ORCID Profile
0000-0001-7910-3704
Current Organisations
MULTINATIONAL LUNG CANCER CONTROL PROGRAM-UKZN
,
University of Newcastle Australia
,
University of KwaZulu-Natal
,
The University of Canberra
,
University of Health and Allied Sciences
,
University of Southern Denmark
,
The University of Newcastle
,
Massey University - Albany Campus
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Publications
Parental death in young adults with divorced compared to non-divorced parents: The effect on prolonged grief and mental health
Publisher: Informa UK Limited
Date: 10-08-2019
DOI: 10.1080/07481187.2019.1648337
Abstract: This cross-sectional survey compares the risk of mental health problems like poor well-being, complicated and prolonged grief, and mental disorders between young adults experiencing a orced or non- orced parent's death. 190 participants were recruited from Facebook via the Danish National Center for Grief. Well-being was measured using WHO-5, prolonged grief using PG-13 and complicated grief using BGQ, and common mental disorders using CMDQ. Findings confirmed deleterious effects on mental health in young adults experiencing parental death, but higher risk, when losing a orced parent compared to a non- orced parent, was associated to prolonged grief, complicated grief, bodily distress syndrome, and alcohol misuse.
The development and evaluation of online stories to enhance clinical learning experiences across health professions in rural Australia
Publisher: Elsevier BV
Date: 12-2015
DOI: 10.1016/J.COLEGN.2014.08.003
Abstract: Clinical placement learning experiences are integral to all health and medical curricula as a means of integrating theory into practice and preparing graduates to deliver safe, high-quality care to health consumers. A growing challenge for education providers is to access sufficient clinical placements with experienced supervisors who are skilled at maximising learning opportunities for students. This paper reports on the development and evaluation of an innovative online learning program aimed at enhancing student and clinical supervisors' preparedness for effective workplace-based learning. The evidence-based learning program used 'story-telling' as the learning framework. The stories, which were supported by a range of resources, aimed to engage the learners in understanding student and supervisor responsibilities, as well as the expectations and competencies needed to support effective learning in the clinical environment. Evaluation of this program by the learners and stakeholders clearly indicated that they felt authentically 'connected' with the characters in the stories and developed insights that suggested effective learning had occurred.
Interpretations of Innovation: The Role of Technology in Explanation Seeking Related to Psychosis
Publisher: Hindawi Limited
Date: 08-02-2023
DOI: 10.1155/2023/4464934
Abstract: Background. The prominence of technology in modern life cannot be understated. However, for some people, these innovations or their related plausible advancements can be associated with perceptual misinterpretation and/or incorporation into delusional concepts. Objective. This paper aims to explore the intersection of technological advancement and experiencing psychosis. We present a discussion about the explanation seeking that incorporates the concept, that for some people, of technological innovation becoming intertwined with delusional symptoms over the past 100 years. Methods. A longitudinal review of the literature was conducted to synthesize and draw these concepts together, mapping them to a timeline that aligns computing science and healthcare expertise and presents the significant technological changes of the modern era charted against mental health milestones and reports of technology-related delusions. Results. It is possible for technology to be incorporated into the content of delusions with evidence supporting a link between the rate of technological change, the content of delusions, and the use of technology as a way of seeking an explanation. Moreover, analysis suggests a need to better understand how innovations may impact the mental health of people at risk of psychosis and other mental health conditions. Conclusions. Clinical experts and lived experience experts need to be informed about and collaborate with future research and development of technology, specifically artificial intelligence and machine learning, early in the development cycle. This concurs with other artificial intelligence research recommendations calling for design attention to the development and implementation of technological innovation applied in a mental health context.
An integrated review of the barriers and facilitators for accessing and engaging with mental health in a rural setting
Publisher: Wiley
Date: 05-09-2021
DOI: 10.1111/INM.12929
Abstract: The review investigated the barriers and facilitators associated with assessing and engaging with mental health in a rural setting. The aim is to describe and synthesize the literature that examines the experiences of adults who access or attempt to access mental health services in rural settings. A systematic search from 2010 to 2020 was conducted using CINAHL, PsycINFO, Web of Science Core Collection, PubMed, Psychology and Behavioural Sciences Collection, Google Scholar, and Scopus. PRISMA protocols located 32 relevant papers from the overall 573 first selected. Braun and Clarke (Qualitative Research in Psychology, 3:77–101, 2006) thematic analysis methodology was applied to the data resulting in two themes: first theme identified help‐seeking with subthemes of stigma and locality of health services. The second theme was connectedness, inclusive of subthemes of support systems and personal identity. The review identified gender‐related perspectives concerning accessing mental health support, exposing the need for more research to examine the erse social connections and support networks in rural communities. The findings suggest the need to further explore the impediments that reduce the likelihood of accessing mental health services in rural communities.
What Are the Research Needs for the Field of Disaster Nursing?
Publisher: Cambridge University Press (CUP)
Date: 27-08-2014
DOI: 10.1017/S1049023X14000946
Abstract: Internationally there is an increasing amount of peer-reviewed literature pertaining to disaster nursing. The literature includes personal anecdotes, reflections, and accounts of single case studies. Furthermore, issues such as the willingness of nurses to assist in disasters, the role of nurses in disasters, leadership, competencies, and educational preparedness for nurses have been the focus of the literature. The aim of this research was to determine the international research priorities for disaster nursing. This research used a three-round Delphi technique. The first round used a face-to-face workshop to generate research statements with nursing members of the World Association for Disaster and Emergency Medicine (WADEM). The second and third rounds included the ranking of statements on a 5-point Likert scale with nursing members of WADEM and the World Society of Disaster Nursing (WSDN). Statements that achieved a mean of four or greater were considered a priority and progressed. Participants were from multiple countries. Research statements were generated in the areas of: education, training, and curriculum psychosocial strategy, relationship, and networking and clinical practice. Psychosocial aspects of disaster nursing ranked the highest, with five statements appearing in the top ten research areas, followed by statements relating to: education, training, and curriculum clinical practice and finally, strategy, relationship, and networking. Future disaster nursing research should focus on the area of psychosocial aspects of disaster nursing, in particular, both the psychosocial needs of a disaster-affected community and the psychosocial wellbeing of nurses who assist in disaster health activities. Ranse J , Hutton A , Jeeawody B , Wilson R . What are the research needs for the field of disaster nursing? An international Delphi study . Prehosp Disaster Med . 2014 29 ( 5 ): 1 - 7 .
A qualitative study of patients’ and providers’ experiences with the use of videoconferences by older adults with depression
Publisher: Wiley
Date: 11-11-2020
DOI: 10.1111/INM.12803
Facilitators and barriers to in vitro diagnostics implementation in resource-limited settings: A scoping review
Publisher: AOSIS
Date: 03-02-2023
Abstract: Background: The World Health Organization (WHO) developed the model list of essential in vitro diagnostics (EDL) to guide countries to develop and update point-of-care (POC) per their disease priorities. The EDL includes POC diagnostic tests for use in health facilities without laboratories however, their implementation might face several challenges in low- and middle-income countries (LMICs).Aim: To identify facilitators and barriers to POC testing service implementations in the primary health care facilities in the LMICs.Setting: Low- and middle-income countries.Methods: This scoping review was guided by Arksey and O’Malley’s methodological framework. A comprehensive keyword search for literature was conducted in Google Scholar, EBSCOhost, PubMed, Web of Science and ScienceDirect using the Boolean terms (‘AND’ and ‘OR’), as well as Medical Subject Headings. The study considered published articles in the English language from 2016 to 2021 and was limited to qualitative, quantitative and mixed-method studies. Two reviewers independently screened the articles at the abstract and full-text screening phases guided by the eligibility criteria. Data were analysed qualitatively and quantitatively.Results: Of the 57 studies identified through literature searches, 16 met this study’s eligibility criteria. Of the 16 studies, 7 reported on both facilitators and barriers and the remainder reported on only barriers to POC test implementation such as inadequate funding, insufficient human resource, stigmatisation, et cetera.Conclusion: The study demonstrated a wide research gap in facilitators and barriers, especially in the general POC diagnostic test for use in health facilities without laboratories in the LMICs. Extensive research in POC testing service is recommended to improve service delivery.Contribution: This study’s findings contribute to a few works of literature on existing evidence of POC testing.
Placental lesions and differential expression of pro-and anti-angiogenic growth mediators and oxidative DNA damage marker in placentae of Ghanaian suboptimal and optimal health status pregnant women w
Publisher: Public Library of Science (PLoS)
Date: 21-03-2022
DOI: 10.1371/JOURNAL.PONE.0265717
Abstract: Angiogenic growth mediators (AGMs) and oxidative stress (OS) both play essential roles in normal placental vascular development and as such, placental alterations in these factors contribute to pre-ecl sia (PE). Suboptimal health status (SHS), an intermediate between health and disease, has been associated with imbalanced AGMs and OS biomarkers. Thus, SHS pregnant women may be at increased risk of developing PE and may present abnormal placental alteration and expression of AGMs and OS compared to optimal health status (OHS) pregnant women. We examined the histopathological morphology, immunohistochemical expression of AGMs antibodies and oxidative DNA damage marker in the placentae of SHS and OHS pregnant women who developed early-onset PE (EO-PE) and late-onset (LO-PE) compared to normotensive pregnancy (NTN-P). This nested case-control study recruited 593 singleton normotensive pregnant women at baseline (10–20 weeks gestation) from the Ghanaian Suboptimal Health Status Cohort Study (GHOACS) undertaken at the Komfo Anokye Teaching Hospital, Ghana. Socio-demographic, clinical and obstetrics data were collected, and a validated SHS questionnaire-25 (SHSQ-25) was used in classifying participants into SHS (n = 297) and OHS (n = 296). Participants were followed until the time of PE diagnosis and delivery (32–42 weeks gestation). Blood s les were collected at the two-time points and were assayed for AGMs soluble fms-like tyrosine kinase-1 (sFlt-1), placental growth factor (PIGF), vascular endothelial growth factor-A (VEGF-A), and soluble endoglin (sEng), and OS biomarkers 8-hydroxydeoxyguanosine (8-OHdG), 8-epiprostaglandinF2-alpha (8- epi-PGF2α) and total antioxidant capacity (TAC) using ELISA. Placental s les were collected for histopathological and immunohistochemical analysis. Of the 593 pregnant women, 498 comprising 248 SHS and 250 OHS women returned for delivery and were included in the final analysis. Of the 248 SHS women, 56, 97 and 95 developed EO-PE, LO-PE and NTN-P, respectively, whereas 14, 30 and 206 of the 250 OHS mothers developed EO-PE, LO-PE and NTN-P, respectively. At baseline, SHS_NTN pregnant women had a significant imbalance in AGMs and OS biomarkers compared to OHS_NTN pregnant women (p .0001). At the time of PE diagnosis, SHS_NTN-P women who developed EO-PE, LO-PE, and NTN-P had lower serum levels of P1GF, VEGF-A and TAC and correspondingly higher levels of sEng, sFlt-1, 8-epiPGF2α, and 8-OHdG than OHS-NTN-P women who developed EO-PE and LO-PE, NTN-P ( p .0001). A reduced placental size, increased foetal lacental weight ratio, and a significantly higher proportion of fibrinoid necrosis, infarction, villous fibrin, syncytial knots, calcification, chorangiosis, tunica media/vascular wall hypertrophy and chorioamnionitis was associated with the SHS group who developed PE (EO-PE LO-PE) more than OHS groups who developed PE (EO-PE LO-PE) when all were compared to NTN-P ( p .0001). The intensity of antibody expression of PIGF and VEGF-A were significantly reduced, whereas Flt-1, Eng and 8-OHdG were significantly increased in placentae from SHS-pregnant women who developed EO-PE LO-PE more than OHS- pregnant women who developed EO-PE LO-PE when all were compared to NTN-P ( p .0001). Increased lesions, oxidative DNA damage, and imbalanced expression between pro-and anti-AGMs are associated more with SHS-embodied PE placentae rather than OHS-embodied PE subtypes, thus potentially allowing differential evaluation of PE.
Nursing care of people with dementia in an orthopaedic acute care setting: An integrative literature review
Publisher: Wiley
Date: 13-10-2022
DOI: 10.1111/JOCN.16557
Abstract: This integrative literature review is to collect what is known about the care of people with dementia when they require a hospital admission for an orthopaedic surgical procedure and to contribute to developing an evidence‐base to support nursing practice when caring for people with dementia in an orthopaedic setting. People with a dementia diagnosis are increasingly common in acute orthopaedic care settings and the admission exposes people with dementia to risks during their hospital stay. In addition, nurses find people with dementia challenging to care for due to the complexity of dual conditions. Little is known specifically about the care requirements for people with dementia in orthopaedic settings. Integrative literature review. An integrative literature review and qualitative deductive content analysis using McCormack and McCance's theoretical nursing framework (Person‐Centred Nursing Framework) of nine studies were undertaken. The process of the review was guided by PRISMA checklist. The care environment and resistance either in passive form, or through physical intervention, is common in orthopaedic nursing. Planning and delivering care for physical, cognitive and emotional needs is identified as being difficult, resulting in a lack of inclusion for patients, partly due to communication challenges. Finding ways to implement tailored care plans within standard ward routines proves difficult, and the consequence is a less than optimal care experience with adverse effects on patients characterised by an increase in dementia symptoms. Care for people with dementia in an orthopaedic setting is complex. It needs to be further studied so that more evidence and supporting literature can contribute to improved care for this group of patients. This study describes the complexity of providing fundamental care for people with dual conditions of dementia and orthopaedic injury and suggests opportunities for improvement.
Renal abnormalities among children with sickle cell conditions in highly resource-limited setting in Ghana
Publisher: Public Library of Science (PLoS)
Date: 19-11-2019
Integrated care for double bereavement associated with parental cancer and death in divorced families
Publisher: Wiley
Date: 09-09-2019
DOI: 10.1111/INM.12646
The Divorced Family–Focused Care Model: A Nursing Model to Enhance Child and Family Mental Health and Well-Being of Doubly Bereaved Children Following Parental Divorce and Subsequent Parental Cancer and Death
Publisher: SAGE Publications
Date: 08-2019
Abstract: The experience of parental death concomitant with parental orce occurs for 46% of Danish children and 50% of American children who lose a parent to death. This experience of loss and double bereavement compounds increased risk of mental health problems. The aim of this study was to explore nursing interventions for double bereaved children that promoted their well-being. A phenomenological–hermeneutic approach was used to conduct 20 interviews with nurses in family cancer care. Ricoeur’s theoretical framework was followed with naïve reading, structural analysis, and critical interpretation, resulting in the formulation of a new model of nursing care for these children: the Divorced Family–Focused Care Model. Four themes were apparent: (a) collection of information about family structure, (b) assessment of support needs, (c) initiation of well-being support, and (d) coordination and follow-up focused on the child’s well-being. The new intervention model has implications for health care education and implementation of health care policies.
Combining e-mental health intervention development with human computer interaction (HCI) design to enhance technology-facilitated recovery for people with depression and/or anxiety conditions: An integrative literature review
Publisher: Wiley
Date: 22-08-2019
DOI: 10.1111/INM.12527
Abstract: Computer scientists contend that understanding human computer interaction (HCI) is an important factor in developing successful computer user experiences. Mental health professionals across a range of disciplines are increasingly developing and implementing Internet-based treatments for people with a variety of mental health conditions. Many therapeutic and economic benefits are associated with technology-enabled treatments for a range of mental health disorders. Despite this, the role of HCI and associated design elements remains poorly understood in regard to the impact on patient safety, effectiveness, and to adherence of treatment for computer users who engage with e-mental health interventions. An integrative literature review was conducted to investigate how adequately HCI and user-centred design is incorporated in the development of e-mental health interventions for depression and anxiety, and subsequently reported in literature to inform evidence-based practice. The PRISMA model was used to locate, select, and include 30 relevant articles. The main finding of this review is that Internet-based e-mental health interventions are routinely implemented without sufficiently describing the relevant HCI design features applied. This is a limitation that in turn jeopardizes the assessment validity of e-mental interventions generally, leaving those who administer the interventions with incomplete evidence to support the safe, reliable, dependable, credible, and trustworthy implementation of the interventions. The recommendation arising from this review is that human computer interaction should be carefully considered when mental health nurses and other practitioners adopt e-mental health interventions for therapeutic purposes to assure the quality and safety of e-mental health interventions on offer to patients.
Double bereavement, mental health consequences and support needs of children and young adults—When a divorced parent dies
Publisher: Wiley
Date: 28-01-2020
DOI: 10.1111/JOCN.15181
Abstract: To explore how children and young adults from orced families experience double bereavement when they lose a orced parent with cancer and how the double bereavement influences their mental health consequences and need of support. Children and young people who are confronted with the cancer and death of a parent is a highly stressful life event, which is associated with an increased risk of mental health problems, especially when children experience orced parental cancer and death. Participant observations and interviews with a phenomenological-hermeneutic approach and COREQ standards for reporting qualitative research. We conducted 340 hr of participant observations within nine different support groups totalling 27 children and young adults from orced families and included 28 interviews with participants and relatives. Analyses are based on Ricoeur's theory of interpretation: naïve reading, structural analysis, interpretation and discussion. The experiences with double bereavement identified three main themes: 1. navigating through multiple transitions and disruptions within two family worlds 2. consequences for mental health including stress overload and disruptions to well-being and 3. need for accessible support derived from close relationships and professionals within and in-between family worlds. Children and young adult's double bereavement includes multiple transitions and disruptions often related to stress overload and mental health problems. Support from close relationships and professionals is experienced as helpful in the prevention and mitigation of mental health problems. There is a need for targeted accessible support availability to children, young adults and their families when a orced parent is dying of cancer in clinical practice. Our findings suggest that specific health policies for health professionals should be developed to target improved support for these families.
Artificial intelligence (AI ) and machine learning (ML ) based decision support systems in mental health: An integrative review
Publisher: Wiley
Date: 06-02-2023
DOI: 10.1111/INM.13114
Abstract: An integrative review investigating the incorporation of artificial intelligence (AI) and machine learning (ML) based decision support systems in mental health care settings was undertaken of published literature between 2016 and 2021 across six databases. Four studies met the research question and the inclusion criteria. The primary theme identified was trust and confidence . To date, there is limited research regarding the use of AI‐based decision support systems in mental health. Our review found that significant barriers exist regarding its incorporation into practice primarily arising from uncertainty related to clinician's trust and confidence, end‐user acceptance and system transparency. More research is needed to understand the role of AI in assisting treatment and identifying missed care. Researchers and developers must focus on establishing trust and confidence with clinical staff before true clinical impact can be determined. Finally, further research is required to understand the attitudes and beliefs surrounding the use of AI and related impacts for the wellbeing of the end‐users of care. This review highlights the necessity of involving clinicians in all stages of research, development and implementation of artificial intelligence in care delivery. Earning the trust and confidence of clinicians should be foremost in consideration in implementation of any AI‐based decision support system. Clinicians should be motivated to actively embrace the opportunity to contribute to the development and implementation of new health technologies and digital tools that assist all health care professionals to identify missed care, before it occurs as a matter of importance for public safety and ethical implementation. AI‐basesd decision support tools in mental health settings show most promise as trust and confidence of clinicians is achieved.
Commercial determinants and therapeutic chatbots: A mental health nursing perspective
Publisher: Wiley
Date: 03-08-2023
DOI: 10.1111/INM.13199
Urban Share of the “Burden”: Impact of a Support Organisation on Caregiver Burden of People Affected by Dementia
Publisher: Hindawi Limited
Date: 05-04-2023
DOI: 10.1155/2023/2706698
Abstract: Purpose. This study investigated the experiences and expectations of unpaid caregivers who were members of a nonprofit social support organisation. Design and Methods. Colaizzi’s phenomenological exploration was followed. Data were saturated after 15 in-depth in idual interviews at a centre for people affected with dementia. Findings. The themes reported with the COREQ checklist were contributory to caregiver burden, the escalation of dementia symptoms, changes in family roles, psychological distress, social challenges, membership in a social network, and developing effective coping skills. Practice Implications. Access, availability, and continuity of psychosocial support programs are vital for the wellbeing of people affected with dementia.
Australian health professions student use of social media
Publisher: Elsevier BV
Date: 06-2014
DOI: 10.1016/J.COLEGN.2014.02.004
Abstract: Increased bandwidth, broadband network availability and improved functionality have enhanced the accessibility and attractiveness of social media. The use of the Internet by higher education students has markedly increased. Social media are already used widely across the health sector but little is currently known of the use of social media by health profession students in Australia. A cross-sectional study was undertaken to explore health profession students' use of social media and their media preferences for sourcing information. An electronic survey was made available to health profession students at ten participating universities across most Australian states and territories. Respondents were 637 first year students and 451 final year students. The results for first and final year health profession students indicate that online media is the preferred source of information with only 20% of students nominating traditional peer-reviewed journals as a preferred information source. In addition, the results indicate that Facebook usage was high among all students while use of other types of social media such as Twitter remains comparatively low. As health profession students engage regularly with social media, and this use is likely to grow rather than diminish, educational institutions are challenged to consider the use of social media as a validated platform for learning and teaching.
Social media as a recruitment strategy
Publisher: RCN Publishing Ltd.
Date: 18-12-2017
The factors influencing burnout and job satisfaction among critical care nurses: a study of Saudi critical care nurses
Publisher: Hindawi Limited
Date: 18-05-2016
DOI: 10.1111/JONM.12386
Abstract: The aim of the study was to explore the prevalence of burnout and job satisfaction among Saudi national critical care nurses. Burnout is caused by a number of factors, including personal, organisational and professional issues. Previous literature reports a strong relationship between burnout and job satisfaction among critical care nurses. Little is known about this phenomenon among Saudi national critical care nurses. A convenience s le of 150 Saudi national critical care nurses from three hospitals in Hail, Saudi Arabia were included in a cross-sectional survey. Saudi national critical care registered nurses reported moderate to high levels of burnout in the areas of emotional exhaustion and depersonalisation. Participants also reported a feeling of ambivalence and dissatisfaction with their jobs but were satisfied with the nature of their work. Saudi national critical care nurses experience moderate to high levels of burnout and low levels of job satisfaction. Burnout is a predictor of job satisfaction for Saudi national critical care nurses. These results provide clear evidence of the need for nurse managers and policy makers to devise strategies to help nurses better cope with a stressful work environment, thereby also improving job satisfaction among Saudi national critical care nurses.
Promoting mental health recovery by design: Physical, procedural, and relational security in the context of the mental health built environment
Publisher: Wiley
Date: 12-09-0066
DOI: 10.1111/INM.13070
Abstract: The rates of mental health hospitalisations in Australia are rising. This paper presents the findings of a study undertaken in a regional mental health unit. The aim of the study was to obtain user perspectives to inform the redesign of the unit, which provides inpatient mental health services to rural and regional adults. A qualitative descriptive study with data collected via focus groups and in‐depth interviews was undertaken with 38 participants, including current inpatients, carers and 27 staff members of a single regional inpatient mental health unit. The 25‐bed mental health inpatient unit accommodates adults from 18+ years of age. The mental health unit sits within a referral hospital precinct and is associated with community‐based mental health services within a large regional and rural Australian public health service. The analysis of interviews and focus groups with patients, carers and mental health professionals revealed three major themes congruent with the literature These were: Firstly, Theme 1 : Rooms should be designed to promote physical security. Next, Theme 2: Purposeful planning to support interactions between users and systems will promote relational security. And finally, Theme 3: Optimizing service integrity should promote procedural security. Based on the themes arising from the study, a list of recommendations was produced to inform the design of a new build for a regional mental health unit. In particular, all users of the space should expect that the built environment will promote their physical security and psychological safety and accommodate a wide range of ersity and acuity. The aesthetics should align with the promotion of recovery in the context of person‐centred and trauma‐informed models of care. Designers should plan to alleviate boredom and accommodate meaningful wayfinding. Mental health nurses should have spaces that support their work without compromising their relational security with consumers. Building designers should optimize therapeutic environments to facilitate dignified intensive and stabilizing treatments and eliminate vicarious stigma associated with caring for people with mental illness. This study provides valuable insights from a community of users who have experienced receiving and delivering mental health care within a regional and rural mental health unit.
The state of the nursing profession in the International Year of the Nurse and Midwife 2020 during COVID‐19: A Nursing Standpoint
Publisher: Wiley
Date: 07-2020
DOI: 10.1111/NUP.12314
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.
Use of traditional therapies in palliative care for Australian First Nations peoples: An integrative review
Publisher: Wiley
Date: 06-10-2022
DOI: 10.1111/JOCN.16070
Abstract: To conduct an integrative review of the literature to understand how the incorporation of traditional therapies affect First Nations people's utilisation of palliative care services. First Nations peoples face many barriers related to accessing and utilising specialised health services such as palliative care. Whilst culturally appropriate care has been shown to improve these outcomes, there is little evidence regarding how this may be achieved. Integrative review. A systematic search was conducted using electronic databases CINAHL, Joanna Briggs, Medline, Scopus, ScienceDirect InformitHealth and ProQuest between the years of 2005 2021 databases were searched for papers with full text available and published in English. Papers were included if they were primary‐based research and focused on the topics of the use of traditional therapies in a palliative care context by First Nations persons. The Critical Appraisal Skills Programme principles were used to assess the methodological quality of the selected articles. Seven studies met the inclusion criteria and were included in the review. The review included six qualitative studies and one quantitative study. From these studies, five themes were identified in the literature: supporting a holistic approach, developing culturally appropriate care, conflict within a Western medical model, regulatory issues, and geographical barriers. There is a dearth of current literature available discussing the utilization of traditional therapies in palliative care. From the literature analysed, the benefits of including traditional therapies are overall positive, however, there are barriers including conflict with the Western model of medicine and regulation. More research is required in the provision of traditional therapies in palliative care. The incorporation of traditional medicines within a palliative care setting could help nurses provide holistic and culturally appropriate care, especially in rural and remote areas where they make up the majority of the healthcare force.
Integrated nursing care for people with combined mental health and substance use disorders
Publisher: Wiley
Date: 21-11-2023
DOI: 10.1111/INM.13094
Abstract: Many health problems arise from mental, neurological, and substance use disorders. These disorders are highly prevalent and complex and contribute to poor health outcomes, premature mortality, security risk, social isolation, and global and national economic loss. Mental health and substance use disorders are among Australia's top four causes of disease burden. Our objective was to investigate and synthesize contemporary literature regarding factors that influence nurses' delivery of integrated care to people with combined mental health and substance use disorders within mental health services. We systematically searched five electronic databases with a limit on publications from 2009 to 2021. The search yielded 26 articles. Following thematic analysis, three themes were identified: in idual nursing characteristics, nursing education, and professional development characteristics, and organizational factors. This study reveals that there is a fundamental absence of adequate integrative models of care within mental health services to enable the optimal nursing care of people with combined mental health and substance use disorders. Future research is needed to determine nurses' perceptions and factors influencing their role as participants in integrative care. The results could strengthen nurses' contributions in developing/adopting integrative models of care and contribute to clinical, educational, and organizational development.
There is no health without Cultural Safety: why Cultural Safety matters
Publisher: Informa UK Limited
Date: 02-01-2022
Using Digital Health Technologies to Manage the Psychosocial Symptoms of Menopause in the Workplace: A Narrative Literature Review
Publisher: Informa UK Limited
Date: 07-10-2021
Mental health education and Virtual Learning Environments (VLEs) in pre-registration nursing degrees: Follow the leaders?
Publisher: Informa UK Limited
Date: 04-05-2015
DOI: 10.3109/01612840.2014.1002647
Abstract: Virtual learning environments (VLEs) are now commonly used, worldwide, as teaching and learning platforms for pre-registration nursing education. However, there is only limited evidence in the research literature to suggest that VLEs are employed to support the education of student nurses about mental health and illness. This article describes the work of mental health nurse educators who have taken the lead by providing case-based simulations on VLEs, thereby enabling students to acquire knowledge and develop the clinical skills required for practice in mental health settings. Benefits of VLEs include their flexibility and accessibility, and also the opportunity they provide for students to engage with Web 2.0 technologies. Leadership in education must include the utilization of the most current pedagogical tools and strategies, as well as staying abreast of contemporary evidence-based practices in clinical settings, to support the knowledge acquisition and practice-based learning of the registered nurses (RNs) of the future.
Leadership opportunities for mental health nurses in the field of disaster preparation, response, and recovery
Publisher: Informa UK Limited
Date: 04-05-2015
DOI: 10.3109/01612840.2015.1017062
Abstract: Disasters occur internationally and are nondiscriminatory. The loss resulting from the destruction associated with disasters leads to the development of various levels of psychological trauma in survivors. Health teams provide assistance to survivors before, during and after disasters, and mental health nurses make an important contribution to these teams. However, the leadership role of mental health nurses in disaster situations has not been extensively explored in the literature. This article discusses aspects of mental health nursing leadership in preparation for, response to and recovery from disasters. In particular, recommendations are made to enhance the leadership of mental health nurses in the context of disasters.
A psychometric evaluation of the automatic thoughts questionnaire in Danish adolescents and emerging adults
Publisher: Informa UK Limited
Date: 19-04-2019
Exploring digital interventions to facilitate coping and discomfort for nurses experiencing the menopause in the workplace: An international qualitative study
Publisher: Wiley
Date: 09-05-2023
DOI: 10.1111/JAN.15679
Abstract: The global nursing workforce is predominantly female, with a large proportion working in the 45–55 age group. Menopause is a transition for all women, and therefore needs recognition as it can impact work performance and consequently staff turnover. Women will go through the menopause, but not all women are affected. The menopause transition presents a range of signs and symptoms both physical and psychological which can impact the quality of life and in iduals' work/life balance. The nursing workforce is predominantly women that will work through the menopause transition. The study explored perspectives on digital health interventions as strategies to support menopausal women and to understand the requirements for designing health interventions for support in the workplace. A qualitative explorative design. Nurses working in a range of clinical settings in England, Finland, Denmark, New Zealand, Australia and USA. Nurses ( n = 48) participated in focus groups from six different countries from February 2020–June 2022 during the pandemic from a range of acute, primary care and education settings. Nurses were invited to participate to share their experiences. Thematic analysis was used. All participants were able to describe the physical symptoms of menopause, with some cultural and possible hemisphere differences more noticeable was the psychological burden of menopause and fatigue that is not always recognized. Four themes were identified: Managing symptoms in the workplace Recognition in the workplace Menopause interventions and Expectation versus the invisible reality. These themes revealed information that can be translated for implementation into digital health interventions. Managers of nursing female staff in the menopausal age range need greater awareness, and menopause education should involve everyone. Finally, our results demonstrate design attributes suitable for inclusion in digital health strategies that are aligned with likely alleviation of some of the discomforts of menopause. No patient or public contribution.
Experiences of families who help young rural men with emergent mental health problems in a rural community in New South Wales, Australia
Publisher: Informa UK Limited
Date: 10-2012
DOI: 10.5172/CONU.2012.42.2.167
Abstract: A qualitative study was conducted in rural New South Wales, Australia, to understand the barriers to help-seeking among young rural men with emergent mental health problems. Participants who had real life experiences of these problems within their families were interviewed. Themes emerged from the data which explained some barriers to early intervention. Despite these barriers, families had developed skills in helping and in providing early mental health help to their sons. The findings of this study showed that a substantial burden on the emotional and social integrity of the family, combined with diminished psychological well-being, caused some parents to question how long they could cope before they reached 'the end of their strings'. This downward spiralling trajectory of mental health and well-being for both the young men and their families has implications for clinical practice. Current models of mental health service delivery do not adequately capture the early help-seeking dynamics of young rural men and their families. A more flexible approach is needed to identify and help the family and the young men, without the pre-requisite for a formal medical diagnosis. Future research should involve health and well-being solution focused service delivery.
Rural nurses: A convenient co-location strategy for the rural mental health care of young people
Publisher: Wiley
Date: 22-06-2015
DOI: 10.1111/JOCN.12882
Abstract: The aim of this research was to understand new ways that young rural people with mental health problems could be helped at an early point in their mental health decline. Rural nurses represent skilled mental health helping capital in their local communities, yet this important mental health helping resource, or helping capital, is both under-recognised and under-used in providing early mental health help in rural communities. In recent years international momentum has gathered in support of a paradigm change to reform the delivery of youth mental health services so that they align more closely to the developmental and social needs of young people with mental health problems. A mixed methods case study design was used to explore the early mental health care needs of young rural people. A cross-sectional survey was conducted and data were analysed with descriptive techniques. In-depth interviews were conducted and the transcribed data were analysed using thematic techniques. The results of this study demonstrate that in general rural people are willing to seek mental health care, and that rural nurses are well suited to provide initial care to young people. Non-traditional venues such as community, school and justice settings are ideal places where more convenient first conversations about mental health with young people and their families, and rural nurses should be deployed to these settings. Rural nurses are able to contribute important initial engagement interventions that enhance the early mental health care for young people when it is needed.
Harnessing the social capital of rural communities for youth mental health: An asset-based community development framework
Publisher: Wiley
Date: 09-07-2008
DOI: 10.1111/J.1440-1584.2008.00996.X
Abstract: In Australia, we are facing a period of mental health reform with the establishment of federally funded community youth services in rural areas of the country. These new services have great potential to improve the mental health of rural adolescents. In the context of this new initiative, we have four main objectives with this article. First, we consider the notion of social capital in relation to mental health and reflect on the collective characteristics of rural communities. Second, we review lessons learned from two large community development projects targeting youth mental health. Third, we suggest ways in which the social capital of rural communities might be harnessed for the benefit of youth mental health by using asset-based community development strategies and fourth, we consider the role that rural clinicians might play in this process.
International networks
Publisher: RCN Publishing Ltd.
Date: 09-06-2016
Interpretations of Innovation: The intersection of technological advancement and psychosis (Preprint)
Publisher: JMIR Publications Inc.
Date: 03-02-2022
Abstract: he prominence of technology in modern life cannot be understated. However, for some people these innovations or their related plausible advancements, can be associated with perceptual misinterpretation and/or incorporation into delusional concepts. his paper aims to explore the intersection of technological advancement and experiencing psychosis. We present a discussion about the explanation seeking that incorporates the concept, that for some people, of technological innovation becoming intertwined with delusional symptoms over the past 100 years. longitudinal review of the literature was conducted to synthesise and draw these concepts together, mapping them to a timeline that aligns computing science and healthcare expertise and presents the significant technological changes of the modern era charted against mental health milestones and reports of technology-related delusions. t is possible for technology to be incorporated in the content of delusions with evidence supporting a link between the rate of technological change, the content of delusions and the use of technology as a way of seeking an explanation. Moreover, analysis suggests a need to better understand how innovations may impact the mental health of people at risk of psychosis and other mental health conditions. linical experts and lived experience experts need to be informed about and collaborate with future research and development of technology, specifically artificial intelligence and machine learning, early in the development cycle. This concurs with other artificial intelligence research recommendations calling for design attention to the development and implementation of technological innovation applied in a mental health context.
A unified call to action from Australian nursing and midwifery leaders: ensuring that Black lives matter
Publisher: Informa UK Limited
Date: 03-07-2020
A call for nurses and interdisciplinary collaborators to urgently respond to the health and well‐being needs of refugees across the world
Publisher: Wiley
Date: 12-01-2022
DOI: 10.1111/JAN.15134
Abstract: The COVID‐19 pandemic is compounding the distress of millions of refugees (made up of displaced persons, forced migrants, refugees and asylum seekers) throughout the world. This discursive paper pitches a challenge for the global nursing profession, within the multidisciplinary context, to consider its collective agency in responding to the health and well‐being needs of a priority portion of the global population. Nursing leaders are encouraged to renew their commitment to the International Council of Nurses’ Code of Ethics and consider the role of their profession in assisting global refugees, because the extent of present need has become an escalating major global humanitarian crisis. The nursing profession comprises half the world's healthcare workforce. The World Health Organization considers that nurses play a fundamental role in ensuring access to universal healthcare as a basic human right, addressing the global need for health promotion care, disease prevention and primary and community healthcare (International Council of Nurses, The ICN code of ethics for nurses 2012). It is a human right to seek asylum from persecution, and in doing so, people should not be subjected to cruel, inhumane or degrading treatment or circumstances. Nurses are increasingly interested in fostering a healthy and adaptive environment in which people can thrive, despite personal, political, emotional, physical or social adversity. Nursing care is indispensable for the easement of human distress and for the promotion of comfort and coping. Nurses have an essential role in advocating for policies that will enhance immigrants’ access to health/mental health services and address barriers irrespective of migrant/refugee/asylum seeker status. These are challenging times as the world responds to the pandemic crisis, and nurses are called to rise to global and local leadership roles and join with other health and social care colleagues in addressing the universal human health, social and political crisis of our time. The global nursing collective must come to terms with the need to initiate additional compelling ways to improve and integrate health and social care processes so that nursing care, mental health and social care augment a holistic achievement of appropriate care for refugees.
Rural Mental Health Ecology
Publisher: Springer Science and Business Media LLC
Date: 11-07-2015
DOI: 10.1007/S10393-015-1037-0
Abstract: The mental health of people in rural communities is influenced by the robustness of the mental health ecosystem within each community. Theoretical approaches such as social ecology and social capital are useful when applied to the practical context of promoting environmental conditions which maximise mental health helping capital to enhance resilience and reduce vulnerably as a buffer for mental illness. This paper explores the ecological conditions that affect the mental health and illness of people in rural communities. It proposes a new mental health social ecology framework that makes full use of the locally available unique social capital that is sufficiently flexible to facilitate mental health helping capital best suited to mental health service delivery for rural people in an Australian context.
Mental health recovery and quilting
Publisher: Informa UK Limited
Date: 04-2014
DOI: 10.3109/01612840.2014.886089
Abstract: A small project in a rural community church setting was undertaken to promote mental health recovery for one person and to develop a positive conversation about mental health amongst the wider group. Social capital within the group of people was successfully harnessed so that a warm and supportive recovery environment might be fostered within the broader community. The goals of the project were to reduce mental health stigma and to foster recovery. This was achieved as a mental health nurse, quilt maker, and a team of sewers came together to produce a quilt as a tangible expression of care and support for both the quilt recipient and each other. This project, as a case study, demonstrates how a church faith community and mental health care can be combined and yield positive outcomes. This article outlines how the project proceeded and presents the results of a post-project evaluation survey.
A Matter of Trust and Distrust: A Qualitative Investigation of Parents' Perceptions About the Use of Mechanical Restraint on Their Adult Children in a Forensic Psychiatric Setting
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 04-2019
DOI: 10.1097/JFN.0000000000000237
Abstract: Increased knowledge about forensic psychiatric patients' relatives' perceptions in regard to the use of mechanical restraint (MR) is necessary, if clinical practice is to be improved and to achieve a reduction in the use and frequency of MR. However, a specific knowledge deficit about relatives' perspectives on the use of MR limits the evidence base considerably. The aim of this study was to investigate the perceptions of MR held by relatives of forensic psychiatric patients' including factors impacting its use and duration. Qualitative interviews were conducted with 15 parents of patients within a forensic psychiatry setting and thematically analyzed. Two main themes were identified, namely, “care and protection” and “inclusion and involvement,” and one subtheme, “information.” These themes revealed the framework used by parents to construct a sense of “trust or distrust” about the ability of staff to provide adequate and safe care for their adult children in the forensic psychiatric setting. Some parents in this study considered that forensic psychiatric staff used MR as a necessary protection. However, most parents held strong negative perceptions regarding the use of MR and the quality and safety of care provision. It is apparent that parents in this study believed they should be included and involved in the care in situations associated with the use of MR, because they considered that this could reduce its use. Further research is required to target interventions to reduce the use and duration of MR episodes and to improve clinical practice in forensic psychiatry.
“If only they could understand me!” Acute hospital care experiences of patients with Alzheimer’s disease
Publisher: SAGE Publications
Date: 26-12-2018
Abstract: Patients with dementia as co-morbidity find hospital stays challenging, because the focus is primarily on the somatic cause for the admission, with less emphasis on the needs pertaining to dementia-related support and care. This results in poorer holistic outcomes, compared to patients without dementia, and an increased cost for the healthcare sector and, society as a whole. The quest is to make hospitals a dementia-friendly context, because this is likely to lead to better patient outcomes for people with dementia generally however, further research is required to understand where gains may be made in this regard. This study conducted participant observation research strategies to follow patient journeys with Alzheimer’s disease admitted to orthopaedic wards, to learn about their experiences as patients. Longitudinal data were gathered by following patients on both day and evening shifts within a specialist orthopaedic hospital ward, commencing at patient admission and concluding at time of discharge. The data were interpreted from a phenomenological-hermeneutic perspective, inspired by Ricoeur’s interpretation theory. The study revealed a communication style among nurses who failed to take into account the comprehensive needs of patients with dementia, in terms of timely information exchange and clinical relevance. Patients expressed the desire to be more fully engaged in the care decision-making, together with indicating their appreciation of the work of the health professionals who cared for them. The data revealed that the process of getting to know the patient at the beginning of every shift left little room to alleviate patients’ experienced distress, caused by being in hospital. This resulted in patients who were less involved in the caring situation, or, if a patient took the initiative to act, intentions ended up being misinterpreted as disruptive behaviour. The findings have relevance for staff and ward management who are interested to strive to enhance the patient journey as a dementia-friendly hospital.
Nurses’ experiences of delivering acute orthopaedic care to patients with dementia
Publisher: Wiley
Date: 24-09-2019
DOI: 10.1111/OPN.12271
Abstract: Nurses who care for acute patients with dementia in a hospital setting report a variety of challenges in regard to meeting the complex needs of their patients. In particular, known barriers to optimal care include a lack of knowledge about dementia, lack of dementia-friendly acute clinical environments, lack of time to care for the in idual patient and a prioritised focus on the medical issues that triggered the hospitalisation. Research to date has not specifically focused on nurses' experiences of caring for people with dementia in orthopaedic wards. This study investigates nurses' experiences of caring for people with dementia, in an acute orthopaedic hospital ward setting. Qualitative interviews. This qualitative study employs hermeneutic phenomenological research methods. Eight Danish nurses were interviewed in an orthopaedic ward about their experiences in caring for orthopaedic patients with dementia. Nurses with various levels of expertise were selected for interview so that a full range of nursing experiences could inform the research study. The results of the study revealed two major themes: "Nurse communication and patient information" and "Care compromise", with three and four sub-themes, respectively. These findings are used to illustrate how, and why, nurses' experiences of caring for patients with dementia contribute a discontentment and negative preconceived perception by some nurses towards their acute care of patients with chronic dementia. The results are discussed in the context of Interactional Nursing Practice theory and describe the challenges experienced by acute care orthopaedic nurses who care for patients with dementia. Orthopaedic nurses find it challenging and professionally difficult to provide person-centred care for patients with dementia during an acute orthopaedic hospital admission. Orthopaedic nurses should work to adopt a positive attitude, and person-centred approach, towards dementia care. It is also recommended that the electronic patient record should be supplemented by oral dissemination to some extent, as information, plans of action and knowledge about the care situation for patients with dementia has a tendency to drown in chronological data presentation.
Artificial intelligence: An eye cast towards the mental health nursing horizon
Publisher: Wiley
Date: 30-01-2023
DOI: 10.1111/INM.13121
Abstract: There has been an international surge towards online, digital, and telehealth mental health services, further lified during COVID‐19. Implementation and integration of technological innovations, including artificial intelligence (AI), have increased with the intention to improve clinical, governance, and administrative decision‐making. Mental health nurses (MHN) should consider the ramifications of these changes and reflect on their engagement with AI. It is time for mental health nurses to demonstrate leadership in the AI mental health discourse and to meaningfully advocate that safety and inclusion of end users' of mental health service interests are prioritized. To date, very little literature exists about this topic, revealing limited engagement by MHNs overall. The aim of this article is to provide an overview of AI in the mental health context and to stimulate discussion about the rapidity and trustworthiness of AI related to the MHN profession. Despite the pace of progress, and personal life experiences with AI, a lack of MHN leadership about AI exists. MHNs have a professional obligation to advocate for access and equity in health service distribution and provision, and this applies to digital and physical domains. Trustworthiness of AI supports access and equity, and for this reason, it is of concern to MHNs. MHN advocacy and leadership are required to ensure that misogynist, racist, discriminatory biases are not favoured in the development of decisional support systems and training sets that strengthens AI algorithms. The absence of MHNs in designing technological innovation is a risk related to the adequacy of the generation of services that are beneficial for vulnerable people such as tailored, precise, and streamlined mental healthcare provision. AI developers are interested to focus on person‐like solutions however, collaborations with MHNs are required to ensure a person‐centred approach for future mental healthcare is not overlooked.
Model Evacuation plan
Publisher: SLACK, Inc.
Date: 07-2009
The right way for nurses to prescribe, administer and critique digital therapies
Publisher: Informa UK Limited
Date: 04-07-2018
DOI: 10.1080/10376178.2018.1507679
Abstract: Nurses should be mindful that prescribing and administering digital therapies comes with patient safety responsibilities. Due diligence is required by nurses to ensure that they are prescribing and administering digital therapies to ensure they are safe practitioners in this new health field. Nurses without requisite digital literacy and critiquing skills should consider what actions they need to undertake to up-skill, if it is required, to maintain their safe practice standards [Wilson, 2017. E Mental Health. Mental Health: A perosn-centred Approach. N. Procter, H. Hamer, D. McGarry, Wilson R. L. and T. Frogatt. Port Melbourne: Cambridge University Press].
Nurses and Twitter: The good, the bad, and the reluctant
Publisher: Elsevier BV
Date: 06-2014
DOI: 10.1016/J.COLEGN.2013.09.003
Abstract: Nurses and other health professionals are adopting social media to network with health care professionals and organizations, support health education, deliver health promotion messages, enhance professional development and employment opportunities, and communicate within political forums. This paper explores the growing use of social media, and examines the current dynamics of Twitter as an ex le of the uptake of social media. This paper also offers practical guidance for new Twitter users who are interested in using this social media approach in clinical or educational settings, and for professional development.
Related Organisations
MULTINATIONAL LUNG CANCER CONTROL PROGRAM-UKZN
Location: South Africa
University Of Westminster
Location: United Kingdom of Great Britain and Northern Ireland
Related Funding Activities
No related grants have been discovered for EMMANUEL ASIAMAH.