quality in People Hospitalised Due to Affective Disorders: A Pilot Study
Publisher: Informa UK Limited
Date: 02-2016
DOI: 10.3109/01612840.2015.1114057
Abstract: In iduals with mental illness experience poorer sleep quality compared to the general population. Exercise may improve sleep quality through a reduction in arousal, however the association between perceived exercise intensity and sleep quality for this population is largely unknown. Forty inpatient mental health consumers reported perceived exertion prior to, and immediately following, a morning session of combined aerobic and strengthening exercise. Self-reported sleep quality was reported immediately upon waking the day following the acute exercise session. Pearson's correlations examined the relationship between exercise intensity and sleep quality. A significant negative correlation was observed between post-exercise exertion and sleep quality (r = -0.32, p = 0.045). A reduction in arousal may explain the observed effects for people with anxiety disorders.
Acknowledging Rural Disadvantage in Mental Health: Views of Peer Workers
Publisher: Hindawi Limited
Date: 09-06-2017
DOI: 10.1111/PPC.12171
Abstract: The aim of this article was to present views and opinions of people employed to work from their personal experience of significant mental health challenges (peer workers). The specific focus was on their capacity to contribute meaningfully to mental health service provision and in rural areas and associated barriers. Grounded Theory was the methodology utilized. In-depth interviews were conducted with peer workers throughout Australia. Participants described significant barriers to the provision of quality mental health services in rural and regional locations. The two main areas identified were the following: transport and distance, and lack of mental health staff and services. The identified barriers place limitations on the capacity of peer workers to maximize effectiveness in rural settings. Peer workers could potentially play an important role in overcoming shortages of staff and services and improving mental health service delivery.
Editor's response
Publisher: Wiley
Date: 03-11-2010
The challenges of undergraduate mental health nursing education from the perspectives of heads of schools of nursing in Queensland, Australia
Publisher: Elsevier BV
Date: 09-2015
DOI: 10.1016/J.COLEGN.2014.01.004
Abstract: The shortage of a skilled mental health nursing workforce is persistent and worsening. Research consistently demonstrates the inability of the comprehensive model of nursing education to meet nursing workforce needs in mental health. Introducing specialisation in mental health at undergraduate level has been suggested as a strategy to address this problem. Exploration of barriers to this educational approach is essential. The aim of this research is to examine with Queensland Heads of Schools of Nursing, the perceived barriers to a specialist mental health nursing stream within an undergraduate nursing programme. Qualitative exploratory methods, involving in-depth telephone interviews with Heads of Schools of Nursing in Queensland, Australia. Data were analysed thematically. Participants encountered a number of barriers revealed in five main themes: academic staffing staff attitudes funding and resource implications industry support entry points and articulation pathways. Barriers to the implementation of mental health nursing specialisation in undergraduate programmes are evident. While these barriers pose real threats, potential solutions are also evident. Most notably is the need for Schools of Nursing to become more co-operative in mounting mental health nursing specialisations in a smaller number of universities, where specialist expertise is identified. Quality mental health services rely on a sufficiently skilled and knowledgeable nursing workforce. To achieve this it is important to identify and implement the educational approach best suited to prepare nurses for practice in this field.
Doctoral graduates in mental health nursing in Victoria, Australia: The doctoral experience and contribution to scholarship
Publisher: Wiley
Date: 08-2008
DOI: 10.1111/J.1447-0349.2008.00543.X
Abstract: The last decade has seen a substantial increase in the number of psychiatric or mental health nurses in Victoria, Australia who hold doctoral qualifications. The literature refers to the importance of scholarship for the professional development and recognition of nursing as a discipline. However, there is a paucity of literature addressing the contribution of nursing doctoral graduates to scholarship in mental health nursing or indeed the broader nursing profession. This paper presents the findings from a survey of psychiatric nurse doctoral graduates currently residing in the State of Victoria. A questionnaire was developed by the authors and distributed to the known doctoral graduates. The main findings demonstrate considerable variation in the discipline and topic of inquiry and in the extent to which doctoral studies had led to dissemination of research findings and engagement in further scholarly activity. The strengthening of mental health nursing knowledge requires scholarship and doctoral graduates are expected to make a major contribution, through research and the dissemination of findings. This paper presents a descriptive overview of doctoral graduates in one State of Australia with a particular focus on research and scholarship.
Determining the effectiveness of mental health services from a consumer perspective: Part 2: Barriers to recovery and principles for evaluation
Publisher: Wiley
Date: 28-02-2008
DOI: 10.1111/J.1447-0349.2008.00520.X
Abstract: The routine use of standardized outcome measures has been introduced to assess the effectiveness of mental health service delivery throughout Australia. The use of these measures has been criticized for failing to reflect those aspects of treatment consumers consider to affect their recovery. This is the second of a two-part paper. Its aim is to explore the views of consumers regarding factors that impede recovery and to explore the principles that ideally should underpin the evaluation of mental health services. Focus group interviews were conducted with consumers of mental health services (n = 16) from one rural and one metropolitan mental health service in Victoria, Australia. This paper presents the findings, pertaining to aspects of mental health services that pose barriers to recovery. The main themes to emerge were: staffing issues hearing the person not the illness lack of safety and security and, isolation. The main themes to emerge regarding the evaluation of mental health services were: consumer involvement peer support and more responsive care and treatment. The views of participants suggest that the effective evaluation of mental health services requires an increased focus on the views and opinions of consumers in order to develop more responsive mental health services.
Editorial: Mental health, mental illness, or some of each? the need for care with the use of language
Publisher: Wiley
Date: 02-11-2009
Barriers to exercise prescription and participation in people with mental illness: The perspectives of nurses working in mental health
Publisher: Wiley
Date: 08-04-2015
DOI: 10.1111/JPM.12205
Abstract: Exercise is valuable in the treatment of mental illness, yet personal and organizational barriers limit widespread implementation by nurses in mental health settings. Using a self-report questionnaire, we sought to identify how often nurses prescribe exercise and their level of agreement with previously identified barriers to exercise prescription and participation for mental health consumers. Nurses disagree that many of the previously identified barriers should impede exercise prescription for people with mental illness. Nurses agree that many of the barriers expressed by mental health consumers might prevent exercise participation. Our study provides valuable new insight into the role of nurses in the provision of exercise for people with mental illness however, it is limited to a small s le. Confirmation of these findings in larger, geographically and professionally erse groups is needed. Evidence is mounting for the efficacy of exercise in the treatment of people with mental illness. Nurses working in mental health settings are well placed to provide exercise advice for people with mental illness. However, quantitative examinations of the barriers to exercise prescription experienced by nurses, or their views regarding the barriers to exercise participation experienced by people with mental illness, are lacking. In this study, 34 nurses completed the Exercise in Mental Illness Questionnaire-Health Professionals Version (EMIQ-HP). This survey examined the frequency of exercise prescription and the level of agreement with statements regarding barriers to exercise prescription for, and exercise participation by, people with mental illness. The level of agreement scores for statements for each section was summed, with a higher score indicating a higher level of agreement. Nurses disagree with many of the barriers to exercise prescription presented in the literature. The level of agreement scores did not differ between nurses who prescribe exercise 'Always', 'Most of the time', 'Occasionally' or 'Never'. We found a non-significant negative relationship between frequency of exercise prescription and summed level of agreement scores for barriers to exercise prescription. Consensus regarding barriers to exercise participation by mental health consumers is less clear. This study provides valuable new insight into the role of nurses in the provision of exercise for people with mental illness. Confirmation in larger s les is needed before translation of research to practice.
Moving in circles: A brief history of reports and inquiries relating to mental health content in undergraduate nursing curricula
Publisher: Elsevier BV
Date: 10-2010
DOI: 10.1016/J.NEDT.2009.12.018
Abstract: Since the abolition of specialist, undergraduate education in mental health nursing, serious concerns have been raised about the inadequate amount of theory and clinical experience devoted to this specialty in most pre-registration nursing programs in Australia. A number of government initiated reports and inquiries have been undertaken to scope the problem and provide recommendations with the aim of overcoming the identified deficits. Most inquiries have agreed that mental health nursing is under-represented in undergraduate programs and this has serious consequences for establishing a sustainable mental health nursing workforce and for providing optimal care for people experiencing a mental illness. The recommendations tend to support the continuation of comprehensive nursing education, but emphasise the need for increased mental health content. Terms like significant and substantial are often used which are not easily quantifiable. The repetitive nature of the recommendations and findings of the reports suggests that real change is not likely to occur unless specific minimum standards for the mental health content of undergraduate nursing programs are set.
Psychiatrists teaching mental health nursing: What's the problem?
Publisher: Wiley
Date: 03-07-2012
Safewards: An integrative review of the literature within inpatient and forensic mental health units.
Publisher: Wiley
Date: 02-04-2022
DOI: 10.1111/INM.13001
Abstract: Mental health inpatient units are complex and challenging environments for care and treatment. Two imperatives in these settings are to minimize restrictive practices such as seclusion and restraint and to provide recovery-oriented care. Safewards is a model and a set of ten interventions aiming to improve safety by understanding the relationship between conflict and containment as a means of reducing restrictive practices. To date, the research into Safewards has largely focused on its impact on measures of restrictive practices with limited exploration of consumer perspectives. There is a need to review the current knowledge and understanding around Safewards and its impact on consumer safety. This paper describes a mixed-methods integrative literature review of Safewards within inpatient and forensic mental health units. The aim of this review was to synthesize the current knowledge and understanding about Safewards in terms of its implementation, acceptability, effectiveness and how it meets the needs of consumers. A systematic database search using Medline, CINAHL, Embase and PsychInfo databases was followed by screening and data extraction of findings from 19 articles. The Mixed Methods Appraisal Tool (MMAT) was used to assess the quality of empirical articles, and the Johanna Brigg's Institute (JBI's) Narrative, Opinion, Text-Assessment and Review Instrument (NOTARI) was used to undertake a critical appraisal of discussion articles. A constant comparative approach was taken to analysing the data and six key categories were identified: training, implementation strategy, staff acceptability, fidelity, effectiveness and consumer perspectives. The success of implementing Safewards was variously determined by a measured reduction of restrictive practices and conflict events, high fidelity and staff acceptability. The results highlighted that Safewards can be effective in reducing containment and conflict within inpatient mental health and forensic mental health units, although this outcome varied across the literature. This review also revealed the limitations of fidelity measures and the importance of involving staff in the implementation. A major gap in the literature to date is the lack of consumer perspectives on the Safewards model, with only two papers to date focusing on the consumers point of view. This is an important area that requires more research to align the Safewards model with the consumer experience and improved recovery orientation.
Mental health consumers' perspectives of physical health interventions: An integrative review
Publisher: Wiley
Date: 07-04-2022
DOI: 10.1111/INM.13000
Abstract: Consumers of mental health services experience poor physical health compared to the general population, leading to long‐term physical illness and premature death. Current research and policy activity prioritizes the physical health of consumers yet few of these recommendations have translated to practice. This implementation gap may be influenced by the paucity of literature exploring consumer perceptions and experiences with physical healthcare and treatment. As a result, little is understood about the views and attitudes of consumers towards interventions designed to improve their physical health. This integrative review aims to explore the literature regarding consumer perspectives of physical healthcare and, interventions to improve their physical health. A systematic search was undertaken using (i) CINAHL, (ii) MEDLINE, (iii) PsycINFO, (iv) Scopus, and (v) Google Scholar between September and December 2021. Sixty‐one papers comprising 3828 consumer participants met the inclusion criteria. This review found that consumers provide invaluable insights into the barriers and enablers of physical healthcare and interventions. When consumers are authentically involved in physical healthcare evaluation, constructive and relevant recommendations to improve physical healthcare services, policy, and future research directions are produced. Consumer evaluation is the cornerstone required to successfully implement tailored physical health services.
‘They don't really know why they're here’ mental health professionals' perspectives of consumer representatives
Publisher: Wiley
Date: 02-02-2023
DOI: 10.1111/INM.13124
Abstract: There are several barriers to meaningful, non‐tokenistic consumer representation in mental health, including stigma and negative attitudes towards consumers. The aim of this study was to examine mental health professionals' perspectives about collaborating with consumer representatives. Semi‐structured interviews were conducted with 11 mental health professionals across Australia. Informed by the social identity framework, the findings are discussed in relation to the themes of (1) the need for greater clarity about the roles of consumer representatives, (2) perceptions about whether consumer representatives are held to equal professional standards, (3) understandings of consumers' place in organizational hierarchies, (4) facilitating more meaningful collaboration between consumer representatives and non‐consumer health professionals and (5) the blurring of these identities when mental health professionals have lived experience. Findings suggest that the social identities of mental health consumer representatives (along with their organizational roles) are often unclear and need development within healthcare organizations. Leaders can provide guidance on group boundaries to enable effective collaboration. The implications for healthcare organizations and policy include the provision of clear frameworks for collaborative mental healthcare and clear roles, terminology and responsibilities for mental health consumer representatives.
The activities that nurses working in community mental health perform: a geographical comparison
Publisher: CSIRO Publishing
Date: 2013
DOI: 10.1071/AH13045
Abstract: Objective. The primary aim of the present study was to identify the activities that nurses in community mental health services undertake. Method. A dataset containing records of the community and ambulatory interventions involving the nursing staff of 252 mental health facilities was analysed. Results. Nurses spend most of their time performing clinical care (78%), followed by clinical organisation (12%), mental health administration (6%) and integration activities (4%). There were minimal differences between treating units located in metropolitan, rural and remote areas in terms of the numbers of consumers receiving care, the time nurses spent with consumers, the types of nursing activities undertaken and the amounts of time spent on each of the four types of nursing activities. Conclusions. These findings suggest that nurses in mental health community settings spend more time in clinical care than nurses in other healthcare settings. What is known about the topic? Community settings are increasingly becoming the primary focus for mental health care in Australia. Nurses are providing community-based care for consumers with increased levels of acuity. There is a paucity of documented evidence about the activities nurses perform in community mental health settings. What does this paper add? This study provides a comprehensive understanding of the activities undertaken by nurses in community mental health settings. The findings presented emphasise the high proportion of clinical care performed by nurses in community mental health settings. No significant differences were noted in the provision of clinical care between metropolitan, rural and regional mental health services. What are the implications for practitioners? A comprehensive understanding of the activities of nurses in community mental health settings provides the basis for understanding the important role nursing plays in this area of care delivery.
An exploratory study of men’s access to mental health services.
Publisher: American Psychological Association (APA)
Date: 10-2022
DOI: 10.1037/MEN0000404
Self-reported health, health behaviors, attitudes, and beliefs of regional mental health consumers
Publisher: Hindawi Limited
Date: 24-10-4220
DOI: 10.1111/PPC.12043
Abstract: This article reports baseline data from a randomized controlled trial investigating the impact of a specialist cardiometabolic healthcare nurse on physical health care. Survey of community-based mental health consumers randomized to a cardiometabolic health nurse intervention. Findings show a high prevalence of respiratory conditions, hypercholesterolemia, hypertension, and low quality of life. Participants reported regular blood pressure but infrequent cholesterol and blood glucose testing. Few received advice about smoking cessation, diet, or physical activity. Participants were mostly satisfied with physical healthcare provision however, positive health behaviors are lacking. An in idualized intervention based on knowledge and attitudes may be necessary.
Respected debate or overt censorship: Respecting alternative views to the use of seclusion
Publisher: Wiley
Date: 09-2010
A time for reflection: Looking back and moving forward
Publisher: Wiley
Date: 02-03-2010
Exploring the expanded practice roles of community mental health nurses
Publisher: Informa UK Limited
Date: 2007
DOI: 10.1080/01612840600943739
Abstract: Significant changes to the delivery of mental health services have resulted in the expansion of the community mental health nursing role. This qualitative study was undertaken to explore the extent to which community mental health nurses are currently engaged in expanded forms of practice. Focus groups were undertaken with community mental health nurses (n = 27) from metropolitan and rural Victoria, Australia. Thematic analysis identified the following major themes: reported practice, consumers as beneficiaries of expanded practice, risk of harm and litigation, and barriers to expanded practice. The findings emphasize the need for significant changes in current legislation if expanded practice for nurses is to become a reality.
Use of an electronic metabolic monitoring form in a mental health service – a retrospective file audit
Publisher: Springer Science and Business Media LLC
Date: 19-04-2016
Something special, something unique: Perspectives of experts by experience in mental health nursing education on their contribution
Publisher: Wiley
Date: 16-06-2022
DOI: 10.1111/JPM.12773
Abstract: Expert by Experience participation in mental health services is embedded in mental health policy in many countries. The negative attitudes of nurses and other health professionals to consumer participation poses a significant obstacle to this policy goal. Involving mental health Experts by Experience in the education of nursing students demonstrates positive attitudinal change. The paper presents perspectives from Experts by Experience about the unique knowledge and expertise they derive from their lived experience of mental distress and mental health service use. As a result, they can make a unique and essential contribution to mental health nursing education. They utilize this knowledge to create an interactive learning environment and encourage critical thinking. The international focus of this research enriches understandings about how Experts by Experience might be perceived in a broader range of countries. Mental health policy articulates the importance of service user involvement in all aspects of mental health service delivery. This goal will not be fully achieved without nurses having positive attitudes towards experts by experience as colleagues. Positive attitudes are more likely to develop when nurses understand and value the contribution experts by experience bring by virtue of their unique knowledge and expertise. This paper provides some important insights to achieving this end. Embedding lived experience in mental health nursing education is increasing, with research findings suggesting the impact is positive. To date, research has primarily targeted the perspectives of nursing students and academics from the health professions. To enhance understanding of the unique knowledge and expertise experts by experience contribute to mental health nursing education. Qualitative exploratory research methods were employed. In‐depth in idual interviews were conducted with experts by experience who delivered a coproduced learning module to nursing students in Europe and Australia. Participants described their unique and essential contribution to mental health nursing education under four main themes: critical thinking, beyond textbooks interactive and open communication understanding personal recovery and mental health is health. These findings present an understanding of the unique knowledge and expertise Experts by Experience contribute to mental health education not previously addressed in the literature. Appreciating and respecting this, unique contribute is necessary as Expert by Experience contributions continue to develop. Mental health services purport to value service user involvement. Identifying and respecting and valuing the unique contribution they bring to services is essential. Without this understanding, tokenistic involvement may become a major barrier.
The Characteristics of Consumers Receiving Case Management in the Community: A Review of Literature
Publisher: Informa UK Limited
Date: 03-0018
DOI: 10.3109/01612840.2011.627107
Abstract: Mental health nurses increasingly provide care for consumers in the community who once would have received treatment in psychiatric inpatient units. The purpose of this review is to determine the characteristics of these consumers. We searched electronic databases and obtained information on some of the characteristics of community mental health consumers. For some nurses, over half of their caseloads are consumers with schizophrenia. Up to about one-third of consumers may be involuntary, but this proportion varies considerably. Impairments of health and social functioning appear common among consumers of community mental health services. This study identifies the need for greater interrogation of national databases to enhance understanding of community caseloads.
Implementation of clinical supervision in action: Part 3: The development of a model
Publisher: Wiley
Date: 16-01-2008
DOI: 10.1111/J.1447-0349.2007.00513.X
Abstract: Implementation has been observed to be crucial to the successful introduction of clinical supervision. Despite its importance, there is limited literature which articulates principles or process to guide it. The first and second parts of this three-part paper present findings of a qualitative exploration of the implementation of clinical supervision in a rural mental health service. The findings were discussed in light of the Driscoll model of implementation. While this model provided a valuable tool to interpret some aspects of the findings, its focus was primarily on the preimplementation stage, particularly in terms of assessing the workplace culture and the recognition of the pushing and resisting forces in relation to clinical supervision. This paper presents a new model of implementation with interrelated and dynamic stages. The model was developed in a rural mental health service context. An overview of this research-based model is presented in this paper.
Workplace well-being: Healing wounds or applying Band-Aids?
Publisher: Wiley
Date: 04-09-2014
DOI: 10.1111/INM.12103
What determines whether nurses provide physical health care to consumers with serious mental illness?
Publisher: Elsevier BV
Date: 04-2014
DOI: 10.1016/J.APNU.2013.11.001
Abstract: People with serious mental illness (SMI) have heightened rates of chronic physical disease. This study aimed to identify what nurse and organisational factors predict physical health care provided by nurses in contact with consumers with SMI, through a survey in Australia (N=643). Statistical analyses revealed that physical health care could be accounted for in terms of nurse views on consumer health, rights and nurse role ideal ('nurses should be involved in physical health care'), and organisational factors. However, organisational factors may be more important in determining physical health care than views and perceptions about consumers, roles and ideals.
‘There's just no flexibility’: How space and time impact mental health consumer research
Publisher: Wiley
Date: 27-03-2019
DOI: 10.1111/INM.12589
Abstract: Non-consumer researchers collaborating with consumer researchers can benefit from greater relevance of research and improved congruence between research processes and health policy. As with all research collaborations, such partnerships are both constrained and facilitated by research ecosystems. However, it seems that collaborations with consumer researchers are impacted in particular ways by the research ecosystem. Drawing on ecological systems theory, this study aims to improve understandings of how ecological structures impact collaborations between non-consumer and consumer researchers. Interviews were conducted with 11 non-consumer researchers from a range of mental health disciplines about their experiences collaborating with consumer researchers. One theme developed through analysis of the data set related to the research ecosystem. Data from this theme were extracted and discursively analysed using the principles of discursive psychology. Findings emphasize distinct factors that influence collaborations at each level of the ecosystem, encompassing both local research culture and broader research systems. Findings suggest that external pressures (such as deadlines for funding applications, or bureaucratic processes) from the broader ecosystemic levels need to be challenged at the local collaboration level. Non-consumer researchers might support collaborations through, for instance, working to create enhanced flexibility in research timelines, or making time for relationship building, thus fostering more meaningful collaborations.
Participative mental health consumer research for improving physical health care: An integrative review
Publisher: Wiley
Date: 09-05-2016
DOI: 10.1111/INM.12226
Abstract: People with mental illness have a significantly lower life expectancy and higher rates of chronic physical illnesses than the general population. Health care system reform to improve access and quality is greatly needed to address this inequity. The inclusion of consumers of mental health services as co-investigators in research is likely to enhance service reform. In light of this, the current paper reviews mental health consumer focussed research conducted to date, addressing the neglect of physical health in mental health care and initiatives with the aim of improving physical health care. The international literature on physical healthcare in the context of mental health services was searched for articles, including mental health consumers in research roles, via Medline, CINAHL and Google Scholar, in October 2015. Four studies where mental health consumers participated as researchers were identified. Three studies involved qualitative research on barriers and facilitators to physical health care access, and a fourth study on developing technologies for more effective communication between GPs and patients. This review found that participatory mental health consumer research in physical health care reform has only become visible in the academic literature in 2015. Heightened consideration of mental health consumer participation in research is required by health care providers and researchers. Mental health nurses can provide leadership in increasing mental health consumer research on integrated care directed towards reducing the health gap between people with and without mental illness.
Hospital-based psychiatric experience before community-based practice for nurses: Imperative or dispensable?
Publisher: Informa UK Limited
Date: 1999
Abstract: This article describes an Australian research project that explored the relevance of hospital-based experience in preparing psychiatric nurses for community-based practice. A qualitative design was selected to obtain in-depth information in an area in which no formal research has been undertaken. In-depth interviews were conducted with 6 psychiatric nurses currently engaged in community-based practice. The interviews were audiotaped, and the transcribed data were analyzed for major themes. The results indicated that the participants did not believe their hospital experience had prepared them to function effectively in the community. In some respects hospital experience was perceived as having hindered their transition into the community environment. This exploratory study indicates the need for further research and the exploration of alternative methods to prepare psychiatric nurses for community-based practice.
'They can't empower us': The role of allies in the consumer movement
Publisher: Wiley
Date: 04-03-2019
DOI: 10.1111/INM.12585
Abstract: Goals of the mental health consumer movement include redressing inequality and increasing consumer leadership across the mental health sector. A means of achieving these goals is empowerment of consumers at systemic levels of the mental health sector. There have been calls for research to focus on allies - those who use their power to support and advocate for the goals of the consumer movement. This study aimed to examine the role of allies in consumer empowerment. Semi-structured interviews were conducted with 15 in iduals (including three consumers, nine allies, and three participants each identifying as both consumer and ally). Findings suggest that allies cannot directly empower consumers but should support opportunities for consumer leadership within the sector. We discuss how allies might do this and avoid paternalism in their allyship.
John or Jane? Exploring How Clinical Judgment is Applied in Managing Access to Opioid Replacement Therapy
Publisher: Informa UK Limited
Date: 07-2013
DOI: 10.1080/02791072.2013.803648
Abstract: In Australia, access to Opioid Replacement Therapy (ORT) poses a problem for clinicians when confronted with multiple requests for ORT treatment. This article forms part of a broader grounded theory study exploring how clinicians apply clinical judgement in managing access to ORT programs. The focus of this article is to report on the codes generated from the study's data analysis and to discuss how they influence clinician responses to the process. From March to August 2012, 35 clinicians from 10 publicly funded ORT clinics within the states of Queensland and New South Wales were recruited. To stimulate clinicians to use their clinical judgment, a scenario was presented requiring participants to choose between two consumers for preferential access to ORT and explain why. Responses as to who should receive treatment first varied between clinicians. Reasoning for their decisions was erse, except "prioritising" was a consistently presenting element. Previous education, training, work experience, and their peers were all factors identified as influencing their decision making. Not all clinicians were confident with their choice. This study examined how clinical judgement is applied in managing access to ORT, showing variation in clinician responses and the factors influencing those decisions.
The Wisdom of Hindsight: Allies Reflections on Their Role in Supporting the Implementation of Expert by Experience Positions in Academia
Publisher: Informa UK Limited
Date: 24-08-2023
The older i get the more I worry: Attitudes of mental health nurses to working with older people: Editorial
Publisher: Wiley
Date: 07-11-2007
The educator inside the patient: Students' insights into the use of high fidelity silicone patient simulation
Publisher: Wiley
Date: 11-08-2011
DOI: 10.1111/J.1365-2702.2011.03795.X
Abstract: Aim and objective. To explore undergraduate nursing students’ experiences of High Fidelity Patient Silicone Simulation. Background. Use of simulation as an educational tool is rapidly gaining popularity. Simulation provides a safe learning environment and helps overcome difficulties securing sufficient clinical placements. However, several limitations have been identified with this approach, particularly in relation to cost and authenticity. Design. Exploratory qualitative methodology informed the development of knowledge in this under‐researched area. Methods. Focus group interviews were conducted with 21 nursing students and first year graduates. Participants had experienced High Fidelity Patient Silicone Simulation during the program. This involved their lecturer simulating a patient by adopting mannerisms and behaviours of a person, based on a predeveloped character and using masks and appropriate clothing to establish the visual image of a simulated patient. Thematic analysis was undertaken to identify main areas of interest to participants. Results. Two main themes are reported in this paper: ‘realism of the character’ and ‘skills of the teacher’. Characters presented to students were viewed as realistic which enabled participants to engage with the character and take the process seriously. Knowledge and skill of the teacher was used to direct student learning experience and maximise learning benefits to be gained. Conclusion. High Fidelity Patient Silicone Simulation was perceived by student participants as a highly effective teaching tool. Participants found the experience positive and believe it impacted on the quality of learning experiences. Relevance to clinical practice. Clinical experience is necessary for the development of safe and competent registered nurses. Simulation has been acknowledged as a useful adjunct to clinical experience, particularly when placements are limited. High Fidelity Patient Silicone Simulation may be used to promote realism, enhance student learning and contribute to an increase in clinical competence and confidence in nursing students.
Cardiometabolic health nursing to improve health and primary care access in community mental health consumers: Protocol for a randomised controlled trial
Publisher: Elsevier BV
Date: 02-2014
DOI: 10.1016/J.IJNURSTU.2013.06.004
Abstract: People with a serious mental illness are at significantly greater risk of poor cardiometabolic health with recent studies showing a greater than two-fold increase in the risk of obesity, infectious diseases, diabetes and cardiovascular disease. Contributing factors to this disparity include poorer health behaviours such as suboptimal physical activity, poor diet, smoking, alcohol and illicit drug misuse. In particular, the limited access to primary health care experienced by people with a serious mental illness has been highlighted. Persons with a serious mental illness are around 30% less likely than those without serious mental illness to receive health assessments, hospital admissions or procedures for cardiovascular disease and diabetes, and are less likely to undergo cancer screening or receive vaccinations. Studies show that mental health consumers may be more likely to use mental health services rather than primary care for contact with the health care system. However mental health nurses report several barriers to their capacity to provide cardiometabolic health care crucial for the treatment of people with a serious mental illness. To assess the impact of a specialist Cardiometabolic Health Nurse on the physical health care of community based mental health consumers. Community mental health facility in a large regional centre in Central Queensland, Australia. Community based mental health consumers will be randomised to receive either usual care, or consultations with a Cardiometabolic Health Nurse. The Cardiometabolic Health Nurse will be responsible for assessing the client and coordinating cardiometabolic health care as required. Post intervention review of health records will be performed with the primary outcome measure being self-reported physical health. Secondary outcomes include the utilisation of primary care services and changes in health behaviours. We hypothesise that the Cardiometabolic Health Nurse will increase the utilisation of health care services for mental health consumers. Data collection commenced in March 2013 and will conclude September 2013. Preliminary finding are expected in December 2013.
Sex on show. Issues of privacy and dignity in a Forensic mental health hospital: Nurse and patient views
Publisher: Wiley
Date: 03-06-2015
DOI: 10.1111/JOCN.12860
Abstract: To explore perceptions of privacy and dignity for sexual relationships in a Forensic mental health hospital. The role of nurses in forensic mental health hospitals is frequently complicated by opposing expectations of therapeutic relationships and maintaining security. What can result is an over-emphasis on risk reduction by controlling patient behaviour, which can extend to patient intimacy and sexual relationships. An exploratory, qualitative approach. In idual interviews were conducted with 12 nurses and 10 patients in a forensic mental health hospital. Thematic data analysis was undertaken to identify the main themes. The need for a private and dignified place for patient intimacy was one major theme to emerge from this research from both nurse and patient participants and is the focus of this article. A disparity is reported between the level of support reported by nurse participants with the experience of the patient participants. Sexual intimacy and sexual relationships are important components of normal human behaviour. Institutional rules and rule adherence create barriers for patients, forcing their intimacy and sexual relationships into secrecy. There is a need for further research to consider the benefits and risks of patient intimacy and sexual relationships for long-term patients in forensic mental health settings. Patients in forensic hospitals are sexually active and seek support from nurses. Nurses are in an ideal role to recognise the important part they can play in supporting the intimacy and sexual relationship needs of patients. Strategies to assist in developing confidence in responding to normal human behaviour is a matter of priority.
Suicide and schizophrenia: A review of literature for the decade (1990-1999) and implications for mental health nursing
Publisher: Informa UK Limited
Date: 2003
Abstract: This paper presents an overview of recent evidence on general and specific risk factors for suicide in patients with schizophrenia. The authors highlight the significant factors contributing to the likelihood of suicide in patients diagnosed with schizophrenia. This information will enhance the delivery of nursing care to these patients in all health care settings. A review of literature was conducted by two methods of investigation: Medline and CINAHL search and a manual search through articles from 1990 to 1999. The lifetime risk of committing suicide is estimated at about 9-13% of persons with schizophrenia, and it is 20 to 50 times higher than that in the general population. Young white males diagnosed with schizophrenia who are depressed, unmarried, unemployed, socially isolated, and functionally impaired and who lack external support are the most vulnerable in the early stages of schizophrenic illness. Findings can be instrumental in identifying and treating patients who are most vulnerable and in making psychiatric nurses aware of the scenarios and critical stages of the disease process when suicide is most likely to occur.
The role of nursing education in the perpetuation of inequality
Publisher: Elsevier BV
Date: 11-2002
DOI: 10.1016/S0260-6917(02)00104-1
Abstract: A growing body of literature now strongly supports the view that undergraduate nursing students commence their education program with firm views about the most desirable and undesirable areas of practice. This paper reports the results of a longitudinal study of undergraduate nursing students' career preferences in which attitudes on commencement are compared to attitudes immediately prior to the completion of the course. Differences in preferences were found between student choices at the beginning and end of the course, however the tendency for students to prefer areas of high technology and working with children and babies remains high despite some changes within these groupings. Similarly the unpopularity of psychiatric nursing, aged care, and community health remains an issue of concern despite some significant changes within these areas. The results are interpreted through a discussion of the role of nursing education in perpetuating the prejudices of students through portraying some areas of practice as inherently more desirable than others.
Physical Health Care in Mental Health Services: The Time for Action Is Now
Publisher: Informa UK Limited
Date: 02-10-2019
Promoting consumer participation through the implementation of a consumer academic position.
Publisher: Elsevier BV
Date: 06-2002
Abstract: Consumer participation in mental health care is increasingly becoming an expectation. A review of the literature suggests that the negative attitudes of mental health professionals towards people diagnosed with mental illness constitutes a significant barrier to the realization of this goal. The education of health professionals has been identified as a major strategy for reducing the negatively of such attitudes, and to promoting a more participatory relationship between consumer and provider. This paper describes the process of the development and implementation of an academic role for a consumer of mental health services in teaching psychiatric nursing students. A personal case study by the consumer academic is provided to illustrate the process of this collaborative venture. This paper contributes to the development of framework to guide the implementation of similar positions.
I felt some prejudice in the back of my head: Nursing students' perspectives on learning about mental health from Experts by Experience.
Publisher: Wiley
Date: 17-07-2019
DOI: 10.1111/JPM.12540
Abstract: WHAT IS KNOWN ON THE SUBJECT?: Consumer participation in mental health services is embedded in mental health policy in many countries. The negative attitudes of nurses and other health professionals to consumer participation poses a significant obstacle to this policy goal Involving mental health "Experts by Experience" in the education of nursing students demonstrates positive attitudinal change WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: More detailed understanding of nursing students' experiences and perspectives about being taught mental health nursing by "Experts by Experience" An international focus, extending understandings about how Experts by Experience might be perceived in a broader range of countries WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Positive attitudes towards people labelled with mental illness are essential for quality nursing practice Nurses have an important leadership role in facilitating consumer participation within health services. It is critical that their attitudes are professional and optimistic. ABSTRACT: Introduction Consumer participation is central to mental health policy. Negative attitudes of health professionals are barriers to realizing policy goals. Evidence suggests consumers (Experts by Experience) can influence positive attitudes in nursing students. Research in this area to date is limited and primarily from Australia and New Zealand. Aim To enhance understanding of nursing students' perspectives and experiences of being taught mental health by an Expert by Experience. Method A qualitative exploratory approach was used. Focus groups were conducted with nursing students from seven universities in Australia and Europe. Data were analysed thematically. Results Student participants described how exposure to Experts by Experience challenged their views and attitudes and provided a mechanism for reflection, critique and change. The main theme "changing mindset" includes two subthemes: exposing stereotypes and reflection. Discussion This unique international study demonstrates the capacity for Experts by Experience to contribute to positive attitudinal change towards mental illness in nursing students. This changed mindset must occur for policy goals to be realized. Implications for practice Nurses in all areas of practice will work with people labelled with mental illness and experiencing mental distress. Overcoming stereotypes and adopting more positive attitudes is essential to deliver quality mental health care.
Getting BETTER: Breaking the ice and warming to the inclusion of sexuality in mental health nursing care
Publisher: Wiley
Date: 06-12-2012
DOI: 10.1111/J.1447-0349.2011.00783.X
Abstract: Discussing sexual issues with consumers is considered a nursing role, yet it is commonly avoided. Research suggests that sexual issues and difficulties are particularly evident in mental health settings, and failure to address these issues represents a significant gap in care and treatment. Specific models for raising sexual issues have been used in oncology and cardiac care settings to assist clinicians. A descriptive, exploratory study was conducted with mental health nurses from Queensland, Australia. The aim of this research was to explore whether a specific model, the BETTER model (bring up, explain, tell, time, educate, record) was useful in assisting mental health nurses in raising the topic of sexuality with consumers. In-depth interviews explored participants' attitudes and experiences of discussing sexuality. Participants were introduced to the BETTER model, and were asked to trial the approach with consumers. They were then interviewed a second time. Two main themes emerged: greater awareness and becoming part of practice. Participants described a transformation of their practice from one of avoiding issues of sexuality with consumers, to a position of inclusion, which became embedded within practice. Participants did not tend to use the model in a structured way, and it appears that knowledge and awareness were more useful than the model itself.
Promoting mental health nursing: Employing undergraduate nursing students as assistants in mental health
Publisher: Wiley
Date: 19-07-2012
DOI: 10.1111/J.1447-0349.2011.00760.X
Abstract: The difficulty in attracting graduates of nursing programmes into mental health nursing (MHN) remains an ongoing challenge. Moreover, it is frequently claimed that undergraduate nursing students do not always regard MHN favourably for future employment. Although undergraduate nurses are employed as assistants in nursing (AIN) in mental health settings, there is no published research exploring their role, the career trajectory into MHN, or its effectiveness as a recruitment strategy. In this paper, we draw on the literature to delineate factors that might contribute to the desire of AIN to work in MHN. Nine factors were identified: acceptance by nurses, fitting in with the culture, managing the workload, developing a realistic appraisal of the effectiveness and limits of psychiatry, constructive learning from direct interpersonal interactions with clients, practising communication skills, being supported in a structured way, working with positive role models, and the overall quality of the employment setting. A comprehensive understanding of these factors can enhance the experience of undergraduate nursing students working as AIN, and potentially increase recruitment into MHN.
Hitting the target! A no tears approach to writing an abstract for a conference presentation: Clinical Note
Publisher: Wiley
Date: 07-11-2007
DOI: 10.1111/J.1447-0349.2007.00501.X
Abstract: From the author's experience in reviewing abstracts for conference presentations, nurses do not find it easy or straightforward to write an abstract, nor do they appear to fully understand its aim and purpose. The aim of this paper is to provide a clear understanding of the role of the abstract in the context of conference presentations and to provide a practical tool to guide nurses through the process of writing an abstract for a conference presentation in terms of both the structure and the content. Tips on what to avoid when writing an abstract are included.
Triage in opioid replacement therapy: What's the wait?
Publisher: Informa UK Limited
Date: 05-11-2013
DOI: 10.3109/10826084.2012.736050
Abstract: In Australia, a wait for Opioid Replacement Therapy (ORT) has been reported although the magnitude is unknown. This study examined data recorded by one urban publicly funded ORT clinic (from 2009 to 2011) to identify if people (n = 803) were waiting for ORT assessment appointments and to explore how triage influences access to ORT. Data analysis incorporated descriptive methods and the use of Kaplan-Meier estimator of the cumulative incidence function. The implications and limitations of this study are included with further research suggestions.
Patient satisfaction with psychiatric services provided by a Melbourne tertiary hospital emergency department
Publisher: Wiley
Date: 16-05-2003
DOI: 10.1046/J.1365-2850.2003.00600.X
Abstract: The mainstreaming of psychiatric services within the general healthcare system has created fundamental changes to the manner in which patients access acute psychiatric services. This change was intended to reduce the stigma associated with psychiatric diagnosis and therefore contribute to improved treatment outcomes for patients. The aim of this paper is to discuss the results of a study designed to ascertain the level of psychiatric patient satisfaction with the services received in the emergency department of a Melbourne metropolitan hospital. The results indicate a high level of satisfaction, particularly with the availability of staff with psychiatric qualifications and experience to provident treatment, support and care. The major areas of dissatisfaction identified by patients included: lengthy waiting times, lack of privacy in the triage area and negative attitudes of general staff. These findings support the argument from the literature for psychiatric consultancy services to be available in the emergency department, and further identifies the need for triage guidelines to be tailored to the needs of mental health patients and for emergency department triage staff to be appropriately educated to adequately triage these patients.
Very useful, but do carefully: Mental health researcher views on establishing a Mental Health Expert Consumer Researcher Group
Publisher: Wiley
Date: 18-08-2019
DOI: 10.1111/JPM.12547
Abstract: WHAT IS KNOWN ON THE SUBJECT?: Contemporary mental health policy stipulates consumer participation in all aspects of mental health services including service evaluation and other forms of mental health research. Research is identified as underpinning quality mental health services, and therefore, consumers researchers could enhance the mental health sector by contributing to the quality, credibility and relevance of mental health research. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Non-consumer researchers generally supported the concept of a consumer expert reference group for researchers at the in idual and institutional level. A consumer expert reference group should reflect ersity and offer expertise relevant to the topic of research and may represent one way to normalize partnerships with consumer researchers and realize the benefits they can bring to research. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Quality mental health services are underpinned by robust research evidence. It is crucial that consumers are active participants in research activity. The availability of a consumer expert reference group could facilitate collaborations between consumer and non-consumer researchers and contribute to a stronger consumer focus embedded in mental health research. Abstract Introduction Contemporary mental health policy identifies consumers as active participants in all aspects of mental health services from design to evaluation. Consumer researchers should be actively involved in mental health research and contribute to quality service delivery. Aim To gain a snapshot of mental health researcher views on strategies for increasing research by or with consumers in mental health through the establishment of an Expert Consumer Researcher Group (ECRG). Methods Cross-sectional survey of 41 non-consumer mental health researchers from Australia or New Zealand. Results The introduction of an ECRG was considered an effective strategy for linking consumer and non-consumer researchers and providing specialist advice on research design and methodology. The most suitable location for this group was identified as within consumer advocacy agencies (71%), universities (66%) or research funding bodies (66%). Participants rated their likelihood of seeking advice from the ECRG as high. Discussion Research participants supported the value of an ECRG. They emphasized the importance of ensuring the group reflected a ersity of views and offered specialized expertise related to the specific topic. The ECRG could benefit both in idual researchers and larger research organizations. Implications for practice An ECRG could facilitate collaborations with consumer researchers and in turn enhance the quality of mental health research.
Understanding the current sexual health service provision for mental health consumers by nurses in mental health settings: Findings from a Survey in Australia and England
Publisher: Wiley
Date: 25-03-2018
DOI: 10.1111/INM.12452
Abstract: 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. The study occurred in four National Health Service Trusts in England and a national call for participants in Australia. Participants were nurse clinicians (n = 303) who self-selected by completing surveys available via email and newsletters containing links to the survey. The results demonstrated that mental health nurses do not routinely include sexual health in their practice and are poorly prepared in knowing what to do with a sexual health issue, and what services to assist consumers to use. In conclusion, it has been well established in the literature that mental health consumers experience high sexual health needs that potentially impact on health and recovery. Mental health nurses are ideally placed to promote sexual health and refer consumers to sexual health and family planning services. Training to improve the confidence and responsiveness of mental health nurses to sexual health is an urgent need.
How did I not see that? Perspectives of nonconsumer mental health researchers on the benefits of collaborative research with consumers
Publisher: Wiley
Date: 12-03-2018
DOI: 10.1111/INM.12453
Abstract: Coproduction of research between consumers of mental health services and nonconsumer mental health researchers is increasing. There is some research available describing consumer perspectives of this experience. However, there is a notable lack of research on other (nonconsumer) researcher experiences of and views about consumer involvement in coproduced research. A qualitative exploratory study was undertaken to examine perspectives of mental health researchers about consumer involvement in research. In-depth in idual interviews were undertaken with 11 nonconsumer mental health researchers in Australia and New Zealand. Interview transcripts were analysed to identify major themes. There were three interacting themes: the salience of experiential difference, expanded learning, and enhanced research. The dynamic between different perspectives and learning had the effect of enhancing research across the spectrum of study phases and in ensuring research was of value to different groups. The findings emphasize the important contribution consumer researchers can make to mental health research by bringing their unique perspective and enhancing an environment of mutual learning. Findings also point to the need for foregrounding the numerous benefits of joint research between consumer and other researchers to enhance and improve clinical practice and the development of policy.
Survey of Australian mental health nurses on physical activity promotion
Publisher: Computers, Materials and Continua (Tech Science Press)
Date: 06-2013
Debating or doing: Mutally exclusive or complimentary companions?: Editorial
Publisher: Wiley
Date: 05-05-2008
New year! New look! New process!: Editorial
Publisher: Wiley
Date: 16-01-2008
How nurses cope with occupational stress outside their workplaces
Publisher: Elsevier BV
Date: 09-2013
DOI: 10.1016/J.COLEGN.2012.08.003
Abstract: Nursing is acknowledged as a stressful occupation, and the negative impact of high stress levels have been widely researched. Less attention has been paid to methods for coping with stress. The researchers conducted a study to explore and identify how nurses cope with work-related stress away from their work environments. Six focus groups were conducted with 38 nurses, including nursing directors, nurse unit managers, and ward nurses from a wide range of clinical areas. From the interview material, 11 coping strategies were identified: drinking alcohol, smoking, using the staff social club, using social networking websites, exercising, family activities, home-based activities, outdoor activities, avoiding people, displacement, and sleep. Although several adaptive strategies appear in this list (e.g., exercising, home-based activities), some nurses were using unhealthy behaviours to cope with work-related stress (e.g., drinking alcohol, smoking, displacement). This study clearly demonstrates the value of using qualitative approaches to understanding how nurses cope with stress. Knowledge produced locally, such as that generated for the hospital in this study, should serve as the foundation for organisational strategies to enhance the health of nurses.
Filling the gaps and finding our way: family carers navigating the healthcare system to access physical health services for the people they care for
Publisher: Wiley
Date: 20-03-2017
DOI: 10.1111/JOCN.13505
Abstract: To elicit the perspectives of carers of people with mental illness regarding access to, and experience with, physical healthcare services for mental health consumers. People diagnosed with mental illness have increased risks of physical illness and earlier death, problems able to be addressed through better physical health services. Carers of people with mental illness play a significant role in the mental healthcare system yet research examining their views is lacking. Qualitative exploratory. In-depth interviews were conducted with 13 mental health carers. They were asked to describe their views and experiences pertaining to the physical health and availability of physical health care for the people they care for. Data were analysed using the framework of Braun and Clarke. Analysis of carer responses identified two important themes: responsiveness and access, and a shortage of care coordination. Carers felt alienated from physical healthcare providers and were compelled to fill gaps in available care through persistence in ensuring access to physical healthcare services. The findings identify carers as key stakeholders in the physical health care for the people they care for. Their involvement in accessing and coordinating care provides vital perspective on health service capacity, which requires further consideration in the practice and research domains. Carers of people diagnosed with mental illness are crucial to the effective delivery of mental health services. Their perspectives must be central to their research agenda and contribute to the development of initiatives to improve clinical practice and promote improved physical health care.
Risky business: Lived experience mental health practice, nurses as potential allies
Publisher: Wiley
Date: 21-09-2017
DOI: 10.1111/INM.12245
Abstract: Mental health policy includes a clear expectation that consumers will participate in all aspects of the design and delivery of mental health services. This edict has led to employment roles for people with lived experience of significant mental health challenges and service use. Despite the proliferation of these roles, research into factors impacting their success or otherwise is limited. This paper presents findings from a grounded theory study investigating the experiences of Lived Experience Practitioners in the context of their employment. In-depth interviews were conducted with 13 Lived Experience Practitioners. Risk was identified as a core category, and included sub-categories: vulnerability, 'out and proud', fear to disclose, and self-care. Essentially participants described the unique vulnerabilities of their mental health challenges being known, and while there were many positives about disclosing there was also apprehension about personal information being so publically known. Self-care techniques were important mediators against these identified risks. The success of lived experience roles requires support and nurses can play an important role, given the size of the nursing workforce in mental health, the close relationships nurses enjoy with consumers and the contribution they have made to the development of lived experience roles within academia.
Investigating the exercise-prescription practices of nurses working in inpatient mental health settings
Publisher: Wiley
Date: 30-01-2015
DOI: 10.1111/INM.12125
Abstract: Nurses working in mental health are well positioned to prescribe exercise to people with mental illness. However, little is known regarding their exercise-prescription practices. We examined the self-reported physical activity and exercise-prescription practices of nurses working in inpatient mental health facilities. Thirty-four nurses completed the Exercise in Mental Illness Questionnaire - Health Practitioner Version. Non-parametric bivariate statistics revealed no relationship between nurses' self-reported physical activity participation and the frequency of exercise prescription for people with mental illness. Exercise-prescription parameters used by nurses are consistent with those recommended for both the general population and for people with mental illness. A substantial number of barriers to effective exercise prescription, including lack of training, systemic issues (such as prioritization and lack of time), and lack of consumer motivation, impact on the prescription of exercise for people with mental illness. Addressing the barriers to exercise prescription could improve the proportion of nurses who routinely prescribe exercise. Collaboration with exercise professionals, such as accredited exercise physiologists or physiotherapists, might improve knowledge of evidence-based exercise-prescription practices for people with mental illness, thereby improving both physical and mental health outcomes for this vulnerable population.
Thanks a million: Acknowledging important contributions to the journal
Publisher: Wiley
Date: 17-01-2013
DOI: 10.1111/INM.12004
Experts by experience in mental health nursing education: What have we learned from the commune project?
Publisher: Wiley
Date: 24-04-2020
DOI: 10.1111/JPM.12635
Mental Health Nurse Incentive Program: Facilitating physical health care for people with mental illness?
Publisher: Wiley
Date: 24-12-2013
DOI: 10.1111/INM.12006
Abstract: People with serious mental illness have increased rates of physical ill-health and reduced contact with primary care services. In Australia, the Mental Health Nurse Incentive Program (MHNIP) was developed to facilitate access to mental health services. However, as a primary care service, the contribution to physical health care is worthy of consideration. Thirty-eight nurses who were part of the MHNIP participated in a national survey of nurses working in mental health about physical health care. The survey invited nurses to report their views on the physical health of consumers and the regularity of physical health care they provide. Physical health-care provision in collaboration with general practitioners (GPs) and other health-care professionals was reported as common. The findings suggest that the MHNIP provides integrated care, where nurses and GPs work in collaboration, allowing enough time to discuss physical health or share physical health activities. Consumers of this service appeared to have good access to physical and mental health services, and nurses had access to primary care professionals to discuss consumers' physical health and develop their clinical skills in the physical domain. The MHNIP has an important role in addressing physical health concerns, in addition to the mental health issues of people accessing this service.
Triumph and adversity: Exploring the complexities of consumer storytelling in mental health nursing education
Publisher: Wiley
Date: 06-08-2016
DOI: 10.1111/INM.12244
Abstract: Consumer participation in the education of health professionals is increasing, particularly in mental health nursing education and storytelling remains the most frequent approach to consumer involvement. The use of story has tended to be accepted as a legitimate educational tool with limited critique or consideration of its potential consequences presented within the academic literature. A qualitative exploratory research study was undertaken with mental health nurse academics (n = 34) and consumer educators and academics (n = 12), to investigate the perceptions and experiences of mental health nurses and consumers regarding the involvement of consumers in mental health nursing education. Data were analysed thematically. Story was a major theme to emerge from consumer participants and received some attention from nurse academics. Consumers and nurses both referred to the power of story to convey the human experience of mental illness diagnosis and service use and the vulnerability that can result from storytelling. Consumers also described: story as expectation preparation and support and the politics of story. All participants supported the value of storytelling in mental health nursing education. Consumers had considered the complexities in far greater detail. The ongoing value of story as an educational technique requires further research. Equally important is considering a broader range of educational roles for mental health consumers.
Would the real mental health nurse please stand up? the relationship between identification and professional identity
Publisher: Wiley
Date: 04-08-2006
How do consumer leaders co-create value in mental health organisations?
Publisher: CSIRO Publishing
Date: 2017
DOI: 10.1071/AH16105
Abstract: Objectives Contemporary mental health policies call for consumers to be involved in decision-making processes within mental health organisations. Some organisations have embraced leadership roles for consumers, but research suggests consumers remain disempowered within mental health services. Drawing on a service-dominant logic, which emphasises the co-creation of value of services, the present study provides an overview of consumer leadership within mental health organisations in the Australian Capital Territory. Methods Mental health organisations subscribing to the local peak body mailing list were invited to complete a survey about consumer leadership. Survey data were summarised using descriptive statistics and interpreted through the lens of service-dominant logic. Results Ways in which organisations may create opportunities for consumers to co-create value within their mental health services included soliciting feedback, involving consumer leaders in service design, having consumer leaders involved in hiring decisions and employing consumer leaders as staff or on boards. Strategies that organisations used to develop consumer leaders included induction, workshops and training in a variety of organisational processes and skills. Conclusions The findings of the present study extend the application of a service-dominant logic framework to consumer leadership within mental health organisations through consideration of the erse opportunities that organisations can provide for consumer co-creation of service offerings. What is known about the topic? Policy calls for consumer involvement in all levels of mental health service planning, implementation and delivery. The extent to which service organisations have included consumer leaders varies, but research suggests that this inclusion can be tokenistic or that organisations choose to work with consumers who are less likely to challenge the status quo. Service literature has explored the way consumers can co-create value of their own health care, but is yet to explore consumers’ co-creation of value at a systemic level. What does the paper add? This paper outlines ways in which mental health organisations report involving consumers in leadership positions, including having consumers on boards, having consumers on recruitment panels and providing leadership training for consumers. These initiatives are considered in terms of the potential value co-created within mental health services by consumers in leadership, suggesting that consumer leaders are a resource to mental health organisations in terms of the value brought to service offerings. What are the implications for practitioners? Research suggests that medical professionals have been resistant to increased consumer leadership within mental health services. The findings of the present study emphasise the value that can be brought to service organisations by consumer leaders, suggesting that mental health practitioners may reconsider their approach and attitudes towards consumer leadership in the sector.
Predictors of nurse support for the introduction of the cardiometabolic health nurse in the Australian mental health sector
Publisher: Hindawi Limited
Date: 27-02-2028
DOI: 10.1111/PPC.12077
Abstract: A cardiometabolic specialist nursing role could potentially improve physical health of people with serious mental illness. A national survey of Australian nurses working in mental health settings investigated predictors of support for the role. Predictors included belief in physical healthcare neglect, interest in training higher perceived value of improving physical health care. The findings suggest that nurses see the cardiometabolic health nurse role as a promising initiative for closing gaps in cardiometabolic health care and skilling other nurses in mental health. However, as the majority of variance in cardiometabolic health nurse support was unexplained, more research is urgently needed on factors that explain differences in cardiometabolic health nurse endorsement.
Authenticity, creativity and a love of the job: Experiences of grassroots leaders of mental health nursing in Queensland
Publisher: Informa UK Limited
Date: 09-2013
DOI: 10.3109/01612840.2013.766821
Abstract: The strength of mental health nursing and its potential contribution to improved consumer outcomes depends upon strong and clearly articulated leadership. However, studies of leadership have tended to focus on nurses holding senior positions rather than exploring the leadership embedded in clinical work. A qualitative exploratory study was undertaken with identified mental health nurse leaders in one Australian state, in order to explore their experiences and what they found to be most meaningful in their work. This article reports the findings from this study. The data was analysed thematically to yield insights significant to mental health nursing and identity. The findings suggest these leaders find intrinsic rewards in the role aspire to making authentic connections with consumers appreciate the position of trust that they hold in bearing witness to in iduals' distress and use creative means to solve problems and achieve therapeutic outcomes. Sharing these themes builds knowledge on values that are embedded in mental health nursing practice and offers scope for integrating leadership attributes into the education, supervision and development of all mental health nurses. These findings also reveal the complexity of mental health nursing as a profession and the difficulties that might be encountered in attempts to define it in terms of its component tasks and functions.
Lessons Learned From the Trial of a Cardiometabolic Health Nurse
Publisher: Hindawi Limited
Date: 20-10-2015
DOI: 10.1111/PPC.12091
Abstract: This paper examines the findings from an exit interview with a cardiometabolic health nurse (CHN) following a 26-week trial. The CHN participated in a semi-structured exit interview following completion of the 26-week trial. Applied thematic analysis was used to identify themes contained in the resultant transcript. Contrary to the literature, the CHN did not consider additional training necessary to undertake the role. The CHN felt additional information regarding the research implications of the trial and greater organizational support would contribute to better consumer and health service outcomes. While personally rewarding, more can be done to help the CHN role reach its potential.
Implications of excess weight on mental wellbeing
Publisher: CSIRO Publishing
Date: 2010
DOI: 10.1071/AH09708
Abstract: Objective.To assess differences in perceived health-related quality of life among in iduals who are normal weight, overweight and obese in the general population, with particular emphasis on mental health. Method.A cross-sectional study was conducted among the general adult population in Queensland, Australia. Participants (n = 1212) were selected randomly for computer-assisted telephone interview in July 2007. The s le ranged between 18 and 93 years, with a mean age of 51.10 years (s.d. = 15.92). Demographic and physical and mental health (SF-12) data were collected. Self-reported height and weight were used to classify participants into three groups based on their body mass index: normal weight overweight obese. The associations between body mass index categories and SF-12 scores were investigated. Results.In this population s le, excess weight was associated with poorer physical health. In addition, significant associations were observed between excess weight and poor mental health for particular age groups. Obesity had a significant association with poor mental wellbeing for in iduals who are aged 45 to 54 years. No sex differences were observed. Conclusion.The results provide additional evidence of the relationship between excess weight and mental wellbeing and highlight the need for health professionals to be cognisant of the potential for in iduals who are obese to have a higher risk of experiencing mental health problems. What is known about the topic?The body mass index of the general population is rising steadily. Being overweight or obese has a detrimental effect on physical health and is a major cause of preventable death. However, there are conflicting findings regarding the implications of excess weight on an in iduals’ mental health. What does this paper add?This paper substantiates the relationship between body mass index and health-related quality of life in the general adult population. Obesity was associated with poor mental wellbeing for in iduals between the ages of 45 and 54. What are the implications for practice?This study underscores the need for mental health and wellbeing to become part of standard assessment practice for in iduals who are overweight or obese, particularly those aged between 45 and 54 years.
'We used to call them student nurses': Considering the impact of third-level workers
Publisher: Wiley
Date: 23-02-2006
A role for mental health nursing in the physical health care of consumers with severe mental illness
Publisher: Wiley
Date: 08-2011
DOI: 10.1111/J.1365-2850.2010.01666.X
Abstract: There is extensive international evidence that people with severe mental illness have a lower standard of physical health than the general population. This leads to higher morbidity and mortality rates. Many of the causes for this poor physical health are modifiable. Yet the physical needs of this consumer group are neglected by healthcare systems in Australia, and elsewhere. While medical specialists are clearly integral to remedying this, nurses are well placed to play a key role in focused prevention and early intervention in the physical well-being of consumers with mental health problems. This paper outlines the specifics on how mental health nurses can be sensitized, prepared and empowered to help turn this serious health issue around. In particular, mental health nurses could be trained in and then utilize a new physical health check and response system in the UK (called the Health Improvement Profile) if adapted for use within Australia. This profile will be briefly introduced, and then its value to improving health care discussed.
Opportunity lost? The major in mental health nursing in Australia
Publisher: Elsevier BV
Date: 06-2014
DOI: 10.1016/J.NEDT.2013.10.004
Abstract: The ongoing difficulty in educating and sustaining an adequate nursing workforce in mental health settings has been identified throughout the world. Different strategies have been implemented internationally to deal with this situation. In Australia major streams in mental health nursing were introduced in some Australian universities to promote mental health nursing as a viable career choice for nursing students. Fourteen universities had implemented or planned to implement a major stream in mental health nursing. From a survey of these programs a lack of consistency in the structure and content of programs was evident. For most programs the intakes had been relatively small, although retention rates appeared promising. To determine the extent majors in mental health nursing introduced in Australia have been sustained since their implementation. Cross-sectional design. A survey instrument used in 2010 was readministered in 2013. Schools of Nursing in Australia where a major in mental health nursing had been implemented or planned. Subject and program coordinators. The survey was administered via email. Of the 14 majors in mental health nursing originally proposed or implemented, only five were remaining, three had never commenced the program despite plans to do so and six programs once operating had now ceased. Numbers of students undertaking the program have tended to be small. Few modification changes in the structure and content in the majors since initial implementation were reported. The findings suggest that the major in mental health nursing has not been a successful or sustainable strategy, and therefore is unlikely to contribute positively to strengthening the mental health nursing workforce. The availability of sufficient graduate nurses with the interest and skills to pursue a career in mental health nursing is becoming urgent. The adequate resourcing of strategies to address this issue needs to be considered as a matter of priority.
Working with people who have killed: The experience and attitudes of forensic mental health clinicians working with forensic patients
Publisher: Wiley
Date: 17-12-2015
DOI: 10.1111/INM.12113
Abstract: Forensic mental health (FMH) clinicians sometimes feel unsupported and unprepared for their work. This article explores their experiences of working in a FMH setting in Australia. The research examined the clinical context of clinicians working with forensic patients (FP), particularly those in iduals who have killed while experiencing a mental illness. A qualitative, exploratory design was selected. Data were collected through focus groups and in idual interviews with hospital and community-based forensic clinicians from all professional groups: psychiatric medicine, social work, psychology, mental health nursing, occupational therapy, and psychiatric service officers. The main themes identified were orientation and adjustment to FMH, training in FMH, vicarious traumatization, clinical debriefing and clinical supervision, and therapeutic relationships. Participants described being frustrated and unsupported in making the transition to working with FP and felt conflicted by the emotional response that was generated when developing therapeutic relationships. Recommendations include the development of programmes that might assist clinicians and address gaps in service delivery, such as clinical governance, targeted orientation programmes, and clinical supervision.
Nothing without vision! The views of consumers and mental health nurses about consumer involvement in mental health nursing education
Publisher: Elsevier BV
Date: 06-2016
Turning the Tables: Power Relations Between Consumer Researchers and Other Mental Health Researchers
Publisher: Informa UK Limited
Date: 30-05-2018
DOI: 10.1080/01612840.2018.1445328
Abstract: A crucial development resulting from consumer involvement in mental health services has been engagement as active participants in mental health research, often conducted in collaboration with mental health researchers representing the health disciplines (referred to in this paper as 'other' researchers). Despite progress in mental health consumer research, unequal power relations continue to pose a major barrier. Although power issues are discussed in the literature, there is little research from the perspective of other mental health researchers who have collaborated with consumers on research projects. This qualitative study explored other mental health researchers' perspectives on the role of power in collaborative research with consumers. Semi-structured interviews were completed with 11 other mental health researchers. Thematic analysis of the transcript version of interview recordings was conducted. The findings were grounded in 'the table' as a literal and metaphorical site of power relations. The umbrella theme was prominence and presence (of consumers) at the table, followed by subthemes on barriers (tokenism, undermined potential) and surmounting them through reworking power (critical mass and openness to power dynamics). Overall it was found that while there continue to be significant power-related barriers to further building of robust collaborative research with consumers in mental health, there are several avenues that should be considered, much more assertively, to disrupt and transcend them.
Consumer participation in nurse education: A national survey of Australian universities
Publisher: Wiley
Date: 04-03-2015
DOI: 10.1111/INM.12111
Abstract: Consumers of mental health services have an important role to play in the higher education of nursing students, by facilitating understanding of the experience of mental illness and instilling a culture of consumer participation. Yet the level of consumer participation in mental health nursing programmes in Australia is not known. The aim of the present study was to scope the level and nature of involvement of consumers in mental health nursing higher education in Australia. A cross-sectional study was undertaken involving an internet survey of nurse academics who coordinate mental health nursing programmes in universities across Australia, representing 32 universities. Seventy-eight percent of preregistration and 75% of post-registration programmes report involving consumers. Programmes most commonly had one consumer (25%) and up to five. Face-to-face teaching, curriculum development, and membership-to-programme committees were the most regular types of involvement. The content was generally codeveloped by consumers and nurse academics (67.5%). The frequency of consumer involvement in the education of nursing students in Australia is surprisingly high. However, involvement is noticeably variable across types of activity (e.g. curriculum development, assessment), and tends to be minimal and ad hoc. Future research is required into the drivers of increased consumer involvement.
'There's more to a person than what's in front of you': Nursing students' experiences of consumer taught mental health education.
Publisher: Wiley
Date: 05-04-2019
DOI: 10.1111/INM.12596
Abstract: Holistic and person-centred nursing care is commonly regarded as fundamental to nursing practice. These approaches are complementary to recovery which is rapidly becoming the preferred mode of practice within mental health. The willingness and ability of nurses to adopt recovery-oriented practice is essential to services realizing recovery goals. Involving consumers (referred herein as Experts by Experience) in mental health nursing education has demonstrated positive impact on the skills and attitudes of nursing students. A qualitative exploratory research project was undertaken to examine the perspectives of undergraduate nursing students to Expert by Experience-led teaching as part of a co-produced learning module developed through an international study. Focus groups were held with students at each site. Data were analysed thematically. Understanding the person behind the diagnosis was a major theme, including subthemes: person-centred care/seeing the whole person getting to know the person, understanding, listening and challenging the medical model, embracing recovery. Participants described recognizing consumers as far more than their psychiatric diagnoses, and the importance of person-centred care and recovery-oriented practice. Understanding the in iduality of consumers, their needs and goals, is crucial in mental health and all areas of nursing practice. These findings suggest that recovery, taught by Experts by Experience, is effective and impactful on students' approach to practice. Further research addressing the impact of Experts by Experience is crucial to enhance our understanding of ways to facilitate the development of recovery-oriented practice in mental health and holistic and person-centred practice in all areas of health care.
Consumer sexual relationships in a Forensic mental health hospital: Perceptions of nurses and consumers
Publisher: Wiley
Date: 17-12-2015
DOI: 10.1111/INM.12112
Abstract: The management of consumer-related risk is paramount in a secure forensic mental health facility. However, the consequent risk aversion presents a major barrier to consumers forming sexual relationships in a manner that is open and accepted. Investigation of the views of nurses working in forensic mental health settings on this topic is limited, and even more so for consumers of services. This qualitative exploratory study was undertaken to elicit the views of consumers and nurses about forming sexual relationships within this long-term and secure setting. In idual in-depth interviews were conducted with 12 nurses and 10 consumers. The benefits of, and barriers to, sexual relationships was identified as a major theme, and these findings are the focus of this paper. Nurse responses included the subthemes 'supportive factors' and 'potential dangers', reflecting their qualified support. Consumer responses included the subthemes 'therapeutic', 'feeling normal', 'restrictions and barriers', and 'lack of support and secrecy'. The importance of sexual relationships was clearly articulated, as was the difficulties in forming and maintaining them within the forensic setting. More open discussion about this commonly-avoided issue and the education of nurses and other health professionals is required.
A Pilot Study of the Views of General Practitioners Regarding Exercise for the Treatment of Depression
Publisher: Hindawi Limited
Date: 13-10-2015
DOI: 10.1111/PPC.12088
Abstract: To investigate the views of general practitioners (GPs) regarding exercise and the treatment of depression. Twenty GPs completed a 25-item survey investigating their knowledge, beliefs, perceived benefits and barriers, and recommendations to patients regarding exercise for the treatment of depression. The exercise habits of the GPs were also recorded. GPs are positive toward exercise in the treatment of depression despite low levels of confidence in prescribing exercise or limited measurable benefits. Exercise patterns of GPs were not associated with GP exercise prescription habits. Education, use of support materials and referral schemes, and increasing exercise behavior among GPs may increase the use of exercise as treatment for people with depression.
The implementation of Mask-Ed: Reflections of academic participants
Publisher: Elsevier BV
Date: 09-2014
DOI: 10.1016/J.NEPR.2014.05.008
Abstract: This paper profiles the findings from a study that explored the perspectives and experiences of nurse educators who implemented a novel simulation approach termed Mask-Ed. The technique involves the educator wearing a silicone mask and or body parts and transforming into a character. The premise of this approach is that the masked educator has domain specific knowledge related to the simulation scenario and can transmit this to learners in a way that is engaging, realistic, spontaneous and humanistic. Nurse educators charged with the responsibility of implementing Mask-Ed in three universities were invited to participate in the study by attending an introductory workshop, implementing the technique and then journaling their experiences, insights and perspectives over a 12 month period. The journal entries were then thematically analysed. Key themes were categorised under the headings of Preparation, Implementation and Impact Reflexivity and Responsiveness Student Engagement and Ownership and Teaching and Learning. Mask-Ed is a simulation approach which allows students to interact with the 'characters' in humanistic ways that promote person-centred care and therapeutic communication. This simulation approach holds previously untapped potential for a range of learning experiences, however, to be effective, adequate resourcing, training, preparation and practice is required.
Clinical Placements in Mental Health: A Literature Review
Publisher: Informa UK Limited
Date: 25-05-2011
DOI: 10.3109/01612840.2014.915899
Abstract: Gaining experience in clinical mental health settings is central to the education of health practitioners. To facilitate the ongoing development of knowledge and practice in this area, we performed a review of the literature on clinical placements in mental health settings. Searches in Academic Search Complete, CINAHL, Medline and PsycINFO databases returned 244 records, of which 36 met the selection criteria for this review. Five additional papers were obtained through scanning the reference lists of those papers included from the initial search. The evidence suggests that clinical placements may have multiple benefits (e.g. improving students' skills, knowledge, attitudes towards people with mental health issues and confidence, as well as reducing their fears and anxieties about working in mental health). The location and structure of placements may affect outcomes, with mental health placements in non-mental health settings appearing to have minimal impact on key outcomes. The availability of clinical placements in mental health settings varies considerably among education providers, with some students completing their training without undertaking such structured clinical experiences. Students have generally reported that their placements in mental health settings have been positive and valuable experiences, but have raised concerns about the amount of support they received from education providers and healthcare staff. Several strategies have been shown to enhance clinical placement experiences (e.g. providing students with adequate preparation in the classroom, implementing learning contracts and providing clinical supervision). Educators and healthcare staff need to work together for the betterment of student learning and the healthcare professions.
The Cardiometabolic Health Nurse: Physical Health Behaviour Outcomes from a Randomised Controlled Trial
Publisher: Informa UK Limited
Date: 26-09-2014
DOI: 10.3109/01612840.2014.896061
Abstract: To combat the increasingly poor physical health of people with serious mental illness, the position of a cardiometabolic health nurse has been proposed. We recently conducted a 26-week trial in a regional mental health service. This paper describes the background and rationale for the position, presents the outcomes on health behaviours and health behaviour knowledge and attitudes, and offers recommendations for the future direction of the role. We show that a cardiometabolic health nurse can improve the physical health behaviours in people with mental illness, however much needs to be done to further develop and implement the role.
The development of a questionnaire to investigate the views of health professionals regarding exercise for the treatment of mental illness
Publisher: Elsevier BV
Date: 09-2014
Contemporary mental health nursing: Crisis and opportunity?
Publisher: Wiley
Date: 08-2008
Keeping the Flame Alight: Understanding and Enhancing Interest in Mental Health Nursing as a Career
Publisher: Elsevier BV
Date: 08-2013
DOI: 10.1016/J.APNU.2013.04.002
Abstract: Mental health nursing is not regarded favourably by most Bachelor of Nursing (BN) students as a desirable career option. However, little is known about what attracts those students who do become interested. The primary aim of the current study was to explore BN students' reasons for choosing to undertake the major in mental health nursing and the degree to which completing the subject: "Recovery for mental health nursing practice", confirmed that interest or otherwise. A secondary aim was to examine their perceptions about the attitudes of others to their expressed interest in mental health nursing. A qualitative exploratory study was undertaken with undergraduate nursing students (BN) (n = 12) enrolled in a major stream in mental health nursing. In-depth in idual interviews were conducted primarily by telephone. Data were analysed using Colaizzi's steps to explicate the main themes. Two main themes emerged: Swimming against the tide - that's not real nursing, captures participants' experience of the negative attitudes of others to their interest in mental health nursing and, creating and confirming an interest in mental health nursing, where participants discuss how their interest emerged and how it had been enhanced after completing the subject: Recovery for Mental Health Nursing Practice. Mental health nursing continues to be a stigmatised and undervalued profession both within nursing and the general public. Despite this, participants of this research were attracted to the specialty, and their interest was generally strengthened after completing the Recovery subject. Further research is required to examine the impact of being taught by an academic with lived experience on interest in mental health nursing as a career.
Cardiovascular health promotion and consumers with mental illness in Australia
Publisher: Informa UK Limited
Date: 03-04-2015
DOI: 10.3109/01612840.2014.981770
Abstract: People with serious mental illness (SMI) have increased risk of cardiovascular disease and premature death, yet research on nurse-provided health promotion in mental health services remains under-developed. This paper informs efforts to improve the nursing role in physical health of consumers with SMI by establishing what nurse perceptions and background influence their care. Members of the Australian College of Mental Health Nursing were invited to participate in an online survey on their views on physical health care in mental health services. Survey questions included: (a) nurse-consumer collaboration in preventative care and (b) sub-sections of the Robson and Haddad Physical Health Attitude Scale to measure nurse perceived barriers to encouraging lifestyle change of consumers with SMI and frequency of nurse physical healthcare practices. Structural equation modelling was applied to investigate antecedents to physical health care, as well as relationships between antecedents. A national s le of 643 nurses reported regular engagement in health promotion (e.g. advice on diet). There was statistical support for a model depicting perceived consumer-nurse collaboration as a dual-determinant of nurse perceived barriers and self-reported health promotion to consumers with SMI. Perceived barriers to consumer lifestyle change did not predict health promotion. The effects of nurse-consumer collaboration were significant, but small. Perceived consumer-nurse collaboration in preventative care may positively influence the amount of health promotion by nurses in mental health. Perceived barriers to consumer adherence with a healthy lifestyle did not have an impact on nurse-delivered health promotion.
Scratching beneath the surface: Influencing factors on nurses' attitudes toward the use of seclusion
Publisher: Informa UK Limited
Date: 07-07-2011
DOI: 10.3109/01612840.2011.566981
Abstract: Reducing the use of seclusion is now widely identified as a quality issue for mental health services and reflects recognition of the detrimental impact of seclusion on consumers of services. Despite this, the research evidence suggests that nurses continue to support the use of seclusion in order to maintain a safe environment. The aim of this study was to consider how factors such as Therapeutic Optimism, Job Satisfaction, and Burnout might relate to nurses' attitudes toward seclusion. The Heyman Attitudes to Seclusion Survey, Elsom Therapeutic Optimism Scale, Maslach's Burnout Inventory, and Minnesota Satisfaction Questionnaires were completed by 123 nurses employed in one of eight participating mental health services. Data analysis included Spearman's rho and independent-s les t-tests statistics. The findings suggested several significant relationships between attitudes toward seclusion and therapeutic optimism, job satisfaction, and burnout. Participants with higher optimism scores, high intrinsic motivation, low emotional exhaustion, and high personal accomplishment were more likely to respond negatively to the use of seclusion. This research enhances our understanding of attitudes toward seclusion and may assist in the development of interventions to influence more positive attitudes.
Development, Validation and Initial Outcomes of a Questionnaire to Investigate the Views of Nurses Working in a Mental Health Setting Regarding a Cardiometabolic Health Nursing Role
Publisher: Elsevier BV
Date: 04-2014
DOI: 10.1016/J.APNU.2013.12.003
Abstract: People with serious mental illness experience disparities in primary health care. One solution is a specialist nursing position responsible for the coordination of the primary care of people with serious mental illness. However the views of nurses regarding this proposed role are only beginning to emerge. This study reports the readability, factorability, internal consistency and responses from a questionnaire regarding the views of nurses working in a mental health setting regarding the proposed role. The questionnaire was determined to have adequate readability, and internal consistency. Nurses are positive towards the development of the role however the cost-effectiveness should be considered.
Meaningful information or a bureaucratic exercise? Exploring the value of routine outcome measurement in mental health
Publisher: Informa UK Limited
Date: 2008
DOI: 10.1080/01612840802319852
Abstract: Routine outcome measures have been introduced into mental health services throughout Australia, with the ultimate aim of developing standards for service delivery, and a means to determine the extent to which these standards are being realised in practice. Criticism that the existing measures are not reflecting the aspects of mental health care and treatment considered important by the consumers of those services is common and widespread. The aim of the current study was to explore the utility, effectiveness, and assumptions underlying routine outcome measures used by Victorian mental health services from the perspective of service users. Two focus group interviews were conducted with consumer members of a group known as Psych. Action and Training (a group of consumers and senior nurses with a commitment to consumer participation). The findings demonstrated criticism of the outcome measures routinely used in Victoria. The three main themes to emerge were: assumptions behind routine outcome measures consumer concerns with routine outcome measures and consumer perspective: purpose, process and principles.
Mental health placements in a general health setting: No substitute for the real thing!
Publisher: Wiley
Date: 05-05-2012
DOI: 10.1111/J.1365-2702.2011.04016.X
Abstract: To determine effectiveness of clinical placements in non-mental health facilities in producing improvement in attitudes toward people with a mental illness and toward mental health nursing in nursing students. Clinical placements in mental health settings have favourably impacted students' attitudes and confidence in mental health settings. Placement shortages have created discussion about using non-mental health settings to gain this experience, as mental illness is common in all health settings. To date, no research findings support or refute the efficacy of non-mental health settings in influencing confidence and attitudes. A within-subject design was used. Participants provided self-report data soon after the beginning and at the conclusion of the mental health component. A questionnaire was administered to a cohort of undergraduate nursing students (n = 66) to measure attitudes, preparedness for practice and interest in mental health nursing as a career, using a pre- and post-test design. Only 25% of participants completed clinical experience in a mental health facility. Minor improvement in attitudes, confidence and appreciating the nursing role in mental health were identified, but the impact on attitudes was considerably less favourable than when clinical experience was undertaken in a mental health facility. Participants who completed clinical experience in a non-mental health facility did not demonstrate more favourable views about mental health nursing. Clinical placements in mental health are essential preparation for undergraduate students to maximise improvement in attitudes to the care of people diagnosed with a mental illness and to mental health nursing.
Authors' reply
Publisher: Royal College of Psychiatrists
Date: 03-2008
Can monitoring consumer requests for opioid-replacement therapy improve access to treatment?
Publisher: CSIRO Publishing
Date: 2014
DOI: 10.1071/AH13212
Abstract: Objective This study examined data recorded by one urban publicly funded opioid-replacement therapy clinic (from 2009 to 2011) to identify whether these data could be used to inform the rostering of clinicians more effectively to improve access to treatment. Methods Data analysis incorporated descriptive and inferential methods. Results There were trends in the times of the year consumers seek opioid-replacement therapy, similarity and differences between gender requests for treatment and variation in consumer wait time on triage. Conclusions National reporting of opioid-replacement therapy triages would help gain a better understanding of the number of people in need of treatment. If opioid-replacement therapy providers monitored consumer triages, they could roster more effectively, have gender-specific clinicians available, acknowledge and inform consumers of wait time on triage and allow re-orientation of services to lower wait time. What is known about the topic? National and state policies on opioid-replacement therapy provide limited guidance on the management of people waiting for treatment with no national triage system established. People wait for treatment, and how they are managed is largely unknown. What does this paper add? This paper considers the process of monitoring people accessing opioid-replacement therapy treatment services to explore whether this can assist with processing people into treatment. What are the implications for practitioners? This approach may assist practitioners to treat additional people by improving their resource management by spreading the consumer load evenly throughout the year and enabling the rostering of additional staff during recognised peak periods.
Politicize or perish! the importance of policy for Australian psychiatric-mental health nurses.
Publisher: SAGE Publications
Date: 05-2006
Abstract: As the largest professional group within the Australian mental health nursing workforce, psychiatric-mental health nurses are well positioned to influence mental health policy. However, the dominance of nursing by the medical profession has limited the extent to which this potential has been realized, with nurses remaining relatively unheard within the political arena. In recognition of this situation, the Centre for Psychiatric Nursing Research and Practice implemented a position for a policy analyst. Three primary aims were identified for this position: networking and relationship building, building profile, and providing a voice for psychiatric-mental health nursing. This article provides an overview of these three aims and the achievements to date. It is concluded that the policy analyst position has made a significant contribution to increasing the profile of psychiatric-mental health nursing and, therefore, to its capacity to influence policy.
Who wants to be a psychiatric nurse? Novice student nurses' interest in psychiatric nursing
Publisher: Wiley
Date: 12-1999
DOI: 10.1046/J.1365-2850.1999.00249.X
Abstract: Available research findings suggest that nursing students do not regard psychiatric nursing as a desirable future career option. This paper addresses the results of a research project conducted by the author. This research addresses the relative popularity of psychiatric nursing in comparison to other nursing specialties, within Victoria, Australia. The research was conducted by use of a questionnaire in which commencing undergraduate nursing students were asked to rank nine areas of nursing specialty in order of preference and provide some explanation for their choices. The results indicate that psychiatric nursing emerges as the second least popular career choice for student nurses at this stage of their education.
Exploring Online Mentorship as a Potential Strategy to Enhance Postgraduate Mental Health Nursing Education through Online Delivery: A Review of the Literature
Publisher: Informa UK Limited
Date: 21-08-2020
Attitudes to the use of seclusion: Has contemporary mental health policy made a difference?
Publisher: Wiley
Date: 11-10-2010
DOI: 10.1111/J.1365-2702.2010.03286.X
Abstract: Background. The use of seclusion in mental health services is controversial, and recent Government policy has identified the reduction and, if possible, elimination of seclusion as a national safety priority. As the professional group most likely to initiate seclusion, the attitudes of nurses will influence the extent to which policy translates to practice. Design. The Survey of Nurses’ Attitudes to Seclusion Survey was completed by nurses ( n = 123) from eight mental health services from Queensland, Australia. Methods. Data were analysed using SPSS to provide descriptive statistics for nurses’ attitudes according to the scale. Correlation analysis was used to examine associations between demographic variables and attitudes towards seclusion. Results. Participants recognised the negative impact of seclusion on consumers however, they continue to support its use, particularly in cases of threatened or actual violence to staff and other consumers. The impact of seclusion room on consumers was viewed as significant and yet most participants did not recommend changes other than painting the room for a calming effect. Demographic factors had limited impact on attitudes. Conclusions. The continued support of the use of seclusion despite acknowledgement of its detrimental effects appears to reflect a lack of alternative approaches to the management of consumer behaviours such as violence and aggression. Relevance to clinical practice. While nurses continue to view seclusion as a necessary intervention, the success of strategies aimed at reducing its use will be limited. The implementation and evaluation of alternative approaches to the care of consumers is necessary to reduce reliance and seclusion and introduce changes to practice.
“But I’m not going to be a mental health nurse”: nursing students’ perceptions of the influence of experts by experience on their attitudes to mental health nursing
Publisher: Informa UK Limited
Date: 24-10-2019
DOI: 10.1080/09638237.2019.1677872
Abstract: Mental health nursing skills and knowledge are vital for the provision of high-quality healthcare across all settings. Negative attitudes of nurses, towards both mental illness and mental health nursing as a profession, limit recognition of the value of these skills and knowledge. Experts by Experience have a significant role in enhancing mental health nursing education. The impact of this involvement on attitudes to mental health nursing has not been well researched. To explore the impact of Expert by Experience-led teaching on students' perceptions of mental health nursing. Qualitative exploratory study involving focus groups with nursing students from five European countries and Australia. Following Expert by Experience-led teaching, participants described more positive views towards mental health nursing skills and knowledge in three main ways: learning that mental health is everywhere, becoming better practitioners, and better appreciation of mental health nursing. Experts by experience contribute to promoting positive attitudinal change in nursing students towards mental health nursing skills and knowledge. Attitudinal change is essential for the provision of high-quality mental health care in specialist mental health services and throughout the healthcare sector.
Participation in and Satisfaction With an Exercise Program for Inpatient Mental Health Consumers
Publisher: Hindawi Limited
Date: 27-02-2016
DOI: 10.1111/PPC.12108
Abstract: This study examines attendance at, and satisfaction with, a group exercise program in an inpatient mental health setting. Thirty-two inpatients completed discharge surveys to evaluate group activities. Data were analyzed for participation and satisfaction. More inpatients (n = 16, 50%) rated exercise as "excellent" compared with all other activities. Nonattendance rates were lowest for cognitive behavioral therapy (n = 2, 6.3%), highest for the relaxation group (n = 6, 18.8%), and 12.5% (n = 4) for the group exercise program. Group exercise programs delivered by highly trained personnel are well attended and achieve high satisfaction ratings by inpatient mental health consumers.
Nurses' knowledge, attitudes and beliefs regarding substance use: A questionnaire survey
Publisher: Wiley
Date: 29-10-2002
DOI: 10.1046/J.1442-2018.2002.00126.X
Abstract: A questionnaire on nurses' knowledge, attitudes, beliefs and practises regarding substance use was distributed to 302 nurses in Victoria. One hundred and thirty-four returned the questionnaire, giving an overall response rate of 44.3%. The survey results showed that although knowledge and skill gaps exist in assessment and management of alcohol and drug problems, overall knowledge levels were adequate. Although positive attitudes towards substance use were expressed, specific educational programs to enhance nurses' skills in assessment and management of substance-related disorders may be beneficial.
Prevalence of Chronic Health Conditions in Australian Adults with Depression and/or Anxiety
Publisher: Informa UK Limited
Date: 08-07-2019
DOI: 10.1080/01612840.2019.1613701
Abstract: The association between psychotic illness and poor physical health is now clearly articulated in the literature. By contrast the impact of depression and/or anxiety on physical health is considerably less understood, despite depression being the leading cause of disability worldwide and is associated with significantly higher prevalence of physical comorbidities than found in the general population. An Australia national cross-sectional population-based survey was conducted to ascertain the prevalence of chronic physical health conditions in persons with, and without depression and/or anxiety, allowing for demographic characteristics and lifestyle factors. The telephone-based survey was conducted using trained interviewers. Survey questions included those eliciting information about demographics, health status, and health behaviours. Independent t-tests and chi square tests showed demographic, health behaviours, and physical illness differed between those with and without depression and/or anxiety. Heart disease, high blood pressure, stroke, cancer, arthritis, chronic neck and/or back pain, and asthma were significantly higher in participants diagnosed with depression and/or anxiety. Binary logistic regression showed the strongest predictor of chronic illness was having a diagnosis of depression and/or anxiety. Depression and anxiety present major health problems impacting a considerable proportion of the population. A greater understanding of the associated physical health issues should provide impetus to broaden the physical health and mental illness research agenda to include these diagnoses.
Lived experience in teaching mental health nursing: Issues of fear and power
Publisher: Wiley
Date: 03-11-2015
DOI: 10.1111/INM.12091
Abstract: Australian mental health policy clearly articulates recovery focus as the underpinning of mental health services. Barriers to achieving a recovery focus are identified in the literature, with negative attitudes of health professionals receiving particular attention. The involvement of people with lived experience of significant mental health challenges and mental health service use is essential to enhancing more positive attitudes. Lived-experience involvement in the education of nurses is evident however, it is generally limited and implemented on an ad hoc basis. Overall, there is a paucity of literature on this topic. A qualitative exploratory study was undertaken to elicit the views and perceptions of nurse academics and lived-experience educators about the inclusion of lived experience in mental health nursing education. One major theme to emerge from the research was issues of fear and power, which included three subthemes: facing fear, demystifying mental illness, and issues of power. Lived-experience involvement has an important role to play in the education of nurses in addressing fear and demystifying the experience of mental illness. The power that lived-experience educators exercised in their roles varied considerably, and for many, was limited. Therefore, the effectiveness of lived-experience involvement requires a more equitable distribution of power.
Making us what we are: Noteworthy people and achievements in Queensland mental health nursing
Publisher: Wiley
Date: 07-2010
DOI: 10.1111/J.1447-0349.2010.00666.X
Abstract: Understanding mental health nursing's past is an important way to preserve our cultural heritage. By exploring and then disseminating the insights gained through examination of the past, students and practicing mental health nurses may become more aware of the social and intellectual origins of the profession. They may also have their professional connections and commitment to mental health nursing clarified and reconfirmed. This paper presents the results of a survey conducted in Queensland in 2009. Members of the Australian College of Mental Health Nurses were invited to identify mental health nurses who they perceived had made a noteworthy contribution to the profession. Twenty mental health nurses were identified from the 38 surveys received. The reasons underlying the nominations revealed two main themes: achievements and qualities. Achievements included the subthemes: practice pioneer career longevity and far reach of influence. Qualities included: inspirational role model and passion, dedication and/or commitment. The study provides a beginning conversation on the preservation of heritage and recommends deeper exploration of the history of mental health nursing within Australia, and specifically Queensland.
Nurse-Led Physical Health Interventions for People with Mental Illness: A Scoping Review of International Literature
Publisher: Informa UK Limited
Date: 03-06-2023
Preceptorship in psychiatric nursing: An impact evaluation from an Australian perspective
Publisher: Elsevier BV
Date: 05-2005
DOI: 10.1016/J.NEPR.2004.06.002
Abstract: The importance of preceptorship in ensuring positive clinical experiences for undergraduates has been widely acknowledged in the literature. This is particularly the case for mental health nursing due to the negative attitudes nursing students tend to hold towards this area of practice. The Centre for Psychiatric Nursing Research and Practice (CPNRP), introduced a subject: Preceptorship in Psychiatric Nursing, to facilitate the ability of clinicians to undertake the preceptorship role confidently and competently. This paper presents the findings from an evaluation of the impact of this subject on positive changes to practice in relation to preceptorship within the workplace setting. Participants from both the on-c us subject (n=23) and a workshop conducted in rural Victoria (n=5) took part in this qualitative study. The findings suggest that the subject has had a positive impact on the practice of preceptorship within the workplace. The impact at an organisational level was found to be higher amongst the rural participants. This is assumed to be a result of the fact that the rural participants were employed within the one service and used the workshop as an opportunity to address organisational issues.
Recruitment and retention initiatives: Nursing students' satisfaction with clinical experience in the mental health field
Publisher: Elsevier BV
Date: 03-2005
DOI: 10.1016/J.NEPR.2004.06.001
Abstract: The difficulty in attracting graduates of undergraduate nursing programs into mental health remains a challenge for the field. Positive clinical experience has been identified as a potential strategy in encouraging students to regard mental health nursing positively. This paper reports the findings of a survey administered to Undergraduate Nursing Students and Trainee Enrolled Nurses within the mental health area. The purpose of the survey was to measure satisfaction with clinical placements within an Area Mental Health Service. The information provided from the survey is directing the on-going development of clinical placements, clinical supports, education programs and recruitment and retention initiatives for nurses within the Central Sydney Area Mental Health Service. The findings indicate a generally high level of satisfaction with the clinical placement undertaken, however a number of strategies to improve satisfaction with placements were identified.
Predictors of Satisfaction and Value of Advanced Training for Mental Health Professionals in Wartime Ukraine
Publisher: Informa UK Limited
Date: 17-10-2023
Nurses' views on physical activity for people with serious mental illness
Publisher: Elsevier BV
Date: 06-2012
Physical health care for people with mental illness
Publisher: Elsevier BV
Date: 04-2013
DOI: 10.1016/J.NEDT.2013.01.015
Abstract: People diagnosed with serious mental illness have higher rates of physical morbidity and decreased longevity, yet these people are not adequately served by health care systems. Nurses may provide improved physical health support to consumers with serious mental illness but this is partly dependent on nurses having necessary skills and interest in training opportunities for this component of their work. This survey investigated Australian nurses' interest in training across areas of physical health care including lifestyle factors, cardiovascular disease, and identifying health risks. A nation-wide online survey of nurse members of the Australian College of Mental Health Nurses. The survey included an adapted version of a sub-section of the Physical Health Attitudes Scale. Participants were asked to indicate their interest in various aspects of physical health care training. Most (91.6%) participants viewed educating nurses in physical health care as of moderate or significant value in improving the physical health of people with serious mental illness. Interest in training in all areas of physical health care was over 60% across the health care settings investigated (e.g. public, private, primary care). Forty-two percent sought training in all nine areas of physical health care, from supporting people with diabetes, to assisting consumers with sexually-related and lifestyle issues. The findings suggest that nurses in mental health services in Australia acknowledge the importance of training to improve physical health care of consumers with serious mental illness. Training programs and learning opportunities for nurses are necessary to reduce inequalities in health of people with serious mental illness.
The Impact of an Online Post-Graduate Interdisciplinary Mental Health Programme on Graduates’ Confidence and Practice
Publisher: Informa UK Limited
Date: 03-07-2023
Interventions for reducing the use of seclusion in psychiatric facilities
Publisher: Royal College of Psychiatrists
Date: 10-2007
DOI: 10.1192/BJP.BP.106.034538
Abstract: The authors of a recent systematic review concluded that the use of non-pharmacological containment methods, excluding restraint and seclusion, was not supported by evidence. Their focus on randomised, controlled trials, however, does not reflect the research that has been, or could be, conducted. To find empirically supported interventions that allow reduction in the use of seclusion in psychiatric facilities. We reviewed English-language, peer-reviewed literature on interventions that allow reduction in the use of seclusion. Staff typically used multiple interventions, including state-level support, state policy and regulation changes, leadership, examinations of the practice contexts, staff integration, treatment plan improvement, increased staff to patient ratios, monitoring seclusion episodes, psychiatric emergency response teams, staff education, monitoring of patients, pharmacological interventions, treating patients as active participants in seclusion reduction interventions, changing the therapeutic environment, changing the facility environment, adopting a facility focus, and improving staff safety and welfare. Reducing seclusion rates is challenging and generally requires staff to implement several interventions.
Implementation of a mental health consumer academic position: Benefits and challenges
Publisher: Hindawi Limited
Date: 05-01-2019
DOI: 10.1111/PPC.12315
Abstract: Academic positions for consumers of mental health services remain rare despite positive evaluation. This paper considers the benefits and challenges of a consumer academician position, from perspectives of stakeholders involved in the implementation. Qualitative, exploratory involving in-depth interviews with academicians. Thematic analysis identified the main benefits and challenges. Benefits identified included lived experience perspective and facilitates interaction and reflection demonstrating recovery and promoting person centered care. Challenges identified included process, too close to home, and too little too late. Enhanced understanding of consumer academician positions could increase effectiveness and maximize educational opportunity.
The use of alcohol by Vietnamese living in Melbourne, Australia
Publisher: Informa UK Limited
Date: 02-2010
The 5-as framework for including sexual concerns in mental health nursing practice
Publisher: Informa UK Limited
Date: 2013
DOI: 10.3109/01612840.2012.711433
Abstract: Available evidence informs us that sexual health concerns of consumers are commonly avoided within mental health services. This paper describes the findings of a qualitative exploratory research project. This research was conducted in three stages, all involving in-depth interviews with 14 nurses working in a mental health setting. Stage 1 involved an exploration of participants' views about including sexual concerns in their practice and included an educational intervention designed to encourage sexual inclusivity in practice. Stage 2 involved follow up interviews 4-6 weeks later to discuss the effectiveness of the intervention and whether practice change had resulted. Stage 3 was conducted two years later with the aim of determining the extent to which practice changes had been sustained. The themes emerging throughout the research emphasised five main stages in the nurses' experience: avoidance awareness applying approval and acknowledgement. Avoidance of the topic was commonly noted in the early stages of the research. The education program led to awareness raising of sexual concerns and approval towards the importance of this area to which lead to applying it to practice. This ultimately resulted in acknowledgement of the need for sexual concerns to become part of mental health nursing practice. These five stages are represented in the Five A's for including sexual concerns in mental health nursing practice, the framework developed by the first author.
The stigma of identifying as having a lived experience runs before me: challenges for lived experience roles
Publisher: Informa UK Limited
Date: 12-11-2019
DOI: 10.1080/09638237.2016.1244715
Abstract: Lived experience practitioners can contribute to improved outcomes for people with mental illness, supplementing traditional mental health services and reducing health care costs. However, lived experience practitioners frequently face stigma and discrimination within their work roles. To understand the impact of stigma and discrimination on the effectiveness of lived experience roles from the perspective of lived experience practitioners. In-depth interviews were conducted with 13 lived experience practitioners within a grounded theory study. Issues of stigma and discrimination were identified as a core category of this study. Participants described stigma and discrimination so prevalent as to be considered a "normal" part of their working life. Professional isolation and attitudinal barriers from colleagues were seen to inhibit the effectiveness of lived experience roles. Lived experience practitioners can provide a vital contribution to stigma reduction broadly, however, the stigma and discrimination they face within work roles must be addressed to allow this contribution to be effective.
Expanded practice roles for community mental health nurses: What do consumers and carers have to say?
Publisher: Informa UK Limited
Date: 2007
DOI: 10.1080/01612840701522069
Abstract: Community-based mental health as the primary focus of treatment has influenced more autonomous roles for mental health nurses. A limited literature suggests that this has resulted in the expansion of community mental health nursing into territory usually the exclusive domain of the medical profession. Consumers and carers are the two groups most affected by changes to service delivery however, their views regarding the changing role of community mental health nurses have not been sought. This paper presents the findings of a qualitative study involving indepth interviews with Australian consumers (n = 4) and carers (n = 6) designed to explore their views and opinions about the expanded practice roles of community mental health nurses. Four main themes were identified: accessibility and convenience relationship with clinicians beneficiaries of expanded nursing practice and, are nurses up to it? The findings suggest expanded practice roles are perceived positively by consumers and carers and therefore worthy of further investigation.
'Ding dong the witch is dead!' the demise of the research quality framework: Editorial
Publisher: Wiley
Date: 28-02-2008
Turning the coin - Emphasizing the opportunities in mental health nursing
Publisher: Informa UK Limited
Date: 2009
DOI: 10.1080/01612840903019732
Abstract: It is widely acknowledged that mental health nursing has undergone considerable change in Australia during recent decades, including the mainstreaming of mental health services into the general health care system. Recruitment problems and high levels of stress and burnout associated with the profession are seen to be indicative of a degree of demise in the status and desirability of this field of practice. However, new nursing roles have developed in response to these changes. The aim of this paper is to focus on three specific roles: mental health consultation-liaison nursing mental health nurse practitioner and the mental health nurse incentive program. These new roles present exciting and rewarding career opportunities for mental health nurses and may increase the attractiveness of mental health nursing for new graduates.
Power of mental health nursing research: A statistical analysis of studies in the International Journal of Mental Health Nursing
Publisher: Wiley
Date: 27-06-2012
DOI: 10.1111/J.1447-0349.2012.00845.X
Abstract: Having sufficient power to detect effect sizes of an expected magnitude is a core consideration when designing studies in which inferential statistics will be used. The main aim of this study was to investigate the statistical power in studies published in the International Journal of Mental Health Nursing. From volumes 19 (2010) and 20 (2011) of the journal, studies were analysed for their power to detect small, medium, and large effect sizes, according to Cohen's guidelines. The power of the 23 studies included in this review to detect small, medium, and large effects was 0.34, 0.79, and 0.94, respectively. In 90% of papers, no adjustments for experiment-wise error were reported. With a median of nine inferential tests per paper, the mean experiment-wise error rate was 0.51. A priori power analyses were only reported in 17% of studies. Although effect sizes for correlations and regressions were routinely reported, effect sizes for other tests (χ(2)-tests, t-tests, ANOVA/MANOVA) were largely absent from the papers. All types of effect sizes were infrequently interpreted. Researchers are strongly encouraged to conduct power analyses when designing studies, and to avoid scattergun approaches to data analysis (i.e. undertaking large numbers of tests in the hope of finding 'significant' results). Because reviewing effect sizes is essential for determining the clinical significance of study findings, researchers would better serve the field of mental health nursing if they reported and interpreted effect sizes.
Stress, burnout and job satisfaction in rural psychiatric nurses: A Victorian study
Publisher: Wiley
Date: 06-2004
Tensions of difference: Reconciling organisational imperatives for risk management with consumer-focused care from the perspectives of clinicians and managers
Publisher: Wiley
Date: 23-02-2014
DOI: 10.1111/JOCN.12564
Abstract: To understand the impact of risk management and assessment on the delivery of mental health care from the perspectives of managers and clinicians. The concept of risk is now embedded in contemporary mental health services. A focus on risk has been identified as a barrier to the provision of consumer-focused care however, there is a paucity of research in this area, particularly being drawn from key stakeholders in the field. Qualitative exploratory methods. In-depth interviews were conducted with managers and clinicians from a large metropolitan aged-care mental health service in Australia. The participants represented a range of disciplines and expertise across practice settings (community, inpatient and residential). The theme tensions of difference emerged from this research. This theme referred to the tensions between accountability and attending to risk issues and consumer-centred care, with concerns being raised that procedural and bureaucratic accountability influence (often negatively) the provision of care. Differences in the perspectives of clinicians and managers were also evident in the perceived contribution of evidence-based practice in relation to risk. Prioritising risk management may be interfering with the capacity of clinicians and managers to provide quality and consumer-focused mental health care. A deeper examination and reconceptualisation of the role and importance of risk in mental health care are needed to ensure the focus of service delivery remains consumer-focused.
A systematic review of nurse physical healthcare for consumers utilizing mental health services
Publisher: Wiley
Date: 18-02-2014
DOI: 10.1111/JPM.12041
Abstract: People with serious mental illness have higher rates of physical illness and are more likely to experience premature death than the general population. Nurse-led strategies to improve physical healthcare in mental healthcare services could potentially reduce these inequalities. However the extent of nurse involvement in physical healthcare (such as physical risk screening, health education and care co-ordination) in mental health settings is not known. A systematic review was conducted on nurse-led physical healthcare reported for consumers with serious mental illness (SMI) in mental health services, and their benefits. Electronic literature bases (CINAHL, Proquest, PsychINFO and Web of Science) were systematically searched, in conjunction with a manual search of literature reviews on physical healthcare in mental health services. Articles were included if they: (a) were published in the last 10 years (b) were English language (c) involved physical healthcare of adult consumers receiving mental healthcare services and (d) reported nurse involvement in physical healthcare. Forty articles were included in the review. The distribution of types of care were: health education (47%), screening and/or monitoring (33.3%), care co-ordination and management (33.3%), lifestyle programme delivery (30.5%), follow-up actions to screening results (25%) and registers and data administration (5.5%). Overall, the evaluation of nurse-based physical healthcare is in early stages. Thus far, they appear to have positive implications for consumers with SMI.
Influencing undergraduate nursing students' attitudes toward mental health nursing: Acknowledging the role of theory
Publisher: Informa UK Limited
Date: 2009
DOI: 10.1080/01612840802557113
Abstract: Most research designed to explore undergraduate nursing students' attitudes towards mental health nursing tends to uphold clinical experience as the decisive factor, with much less attention paid to the theoretical component. This paper presents the findings of a state-wide study conducted with undergraduate nursing students in Victoria, Australia. A pre- and post-test design was used to measure students' attitudes toward people with a mental illness and toward mental health nursing and their sense of preparedness for mental health practice. A questionnaire was administered at two time points the first time point was following completion of the mental health nursing theoretical component, and the second was following the completion of clinical experience. An additional scale was added at the second time point to evaluate students' opinions about their clinical placement. The findings indicated significantly different attitudes and opinions depending on the university students attended. The amount of theory undertaken in the course accounts for some, but not all, of this variance. However, generally the students taking courses with a larger theoretical component tended to demonstrate higher scores (suggestive of more favourable attitudes) on all of the subscales, and that these differences were sustained following the completion of the clinical placement. These findings suggest that the amount of theory students receive in mental health nursing may be more influential than the relevant literature suggests.
Nurses' views on training needs to increase provision of primary care for consumers with serious mental illness
Publisher: Hindawi Limited
Date: 23-08-2013
DOI: 10.1111/J.1744-6163.2012.00351.X
Abstract: The study aims to ascertain nurses' views on their preparedness to provide physical health care, and their identified training needs. The study used a qualitative exploratory design. Thirty-eight nurses working in a regional mental health setting participated in focus groups. Three main themes were identified: (a) the need for physical healthcare training, (b) modes of training, (c) access to training, and (d) organizational commitment. The philosophy and design of training must reflect workplace context, and take into account in idual learning styles. Organizational support is crucial.
Nurse practitioners and medical practice: Opposing forces or complementary contributions?
Publisher: Hindawi Limited
Date: 2009
DOI: 10.1111/J.1744-6163.2009.00195.X
Abstract: The medical profession in Australia has expressed concern about the expansion of nursing practice into areas that are traditionally the domain of medicine. Particular apprehension is raised in relation to the prescription of medications. This paper will consider and critique the argument that the standard of care provided by a nurse practitioner would be of lesser quality than that provided by a medical practitioner. Despite the medical profession's opposition for nurse practitioner roles, there is little evidence suggesting that the quality of services offered by a nurse practitioner would be inferior. Available evidence suggests that care and treatment from nurse practitioners in primary health care is equal to that provided by medical practitioners.
Critique of Falloon and the Optimal Treatment Project
Publisher: Wiley
Date: 02-2007
DOI: 10.1111/J.1447-0349.2006.00443.X
Abstract: The Optimal Treatment Project advocated by Falloon has been demonstrated through the scientific research literature to be efficient and effective treatment strategies for people experiencing severe mental illness. For this reason, there is little critique of this approach. While the potential value of the project is acknowledged, it is important to identify the appropriateness of the model for specific services and to understand comprehensively the resources necessary for successful implementation. The aim of this paper is to review the literature in relation to the Optimal Treatment Project with a view to exploring the complexities associated with the model. It is concluded that the involvement of multiple stakeholders, including consumers of mental health services, should become an essential element of any implementation strategy.
‘People Just Need to Try It to Be Converted!’: A Picture of Consumer Mental Health Research in Australia and New Zealand
Publisher: Informa UK Limited
Date: 13-08-2020
Mental health service delivery: a profile of mental health non-government organisations in south-east Queensland, Australia
Publisher: CSIRO Publishing
Date: 2014
DOI: 10.1071/AH13208
Abstract: Objective Non-government organisations make a substantial contribution to the provision of mental health services despite this, there has been little research and evaluation targeted at understanding the role played by these services within the community mental health sector. The aim of the present study was to examine the depth and breadth of services offered by these organisations in south-east Queensland, Australia, across five key aspects of reach and delivery. Methods Representatives from 52 purposively targeted non-government organisations providing mental health services to in iduals with significant mental health challenges were interviewed regarding their approach to mental health service provision. Results The findings indicated a erse pattern of service frameworks across the sector. The results also suggested a positive approach to the inclusion of consumer participation within the organisations, with most services reporting, at the very least, some form of consumer advocacy within their processes and as part of their services. Conclusions This paper offers an important first look at the nature of non-government service provision within the mental health sector and highlights the importance of these organisations within the community sector. What is known about the topic? Non-government organisations make a substantial contribution to the multisectorial provision of services to mental health consumers in community settings. Non-government organisations in Australia are well established, with 79.9% of them being in operation for over 10 years. There is an increasing expectation that consumers influence the development, delivery and evaluation of mental health services, especially in the community sector. What does this paper add? This paper provides a profile of non-government organisations in one state in Australia with respect to the services they provide, the consumers they target, the practice frameworks they use, the use of peer workers and consumer participation, the success they have had with obtaining funding and the extent to which they collaborate with other services. What are the implications for practitioners? This paper provides readers with an understanding of the non-government organisations and the services they provide to people with mental health conditions. In addition, the findings provide an opportunity to learn from the experience of non-government organisations in implementing consumer participation initiatives.
Exploring the role of the mental health nurse in community mental health care for the aged
Publisher: Informa UK Limited
Date: 2006
DOI: 10.1080/01612840500312902
Abstract: There is currently considerable discussion about the impact of the aging population on the demand for health care services, however there is considerably less attention paid to the impact of mental health issues on the needs of the aged population. Nurses comprise the largest professional group within the mental health workforce in Australia. The availability of a high quality mental health nursing workforce will therefore be crucial to meeting the health needs of aging clients in the future, accompanied by an increased pressure to increase the proportion of care delivered in the community. There is however, a paucity of literature on the role and contribution of community mental health nurses specialising in the aged care field. The aim of this paper is to present the findings of a project designed to examine the role of mental health nursing within aged persons' community mental health teams in Victoria, Australia, with particular emphasis on the biopsychosocial interventions used. Fifteen participants from three community mental health services in Victoria participated in a focus group interview to share their insights and experiences. Data analysis revealed two main themes, the role of the nurse, and the specific functions of the nurse. This data is presented as a beginning contribution to the paucity of literature currently available in this important area.
The mental health nurse incentive program: The benefits from a client perspective
Publisher: Informa UK Limited
Date: 09-2010
DOI: 10.3109/01612840.2010.488784
Abstract: It is now acknowledged that a substantial proportion of the Australian population will experience a mental health condition at some time during their lives. Only a small proportion will access care and treatment for these conditions, and those who do are more likely to access general medical practitioners than specialist mental health providers. The Mental Health Nurse Incentive Program (MHNIP) was introduced by the Commonwealth Government to enhance access to mental health care by engaging mental health nurses in collaboration with general practitioners and private psychiatrists. The aim of the current study was to explore the experiences and opinions of clients utilising these services. A qualitative exploratory approach involving in-depth semi-structured interviews was utilised to enhance understanding of the client perspective. Interviews were conducted with 14 clients. Data were analysed using NVivo to assist with the identification of major themes. The findings revealed the major themes to be: initial reactions a comfortable setting flexibility holistic care and affordable care. These findings suggest that clients perceive the MHNIP as a valuable intervention that met the mental health needs of clients to a greater extent than had previously been possible.
Mental health in Australia: The ideal versus financial reality and the role of the mental health nurse
Publisher: Informa UK Limited
Date: 2006
DOI: 10.5172/JAMH.5.1.41
Photoreactivity models for titanium dioxide with water
Publisher: Informa UK Limited
Date: 09-2008
Learning essentials: What graduates of mental health nursing programmes need to know from an industry perspective
Publisher: Wiley
Date: 03-04-2014
DOI: 10.1111/JOCN.12594
Abstract: To explore the perspectives of nursing directors in mental health in Queensland, Australia, regarding the skills and attributes of graduates of comprehensive nursing programme to provide an industry perspective and thus augment knowledge from theoretical and professional dimensions. There is a worldwide shortage of appropriately qualified nurses with the knowledge, skills and attitudes to work effectively in mental health services. Within Australia, this has been well documented since the introduction of comprehensive nursing education. The underrepresentation of mental health content in undergraduate curricula has been identified as the primary reason for nursing graduates not being adequately prepared for practice in this field. To date, this issue has primarily been addressed from the perspective of university academics, with the voice of industry relatively silent in the published literature. Qualitative exploratory. In-depth telephone interviews with Director of Nursing (Mental Health) in Queensland, Australia. The concerns of participants were expressed in six main themes: (1) foundational knowledge of mental health and disorders, (2) recovery-oriented skills, (3) physical as well as mental health skills, (4) therapeutic strategies, (5) resilience and self-development and (6) advanced knowledge and skills. The education of comprehensive nursing education needs to be reviewed as a matter of priority to ensure graduates with the attributes required to provide high-quality care for consumers of mental health services. A skilled and knowledgeable workforce is an essential component of high-quality mental health services. Research highlighting the current deficits and issues is therefore of the highest priority.
Here if you need me: exploring peer support to enhance access to physical health care
Publisher: Informa UK Limited
Date: 13-10-2018
DOI: 10.1080/09638237.2017.1385741
Abstract: People diagnosed with mental illness (hereinafter "consumers") have higher rates of chronic disease and significantly shorter lives than the wider population. Peer workers have become increasingly involved in facilitating access to physical health care, yet the consumer perspective regarding peer involvement is unknown. This absent voice is needed to inform strategic planning and generate solutions to address the current inequity in health status. To articulate the views of consumers in regards to the potential use of peer workers to further the physical health of people with mental illness. A qualitative exploratory study was conducted involving four focus groups with 31 consumer participants. Focus group responses were analysed thematically. Three themes pertaining to enhancing physical health care emerged: (1) the potential of peer workers in mitigating existing barriers, (2) consumer advocacy organisations expanding their agenda and (3) benefits of segregated activities as a segue to mainstream options. The envisaged forms of peer contribution have far greater scope and depth than is currently considered in policy, the research literature and health practice. Innovative solutions are required for this neglected population. In idual and systemic advocacy led by peer workers can enhance access to physical health care and have the potential to reduce physical health inequalities.
Lived experience practitioners and the medical model: world’s colliding?
Publisher: Informa UK Limited
Date: 11-12-2016
DOI: 10.3109/09638237.2015.1101428
Abstract: Australian mental health policy requires that mental health services facilitate meaningful and genuine consumer participation in all aspects of mental health services. Roles for practitioners who work from their own experience of significant mental health challenges and mental health service use have been implemented in many services to promote participation and the development of more consumer focused services. To enhance understanding of perspectives of in iduals working in lived experience roles to more closely understand their experiences and opinions about these roles. A grounded theory study interviews were conducted with 13 lived experience practitioners. The medical model was a core category arising from this work. Participants described the medical model as a prevailing culture within mental health services from their personal and professional experiences. This culture imposed a major limitation on the implementation, effectiveness and development of lived experience roles and themselves as in iduals. It was also seen as a major limitation to the progress of Recovery orientated reform. The development of Recovery oriented services requires a strong lived experience practitioner workforce, with appropriate resourcing and support available. The current medical model approach requires critique to facilitate reform and avoid tokenism.
Addressing the physical health of people with serious mental illness: A potential solution for an enduring problem
Publisher: SAGE Publications
Date: 28-12-2015
Abstract: People with serious mental illness face significant inequalities in physical health care. As a result, the risk of cardiometabolic disorders and premature mortality is far greater than that observed in the general population. Contributiung to this disparity, is the lack of routine physical health screening by mental health clinicians. One possible solution is the implimentation of a physical health nurse consultant, whose role is to monitor and coordinate the physical health care of people with serious mental illness. Current evidence supports the implimentation of such a role, and a failure to address the widening gaps in physical health care will only serve to increase the disparities faced by people with serious mental illness.
Let the buyer beware! Loss of professional identity in mental health nursing
Publisher: Wiley
Date: 10-03-2014
DOI: 10.1111/INM.12066
Breaking through the Glass Ceiling: Consumers in Mental Health Organisations' Hierarchies
Publisher: Informa UK Limited
Date: 27-02-2017
DOI: 10.1080/01612840.2017.1280106
Abstract: Contemporary mental health policies call for consumers to be engaged in all levels of mental health service planning, implementation, and delivery. Critical approaches to traditional healthcare hierarchies can effectively challenge barriers to better engagement with consumers in mental health organisations. This qualitative exploratory study analyses how particular strategies for consumer leadership facilitate or hinder relationships between consumers and mental health services, and how these strategies influence hierarchical structures. Fourteen participants from a range of mental health organisations were interviewed. These interviews were analysed using thematic analytic and discursive psychological techniques. The findings highlight several benefits of having consumers within mental health organisational hierarchies, and elaborate on ways that employees within mental health services can support integration of consumers into existing hierarchies. Specific barriers to consumers in hierarchies are discussed, including a lack of clarity of structures and roles within hierarchies, and resistance to consumers reaching the highest levels of leadership within organisations. Alternative hierarchical models which privilege consumers' control over resources and power are also discussed. Mental health organisations are encouraged to integrate consumer leaders into their hierarchical structures to improve their organisational offerings, their reputation, and their service innovation.
Being Accountable or Filling in Forms: Managers and Clinicians' Views About Communicating Risk
Publisher: Hindawi Limited
Date: 13-08-2017
DOI: 10.1111/PPC.12135
Abstract: Assessment, documentation, and prevention of risk are central to mental health services. However, there is a paucity of research examining how risk is perceived by key stakeholders including managers and clinicians. Qualitative, exploratory design. In-depth interviews were held with 22 senior managers and 21 clinicians. Communicating risk was a major theme to emerge. For managers, accountability was a primary consideration in communicating risk and therefore influential over nursing practice. Clinicians were more likely to view the organizational processes of communicating risk as a bureaucratic exercise. The significant difference between managers and clinicians is problematic for achieving consumer-focused mental health service delivery, a more critical approach to risk is essential in preserving the therapeutic relationship.
“It is much more real when it comes from them”: The role of experts by experience in the integration of mental health nursing theory and practice
Publisher: Hindawi Limited
Date: 13-03-2020
DOI: 10.1111/PPC.12496
Embedding a physical health nurse consultant within mental health services: Consumers' perspectives
Publisher: Wiley
Date: 07-01-2016
DOI: 10.1111/INM.12185
Abstract: The life expectancy of people living with mental illness is significantly shorter than that of the rest of the population. Despite the profound impact of physical health issues on both quality of life and life expectancy, the perspectives of mental health consumers have yet to be thoroughly explored. Furthermore, research has focused far more on describing barriers than on identifying solutions. This paper reports on findings from a qualitative exploratory research study, with the aim to examine the potential role of a specialist nurse with advanced physical health-care skills. Focus groups were conducted with 31 consumers. Data were analysed thematically. The concept of a role like this was supported however, participants stressed: (i) the importance of integration between health professionals and various components of the health-care system and (ii) the need for culture change for nurses to work from a less medically-dominated approach. Previous research literature suggests that a nursing position dedicated to physical health care and coordination might produce positive outcomes for mental health consumers. The findings from the current research project emphasize the need for consumers to be identified as key stakeholders in a solution-focused approach to improved physical health care for mental health consumers.
Talking about hope: The use of participant photography
Publisher: Informa UK Limited
Date: 2006
DOI: 10.1080/01612840600943697
Abstract: Hope as a concept is commonly described in everyday life and is generally regarded as an important component of health and fulfillment. The importance of hope in relation to people who are marginalised due to illness or other social circumstances has been examined in the research literature. There is, however, a paucity of research addressing the importance of hope for people living with schizophrenia. The authors, in attempting to redress this paucity, identified that participants have difficulty articulating the concept of hope and its meaning to them as in iduals. Participant photography was introduced as a research method during the course of the study. This paper presents an overview of the use of participant photography as a method to assist participants to describe their view of hope and its importance. A brief overview of findings are presented and compared with findings derived from traditional interview techniques. Participant photography proved beneficial in facilitating a discussion of hope at a very personal level. The potential ethical implications of this approach are discussed.
Talking about sex as part of our role: Making and sustaining practice change
Publisher: Wiley
Date: 12-08-2013
DOI: 10.1111/J.1447-0349.2012.00865.X
Abstract: Sexual issues are common for consumers of mental health services and have many adverse consequences for quality of life as well as impacting negatively on the mental illness itself. Nurses in mental health settings are well placed to assess for the presence of and provide interventions for sexual concerns. To date, little research has been undertaken to explore nurses' attitudes and whether sexual issues would be accepted as part of their care. This paper presents findings from the third stage of a qualitative, exploratory research study with mental health nurses working in an Australian mental health service. The findings from the first two stages suggested that the participants had tended to avoid discussion of sexual issues, but a brief education intervention had produced a greater willingness to address sexual issues as part of care. The aim of the third stage was to determine the degree to which changes in practice had continued over time. Two main themes that emerged from this data were: (i) holism, from rhetoric to reality and (ii) part of what I do. Addressing sexual issues became part of practice, a change sustained 2 years following the intervention, because participants recognized its importance for holistic nursing care.
“Making It Happen”: Supporting the Implementation of Positions for Experts by Experience in Mental Health Education
Publisher: Informa UK Limited
Date: 08-2022
DOI: 10.1080/01612840.2022.2095472
Abstract: Significant changes to mental health policy have positioned consumers of mental health services as active participants in all aspects of service design and delivery, leading to the development and expansion of consumer workforce roles (Experts by Experience [EBE]). Negative attitudes of health professions pose a major limitation to the success of these positions. EBE involvement in mental health education has shown favourable outcomes, particularly enhancing more positive attitudes. Unfortunately, these positions remain limited in number and scope and have largely been supported by in idual clinical academic ch ions (allies). This article presents findings from a qualitative study, involving in idual interviews that explored the experiences and perceptions of allies who supported the implementation of academic positions for EBE. Data were analysed thematically. "Making it happen" was the overarching theme identified. It comprised the sub-themes: strategic or opportunistic? developing an argument using evidence showing what EBE bring getting buy-in and utilising existing relationships. The articulation of these processes provides a useful guide to other allies interested in supporting the implementation of these positions. The implementation of further positions will ultimately improve the attitudes of other health professionals towards Expert by Experience roles.
Impacts of Seclusion and the Seclusion Room: Exploring the Perceptions of Mental Health Nurses in Australia
Publisher: Elsevier BV
Date: 04-2011
DOI: 10.1016/J.APNU.2010.07.005
Abstract: The practice of seclusion does not sit comfortably with contemporary Australian mental health policy that emphasizes the provision of mental health services in the least restrictive environment. The negative impact of seclusion on patients and nurses is increasingly being acknowledged. On the other hand, seclusion receives wide support from nurses as a necessary behavior management strategy. The aim of this study was to examine nurses' perceptions of the impact of seclusion and the seclusion room on patients and the changes they would consider to the seclusion room in relation to characteristics of the nurses, including therapeutic optimism, job satisfaction, and burnout. One hundred twenty-three nurses employed in mental health services from Queensland, Australia, participated in this study by completing four self-report scales to measure these attitudes and characteristics. Data were analyzed using descriptive statistics and Pearson's product-moment correlation coefficients. The findings indicate some relationship between the three scales and attitudes to seclusion however, therapeutic optimism had the strongest link. Participants with higher scores for optimism were more likely to acknowledge the detrimental effects of seclusion and the seclusion room and were more likely to support positive changes to the seclusion room.
Editor's response to Professorial mental health nursing appointments
Publisher: Wiley
Date: 07-11-2007
Coming from a different place: Partnerships between consumers and health services for system change
Publisher: Wiley
Date: 17-07-2018
DOI: 10.1111/JOCN.14520
Abstract: The aim of the current study is to explore whether and how the expectations of consumers to be "representative" influences consumers' ability to contribute to health services partnerships. Health standards call for services to partner with consumers in service development and governance. While existing research criticises the assumption that in idual mental health consumers working with mental health services must be representative of consumers more broadly, research has yet to explore whether this requirement exists for consumers of other health services. Requiring in idual consumers to be representative of consumers more broadly marginalises and limits consumer involvement. A qualitative, exploratory design was employed. Consumers (n = 6), clinicians (n = 7) and health managers (n = 5) were interviewed about consumer participation in health services. Data analysis was conducted through the lens of social exchange theory and informed by discursive psychological principles. The current study extends the existing literature within mental health, finding that consumers of other health services are also held responsible for representing broader communities. Data also suggested that a requirement to be representative would marginalise consumers with a passion to bring about change in health systems. The findings suggest that organisations might need a culture change so that in idual consumers are not expected to be representative of consumers more broadly and that participation be made more accessible for erse groups of consumers. Given the role that nurses might play as allies to consumers within health services, the findings of this study contribute to knowledge about the expectations placed on consumers and the ways that nurses might advocate for better partnerships.
Is cardiovascular or resistance exercise better to treat patients with depression¿ a narrative review
Publisher: Informa UK Limited
Date: 07-2013
DOI: 10.3109/01612840.2013.774077
Abstract: There is growing evidence regarding the efficacy of exercise as a treatment strategy for patients with depression. This paper summarises the benefits of both cardiovascular and resistance exercise for patients with depression. A narrative review design was employed. Supporting literature for the in idual and combined benefits of both modalities are presented. Studies comparing both modalities are then discussed. The outcomes of the review indicate that there is evidence for the efficacy of both cardiovascular exercise and resistance exercise, either independently or combined, in the treatment of depression across the range of severity levels and age groups. Exercise interventions for the treatment of depression appear worthwhile and well tolerated. Exercise preference, access to resources and social support may shape the choice for the patient. The role of primary and allied health professionals in guiding this choice is discussed. Implications for clinical practice and further research are presented.
Nursing Students' Attitudes to Mental Health Nursing: Psychometric Properties of a Self-report Scale
Publisher: Elsevier BV
Date: 10-2009
DOI: 10.1016/J.APNU.2008.10.005
Abstract: Negative attitudes toward people experiencing mental illness and mental health nursing as a career option have been recognized as a major barrier to sustaining an adequate psychiatric nursing workforce. This article presents the findings from a prospective observational study that explored the relationship between undergraduate nursing students' (n = 688) attitudes relevant to the mental health field, preparedness, and career preferences after they had completed a mental health placement. A comparison was also made between the self-reported attitudes, beliefs, and preferences of two groups of students, one with and one without relevant clinical experience. Finally, the psychometric properties of the clinical evaluation component of the survey were explored because the structure and composition of this component have not been assessed or reported previously. The findings have direct implications for psychiatric-mental health education. They show a strong association between educational preparation, placement experiences, and students' attitudes toward psychiatric nursing and consumers of mental health services. Findings also indicated that students with clinical experience felt significantly more prepared for employment in the mental health field and significantly less anxiety surrounding mental illness than did students without clinical experience.
The Construct Validity of the Work-Related Flow Inventory in a Sample of Australian Workers
Publisher: Informa UK Limited
Date: 18-02-2014
DOI: 10.1080/00223980.2013.838539
Abstract: The purpose of this study was to examine the construct validity of the WOrk-reLated Flow inventory (WOLF Bakker, 2008). This instrument was administered to 711 men and women who were working in Queensland, Australia. The results from the confirmatory factor analysis showed that the WOLF has moderately acceptable construct validity, with the three-factor model being a borderline fit to the data. Tests of the convergent validity of the WOLF yielded satisfactory results. However, the analysis of the discriminant validity of the WOLF showed that the instrument poorly discriminated between work enjoyment and intrinsic work motivation. Follow-up exploratory factor analysis, using recommended procedures for determining the number of factors to extract, revealed a two-factor solution, with the work enjoyment and intrinsic work motivation items loading on the same factor. Drawing on literature on psychological flow and motivation, as well as the findings of the present study, questions are raised over the adequacy of the conceptual basis of the three-factor model of work-related flow, the discriminant validity of the WOLF subscales, and the appropriateness of the wording of several of this measure's items. Using alternative methods and measures to investigate flow in work settings is recommended.
Perception of risk for older people living with a mental illness: Balancing uncertainty
Publisher: Wiley
Date: 29-10-2015
DOI: 10.1111/INM.12175
Abstract: Risk is commonly defined as a negative threat which needs to be controlled and mitigated as a concept, it takes high priority in contemporary mental health services. Health-care organizations and clinicians are now required to use levels of risk as a benchmark for clinical decision-making. However, perceptions of risk change according to the lens through which it is viewed. A qualitative, exploratory research study was undertaken in an aged persons' mental health programme in Victoria, Australia, to explore the notion of risk from the multiple perspectives of service providers and consumers. Data were obtained through in-depth interviews, and analysis was based on the framework of Ritchie and Spencer. Balancing uncertainty emerged as a major theme, and comprised two subthemes: (i) complexity of risk from the perspective of providers of services and (ii) complexity of safety from the perspectives of recipients of services. These differences emphasize a significant disjuncture between perceptions of risk and the potential for the in idual needs and concerns of consumers to be subsumed under broader organizational issues. The uncertainty this tension highlights suggests the need to reconceptualize risk, incorporating the views and experiences of all stakeholders, particularly consumers and carers, to enhance recovery-oriented services and facilitate consumer participation within mental health services.
Developing practice in mental health settings: Feature article
Publisher: Wiley
Date: 06-01-2010
DOI: 10.1111/J.1447-0349.2009.00632.X
Abstract: If practice development (PD) is to be implemented in erse mental health-care settings, it is important that managers, researchers, and policy makers are all clear about the nature of the processes involved. The authors draw on the literature to broadly set out local strategies, practicalities, and issues that should be considered and addressed by those planning to undertake PD projects in mental health. Before implementing PD projects, pre-existing requirements should be recognized and expedited. All aspects of who does what, when, and how should be widely communicated so that continuous evaluation and improvements are generated. Staff need to be adult learners, be aware of their practice values, be able to access supervision, and confront contradictions and tensions between values and practice. PD programmes that are effective are built into mainstream activities, considered core business, utilize existing resources to build sustainable and realistic improvements, take direction from practitioners, and incorporate client needs.
Rural physical health care services for people with serious mental illness: A nursing perspective
Publisher: Wiley
Date: 23-09-2012
DOI: 10.1111/J.1440-1584.2012.01303.X
Abstract: To understand nurse perspectives on the physical health needs of their mental health clients and how well rural services are meeting their overall care needs. Focus groups with semistructured format. Community mental health care in a regional and rural district of Queensland. Thirty-eight nurses in public mental health care. The major themes were (i) stigma of mental illness, (ii) barriers to accessing physical health care services, (iii) nurse adaptations under demands, and (iv) community and integration towards better overall health. Nurses integrate overall care and foster its continuity for people with physical and mental co-morbidity and can be supported much better in sustaining this. Access and continuity of physical health care experienced by all Australians is exacerbated for people in rural areas. Physical health of people with serious mental illness residing in remote Australia needs to be a national health priority.
The yarra river flows through melbourne: So what?
Publisher: Wiley
Date: 08-01-2014
DOI: 10.1111/INM.12056
Communication With Colleagues: Frequency of Collaboration Regarding Physical Health of Consumers With Mental Illness
Publisher: Hindawi Limited
Date: 17-05-2014
DOI: 10.1111/PPC.12021
Abstract: To identify how frequently nurses in mental health services communicate about physical health of consumers with other healthcare professionals, and whether such collaboration is associated with physical care actions with consumers. An online national Australian survey of nurses in mental health services. Nurses discuss physical health frequently with general practitioners, psychiatrists, and case managers, and less frequently with occupational therapists, social workers, and nurse practitioners. Interprofessional attention was positively associated with direct physical health care such as clinical screening and health education. Interprofessional communication may support nurses in direct physical healthcare actions with consumers. Increasing collaborations with nurse practitioners, social workers, and occupational therapists need to be explored as part of clinical teamwork development.
Drug and alcohol education for nurses: Have we examined the whole problem?
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 1999
High Fidelity Patient Silicone Simulation: A qualitative evaluation of nursing students' experiences
Publisher: Elsevier BV
Date: 06-2012
DOI: 10.1016/J.COLEGN.2011.09.003
Abstract: Clinical experience is recognised as a source of fear and anxiety for undergraduate nursing students. Simulated learning experiences have been identified as potentially increasing confidence, however most techniques do not always reflect clinical reality or are too costly. The aim of the current study is to explore nursing students' perceptions of the use of High Fidelity Silicone Simulation, developed by one university academic to overcome these limitations. A simulated patient with a personal and medical history is developed and brought to life through wearing life-like silicone props including face, hands and torso. The academic is able to adapt responses to direct student learning. This paper presents the findings from a qualitative exploratory study of nursing students' responses to this technique. Twenty-one students in second or third year of the nursing program participated in one of three focus groups to discuss their experiences. Data were analysed using a thematic approach. Data analysis revealed three main themes: preparation for clinical reality, reducing fear/increasing confidence, and taking out of comfort zone. These findings suggest that this technique has the potential to increase nursing students' sense of preparedness for their clinical experience, thus reducing the negative impact of fear and apprehension.
Consumers at the centre: interprofessional solutions for meeting mental health consumers' physical health needs
Publisher: Informa UK Limited
Date: 26-09-2019
DOI: 10.1080/13561820.2018.1516201
Abstract: Interprofessional care and consumer-oriented services are embodied in modern healthcare policy and practice. The views, needs, and values of consumers are essential to ensuring translation of policy to practice. This is particularly pertinent for people diagnosed with mental illness who experience a higher risk of physical health problems and premature death. A qualitative, exploratory research project was conducted, involving focus groups with members of a mental health consumer group in the Australian Capital Territory. Participants were asked about their experiences and opinions in relation to physical health and care and treatment provided. Focus group transcripts were thematically analysed. Three themes arose via analysis: (1) Meeting erse physical healthcare needs, where mental health consumers connect with many types of healthcare providers, conventional and non-conventional, (2) centre of the interprofessional team for holistic care, where there is preference for a consumer-centred group effort in addressing health issues as the model of care, and (3) more gateways, less gatekeeping, where points of access were affected by cost, place and gatekeepers could be enabling. People with mental illness seek enhanced collaboration between a broader range of health professionals, with potential to contribute to their overall health and well-being.
Opportunity lost? Psychiatric medications and problems with sexual function: A role for nurses in mental health
Publisher: Wiley
Date: 16-12-2012
DOI: 10.1111/J.1365-2702.2011.03908.X
Abstract: Aim. To explore patients’ non‐adherence to psychiatric medication with mental health nurses. Background. The ability of consumers to maintain normal sexual behaviours is complicated by abnormally high incidence of sexual problems arising from the medications they are prescribed. Sexual side effects of psychiatric medications are identified as a major reason for non‐adherence to psychiatric medication regimes yet it remains an issue mental health nurses tend to avoid in their practice with consumers. Design. An exploratory, descriptive qualitative approach. Method. In idual interviews were conducted with 14 nurses currently working with adult consumers of mental health services. Data analysis followed the framework approach developed by Ritchie and Spencer as the process for identification of the main themes. Results. Problems with sexual function in relation to psychiatric medication issues was one major theme to emerge from this research. More specifically the participants referred to: assessment of sexual function, the side effects of psychiatric medication, consumer embarrassment, and, the pros and cons of information. Participants recognised that sexual side effects were likely to have an impact on adherence to medication and that this was an important consideration but most did not discuss this issue with consumers. Consumer embarrassment and the belief that knowledge itself might cause non‐adherence were the two main reasons for not discussing this topic. Conclusions. Problems with sexual function of consumers presents an important practice consideration for nurses working in mental health settings. There is an urgent need for strategies to enhance awareness and confidence among nurses in exploring this topic with consumers. Relevance to clinical practice. Mental health nurses can adopt a leadership role in recognising the relevance of sexuality in care and treatment for consumers of mental health services. Strategies to assist in developing skill and confidence in this domain are required as a matter of priority.
“I don't think we've quite got there yet”: The experience of allyship for mental health consumer researchers
Publisher: Wiley
Date: 10-2018
DOI: 10.1111/JPM.12476
Abstract: Consumer participation in mental health services is an expectation articulated through mental health policy. Consumers as researchers could contribute significantly to mental health services. Barriers to participation are significant and limit consumer involvement. Enhanced understandings of collaborative relationships between consumer and nonconsumer researchers. Researchers from the health disciplines find value in consumer involvement in mental health research. These researchers can support and facilitate consumer research by being allies to consumer researchers. Understanding the role of allies is necessary to strengthen their capacity to support consumer researchers. Involving consumers in mental health research is likely to lead to improved practice. Introduction Australia and New Zealand mental health policy requires consumer participation in all aspects of mental health services. Systemic participation informs and improves the quality of mental health services. Collaboration with consumer researchers should be similarly required. Enhanced understandings of collaborations are needed. Aim To enhance understanding of the perspectives and experiences of nonconsumer researchers in working collaboratively with consumers as researchers. Method This qualitative exploratory study involved interviews with nonconsumer mental health researchers who have worked collaboratively with consumers in research. Interviews were conducted with participants from Australia and New Zealand. Results "Allyship" emerged as a major theme. This describes nonconsumer researchers playing an actively supportive role to facilitate opportunities for the development and growth of consumer research roles and activities. Seven subthemes were identified: establishing and supporting roles, corralling resources, guiding navigation of university systems, advocacy at multiple levels, aspiring to coproduction and consumer-led research, extending connections and partnerships, and desire to do better. Discussion Allyship may have an important role to play in the broader consumer research agenda and requires further consideration. Implications for practice Embedding meaningful consumer participation within mental health services requires active consumer involvement in research. Allies can play an important facilitative role.
Psychiatry, mental health nurses, and invisible power: Exploring a perturbed relationship within contemporary mental health care: Feature Article
Publisher: Wiley
Date: 05-03-2009
DOI: 10.1111/J.1447-0349.2008.00591.X
Abstract: Interpersonal relationships, although considered to be the cornerstone of therapeutic engagement, are replete with issues of power yet, the concept of 'invisible power' within such formal mental health care relationships is seldom explored and/or critiqued in the literature. This paper involves an examination of power in the interpersonal relationship between the mental health nurse and the consumer. Issues of power are emphasized by drawing on ex les from clinical experiences, each of which is then deconstructed as an analytical means to uncover the different layers of power. This examination highlights the existence of both obscure and seldomly acknowledged invisible manifestations of power that are inherent in psychiatry and interpersonal mental health nursing. It also identifies that there is an orthodoxy of formal mental health care that perhaps is best described as 'biopsychiatry' (or 'traditional psychiatry'). Within this are numerous serious speech acts and these provide the power for mental health practitioners to act in particular ways, to exercise control. The authors challenge this convention as the only viable discourse: a potentially viable alternative to the current of formal mental health care does exist and, most importantly, this alternative is less tied to the use of invisible power.
Exploring the benefits of an exercise program for people with schizophrenia: A qualitative study
Publisher: Informa UK Limited
Date: 2005
DOI: 10.1080/01612840590915711
Abstract: The relationship between regular exercise and physical health and well-being is extensively documented in the literature. However, considerably less attention is devoted to the impact of exercise on health outcomes for people experiencing a mental illness. In response to the recognized paucity, a structured exercise program was developed and implemented for residents of a Community Care Unit in metropolitan Melbourne, Australia. Six residents participated in the program over a period of three months. This paper reports the findings of a qualitative study. A focus group interview was conducted with the resident participants (n=6), the exercise physiologists who developed and implemented the program (n=2), and nursing staff involved in implementing and supporting the program (n=4). Analysis of the data collected revealed that four main themes had emerged: the in idual nature of the program, physical improvement, group dynamics, and future plans. The findings of this study suggest that involvement in the program produced very positive outcomes, most notably in the physical fitness of residents. The in idual nature of the program which enabled gradual participation, and the cohesive approach of the group as a whole were considered very important factors contributing to the overall success. Furthermore, the participants planned to continue with some form of physical activity in the future. The potential value of regular exercise for patients experiencing a mental illness has significant implications for nursing and requires further research exploration.
Rediscovering the essence of nursing: Exploring the impact of in clinical experience in Thailand for undergraduate nursing students from Australia
Publisher: Elsevier BV
Date: 11-2011
DOI: 10.1016/J.NEDT.2010.12.024
Abstract: Cultural competence is now widely recognised as an essential characteristic for undergraduate nursing students. Clinical experience in foreign countries has become increasingly popular as a strategy to enhance cultural awareness and competence. However, published research articulating the experience and outcomes of these initiatives is relatively rare, particularly from an Australian perspective. This paper presents the findings of a qualitative, exploratory research project. In idual semi-structure interviews were conducted with eight undergraduate nursing students before, during and at the conclusion of a four week clinical placement in Surin, Thailand. Data analysis identified the following major themes: first interview - anticipation second interview - making a difference contrasting worlds and part of the group third interview - reality check and group dynamics. These findings suggest that international clinical experience has potential benefits beyond the development of cultural competence. The importance of caring in nursing and the importance of group dynamics were particularly valued by student participants.
Consumer participation in mental health research: articulating a model to guide practice
Publisher: SAGE Publications
Date: 06-2007
DOI: 10.1080/10398560701320113
Abstract: Objective: Consumer involvement in mental health research is considered both a right and a benefit, despite the identified barriers to forming effective collaborative relationships. The purpose of this paper is to examine the literature relating to consumer involvement in mental health research with a view to articulating a model to guide this process. Method: A qualitative review of the relevant literature was undertaken. Literature referring to consumer roles in research was accessed and reviewed with the aim of articulating the benefits of, and barriers to, consumer participation in research. Results: The literature has identified a number of important benefits and some significant barriers to consumer involvement in mental health research. However, a clear model to articulate definitions of involvement is lacking. Four distinct levels of involvement were articulated. Conclusions: The identification of clearly defined models for consumer involvement in mental health research is important in order to facilitate collaboration and avoid tokenism. Research is required in order to determine the applicability of these models within actual research projects.
Implementation in action: how Australian Exercise Physiologists approach exercise prescription for people with mental illness
Publisher: Informa UK Limited
Date: 23-06-2018
DOI: 10.1080/09638237.2017.1340627
Abstract: Accredited Exercise Physiologists (AEPs) are trained to deliver exercise and physical activity interventions for people with chronic and complex health conditions including those with mental illness. However, their views on exercise for mental illness, their exercise prescription practices, and need for further training are unknown. To examine the way in which Australian AEPs prescribe exercise for people with mental illness. Eighty-one AEPs (33.3 ± 10.4 years) completed an online version of the Exercise in Mental Illness Questionnaire. Findings are reported using descriptive statistics. AEPs report a high level of knowledge and confidence in prescribing exercise for people with mental illness. AEPs rate exercise to be at least of equal value to many established treatments for mental illness, and frequently prescribe exercise based on current best-practice principles. A need for additional training was identified. The response rate was low (2.4%) making generalisations from the findings difficult. Exercise prescription practices utilised by AEPs are consistent with current best-practice guidelines and there is frequent consultation with consumers to in idualise exercise based on their preferences and available resources. Further training is deemed important.
Perspectives of Australian nursing directors regarding educational preparation for mental health nursing practice
Publisher: Informa UK Limited
Date: 29-10-2014
DOI: 10.3109/01612840.2014.891679
Abstract: There is an ongoing global shortage of mental health nurses. Within Australia, the principal strategy of offering a postgraduate education programme with various incentives to encourage nurses back to study has not been successful. This has led to the consideration of radical alternatives, including the return to pre-registration specialisation in mental health. The successful introduction of this strategy would require the full support of industry partners. To date, the voice of industry has not been heard in relation to this issue. The aim of this paper is to present the views of an Australian s le of mental health nursing directors regarding the resources and other factors required, should undergraduate specialist programmes in mental health be developed, to ensure they are relevant and likely to be successful. A qualitative exploratory research project was undertaken to explore the perspectives and opinions of industry partners. In-depth interviews were conducted with nursing directors (n = 12) in Queensland Australia. Five main themes were identified: relationships with universities clinical placement preparation and support workplace culture facilitators and preceptors and practical student learning. Genuine collaboration between the two organisations was considered crucial for delivering a quality programme and providing the required support for students. Transformative leadership could inform this collaboration by promoting acknowledgement of and respect for differences.
Exploring the Scope of Consumer Participation in Mental Health Nursing Education: Perspectives From Nurses and Consumers
Publisher: Hindawi Limited
Date: 24-03-2016
DOI: 10.1111/PPC.12113
Abstract: Exploration of the views and experiences of nurse academics and consumer academics and educators regarding the scope of consumer participation in mental health nursing education. A qualitative, exploratory inquiry into the description and views of mental health nurse academics and consumer educators about these roles A significant variation in roles from guest speaker to substantive academic positions was evident, with most involvement brief and specifically teaching focused. Consumer participation in education was generally valued but noted to be limited in breadth and scope. Some concern was raised about the relevance of consumer academic roles, with a clear conceptualization of the consumer academic role necessary to facilitate their contribution to the education of health professionals. Mental health consumer involvement in the education of nurses has been shown to impact positively on the attitudes of health professionals to people with mental illness. Advocacy for increased, meaningful input from consumers into nursing education is therefore necessary to improve practice.
Proposed nurse-led initiatives in improving physical health of people with serious mental illness: A survey of nurses in mental health
Publisher: Wiley
Date: 08-10-2014
DOI: 10.1111/JOCN.12371
Abstract: To identify nurse perceptions on the potential value of general and specific nursing approaches to improving physical health outcomes of people with serious mental illness. People diagnosed with serious mental illnesses experience heightened rates of physical illnesses and can be supported better via healthcare system prevention and management. Nurses working in mental health are a critical part of a system-wide approach to improving physical health care, but there is little known on their views on specific approaches within Australia (e.g. screening for risks, stigma reduction). A national, cross-sectional and nonrandom survey study delivered online. Members of the Australian College of Mental Health Nurses (n = 643), representing nurses employed in mental healthcare services across Australia (71·6% from public mental health services). Participants were asked to rate the potential of nine nurse-based strategies for improving physical health (options: 'yes', 'no', 'not sure') and the potential value of 10 nursing and general strategies for improving physical health (rating from 'negative value' to 'significant value'). There was a high endorsement of all nine nurse-based strategies for physical health (e.g. lifestyle programmes, screening, linking services), although there was less support for reducing antipsychotics or advocating for fewer side effects. Participants mainly viewed all strategies as of moderate to significant value, with the most promising value attached to colocation of primary and mental care services, lifestyle programmes and improving primary care services (reduce stigma, train GPs). Australian nurses working in mental health services view a range of nurse-based strategies for improving physical healthcare services and standards as important. Nurses collectively need to work with consumers, health agencies and the general public to further define how to organise and implement physical health integration strategies, towards more comprehensive health care of people with serious mental illness.
The high prevalence of poor physical health and unhealthy lifestyle behaviours in individuals with severe mental illness
Publisher: Informa UK Limited
Date: 19-08-2011
DOI: 10.3109/01612840.2011.569846
Abstract: Recent mental health care policy has addressed the need for health care professionals to consider the physical health of consumers. Mental health nurses are particularly well-placed for this role. To provide mental health nurses with practical information, this narrative review summarises evidence from recent research on the physical health of in iduals with Serious Mental Illness (SMI). In those with SMI, the international prevalence of obesity, the metabolic syndrome, diabetes mellitus, symptoms of cardiovascular disease, and respiratory disease all exceed that of the general population by at least two times, and HIV prevalence may be increased by as much as eight times. This increased prevalence of chronic disease may be largely responsible for an increased risk of death of up to five times, resulting in as much as 30 years of potential life lost. Of particular concern, the recent evidence suggests that for physical health and increased mortality, the gap between in iduals with SMI and the general population is worsening. Unhealthy lifestyle behaviours undoubtedly play a role in the development of poor physical health and chronic disease, and the present review indicates that low physical activity, poor diet, smoking, alcohol and substance abuse, and risky sexual behaviour are common in in iduals with SMI. This narrative review demonstrates that the prevalence of poor physical health and health behaviours in people with SMI far exceed that observed in the general population, and reinforces the urgent need for mental health nurses to address physical health concerns in patients.
Academic freedom: Alive and well or victim of the conservative creep?
Publisher: Wiley
Date: 07-07-2014
DOI: 10.1111/INM.12086
Back to the future? Views of heads of schools of nursing about undergraduate specialization in mental health nursing
Publisher: Wiley
Date: 08-08-2014
DOI: 10.1111/INM.12082
Abstract: Preparation of nursing students for practice in mental health settings in Australia has been criticized since comprehensive education replaced preregistration specialist education. Current and projected workforce shortages have given rise to considering the reintroduction of specialization at preregistration level as a potential solution. Support of heads of schools of nursing would be essential for such an initiative to be considered. A qualitative exploratory study was undertaken involving in-depth telephone interviews with heads of schools of nursing in Queensland. Participants generally favoured the concept of specialization in mental health nursing at undergraduate level. Data analysis revealed the following themes: meeting workforce needs, improving quality of care, employability of graduates, an attractive option for students, and what would have to go. Participants identified many benefits to mental health service delivery and consumer outcomes. How the initiative could be developed within an already overcrowded curriculum was identified as the major barrier. This level of support is encouraging if necessary changes to the educational preparation for mental health nursing practice are to be considered.
Facilitating the professional development role of clinicians: Evaluating the impact of the clinician-trainer program
Publisher: Elsevier BV
Date: 06-2004
Response from the editor
Publisher: Wiley
Date: 08-2008
Changing nursing student attitudes to consumer participation in mental health services: A survey study of traditional and lived experience-led education
Publisher: Informa UK Limited
Date: 27-08-2014
DOI: 10.3109/01612840.2014.888604
Abstract: Mental health policy emphasises the importance of consumer participation in mental health services. To align education with policy and orient future healthcare services to active consumer involvement, the potential of academics with a lived experience of mental illness to impact on student attitudes towards consumer participation needs to be examined. A cohort comparative study was undertaken comparing attitudinal change between undergraduate nursing students undertaking two different mental health courses, one nurse-led (n = 61) and one lived experience-led. Attitudes were measured through the Mental Health Consumer Participation Questionnaire. Within-cohort change was assessed via dependent s le t-tests, and degree of change was observed in each cohort, by comparing effect sizes. For the nurse-led course, attitudes on consumer involvement t (60) = -1.79, p < 0.005 (95% CI: -2.84, -0.74) and consumer as staff t (60) = -4.12, p < 0.005 (95% CI: -3.34, -1.16), positively changed with effect size r of 0.40 and 0.47, respectively. For the lived experience-led course, attitudes on consumer capacity t (109) = -3.63, p < 0.005 (95% CI: -0.48, -1.41) and consumer as staff, t (109) = -5.63, p < 0.005 (95% CI: -0.97, -0.46), positively changed, effect size r of 0.33 and 0.47, respectively. Mental health nursing education has a positive and selective influence on attitudes to consumer participation. Lived experience-led education was more beneficial in changing attitudes to consumer capacity and both types of education had similar positive effects on attitudes to consumers as staff.
Mental Health Nurse Incentive Program: Contributing to positive client outcomes
Publisher: Wiley
Date: 09-2010
DOI: 10.1111/J.1447-0349.2010.00679.X
Abstract: Mental health conditions are likely to affect almost half of the population at some stage in their lives. Despite the magnitude and potentially serious consequences of mental illness and disorders, access to services is a significant problem. In 2007, the Mental Health Nurse Incentive Program (MHNIP) was implemented to improve access to mental health care in Australia. Mental health nurses are engaged under the MHNIP to work with general practitioners, psychiatrists, and other mental health professionals to treat clients experiencing a mental health condition. This paper presents findings from a qualitative exploration of nurses working under the MHNIP in Australia. In-depth interviews were conducted with 10 nurses currently working under the MHNIP to gain an understanding of their roles and their perceptions of the effectiveness of this new programme. Data were analysed using NVivo. Four major themes emerged: developing the role, a holistic approach, working collaboratively, and benefits to clients. The findings suggest that mental health nurses have the potential to make a significant contribution to enhancing access to, and the quality of, mental health care through flexible and innovative approaches.
Changing the culture of mental health nursing: The contribution of nursing clinical development units
Publisher: Informa UK Limited
Date: 2005
DOI: 10.1080/01612840500248213
Abstract: The reluctance of nurses to utilise research findings in their practice has been extensively discussed in the literature. Nursing Clinical Development Units (NCDU) represent one approach to facilitating a greater interaction between research and nursing practice. This paper presents the results of an impact evaluation of an NCDU program operating in Victoria, Australia. In-depth interviews were conducted with participants in the NCDU program (n = 14). The findings suggest an increase in accessing and ultilising research by nurses since the introduction of the program, with an increased focus on evidence-based practice.
Identifying and acquiring the contextual skills and knowledge for nursing practice in assisted reproductive technology: a grounded theory study
Publisher: Wiley
Date: 20-09-2012
DOI: 10.1111/J.1365-2702.2012.04275.X
Abstract: To identify the contextual knowledge and skills required for practice. Nursing practice in assisted reproductive technology (ART) makes a significant contribution to patient care. Despite this, the knowledge and skills integral to this area of practice have not been clearly articulated, particularly from an Australian perspective. A constructivist grounded theory design was used to gain the perspective of ART nurses in relation to how they understood their clinical practice as well as the issues and challenges that they faced. In idual in-depth interviews were undertaken with 15 registered nurses working in ART units across Australia. Constant comparative data analysis was used to determine the main categories. Contextual knowledge and skills was one category to emerge from this research, and this is the focus of this paper. The findings in respect of knowledge and skill included three main subcategories: required skills and knowledge acquisition of skills and knowledge and factors influencing acquisition. The role of the ART nurse which must be performed within the context and competency standards of nursing requires a framework that could define and contribute to specialised ART nursing practice standards. The nursing role is instrumental to effective ART treatment and care. The standard of clinical practice will depend in part on the ability of specialist nurses to articulate their practice, and their professional development needs to optimise quality and effectiveness. The results of this study demonstrate that contextual knowledge and skills are a key aspect of this specialised nursing role.
Transition to mental health nursing through specialist graduate nurse programs in mental health: A review of the literature
Publisher: Informa UK Limited
Date: 2007
DOI: 10.1080/01612840601096354
Abstract: Specialist graduate nurse programs (GNPs) in psychiatric/mental health nursing have been widely implemented across public healthcare services throughout Victoria, Australia. Broadly, these programs aim to assist newly graduated nurses during the transition from nursing student to registered nurse. This paper presents a review of the literature relevant to GNPs specifically focusing on graduate transition. An adequate orientation to clinical areas and ongoing support throughout the transition process were identified as significant determinants of new graduates" satisfaction with the initial post-qualification period. However, the literature suggests that the inadequacy of psychiatric/mental health nursing content in undergraduate nursing courses creates additional difficulties within this specialty area of practice. Moreover, the current literature review emphasises the need for further research to evaluate the effectiveness of GNPs for nursing in general and for psychiatric/mental health nursing in particular.
How clinicians manage access to opioid replacement therapy
Publisher: Wiley
Date: 30-05-2014
DOI: 10.1111/INM.12076
Abstract: In Australia, people wait to access opioid replacement therapy (ORT). The aim of this study was to examine how clinicians (n = 35) prioritize consumers for opioid replacement therapy (ORT). The study used a methodology informed by a constructivist approach to grounded theory. Based on a scenario related to two consumers seeking admission to opioid replacement therapy (ORT), participants were asked to prioritize one for preferential admission and questioned about their decision-making. Clinicians were neither confident nor unanimous in their decision-making. Team involvement and work experience influenced their judgment. Differences between clinicians in regard to understanding risks and protective factors were identified. To support uniformity in managing treatment requests, clearer policy direction to gui clinician practice, and further exploration of how models of care and team involvement influence consumer outcomes, are recommended.
Salami: By the slice or swallowed whole?
Publisher: Elsevier BV
Date: 05-2016
DOI: 10.1016/J.APNR.2015.08.011
Abstract: Salami slicing, the practice of extracting multiple papers from the one data set, is generally considered unsound practice in publication. To date critique of this view in the literature is limited. The aim of this paper is to present alternative views to challenge the concept of salami slicing as inherently negative. More specifically the paper will discuss the potential consequences of producing thin and underdeveloped findings with insufficient scope for detailed discussion and articulation of the contribution to knowledge. Practical tips for dealing with multiple papers from one data set will provided.
Lived-experience participation in nurse education: Reducing stigma and enhancing popularity
Publisher: Wiley
Date: 04-06-2014
DOI: 10.1111/INM.12077
Abstract: Mental health nursing consistently emerges as less popular than other specialties, and both service users and mental health practitioners are affected by negative attitudes. Education is fundamental to attracting students to the field of mental health nursing. The aim of this study was to determine the impact of undergraduate mental health curricula on student attitudes to people with mental illness, and career interest in mental health nursing. A traditional mental health course was compared to a course delivered by a person with lived experience of mental illness (and mental health service use) for its impact on student attitudes and career intentions in mental health nursing (cohort 1: n = 70, cohort 2: n = 131, respectively). In both cohorts, attitudes were measured via self-report, before and after the course, and changes were investigated through within-subjects t-tests. The lived experience-led course demonstrated statistically-significant positive changes in intentions to pursue mental health nursing and a decrease in negative stereotypes, which were not observed in the traditional course. The valuable contribution of mental health nursing emerged in the traditional, but not lived-experience-led, programmes. These findings support the value of an academic with lived experience of mental health challenges in promoting attraction to mental health nursing as a career option.
Social and material aspects of life and their impact on the physical health of people diagnosed with mental illness
Publisher: Wiley
Date: 15-03-2017
DOI: 10.1111/HEX.12539
'We are all consumers of mental health services': The hidden danger of promoting 'sameness'
Publisher: Wiley
Date: 22-05-2007
Supporting the Sexual Intimacy Needs of Patients in a Longer Stay Inpatient Forensic Setting
Publisher: Hindawi Limited
Date: 23-05-2016
DOI: 10.1111/PPC.12123
Abstract: To explore perceptions of nurses and patients regarding sexual intimacy in a long-term mental health unit. Qualitative exploratory design including in-depth semi-structured in idual interviews with 12 registered nurses and 10 long-term patients of a forensic mental health hospital. The theme of supporting sexual intimacy was identified and described in this paper and included the following subthemes for nurses: It depends on the setting, need for guidelines and consent, and for patients-it depends on the setting and need for support. The findings suggest that current guidelines regarding sexual intimacy in acute inpatient settings may not be appropriate in long-term facilities, with a need for guidelines to specifically address this setting. Furthermore, support for sexual intimacy needs of patients was identified as a strong need for patients and they believed not currently met. Nurses have an important role to play as part of their holistic approach to care and barriers to providing this aspect of care must be overcome to ensure patients' rights are respected.
Implementing a major stream in mental health nursing: Barriers to effectiveness
Publisher: Wiley
Date: 30-05-2014
DOI: 10.1111/INM.12075
Abstract: Changes to the educational preparation of the nursing workforce in mental health continue to have profound effects on the availability of sufficient numbers of skilled graduates willing to work in this field. The longevity of the problem has focused attention on possible solutions. Introducing a major stream in mental health nursing in undergraduate Bachelor of Nursing programmes was proposed and supported as a potentially beneficial strategy, adopted by some Australian universities. Despite the promise invested in this strategy, systematic evaluations to determine the effectiveness or otherwise of this approach were not initiated. A qualitative exploratory study was undertaken with Australian universities, which had implemented the major stream, regarding their experiences and observed outcomes. In-depth interviews were conducted with a mental health nurse academic from each university. The barriers to the effectiveness of the major in mental health nursing are the specific focus of this paper. Thematic data analysis revealed three main barriers: clinical placements, lack of support from other academics, and integrated curricula. These barriers substantially limited the effectiveness of this strategy - in some instances, leading to the programme's termination - and must be assertively addressed to maximize the potential of the major in mental health nursing.
Opioid replacement therapy: A wait unmanaged
Publisher: Wiley
Date: 18-05-2011
DOI: 10.1111/J.1447-0349.2011.00748.X
Abstract: There has been a rapid increase in members of the Australian population using opioids in recent years. The flow-on effect has been an increase in demand for treatments, particularly opioid replacement therapy (ORT), but the availability of treatments has not increased. This has frequently resulted in delays before treatment can be commenced. Outcomes could improve if health-care professionals had clearer guidelines on how to prioritize access to ORT. This review investigates the triage of consumers in ORT within Australia. Information on triage in ORT was not available, and an understanding of how consumer needs are managed when they present for ORT triage was not identified. In the absence of research to guide this practice, the body of evidence regarding ORT treatment access is weighted on government policies. Triage, as applied in general health and mental health-care service delivery, was reviewed to consider the components of triage and how these might pertain to triage in ORT. Failure to facilitate the needs of consumers accessing ORT can result in further harm to consumers and increased social and financial costs for society. Research is required to investigate how this issue is currently being managed and to lead the way for needed improvements in service delivery.
Editorial: 'Face' and its cultural dimensions: Some considerations for nurse educators
Publisher: Wiley
Date: 05-06-2012
Undergraduate nursing students attitude to mental health nursing: A cluster analysis approach
Publisher: Wiley
Date: 07-10-2009
DOI: 10.1111/J.1365-2702.2008.02764.X
Abstract: The use of cluster analysis to determine if specific groups of students could be identified based on their attitudes towards mental health nursing following the completion of a clinical experience in a mental health setting. Research suggests that nursing students generally have a negative image of mental health nursing. This can be improved following clinical exposure in mental health settings, however, specific aspects of clinical experience that might facilitate attitudinal change have been under-researched. Survey. A survey was administered to students (n = 703) immediately after completion of their clinical experience. Cluster analysis was used to identify natural groupings within the study cohort. Three distinct clusters were identified. Cluster 1 demonstrated more positive attitudes, greater confidence and viewed mental health more positively than students in the other two Clusters. They were more likely to be male, have spent at least 30 minutes per shift with a preceptor and have completed shifts of eight hours rather than seven hours. Attitudes to mental health nursing may be influenced by specific demographic characteristics of students and by specific aspects of their clinical experience. The nursing workforce is an essential element of quality mental health service delivery. Knowledge about factors influencing more positive attitudes is important for structuring clinical experience and designing effective recruitment strategies to attract more students into this field of practice.
Nurses' attitudes to the use of seclusion: A review of the literature
Publisher: Wiley
Date: 05-05-2010
DOI: 10.1111/J.1447-0349.2010.00669.X
Abstract: Seclusion is now widely recognized as a coercive strategy with negative consequences for the consumers and staff involved. Nevertheless, this intervention continues to be used frequently in mental health services internationally. Due to their direct care role, nurses are commonly involved in the initiation or management of seclusion. Understanding nurses' attitudes to seclusion is therefore essential for the success of any attempts to reduce its use. A review of the literature was conducted using the search terms 'patient', 'seclusion', 'attitudes', 'nurses' and 'containment'. Twenty-eight articles which met the inclusion criteria were identified. Analysis of these articles identified six main themes: a necessary intervention workplace culture staff composition and experience conflict ethical considerations and consumer characteristics. An overview of the literature is presented according to these main themes. The research suggests that most nurses support the continued use of seclusion as a strategy for the management of violence and aggression. A deeper understanding of the factors that influence attitudes is necessary if seclusion rates are to be effectively reduced.
Dichotomies and differences: Challenges for mental health nursing
Publisher: Wiley
Date: 10-09-2012
Investigating self-reported health behaviors in Australian adults with mental illness
Publisher: Informa UK Limited
Date: 07-2013
DOI: 10.1080/08964289.2012.726289
Abstract: To investigate self-reported health behaviors among Australian adults with mental illness, 1,935 Australian adults completed an online survey including the Kessler Psychological Distress Scale and instruments assessing health behaviors in October 2011. Participants with moderate or higher psychological distress reported significantly lower weekly physical activity levels ( p = .024), daily fruit ( p = .001) and vegetable ( p < .001) intakes, and greater regularity of consuming six or more drinks on one occasion ( p = .002) and of smoking within 30 minutes of waking ( p = .001), Participants with very high psychological distress had significantly increased odds ratios for insufficient weekly physical activity (2.38, 95% CI 1.42-4.00), insufficient daily fruit and vegetable intake (1.72, 95% CI 1.03-2.88), and smoking (2.27, 95% CI 1.12-4.60). Australian adults with current mental illness demonstrate significantly poorer health behaviors than those without mental illness.
Sexuality and consumers of mental health services: The impact of gender and boundary issues
Publisher: Informa UK Limited
Date: 22-02-2011
DOI: 10.3109/01612840.2010.531518
Abstract: The importance of sexuality to humanity is clearly acknowledged. However, for consumers of mental health services, it tends to be a neglected topic. Although nurses are at the forefront of mental health service delivery, evidence suggests they are reluctant to include sexuality as part of their care. This article describes the findings from a qualitative exploratory research project that examined mental health nurses' attitudes to discussing sexuality with consumers. Fourteen mental health nurses from a service in Queensland participated in this study. Data analysis revealed two main themes: the impact of gender, and professional boundary issues. In terms of gender, participants referred to the impact of sexual dysfunction experienced by young adult male consumers. For female consumers the discussion centred on vulnerability to sexual exploitation and the need to exercise protective measures to ensure safety. Participants indicated concerns about being professionally compromised when discussing sexuality with consumers of the opposite sex. These findings highlight the need for further exploration of mental health nurses' attitudes towards discussing sexuality with consumers as part of their practice.
Improving Service User Involvement in Mental Health Nursing Education: Suggestions from Those with Lived Experience
Publisher: Informa UK Limited
Date: 27-07-2020
The impact of mental health nursing education on undergraduate nursing students'- Attitudes to consumer participation
Publisher: Informa UK Limited
Date: 2011
DOI: 10.3109/01612840.2010.531519
Abstract: Consumer participation in all aspects of mental health service delivery, including the education of mental health professionals, is now a policy expectation in Australia. Whether education programs introducing nurses to mental health nursing lead to more favourable attitudes towards consumer participation is yet to be examined in pre-registration nursing programs in Australia. The current evaluation examined changes in scores for the Consumer Participation Survey for undergraduate nursing students (n = 68) in an Australian University. Data were analysed, using repeated measures t-test, to compare the pre- and post-test scores. There was a significant improvement in views on consumers participating as staff members. There were no statistically significant changes in attitudes towards consumer capacity and consumer involvement in care processes. Consumer participation in mental health care is now clearly articulated in Australian Government policy. For this to be successfully implemented a more comprehensive understanding of the ability of education to influence attitudes is required.
The Benefits of an Exercise Program for People with Schizophrenia: A Pilot Study.
Publisher: American Psychological Association (APA)
Date: 2004
Abstract: While the benefits of physical fitness have been extensively documented, there is a paucity of literature examining the impact of an exercise program on people experiencing a mental illness. An exploratory study was conducted with six patients diagnosed with schizophrenia who participated in a 3-month physical conditioning program. The findings suggest that most participants increased their physical strength and endurance and exhibited improvements in weight control and flexibility. The majority of patients reported increased fitness levels, exercise tolerance, reduced blood pressure levels, perceived energy levels and upper body and hand grip strength levels.
'That red flag on your file': misinterpreting physical symptoms as mental illness
Publisher: Wiley
Date: 27-05-2016
DOI: 10.1111/JOCN.13355
Abstract: To ascertain the views and experiences of mental health consumers regarding the availability and quality of care and treatment received for their physical health needs. People diagnosed with mental illness have higher occurrence of physical health problems. Responsive health care services are crucial for prevention and management of physical health problems, and for reducing disparities in health between people diagnosed with mental illness and those who are not. There is limited research giving voice to consumer perspectives on their experiences with health care providers. Exploratory qualitative. Focus group interviews with mental health consumers accessed via a consumer network group in a region of Australia (n = 31). All interview audio recordings were transcribed professionally. Interviews were thematically analysed. The main themes were: symptomising failure to act and alertness to prejudice. The first two themes were consumer perceptions of the actions and behaviours of health professionals, and the third describes consumer responses to these behaviours and actions. Consumers described increased risks of illness and death because of undiagnosed physical illness despite their physical health advice-seeking as the reason for the health consultation. Health care providers' non-recognition of physical health problems presents a clear ex le of a significant and potentially life threatening health inequity. The service provider responses described by participants suggest that mental health consumers' physical health needs may not be taken seriously. Clinicians need to take seriously the physical health needs and concerns of people with mental illness. Nurses can play a crucial role in the prevention of diagnostic overshadowing as part of a broader direction of balancing biomedical perspectives with other approaches to health care.
Employment Through Residency Programs: A Strategy to Address the Workforce Crisis in Psychiatric Nursing
Publisher: Elsevier BV
Date: 06-2007
DOI: 10.1016/J.APNU.2007.01.002
Abstract: Australia, like most countries in the world, is facing a crisis regarding the recruitment and retention of nurses. This situation is particularly notable for psychiatric nursing, a specialty not generally popular among undergraduate nursing students. To date, the nursing literature has tended to identify the problem, with less attention to the exploration of possible solutions. The aim of this article is to explore the literature concerning residency programs for nursing students. Although limited, the literature suggests potential benefits to this program, including improvements in competency and confidence, resulting in reduced need for lengthy orientation for new graduates and overall improvements in recruitment and retention rates for psychiatric nurses. In conclusion, residency programs for undergraduate nursing students could provide a useful strategy to improve the image of psychiatric nursing and attract new graduates. Further research is required to assess the applicability of this model in Australia.
The attitudes of undergraduate nursing students towards mental health nursing: a systematic review
Publisher: Wiley
Date: 21-11-2012
DOI: 10.1111/JOCN.12022
Abstract: To present the findings of a systematic review on (1) the attitudes of undergraduate nursing students towards mental health nursing and (2) the influence of undergraduate nursing education on the attitudes of undergraduate nursing students towards mental health nursing. Recruitment and retention of mental health nurses is challenging. Undergraduate nursing students' attitudes towards mental health nursing may influence whether they choose to practice in this specialty upon graduation. A systematic review. Searches of the CINAHL, MEDLINE and PsycINFO electronic databases returned 1400 records, of which 17 met the inclusion criteria for this review. A further four papers were obtained through scanning the reference lists of those articles included from the initial literature search. Research on the attitudes of undergraduate nursing students towards mental health nursing has consistently shown that mental health is one of the least preferred areas of nursing for a potential career. With respect to the influence of undergraduate nursing education on the attitudes of students towards mental health nursing, quasi-experimental studies have generally demonstrated that students tended to have more favourable attitudes towards mental health nursing when they had received more hours of theoretical preparation and undertaken longer clinical placements. Many nursing students regard mental health nursing as the least preferred career option. Education, via classroom teaching and clinical placements, seems to engender more positive attitudes towards mental health nursing. There is no evidence, however, that changing student attitudes results in more graduates beginning careers in mental health nursing. REFERENCE TO CLINICAL PRACTICE: The constancy of negative attitudes to mental health nursing over time suggests the focus of research should shift. Clinicians have the capacity to promote a more positive view of mental health nursing. This requires further exploration.
Enhancing patient safety: The importance of direct supervision for avoiding medication errors and near misses by undergraduate nursing students
Publisher: Wiley
Date: 11-05-2011
Placing physical activity in mental health care: A leadership role for mental health nurses
Publisher: Wiley
Date: 22-02-2011
DOI: 10.1111/J.1447-0349.2010.00732.X
Abstract: The wide-ranging benefits of physical activity for consumers with mental illness are acknowledged within the mental health nursing field however, this is not commonly translated to practice. The primary aim of this paper is to argue that mental health nurses are well positioned to, and should, provide leadership in promoting physical activity to improve the quality of care for people with mental illness. Topics addressed in this paper include the relationship between physical activity and both physical and mental health, the views and experiences of consumers with physical activity, the efficacy of physical activity interventions, the attitudes of nurses to physical activity as a component of care, barriers to a physical activity focus in care for mental illness, and the role of mental health nurses in promoting physical activity. There is a clear and important relationship between physical activity and mental health. Mental health nurses are well positioned to encourage and assist consumers to engage in physical activity, although they might lack the educational preparation to perform this role effectively.
Developing more positive attitudes towards mental health nursing in undergraduate students: Part 1 - Does more theory help?
Publisher: Wiley
Date: 08-07-2008
DOI: 10.1111/J.1365-2850.2007.01203.X
Abstract: Negative attitudes towards mental illness and the mental health nursing profession have deterred many undergraduate nursing students from considering this area as an attractive career option. Positive clinical experience has been identified as the most important factor in producing more favourable attitudes. While the quantity of theory is identified as important, its impact on attitudes has not been examined through research. This study compared two groups of students undertaking different numbers of theoretical and clinical hours in mental health nursing to determine if this increase has an impact on nursing students' attitudes. Anonymous questionnaires were distributed to the total population of students following completion of the theoretical component of the programme but prior to clinical experience. The questionnaire was designed to assess: (1) nursing student's preparedness for and attitudes towards the mental health field (2) consumers of mental health services and (3) the students' career preferences. This first paper in a two-part series examines the impact of theoretical hours and suggests that while other attitudes are fairly similar between the two groups, the group exposed to more theory exhibited significantly more positive attitudes towards psychiatric nursing as a career.
Twice as much to be half as good: The undervaluing of mental health nursing leadership in academia: Editorial
Publisher: Wiley
Date: 10-2007
Reflecting on holistic nursing: The contribution of an academic with lived experience of mental health service use
Publisher: Informa UK Limited
Date: 04-2013
DOI: 10.3109/01612840.2012.745038
Abstract: The educational preparation of registered nurses is presumed to reflect a holistic approach with emphasis on the bio-psycho-social model of care. The broader literature suggests this goal is not always realised. The aim of this study is to present the views, experiences, and perceptions of undergraduate nursing students who were taught by an academic with a lived experience of mental health service use. In particular, we wanted to look at the expected impact of this approach to learning on their nursing practice. A qualitative, exploratory approach was used, involving in-depth in idual interviews with 12 undergraduate nursing students completing the course, "recovery for mental health nursing practice," as part of a major in mental health nursing in a university in Queensland, Australia. Students were asked to reflect upon and discuss their experiences of being taught by a person with lived experience of mental health service use. Data were analysed following Colaizzi's steps to identify the main themes. The three main themes were (1) recovery--bringing holistic nursing to life (2) influencing practice and (3) gaining self-awareness through course assessment: challenge and opportunity. These themes suggest an appreciation for holistic nursing and an increased capacity for reflective understanding. The responses from participants suggest the Recovery course had a significant impact on their attitudes to nursing and that their nursing practice would be positively enhanced as a consequence.
The journal goes from strength to strength
Publisher: Wiley
Date: 02-2007
Nursing student attitudes to people labelled with ‘mental illness’ and consumer participation: A survey-based analysis of findings and psychometric properties
Publisher: Elsevier BV
Date: 05-2019
DOI: 10.1016/J.NEDT.2019.02.003
Abstract: Understanding student attitudes towards people diagnosed with mental illness is central to realising evidence-based nursing education and policy at an international level. Redressing stigmatised views can assist in preparing nursing students to work in mental health settings and support the active involvement of consumers in all aspects of mental health service delivery (known as: consumer participation) at in idual and systemic levels. Accurate research on nursing student attitudes is dependent on the availability of valid and reliable measures. Using data from and international study, this research sought to: (1) evaluate two measures of nurse student attitudes, and (2) explore whether attitudes to people labelled with a diagnosis of mental illness and who use mental health services is associated with more positive attitudes to consumer participation in mental health services. Self-report quantitative data gained via the Consumer Participation Questionnaire (CPQ) and Mental Health Nurse Education Survey (MHNES). University nursing students in Australia and Western Europe. Pooled CPQ and MHNES data from Australia, Ireland, Finland, Norway and the Netherlands. The MHNES and CPQ were evaluated via exploratory factor analysis and Rasch modelling. Hierarchical regression was applied to see whether attitudes to mental illness and mental health practice relate to attitudes to consumer participation after addressing demographic differences. Refined MHNES scales demonstrated overall fit on Rasch models. Reliabilities for MHNES ranged from 0.82 to 0.73. Perceived value of mental health nursing to consumers and lower negative stereotypes were associated with positive attitudes to consumer participation independent of age, gender and country [F (9, 381) = 15.78, p < .001]. Students who considered mental health nursing made a valuable contribution represented the strongest association with a positive attitude towards consumer participation. Differences in openness to consumer participation are partly attributable to views about people diagnosed with mental illness and the perception that mental health practice makes a positive difference to these people within health service contexts.
The quality of psychiatric services provided by an Australian tertiary hospital emergency department: A client perspective
Publisher: Elsevier BV
Date: 10-2002
DOI: 10.1016/S0965-2302(02)00158-3
Abstract: The mainstreaming of psychiatric services within the general health care system has created fundamental changes to the manner in which clients access acute psychiatric services. A review of the literature suggests that this process has been problematic. The current study involved the conduct of telephone interviews with psychiatric clients (n = 136) to ascertain their level of satisfaction with the services received in the emergency department of a Melbourne Metropolitan Hospital. The results were analysed using descriptive statistics. The study participants indicated a high level of satisfaction. Particular emphasis was placed upon the availability of staff with psychiatric qualifications and experience to provide treatment, support and care. Dissatisfaction was noted by some clients regarding lengthy waiting times, lack of privacy in the triage area and negative attitudes of emergency department staff. These findings support the value of psychiatric consultancy services in the emergency department, and further identify the need for triage guidelines to be tailored to the needs of mental health clients.
Promoting mental health care in a rural paediatric unit through participatory action research
Publisher: Wiley
Date: 21-05-2009
DOI: 10.1111/J.1440-1584.2009.01061.X
Abstract: To explore, advance and evaluate mental health practices in a rural general paediatric unit through participatory action research. A participatory action research approach guided this study, providing an opportunity for nursing staff to become actively involved in the design, direction and outcomes of the research. A 16-bed paediatric unit of a rural general hospital. A purposive convenience s le of all paediatric nursing staff (n = 20 of 24 nurses). In the first phase of this study, focus groups were conducted to explore the experiences of nurses. Participants considered mental health to be a specialist discipline area and the role of the mental health nurse to be complex. They felt that their lack of training and experience with mental health issues was detrimental to the delivery of optimal patient care. There was concern about differing approaches to treatment, relationships with other mental health services and the suitability of the ward environment for young people with a mental health problem. Participants called for training by qualified mental health staff and the development of policies and clinical guidelines to facilitate their delivery of care to patients with a mental health problem in an acute medical environment. There is a clear need for nursing specialities to work together to ensure that optimal care is given to patients admitted to general hospital with a mental health issue. Given the absence of accessible specialist child mental health inpatient units in regional and remote areas, upskilling paediatric nurses must be a priority.
The myth of representation: The case for consumer leadership
Publisher: Informa UK Limited
Date: 2006
DOI: 10.5172/JAMH.5.3.177
Student feedback on teaching: Some issues for consideration for nurse educators
Publisher: Wiley
Date: 02-2013
DOI: 10.1111/IJN.12018
Abstract: In this paper, we outline some key points about student feedback for nurse educators to consider. For nursing students, providing feedback offers an opportunity to communicate whether relevant and effective learning has occurred. Given the importance of student feedback for the quality of learning and teaching, and the significant resources invested in it, it is essential that accurate feedback is obtained and responded to by nurse educators. The aim of this paper, therefore, is to present an overview of factors influencing the quality and reliability of student feedback of their theoretical and clinical learning experiences, and ways the feedback might be used by educators for improving teaching and career enhancement. Nurse educators need to be prepared to respond to well-intentioned feedback without undue defensiveness to ensure good and effective teaching. Ultimately, feedback systems that are well managed should benefit nursing students, nurse educators and their respective institutions.
'Things you can't learn from books': Teaching recovery from a lived experience perspective
Publisher: Wiley
Date: 10-2013
DOI: 10.1111/J.1447-0349.2012.00875.X
Abstract: Mental health policy in Australia is committed to the development of recovery-focused services and facilitating consumer participation in all aspects of mental health service delivery. Negative attitudes of mental health professionals have been identified as a major barrier to achieving these goals. Although the education of health professionals has been identified as a major strategy, there is limited evidence to suggest that consumers are actively involved in this education process. The aim of this qualitative study was to evaluate students' views and opinions at having been taught 'recovery in mental health nursing' by a person with a lived experience of significant mental health challenges. In-depth interviews were held with 12 students. Two main themes were identified: (i) 'looking through fresh eyes' - what it means to have a mental illness and (ii) 'it's all about the teaching'. The experience was perceived positively students referred to the impact made on their attitudes and self-awareness, and their ability to appreciate the impact of mental illness on the in idual person. Being taught by a person with lived experience was considered integral to the process. This innovative approach could enhance consumer participation and recovery-focused care.
A Phenomenological Understanding of Mental Health Nurses’ Experiences of Self-Care: A Review of the Empirical Literature
Publisher: Informa UK Limited
Date: 13-09-2022
Transitioning from Adolescent to Adult Mental Health Services: An Integrative Literature Review
Publisher: Informa UK Limited
Date: 20-12-2019
DOI: 10.1080/01612840.2018.1524534
Abstract: This article aims to present a review of the peer-reviewed, published literature related to the transition from adolescent mental health services to adult mental health services. Six databases (PubMED, Medline, PsycINFO, CINAHL, EMBASE, and Google Scholar) were searched for peer-reviewed, published literature on the transition from adolescent to adult mental health services. Articles on primary research were included in the review if they were published in English between 2000 and 2018, and if they were explicitly about alignment and/or transition between adolescent and adult mental health services. Fifty articles were included in the final review. The findings are discussed in two overarching streams of research from the literature: evaluations of transition arrangements, and the perspectives of various stakeholders (including consumers, carers, and health professionals). The results emphasise the problematic siloes of adolescent and adult mental health services. While there are still no randomised controlled trials on transition to assess transition pathways, our findings have implications to inform best practice in the sector. Given that transitioning to adult mental health services is seen as a point of vulnerability for young people, this review contributes to understandings about how services can offer better support during transition periods.
Changing 'the world for the better': motivations of mental health academics for supporting expert by experience roles in mental health education.
Publisher: Informa UK Limited
Date: 29-06-2022
DOI: 10.1080/09638237.2022.2091759
Abstract: Despite demonstrating positive outcomes in education, academic positions for Experts by Experience in mental health have not been widely implemented. To date positions have been driven by in idual ch ions (allies). Their motivation for this support has not yet been researched. To deepen understanding of motivations of mental health academics who have ch ioned and supported implementation of EBE positions. A Qualitative exploratory, study was undertaken involving in-depth in idual interviews with 16 academics with experience of actively supporting the implementation of Expert by Experience positions in academia. Data were analysed independently by two researchers using a structured thematic framework. Motivations commonly arose from allies' own experiences of working with or exposure to Experts by Experience. Other motivating factors included: belief in the value of specific knowledge and expertise Experts by Experience contributed to mental health education and, identifying the essential role Experts by Experience play in meeting policy expectations, and the broader philosophy of the university. The motivations identified by allies in this study have implications for Expert by Experience roles. Deeper understanding of motivations to support these roles is essential to arguing for their value, and ultimately producing positive outcomes in the education of health professionals.
Continuing challenges for the mental health consumer workforce: A role for mental health nurses?
Publisher: Wiley
Date: 06-07-2011
DOI: 10.1111/J.1447-0349.2011.00757.X
Abstract: The aim of this paper is to discuss issues impacting on consumer workforce participation and challenges that continue to arise for these workers, other service providers, and the mental health system. The literature identifies the following issues as problematic: role confusion and role strain lack of support, training, and supervision structures job titles that do not reflect actual work poor and inconsistent pay overwork limited professional development insufficient organizational adaptation to expedite consumer participation staff discrimination and stigma dual relationships and the need to further evaluate consumer workforce contributions. These factors adversely impact on the emotional well-being of the consumer workforce and might deprive them of the support required for the consumer participation roles to impact on service delivery. The attitudes of mental health professionals have been identified as a significant obstacle to the enhancement of consumer participation and consumer workforce roles, particularly in public mental health services. A more comprehensive understanding of consumer workforce roles, their benefits, and the obstacles to their success should become integral to the education and training provided to the mental health nursing workforce of the future to contribute to the development of a more supportive working environment to facilitate the development of effective consumer roles.
The state of the science of clinical supervision in Australia and New Zealand
Publisher: Routledge
Date: 2011
'A rose by any other name...': The use of language in mental health nursing practice: Editorial
Publisher: Wiley
Date: 08-2007
Power, effects, confidence, and significance: An investigation of statistical practices in nursing research
Publisher: Elsevier BV
Date: 05-2014
DOI: 10.1016/J.IJNURSTU.2013.09.014
Abstract: To (a) assess the statistical power of nursing research to detect small, medium, and large effect sizes (b) estimate the experiment-wise Type I error rate in these studies and (c) assess the extent to which (i) a priori power analyses, (ii) effect sizes (and interpretations thereof), and (iii) confidence intervals were reported. Statistical review. Papers published in the 2011 volumes of the 10 highest ranked nursing journals, based on their 5-year impact factors. Papers were assessed for statistical power, control of experiment-wise Type I error, reporting of a priori power analyses, reporting and interpretation of effect sizes, and reporting of confidence intervals. The analyses were based on 333 papers, from which 10,337 inferential statistics were identified. The median power to detect small, medium, and large effect sizes was .40 (interquartile range [IQR]=.24-.71), .98 (IQR=.85-1.00), and 1.00 (IQR=1.00-1.00), respectively. The median experiment-wise Type I error rate was .54 (IQR=.26-.80). A priori power analyses were reported in 28% of papers. Effect sizes were routinely reported for Spearman's rank correlations (100% of papers in which this test was used), Poisson regressions (100%), odds ratios (100%), Kendall's tau correlations (100%), Pearson's correlations (99%), logistic regressions (98%), structural equation modelling/confirmatory factor analyses ath analyses (97%), and linear regressions (83%), but were reported less often for two-proportion z tests (50%), analyses of variance/analyses of covariance/multivariate analyses of variance (18%), t tests (8%), Wilcoxon's tests (8%), Chi-squared tests (8%), and Fisher's exact tests (7%), and not reported for sign tests, Friedman's tests, McNemar's tests, multi-level models, and Kruskal-Wallis tests. Effect sizes were infrequently interpreted. Confidence intervals were reported in 28% of papers. The use, reporting, and interpretation of inferential statistics in nursing research need substantial improvement. Most importantly, researchers should abandon the misleading practice of interpreting the results from inferential tests based solely on whether they are statistically significant (or not) and, instead, focus on reporting and interpreting effect sizes, confidence intervals, and significance levels. Nursing researchers also need to conduct and report a priori power analyses, and to address the issue of Type I experiment-wise error inflation in their studies.
Perceptions of barriers to physical health care for people with serious mental illness: A review of the international literature
Publisher: Informa UK Limited
Date: 02-11-2012
DOI: 10.3109/01612840.2012.708099
Abstract: Premature death and poorer access to quality care for physical health concerns is common for people diagnosed with serious mental illness (SMI). However, there is lack of clarity regarding the nature of barriers encountered at different points in the physical health care process, and the level of consistency of these barriers both among countries, and between consumers with SMI and health care staff. The current narrative review integrates views of consumers and health care staff on barriers to physical health care. It involved a search of CINAHL, Proquest, and Web of Science, for peer-reviewed papers published between 2005 and June 2012, for studies of perceptions of barriers to physical health care, published in English. Despite variations in health care systems among countries, there is agreement between consumers and health care staff that ision between physical and mental health care and stigma of mental illness act as barriers to all phases of the physical health care process. This uniformity is grounds for international policy development (in general public health and within mental health nursing) for reforms that improve the physical health care, quality of life, and longevity of people with serious mental illness.
Pink Floyd: Fond memory or contemporary role model?
Publisher: Wiley
Date: 15-11-2005
An exercise prescription primer for people with depression
Publisher: Informa UK Limited
Date: 08-2013
DOI: 10.3109/01612840.2012.758207
Abstract: A substantial body of evidence supports the value of exercise in the treatment of people with depression. The guidelines for exercise prescription, however, are limited, and based on those developed for healthy populations. This article explores the evidence for exercise in the treatment of depression and the role mental health nurses may play in the delivery of this information. A model of exercise prescription is put forward based on the available evidence and taking into account the challenges faced by mental health nurses and people with depression.
Coping with uncertainty within the preceptorship experience: The perceptions of nursing students
Publisher: Wiley
Date: 05-05-2005
DOI: 10.1111/J.1365-2850.2005.00837.X
Abstract: A substantial amount of time and resources are channelled into supporting clinical practicum in nursing education programmes. Attention is targeted at the most effective models to achieve this aim. The provision of sound support models regardless of specific clinical setting is recognized as integral to student development and transition periods throughout nurses' careers. Within the mental health setting, this situation is compounded by the negative attitudes nursing students tend to hold towards people experiencing a mental illness. Preceptorship has been widely used both nationally and internationally for clinical practicum. Although this model seems to have been endorsed by virtue of its increasing use, additional examination is necessary to assess efficacy and effectiveness across clinical practicum, including those in mental health settings. In utilizing a grounded theory approach, this study addresses the question: what is the experience of preceptorship for undergraduate nursing students in the mental health setting? The major themes identified include: 'fear of the unknown', 'reconciling difference between general acute health and mental health settings' and 'supporting practice'.
Mental Health Nurses’ Self-Care at Work, Searching for Equilibrium: An Interpretative Phenomenological Analysis
Publisher: Informa UK Limited
Date: 04-05-2023
Expert by Experience Involvement in Mental Health Nursing Education: Nursing Students’ Perspectives on Potential Improvements
Publisher: Informa UK Limited
Date: 09-09-2019
DOI: 10.1080/01612840.2019.1631417
Abstract: Expert by experience involvement in mental health education for health professional programmes has increased in recent decades. The related literature has articulated the benefits, and changes in attitudes have been measured in some studies. Less attention has been devoted to ways this learning approach could be improved. The aim of this paper is to present the nursing students perspectives on how Expert by Experience input into nursing curricula could be enhanced. Qualitative exploratory research was undertaken, involving focus groups with students who had completed a mental health learning module co-produced by Experts by Experience and nurse academics. Results show two main themes: getting the structure right, and changes to content and approach. Some student responses could directly influence changes to the learning module. In other instances, responses indicate the need to better prepare students of the value of lived experience knowledge in its own right, rather than adjunct to more traditional methods of education. These findings are important in encouraging reflection on how future learning modules co-produced by Experts by Experience and Mental Health Nursing academics can be refined and better articulated.
Informal role expansion in Australian mental health nursing
Publisher: Hindawi Limited
Date: 2009
DOI: 10.1111/J.1744-6163.2009.00199.X
Abstract: This study aims to determine the extent to which community mental health nurses are currently practicing beyond the traditional scope of nursing practice. A self-administered questionnaire was distributed to community mental health nurses in Victoria, Australia. The majority of participants reported routine involvement in practices that would normally be considered beyond the scope of nursing practice, such as prescribing, ordering diagnostic tests, and referral to specialists. The extent to which the current mental health service system is dependent upon nurses transgressing professional and legal boundaries warrants further study. Psychiatrists and community mental health nurses need to work collaboratively to understand their respective knowledge and skills and to be clear about how they take responsibility for client care.
Getting That Piece of Paper: Mental Health Nurses' Experience of Undertaking Doctoral Studies in Victoria, Australia
Publisher: Elsevier BV
Date: 06-2010
DOI: 10.1016/J.APNU.2009.04.005
Abstract: The aim of this study was to explore the experience of mental health nurses undertaking doctoral studies. The study was conducted in Victoria, Australia. A descriptive-exploratory approach to inquiry was used for this study. Participants were mental health nurses who had successfully completed a doctoral qualification. Eligibility for inclusion required participants to be residing in Victoria (irrespective of where their doctoral studies were undertaken) and to have conducted their research within the domain of mental health and/or currently employed in the field of mental health nursing. Of the 20 potential participants invited, 16 accepted the invitation. Five emergent themes were explicated from narrative analyses. These themes were "being a trail blazer," "positioning for professional advancement," "achieving a balance between competing priorities," "maintaining a commitment to the development of the profession," and "a point of affirmation." An understanding of the experience of undertaking doctoral studies can be used to influence the development of strategies to encourage more mental health nurses to consider undertaking a doctoral degree.
Promoting recovery-oriented mental health nursing practice through consumer participation in mental health nursing education
Publisher: Informa UK Limited
Date: 14-03-2019
Embracing an international perspective
Publisher: Wiley
Date: 10-2008
Research career development: The importance of establishing a solid track record in nursing academia
Publisher: Elsevier BV
Date: 09-2013
DOI: 10.1016/J.COLEGN.2013.04.005
Abstract: Academic status and achievement is increasingly influenced by research income and outputs with nursing academics experiencing considerable pressure to perform in these areas. As a result funding and career opportunities are becoming more competitive. Establishing expertise and a sound track record is crucial for success at both the in idual and organisational level. However, despite their importance, methods to effectively establish a track record have received limited attention in the literature. The aim of this paper is to articulate the need for and provide advice for achieving a strategic approach to develop a solid and competitive track record. Practical tips are provided to facilitate the development of productive research teams with clear and logical contributions from each member, having a dissemination plan to maximise research outputs, and remaining focused on specific areas of content expertise. It is intended that these tips will assist in iduals and academic units with to develop a stronger track record that may increase the likelihood of success in obtaining competitive funding.
Nursing students and the supervision of medication administration
Publisher: Elsevier BV
Date: 06-2013
DOI: 10.1016/J.COLEGN.2012.04.003
Abstract: Up to one in five medication administrations in Australian hospitals involve an error. As registered nurses (RNs) are at the forefront of medication administration, they have been the focus of attempts to reduce errors. Given that nursing students have reported errors or experiences of near misses, their practices, as well as the supervision they receive from RNs, also deserves investigation. The aim of this study was to investigate student nurses' experiences of supervision while administering medications. Students (N= 45) completed a questionnaire on their supervision experiences while administering medications. The findings revealed that 88% of students agreed that they had been directly supervised during the entirety of administration procedures. Although 7% of students reported not receiving supervision throughout medication administration, higher percentages of students indicated that they received lower levels of supervision when wards were busy (66%), when they felt under pressure to comply with the wishes of RNs (40%), when students had been in clinical settings for extended periods of time (51%), and when the RNs trusted the student nurses (37%). Approximately one third (29%) of student nurses disagreed that RNs followed the six rights when administering medications. These findings suggest that student nurses are not always adequately supervised and are at times administering medications outside the parameters of the law. Healthcare organisations need to adapt their policies and practices to ensure that the legal requirements surrounding student nurse administration of medications are being met, as well as the educational and welfare needs of neophyte nurses.
Treat the brain; communicate with the mind
Publisher: Wiley
Date: 05-03-2012
Increased prevalence of chronic physical health disorders in Australians with diagnosed mental illness
Publisher: Elsevier BV
Date: 10-2012
DOI: 10.1111/J.1753-6405.2012.00916.X
Abstract: To compare chronic physical health disorder prevalence amongst Australian adults with and without mental illness. Total n=1,716 participants (58% female) with a mean age of 52 ± 13 years (range: 18 to 89 years) completed an online survey of Australian adults in 2010. Outcome measures including prevalence of chronic physical conditions and self-reported body mass index (BMI) in n=387 (23%) with a self-reported mental illness diagnosis were compared to respondents without mental illness. A significantly higher proportion of participants with mental illness were obese (BMI ≥ 30 31 vs 24%, p=0.005). Adjusted odds ratios (OR) for coronary heart disease, diabetes, chronic bronchitis or emphysema, asthma, irritable bowel syndrome, and food allergies or intolerances (OR range: 1.54-3.19) demonstrated that chronic physical disorders were significantly more common in participants with a mental illness. Australian adults with a diagnosis for mental illness have a significantly increased likelihood of demonstrating chronic physical health disorders compared to persons without mental illness. Health professionals must be alert to the increased likelihood of comorbid chronic physical disorders in persons with a mental illness and should consider the adoption of holistic approaches when treating those with either a mental or physical illness.
Knowing who is leading: Defining nurse‐led projects
Publisher: Wiley
Date: 27-10-2023
DOI: 10.1111/JOCN.16550
Physical health and mental illness: listening to the voice of carers
Publisher: Informa UK Limited
Date: 22-04-2017
DOI: 10.3109/09638237.2016.1167854
Abstract: Shortened life expectancy of people with mental illness is now widely known and the focus of research and policy activity. To date, research has primarily reflected perspectives of health professionals with limited attention to the views and opinions of those most closely affected. The voice of carers is particularly minimal, despite policy stipulating carer participation is required for mental health services. To present views and opinions of carers regarding physical health of the people they care for. Qualitative exploratory. Two focus groups and one in idual interview were conducted with 13 people identifying as carers of a person with mental illness. Research was conducted in the Australian Capital Territory. Data analysis was based on the thematic framework of Braun and Clarke. Two main themes were interaction between physical and mental health and, carers' own physical and mental health. Participants described the impact of mental illness and its treatments on physical health, including their own. Carers are acknowledged as crucial for the delivery of high quality mental health services. Therefore they have an important role to play in addressing the poor physical health of people with mental illness. Hearing their views and opinions is essential.
Exercise interventions for the treatment of affective disorders - research to practice
Publisher: Frontiers Media SA
Date: 06-05-2014
“Chipping away”: non-consumer researcher perspectives on barriers to collaborating with consumers in mental health research
Publisher: Informa UK Limited
Date: 30-04-2018
DOI: 10.1080/09638237.2018.1466051
Abstract: Collaboration between researchers who have lived experience of mental illness and services (consumer researchers) and mental health researchers without (other mental health researchers) is an emergent development in research. Inclusion of consumer perspectives is crucial to ensuring the ethics, relevancy and validity of mental health research yet widespread and embedded consumer collaboration of this nature is known to be impeded by attitudinal and organisational factors. Limited research describes consumer researchers' experiences of barriers. Other mental health researchers are key players in the co-production process yet there is also a paucity of research reporting their views on barriers to collaborating with consumers. To explore other researchers' views and experiences on partnering with consumer mental health researchers in Australia and New Zealand. Exploratory qualitative design. Eleven semi-structured interviews were conducted with mental health researchers. Interviews were recorded, transcribed and thematically analysed. Four themes concerning barriers to collaborating with consumers (hierarchies, status quo, not understanding, paternalism), and one theme on addressing the barriers (constantly chipping away) were identified. It is suggested that multifaceted strategies for advancing collaboration with consumers are most effective. It is imperative to attend to several barriers simultaneously to redress the inherent power disparity.
The image of critical care nursing: does it tell the whole story?
Publisher: Elsevier BV
Date: 06-1999
DOI: 10.1016/S1036-7314(99)70537-0
Abstract: The nursing profession is presently at a crucial stage of its development in terms of the popular image it projects. There has been a tendency for nurses to emphasise their technical skills at the expense of the more psychosocial aspects of their role. Due to the highly technical nature of the working environment, critical care nurses are in particular danger of being viewed primarily in that technical light. This paper focuses on the image of critical care nursing held by undergraduate student nurses. The first stage of a longitudinal research project suggests critical care nursing to be a highly popular future career choice for students at the commencement of their course. Data analysis revealed that attraction to this area centred on the perceived emergency, life-saving and highly technical nature of the environment. There was very little emphasis on the more psychosocial aspects of the critical care nurse's role. The implications of this situation for the image of critical care nursing require serious consideration and intervention.
Expanded practice roles for community mental health nurses: A qualitative exploration of psychiatrists' views
Publisher: SAGE Publications
Date: 08-2007
DOI: 10.1080/10398560701344808
Abstract: Objective: The aim of this paper was to explore the perspectives of psychiatrists regarding the potential impact of expanded nursing practice roles on mental health care delivery. Method: In-depth interviews and a focus group were conducted with psychiatrists from metropolitan and rural Victoria, Australia, using a qualitative exploratory design. Results: Four main themes emerged: nurses’ preparation to undertake expanded practice power and autonomy of nurses final responsibility rests with psychiatrists and, the future of expanded nursing practice. Participant responses to these themes were varied and erse. Conclusions: Participant responses elucidate the complexity of the issues and suggest that a number of factors influence psychiatrists’ opinions of the expanded practice role.
Mental Health Consumer Experiences and Strategies When Seeking Physical Health Care: A Focus Group Study
Publisher: SAGE Publications
Date: 2016
Abstract: People with mental illness have higher rates of physical health problems and consequently live significantly shorter lives. This issue is not yet viewed as a national health priority and research about mental health consumer views on accessing physical health care is lacking. The aim of this study is to explore the experience of mental health consumers in utilizing health services for physical health needs. Qualitative exploratory design was utilized. Semistructured focus groups were held with 31 consumer participants. Thematic analysis revealed that three main themes emerged: scarcity of physical health care, with problems accessing diagnosis, advice or treatment for physical health problems disempowerment due to scarcity of physical health care and tenuous empowerment describing survival resistance strategies utilized. Mental health consumers were concerned about physical health and the nonresponsive health system. A specialist physical health nurse consultant within mental health services should potentially redress this gap in health care provision.
The role of a mental health consumer in the education of postgraduate psychiatric nursing students: the students' evaluation.
Publisher: Wiley
Date: 16-05-2003
DOI: 10.1046/J.1365-2850.2003.00599.X
Abstract: Recent Australian Government policy reflects the integral nature of active consumer participation to the planning and delivery of mental health services. The effectiveness of consumer participation in improving mental health services has received some attention in the literature. Commonwealth Government funding enabled the development of a partnership between the Centre for Psychiatric Nursing Research and Practice and the Melbourne Consumer Consultants' Group. The successful application enabled the employment of a mental health consumer as an academic staff member of the Centre for Psychiatric Nursing Research and Practice. One important aspect of this role involved the mental health consumer teaching a consumer perspective to postgraduate psychiatric nursing students. The primary aim was to increase the students' awareness of and sensitivity to greater consumer participation within the mental health arena. This paper presents the results of an evaluation of the consumer academic role in teaching within the Postgraduate Diploma in Advanced Clinical Nursing (Psychiatric Nursing). An evaluation form was distributed to students (n = 21) on completion of the semester. The findings suggest the experience was considered beneficial to students and was impacting significantly on their current practice. This project supports the value of consumer participation in the education of mental health professionals.
Caring for children with complex emotional and psychological disorders: Experiences of nurses in a rural paediatric unit
Publisher: Wiley
Date: 10-11-2009
DOI: 10.1111/J.1365-2702.2008.02567.X
Abstract: To explore the experiences of general nurses towards caring for children with mental health issues and to identify strategies to improve management of these children. There has been an increase of children and adolescents with complex emotional and psychological disorders being admitted to paediatric units of general hospitals due to a lack of specialist child and youth mental health facilities. The study is situated in a 16 bed paediatric unit of a rural public hospital. As the closest inpatient child mental health unit of this kind is more than 600 km away, the paediatric unit admits children and adolescents with a primary psychiatric diagnosis. A participatory action research approach guided this study. Focus groups and in idual interviews were conducted with a purposive convenience s le of all nursing staff (n = 20) working in the paediatric unit. Verbatim interview transcripts were analysed to identify the major themes. Two main themes emerged from data analysis: (1) role preparation and adequacy (2) lack of support and resources. Participants suggested several strategies to address these concerns including: improving relationships with mental health services, professional development, and developing a greater appreciation for mental health interventions. There is a clear need for an increased understanding of mental health practices, an improved relationship between general and mental health services and continuing professional development to ensure nurses possess the skills and confidence to provide quality care to children admitted to a paediatric unit with a mental health diagnosis. Few general nurses have mental health training and, through no fault of their own, may be providing less than optimal care to children who are admitted with a mental health diagnosis. Through a desire to improve care, the following participatory action research project was instigated.
Changing attitudes: The role of a consumer academic in the education of postgraduate psychiatric nursing students
Publisher: Elsevier BV
Date: 04-2003
The effectiveness of specialist roles in mental health metabolic monitoring: A retrospective cross-sectional comparison study
Publisher: Springer Science and Business Media LLC
Date: 02-09-2014
A broken promise? Exploring the lack of evidence for the benefits of comprehensive nursing education
Publisher: Wiley
Date: 08-04-2011
DOI: 10.1111/J.1447-0349.2011.00745.X
Abstract: Over the past approximately 25 years, Australia has undergone significant changes in the educational preparation of nurses. Australia has moved away from specialization in areas, such as mental health nursing at undergraduate level, in favour of a comprehensive model, an approach that remains controversial. The aim of this paper is to identify and critique the three main arguments advanced in support of comprehensive nursing education, which we argue are not supported by existing evidence. The purported wide skill and knowledge base does not appear to have brought about identifiable improvements in consumer outcomes. The evidence regarding stigma suggests comprehensive nursing education has not impacted favourably on nurses' attitudes towards working with people with mental health problems. There is no evidence to support the notion that graduates will be able to better deal with and meet the physiological needs of those people diagnosed with mental illness. From the arguments articulated in this paper, we conclude that comprehensive nursing education has not met its promises or expectations, and as a result, specialist entry-level preparation for nurses ought to be reintroduced as a matter of urgency in Australia.
Nursing Students’ Attitudes Towards People Diagnosed with Mental Illness and Mental Health Nursing: An International Project from Europe and Australia
Publisher: Informa UK Limited
Date: 03-10-2018
DOI: 10.1080/01612840.2018.1489921
Abstract: The stigma associated with a diagnosis of mental illness is well known yet has not reduced significantly in recent years. Health professionals, including nurses, have been found to share similar negative attitudes towards people with labelled with mental illness as the general public. The low uptake of mental health nursing as a career option reflects these stigmatised views and is generally regarded as one of the least popular areas of in which to establish a nursing career. The aim of the current project was to examine nursing students' attitudes towards the concept of mental illness and mental health nursing across four European countries (Ireland, Finland, Norway and the Netherlands), and Australia, using the Opening Minds Scale and the Mental Health Nurse Education survey. The surveys were distributed to students prior to the commencement of the mental health theory component. Attitudes towards mental health nursing were generally favourable. Differences in opinion were evident in attitudes towards mental illness as a construct with students from Australia and Ireland tending to have more positive attitudes than students from Finland, Norway and the Netherlands. The future quality of mental health services is dependent on attracting sufficient nurses with the desire, knowledge and attitudes to work in mental health settings. Understanding attitudes towards mental illness and mental health nursing is essential to achieving this aim.
An overview of the role and functions of a psychiatric consultation liaison nurse: an Australian perspective
Publisher: Wiley
Date: 10-2001
DOI: 10.1046/J.1365-2850.2001.00415.X
Abstract: The role of the psychiatric consultation liaison nurse (PCLN) has increased substantially in popularity over the last few years. Despite the growth of this position, a paucity of literature regarding the role, functions and effectiveness of psychiatric consultation liaison nursing continues to exist. The current study was undertaken as part of the Victorian Nurse Practitioner Project. A significant aspect of this study concerned collection of data on the activities of the PCLN. This approach enabled an extensive and detailed profile of the PCLN to be formulated. The findings indicate that the PCLN provided a service to nursing, medicine and allied health in relation to patients experiencing mental health problems in the general hospital setting. Patients referred to the PCLN presented varied clinical features in terms of medical, surgical and mental health disorders. The PCLN performed a range of interventions. The results of this study make a significant contribution to address the current paucity of literature.
Transcultural nursing in Australian nursing curricula
Publisher: Wiley
Date: 28-04-2003
DOI: 10.1046/J.1442-2018.2003.00146.X
Abstract: As a result of the fact that Australia is a multicultural society with many people who come from non-English speaking backgrounds (NESB), the objective of the present study was to discuss the extent to which transcultural nursing education is incorporated into undergraduate nursing curricula. A survey was undertaken to determine the availability of nursing modules for undergraduate nursing students through Australian university websites on "transcultural nursing" or related modules. Although the inclusion of these modules into nursing education provide an opportunity for nurses to perceive and respond to different patient behaviors in multicultural societies, it is not sufficient to understand the complexity of the health care needs of a multicultural society. The survey findings suggest that many universities have not included transcultural nursing modules in their nursing curricula. To address this problem, more transcultural nursing modules need to be introduced into nursing curricula and nursing academics need to refine their attitudes about the importance of cultural aspects of patient care within nursing education.
Reflective components in undergraduate mental health nursing curricula: Some issues for consideration
Publisher: Informa UK Limited
Date: 31-01-2013
DOI: 10.3109/01612840.2012.722171
Abstract: After reflective practice took nursing by storm 20 years ago it is timely to re-examine its influence and implementation on undergraduate teaching. Elements of reflection in relation to learning, matters that affect students and teachers in the classroom and on clinical placements, are reiterated. Interpersonal ethical concerns and issues associated with students' emotional responses to the situations on which they reflect also are considered. We have identified a number of elements that must be considered from both the student's and educator's perspectives to ensure safe and appropriate reflection activities are used in mental health-specific or non-specific undergraduate nursing subjects.
Primary health care as a philosophical and practical framework for nursing education: Rhetoric or reality?
Publisher: Informa UK Limited
Date: 08-2013
DOI: 10.5172/CONU.2013.45.1.79
Abstract: At least three decades after primary health care (PHC) took nursing by storm it is time to re-examine the philosophical shift to a PHC framework in pre-registration nursing curricula and overview factors which may hinder or promote full integration of PHC as a course philosophy and a contemporary approach to professional practice. Whilst nurse education has traditionally focused on preparing graduates for practice in the acute care setting, there is continuing emphasis on preparing nurses for community based primary health roles, with a focus on illness prevention and health promotion. This is driven by growing evidence that health systems are not responding adequately to the needs and challenges of erse populations, as well as economic imperatives to reduce the burden of disease associated with the growth of chronic and complex diseases and to reduce the costs associated with the provision of health care. Nursing pre-registration programs in Australia and internationally have philosophically adopted PHC as a curriculum model for preparing graduates with the necessary competencies to function effectively across a range of settings. Anecdotal evidence, however, suggests that when adopted as a program philosophy PHC is not always well integrated across the curriculum. In order to develop a strong and resilient contemporary nursing workforce prepared for practice in both acute and community settings, pre-registration nursing programs need to comprehensively consider and address the factors impacting on the curricula integration of PHC philosophy.
Mental health behaviours among undergraduate nursing students: Issues for consideration
Publisher: Elsevier BV
Date: 11-2012
DOI: 10.1016/J.NEDT.2011.11.016
Abstract: It is clear that many university students across all disciplines (including nursing) experience a erse range of intrapersonal and interpersonal difficulties. Some students are exposed to circumstances and expectations that may place them at risk for mental health or substance use disorders or exacerbate pre-existing problems. Research shows increasing rates of diagnosable mental health conditions such as substance use disorders, depression, personality disorders, and behavioural challenges that present themselves while students are undertaking their university education. It is therefore important that nurse educators are able to identify student problems in both academic and clinical settings, so that symptoms, signs and inexplicable behaviours are not ignored, and steps towards referral and early intervention are taken. In this paper, we discuss rates of mental health problems and substance use among undergraduate nursing students, problems in the teaching-learning and clinical settings which nurse educators are likely to witness, and the consequences of unacknowledged psychiatric difficulties and problematic behaviours.
Mental Health Researchers’ Views About Service User Research: A Literature Review
Publisher: Informa UK Limited
Date: 19-11-2018
DOI: 10.1080/01612840.2018.1475524
Abstract: Services users are becoming actively involved in mental health research. How this is perceived by other researchers is not well known. The aim of this article is to review the international literature exploring other mental health researchers' views of service users conducting research, between 1996 and 2016. Searches of multiple databases (PubMed, PsycINFO, CINAHL, and Google Scholar) were undertaken. Combinations of terms related to service user research and mental health researcher perspectives, views, and attitudes were used. Manual inquiry of reference lists was also undertaken. Relevant papers were coded by topic, location, study design, and other dimensions. Five articles met inclusion criteria. Most referred to perceived benefits, such as greater validity of research findings, challenges of collaborating with service users, and the validity of research findings. There was some evidence of more openness to mental health service users providing suggestions, preferably in early stages of the research process. Reluctance to co-research with service users was reported. There is limited research directly addressing other mental health researchers' views about service user research barriers to inclusion (whether involvement, co-production or user-controlled) and creating incongruence with health policy statements. Further research to more fully understand these attitudes and how they might be influenced is warranted.
Mental health issues within the general health care system: The challenge for nursing education in Australia
Publisher: Elsevier BV
Date: 08-2005
DOI: 10.1016/J.NEDT.2005.04.005
Abstract: The mental health content of undergraduate nursing programs has consistently been identified as inadequate in preparing graduate nurses with the knowledge and skills for, and interest in, a career in mental health nursing. Since the introduction of generic nursing education, undergraduate programs have become primarily focused on the development of generalist skills, with specialisation occurring at postgraduate level. The integration of mental health services within the broader health care system in Australia has led to a significant increase in the prevalence of mental health problems within the general health care setting. The relevant literature suggests that nurses are not well prepared to meet the mental health care needs of this population. The aim of this paper is to briefly outline the incidence of mental health problems within the general health care system, the implications for nursing, and the potential role which nursing could play in recognising, and providing appropriate care for the treatment of mental health problems. The implications for nursing education, and the need for mental health nursing skills to be considered essential for all nurses will be discussed.
So what is so good about clinical experience? A mental health nursing perspective
Publisher: Elsevier BV
Date: 05-2007
DOI: 10.1016/J.NEPR.2006.06.003
Abstract: The available literature suggests that undergraduate nursing students generally do not have positive attitudes towards working in the mental health field but that clinical experience is the most important factor influencing the development of a more favourable outlook. Despite this there is very little attention paid to the factors that contribute to a positive clinical experience. The aim of this paper is to examine the level of, and factors contributing to, undergraduate nursing students' satisfaction with clinical experience. A survey was administered to undergraduate nursing students (n=146). The findings support the available literature in suggesting that the provision of support and the ability to become actively involved in patient care are the two most important factors affecting the perceived quality of clinical placements. However, this study contradicts the findings of earlier research in demonstrating a higher degree of satisfaction with clinical experience in inpatient settings. This reflected the view that there was less opportunity for patient care involvement within the community environment. Given the increased emphasis on community care, it is important that students are actively engaged in the care and treatment process in order that they have the opportunity to meet learning objectives in the mental health field.
Assessing Nurse-Initiated Care in a Mental Health Crisis Assessment and Treatment Team in Australia
Publisher: American Psychiatric Association Publishing
Date: 11-2009
DOI: 10.1176/PS.2009.60.11.1527
Abstract: This pilot study in a specialist mental health crisis assessment and treatment setting compared patients' outcomes and level of satisfaction in nurse-initiated care and in treatment as usual. Initially, the nurse's decision making in 51 cases was evaluated and rated by a psychiatrist (February 2005 to May 2005). A quasi-experimental design was then used to compare nurse-initiated care (experimental group) with treatment as usual (control group) in terms of consumer and caregiver satisfaction and outcome. A total of 103 clients of a mental health crisis assessment and treatment team were randomly assigned to the two groups. Differences were determined by comparing the Health of the Nation Outcomes Scale (HoNOS) scores and consumer and caregiver satisfaction surveys. Data were collected over a 12-month period (September 2005 to September 2006). The nurse who initiated treatment in the experimental group was a nurse practitioner candidate, meaning that the nurse had not yet completed the requirements to be endorsed as a nurse practitioner but was operating as a nurse practitioner but under the direct supervision of a consultant psychiatrist. There were no significant differences between nurse-initiated care and treatment as usual in terms of HoNOS scores or consumer and caregiver satisfaction. This was not due to clinical or demographic differences between the two groups nor to an inadequate s le size. Overall, the nurse was found to follow best or acceptable clinical practices. The findings indicate that the nurse practitioner role can potentially initiate safe and effective mental health care and treatment that is as satisfying as that initiated by a physician. Additional, larger-scale research is required to determine the generalizability of these findings.
The Relationships between Attitudes toward Seclusion and Levels of Burnout, Staff Satisfaction, and Therapeutic Optimism in a District Health Service
Publisher: Informa UK Limited
Date: 27-04-2012
DOI: 10.3109/01612840.2011.644028
Abstract: The main purpose of this study was to investigate the relationships between attitudes toward seclusion and levels of burnout, staff satisfaction, and therapeutic optimism. Staff at one district health service inpatient unit (n = 54) completed surveys on their attitudes toward seclusion and levels of burnout, staff satisfaction, and therapeutic optimism. Several moderately large correlations were found between perceiving the patients as feeling punished by seclusion and intrinsic satisfaction (r(s) = -.45, p = .001), and between patients asking to go to the seclusion room and personal accomplishment (r(s) = -.39, p = .002). In general, however, most correlations were small or negligible in size. The influence of nurses on the practice of seclusion was clear, with 72% of participants indicating it was nurses who most often make decisions regarding seclusion. Some participants appear to have a broad interpretation of when seclusion should be used, raising doubts about whether it is being employed solely as a measure of last resort. Given their high level of involvement in seclusions, nurses need to be actively involved in organisation-wide initiatives to reduce the use of this practice.
Impact of theory and clinical placement on undergraduate students' mental health nursing knowledge, skills, and attitudes: Feature article
Publisher: Wiley
Date: 04-2007
DOI: 10.1111/J.1447-0349.2007.00454.X
Abstract: Mental health issues are common and contemporary nursing students need to be well prepared to meet the mental health care needs of Australians. This study explored the influence of the mental health component of a Bachelor of Nursing course on second-year undergraduate nursing students' self-reported knowledge, skills, and attitudes in relation to mental health nursing. The study used a quasiexperimental research design involving questionnaires and in idual interviews to determine nursing students' self-reported knowledge, skills, attitudes. Questionnaires were administered prior to undertaking the mental health theory, repeated prior to undertaking a clinical placement in either a community or inpatient mental health setting, and again after the clinical placement. The findings of the study indicated that a positive clinical placement had the greatest influence on nursing students' self-reported knowledge, skills, and attitudes and interest in nursing people experiencing mental health problems however, the quantity of theoretical education also emerged as an influencing variable.
Undergraduate mental health nursing education in Australia: More than Mental Health First Aid
Publisher: Elsevier BV
Date: 12-2015
DOI: 10.1016/J.COLEGN.2014.07.003
Abstract: Mental Health First Aid training is designed to equip people with the skills to help others who may be developing mental health problems or experiencing mental health crises. This training has consistently been shown to increase: (1) the recognition of mental health problems (2) the extent to which course trainees' beliefs about treatment align with those of mental health professionals (3) their intentions to help others and (4) their confidence in their abilities to assist others. This paper presents a discussion of the potential role of Mental Health First Aid training in undergraduate mental health nursing education. Three databases (CINAHL, Medline, and PsycINFO) were searched to identify literature on Mental Health First Aid. Although Mental Health First Aid training has strong benefits, this first responder level of education is insufficient for nurses, from whom people expect to receive professional care. It is recommended that: (1) Mental Health First Aid training be made a prerequisite of preregistration nurse education, (2) registered nurses make a larger contribution to addressing the mental health needs of Australians requiring care, and (3) current registered nurses take responsibility for ensuring that they can provided basic mental health care, including undertaking training to rectify gaps in their knowledge.
Poor Sleep Quality in Australian Adults With Comorbid Psychological Distress and Physical Illness
Publisher: Informa UK Limited
Date: 11-2014
DOI: 10.1080/15402002.2013.819469
Abstract: A population-based questionnaire study of 1,818 Australian adults investigated associations of sleep quality with psychological distress and comorbid physical health disorders. The Kessler Psychological Distress Scale and the Behavioral Risk Factor Surveillance System assessed psychological distress and physical health. The Pittsburgh Sleep Quality Index assessed sleep quality. Participants with physical illness or psychological distress had increased odds for reporting poor sleep quality, compared to those with no illness (odds ratios [ORs] = 2.22, for both 95% confidence intervals [CIs] = 1.53-3.23 and 3.54-10.36, respectively), but those with comorbid illness had markedly higher odds for poor sleep quality (OR = 11.99, 95% CI = 7.90-18.20). Adults with comorbid psychological distress and physical health disorders are at substantially increased risk of poor sleep quality.
Consumer participation in mental health services: Looking from a consumer perspective
Publisher: Wiley
Date: 21-07-2003
DOI: 10.1046/J.1365-2850.2003.00598.X
Abstract: Widespread changes to the structure and delivery of mental health services have effected considerable change in the role of the service user or consumer. The view of consumers of mental health services as passive recipients of care and treatment is gradually undergoing a significant shift, in light of an increasing expectation that consumers be provided with opportunities to become actively involved in all aspects of their care. Consumer participation is now broadly reflected in government policy however, to date there has been little exploration of the extent to which the policy is being realized in practice. To provide a greater understanding of these experiences and opinions, in-depth interviews were conducted with consumers of mental health services (n = 15). The interview transcripts were analysed through the identification and explication of major themes. The findings reinforce the need to view consumers as heterogeneous and respond to in idual needs and interests regarding consumer participation. Despite variations in experience there is a clear need to develop mechanisms to support consumer involvement and to influence the attitudes of health professions to become more valuing of a consumer perspective. Nurses are in an ideal position to lead this process.
Preparing mental health nurses for the future workforce: An exploration of postgraduate education in Victoria, Australia: Feature article
Publisher: Wiley
Date: 03-09-2009
DOI: 10.1111/J.1447-0349.2009.00626.X
Abstract: Problems with recruitment and retention in the mental health nursing workforce have been consistently acknowledged in the Australian literature. An Australian workforce scoping study conducted in 1999 revealed a significant shortfall between the number of nurses completing postgraduate mental health nursing programmes and both current and future workforce demands. Despite this, there has been no systematic analysis of these programmes to explain why they are not meeting workforce expectations. The primary aim of the current study was to elicit information about the number of applicants, enrolments, and completions during the 5-year period, 2000-2004. This information was obtained through structured interviews with representatives from Victorian universities (n = 6) who offered postgraduate mental health nursing programmes. Supplementary information, such as approaches to course advertising and student demographics, was also collected. The findings showed an overall increase in the number of students applying to and completing these degrees, although changes in the level of programmes students undertook were evident during this period. Despite revealing important insights regarding postgraduate mental health nursing courses within Victorian universities, the lack of systematic and comprehensive data collection was identified as a problem that limits the extent to which university data can inform recruitment strategies.
Making an impact: The International Journal of Mental Health Nursing with a bullet
Publisher: Wiley
Date: 05-09-2011
Mental health professionals' attitudes to drugs and substance abuse
Publisher: Wiley
Date: 09-2002
DOI: 10.1046/J.1442-2018.2002.00104.X
Abstract: The purpose of the present study was to investigate the mental health professionals' attitudes to drug and substance abuse in Victoria, Australia. The drug- and alcohol-related attitudes of clinicians were examined in order to develop a relevant training curriculum for clinicians. A questionnaire on knowledge, skills, attitudes and practises was distributed to mental health clinicians (n = 378) in Victoria. One hundred and seventy-three clinicians returned the questionnaire, giving an overall response rate of 46%. The survey results show that the attitude of mental health professionals to drug and substance abuse is generally a positive one. The majority of respondents held positive views on treatment interventions and they are optimistic that drug and alcohol dependence are treatable illnesses. A positive and more optimistic attitude towards treatment interventions should enable health professionals, particularly nurses, to provide the necessary care for those in need of medical care.
Nursing students' attitudes toward mental health nursing and consumers: Psychometric properties of a self-report scale
Publisher: Elsevier BV
Date: 08-2005
DOI: 10.1016/J.APNU.2005.05.004
Abstract: There is a paucity of measures suitable for assessing the impact of educational and clinical placement strategies on nursing students' career preferences and attitudes toward mental health nursing and consumers of mental health services. Information derived from such scales could be used to improve existing recruitment strategies to this specialty area and identify misperceptions held by in iduals joining the health care workforce. This article details the psychometric properties of a self-report scale designed to assess (1) preparedness for the mental health field, (2) attitudes toward mental illness and consumers of mental health services, and (3) attitudes toward mental health nursing, including career preferences. Results are based on data from a large Victorian study that explored the attitudes of 802 nursing students before their clinical placement in the mental health field. Principal components analysis with oblique rotation was used to identify the number and composition of components composing the newly developed scale. Results indicated seven components composed of relatively homogenous items most items were good to excellent measures of each component. Cronbach alpha values indicated acceptable internal consistency of items composing four of the suggested components. Overall, findings indicated that the self-report scale is a useful instrument with acceptable psychometric properties. Descriptive and correlational analyses emphasized the importance of educational preparation preplacement and highlighted the potential for educational strategies to improve recruitment via improved attitudes and preparedness.
Establishing an expert mental health consumer research group: Perspectives of nonconsumer researchers
Publisher: Hindawi Limited
Date: 28-04-2020
DOI: 10.1111/PPC.12520
The importance of communication for clinical leaders in mental health nursing: The perspective of nurses working in mental health
Publisher: Informa UK Limited
Date: 16-10-2013
DOI: 10.3109/01612840.2013.829539
Abstract: Communication has been identified as an important attribute of clinical leadership in nursing. However, there is a paucity of research on its relevance in mental health nursing. This article presents the findings of a grounded theory informed study exploring the attributes and characteristics required for effective clinical leadership in mental health nursing, specifically the views of nurses working in mental health about the importance of effective communication in day to day clinical leadership. In-depth interviews were conducted to gain insight into the participants' experiences and views on clinical leadership in mental health nursing. The data that emerged from these interviews were constantly compared and reviewed, ensuring that any themes that emerged were based on the participants' own experiences and views. Participants recognized that effective communication was one of the attributes of effective clinical leadership and they considered communication as essential for successful working relationships and improved learning experiences for junior staff and students in mental health nursing. Four main themes emerged: choice of language relationships nonverbal communication, and listening and relevance. Participants identified that clinical leadership in mental health nursing requires effective communication skills, which enables the development of effective working relationships with others that allows them to contribute to the retention of staff, improved outcomes for clients, and the development of the profession.
Cardiometabolic health nursing to improve health and primary care access in community mental health consumers: Baseline physical health outcomes from a randomised controlled trial
Publisher: Informa UK Limited
Date: 02-2014
DOI: 10.3109/01612840.2013.842619
Abstract: People with serious mental illness (SMI) are more likely to have poorer health and poorer health behaviours, and therefore are at greater risk for cardiometabolic health comorbidities compared to those without SMI. Referral to a specialist cardiometabolic health care nurse may result in increased detection of poor cardiometabolic health in at-risk in iduals. In this article, we present the results of the physical health measures of people with serious mental illness who have accessed a community mental health service in a regional centre and argue for the need for a multidisciplinary approach. Our data show the high prevalence of obesity, hypertension, low activity, smoking and nicotine dependence, alcohol misuse disorders, and poor diet among people with serious mental illness. The high prevalence of at-risk factors for poor cardiometabolic health in people with serious mental illness adds support for the role of a specialist cardiometabolic health care nurse in the detection and referral for multidisciplinary treatment to improve the physical health outcomes for people with serious mental illness.
Supervising nursing students administering medication: A perspective from registered nurses
Publisher: Wiley
Date: 03-03-2012
DOI: 10.1111/J.1365-2702.2011.03976.X
Abstract: To explore the attitudes, experiences and opinions of registered nurses regarding supervision of undergraduate nursing students while administering medication in the healthcare setting. Medication errors present a considerable risk to safety in the healthcare setting. By virtue of their role in the administration of medication, registered nurses are considered as major contributors to this problem. Undergraduate nursing students administer medication in the clinical setting, but little attention has been paid to the implications for patient safety. This research was conducted using exploratory qualitative methodology. Focus group interviews were conducted with 13 registered nurses. The participants were asked to describe their experiences and opinions regarding the supervision of undergraduate nursing students. Data were analysed using the framework approach. Three main themes from this work are presented in this paper: 'standard of supervision', 'a beneficial experience' and 'preparation'. The participants regarded supervision as an important process in fostering student learning and ensuring safety. Preparation on the part of the healthcare facility, students and the university were essential to maximise the benefits for all concerned. Relevance to clinical practice. The ability to administer medication safely is an important skill for all registered nurses. Nursing students need the opportunity to develop these skills as part of their undergraduate educational programme. Registered nurses must supervise students in a rigorous and supportive manner to enhance learning and to promote quality care.
Determining the effectiveness of mental health services from a consumer perspective: Part 1: Enhancing recovery
Publisher: Wiley
Date: 28-02-2008
DOI: 10.1111/J.1447-0349.2008.00519.X
Abstract: The routine use of standardized instruments to measure consumer outcomes is now part of mental health policy throughout Australia. However, it has been broadly criticized for (i) not involving consumer input into the design of instruments and (ii) not reflecting the aspects of care and treatment considered beneficial for recovery by consumers themselves. The importance of the concept of recovery is increasingly considered in the literature. Despite this, there is a paucity of research describing the effectiveness of services in promoting recovery from the perspective of consumers of mental health services. The aim of this study is to explore consumer perspectives in relation to the factors that promote and impede recovery, and the principles that ideally should underpin the evaluation of services. Focus group interviews were conducted with consumers of mental health services (n = 16) from one rural and one metropolitan mental health service in Victoria, Australia. This paper presents Part 1 of the findings, pertaining to aspects of mental health services that enhance recovery. Two main themes arose during the data analysis process: (i) treatment and (ii) support and social connectedness. Various treatment strategies, including medication and spiritual involvement, were considered helpful. However, support from both staff and peers emerged as a more important and influential factor.
Career development: Graduate nurse views
Publisher: Wiley
Date: 24-01-2013
DOI: 10.1111/JOCN.12080
Abstract: To explore recent Singapore nursing graduates' experience of and views about their career development and progress. The recruitment and retention of an adequate number of registered nurses is a continuing workforce issue in Singapore and other major cities. Survey of recent nursing graduates. Recent nursing graduates from the Bachelor programme (n = 147) were sent an in idual survey a response rate of 54% was achieved. Findings show that nurses rated their self-concept in a positive manner and were most satisfied (moderately to very) with helping patients and providing effective care, and the level of patient involvement. They were least satisfied (moderately to only a little) with prestige among the general medical community and the general public, hours of work, lifestyle factors and research opportunities. The following four factors were identified as significant impediments to career development lack of support in the work place perceived insufficient clinical career development opportunities excessive work hours and limited access to merit-based places in further education. Suggestions made to overcome perceived career development barriers are as follows: broad multifactorial healthcare system changes decreased and more flexible working hours and fairer access to further clinical and higher education. Results highlight the value clinical nurses place on having access to career development opportunities, merit-based further education and work place supports. These factors also have the potential to influence patient care and impact on the retention of nurses in their present job and satisfaction with their nursing career.
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