MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'International Journal of Mental Health Nursing' source. Wed, 08 Feb 2012 21:54:37 +0100 http://www.medworm.com/index.php?rid=5668944&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00788.x ABSTRACTProblem based learning (PBL) is well established within the field of health‐care education for professionals worldwide, although little has been done to explore the experiences of students undertaking a PBL course in mental health nursing. Without firm evidence of the benefits of PBL, educationalists in mental health might be reluctant to view it as an option in curricula design. This UK study examined the experiences of pre‐registration post‐graduate mental health student nurses undertaking a 2‐year educational course in which all teaching and assessment followed a PBL philosophy. Focus groups were used throughout the course to elicit in‐depth qualitative data that was analysed by applying a constant comparative method. The analysis of the data uncovered the following br... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5668944 Wed, 01 Feb 2012 05:00:00 +0100 5668944 http://www.medworm.com/index.php?rid=5599623&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00780.x ABSTRACTThe new paradigm that the brain is able change itself (neuroplasticity) is acknowledged and teased out in terms of the ramifications for mental illnesses. Parallel studies in pain (central sensitization) and mirror neurones are examined to conceptually clarify these ramifications in relation to mental health, and to expand our understanding of empathy and social inclusion beyond good ideas to being a part of our nature. The paper then focuses on making clear what the concepts, challenges, and opportunities for mental health nursing might be; even advancing possibilities for recovery through better understanding the third space or intersubjective. What ramifications this has for mental health nursing is reviewed in terms of a paradigm change and the necessity for conceptual clarity,... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5599623 Wed, 18 Jan 2012 03:15:18 +0100 5599623 http://www.medworm.com/index.php?rid=5573208&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00782.x ABSTRACTThe care of children with behavioural disorders/mental illnesses is an important and emerging role for mental health nurses. Unfortunately, there is little evidence on which to base their practice. Children, because of their rapid emotional, physical, and cognitive development, and their dependence on their families, need special consideration in their mental health care. The limited evidence available indicates that this special consideration should include a focus, not only on the child, but also on the parents and social and school networks of the child. Evidence from the adult literature indicates the most effective case management models are the ones in which the case manager offers as many services as possible, including talking therapies. This also seems to be true when work... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5573208 Mon, 09 Jan 2012 02:33:02 +0100 5573208 http://www.medworm.com/index.php?rid=5562233&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00803.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5562233 Fri, 06 Jan 2012 02:17:48 +0100 5562233 http://www.medworm.com/index.php?rid=5506950&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00781.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5506950 Tue, 13 Dec 2011 05:00:00 +0100 5506950 http://www.medworm.com/index.php?rid=5516429&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00784.x ABSTRACTUndergraduate nurses are employed as assistants in nursing (AIN) in inpatient mental health settings; however, there is a paucity of published research exploring registered nurses' (RN) views about the AIN role in these settings. This qualitative study documents the views and experiences of RN working with undergraduate AIN. Fifty structured face‐to‐face interviews were analysed, and the results are discussed in three sections. The first section outlines RN perceptions of qualities and skills required of AIN in mental health, and the responses primarily focus on communication skills, initiative, and willingness to learn. The second section targets factors in the workplace that might enhance the interest of AIN in a mental health nursing career; the responses emphasize their nee... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5516429 Thu, 01 Dec 2011 05:00:00 +0100 5516429 http://www.medworm.com/index.php?rid=5506949&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00785.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5506949 Thu, 01 Dec 2011 05:00:00 +0100 5506949 http://www.medworm.com/index.php?rid=5478186&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00783.x ABSTRACTDiscussing 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 ... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5478186 Thu, 01 Dec 2011 05:00:00 +0100 5478186 http://www.medworm.com/index.php?rid=5410872&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00771.x ABSTRACTThe study aimed to evaluate the impact of introducing designated care coordinators into an acute mental health inpatient unit in terms of service delivery, clinical outcomes, and service user and significant other perceptions. A pre–post‐controlled design was implemented with a consecutive sample of 292 service users admitted and staying more than 5 days in two wards, with care coordinators introduced in one ward. Data were obtained from clinical records, standard measures, and service user and significant other surveys. Care coordinator input was associated with significant improvements in service delivery and stronger involvement of significant others and community resources. Care‐coordinated clients showed significantly better clinical outcomes, including the Health of N... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5410872 Thu, 17 Nov 2011 05:37:53 +0100 5410872 http://www.medworm.com/index.php?rid=5365881&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00753.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5365881 Fri, 04 Nov 2011 00:28:10 +0100 5365881 http://www.medworm.com/index.php?rid=5365880&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00772.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5365880 Fri, 04 Nov 2011 00:27:53 +0100 5365880 http://www.medworm.com/index.php?rid=5365877&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00778.x This study found high rates of seclusion and readmissions within 1 year, which requires further study to find strategies to reduce these rates. (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5365877 Fri, 04 Nov 2011 00:27:30 +0100 5365877 http://www.medworm.com/index.php?rid=5365879&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00777.x ABSTRACTDeinstitutionalization, 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 manage... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5365879 Sun, 30 Oct 2011 04:00:00 +0100 5365879 http://www.medworm.com/index.php?rid=5365878&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00779.x This article examines literature on the role of the nurse caring for people with a dual disability (DD) of intellectual disability and mental illness. A search of the literature between 2000 and 2010 resulted in a total of 21 articles that met the inclusion criteria. Seven key categories of the role of the nurse were identified: (i) advocacy/health promotion (including working with family); (ii) assessment/case management; (iii) behavioural interventions; (iv) communication; (v) leadership and the nurse's role within the multidisciplinary team; (vi) functions regarding medication administration; and (vii) safety/risk management. There is a paucity of research about the role of nurses working with people with DD, although a number of opinion‐based articles exist. This article identifies a... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5365878 Sun, 30 Oct 2011 04:00:00 +0100 5365878 http://www.medworm.com/index.php?rid=5338379&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00773.x This study was initiated to examine how experiences with mental illness are perceived by health‐care workers, and how insight affects assessment of their perspective and involvement. Lack of insight gives rise to problems concerning communication: if we expect what the person says and does not to have any meaning, how then can we establish a relationship based on understanding? This study was based on in‐depth interviews with 11 mental health‐care workers. Participants were recruited from a variety of institutions and professional backgrounds. The following topics were discussed with the participants: lack of insight, awareness of illness, and coping strategies, as well as how these factors affected treatment, cooperation, and participation. The participants describe attuned understa... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5338379 Sat, 01 Oct 2011 04:00:00 +0100 5338379 http://www.medworm.com/index.php?rid=5252234&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00770.x ABSTRACTThis paper reports on a survey of mental health clinician views of including people with psychosis and negative symptoms in outcome research. A questionnaire was forwarded to clinicians (the majority of whom were mental health nurses) completing post‐registration undergraduate and postgraduate degree courses in psychosocial interventions for psychosis. Fifty questionnaires were returned (a response rate of 84.7%). A total of 47% of respondents indicated that they might refrain from offering this group as potential participants to clinical trials. Thematic analysis suggests views that negative symptoms are not amenable to treatment inform such decisions. The results highlight the potential difficulties faced by researchers investigating new treatments for people with negative symp... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5252234 Mon, 26 Sep 2011 02:37:00 +0100 5252234 http://www.medworm.com/index.php?rid=5198088&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00765.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5198088 Wed, 07 Sep 2011 23:20:02 +0100 5198088 http://www.medworm.com/index.php?rid=5198087&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00767.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5198087 Wed, 07 Sep 2011 23:20:01 +0100 5198087 http://www.medworm.com/index.php?rid=5198086&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00766.x ABSTRACTIn Australia, perinatal mental illness is common, although poorly identified and treated. Improved perinatal mental health depends on service provision models that reflect a focus on promotion, prevention, and early intervention, while facilitating improved referral pathways between primary health and specialist mental health services. In 2008, a contemporary community‐based model of mental health service provision was developed as an alternative to the pre‐existing hospital‐based service model. The model is delivered primarily by mental health nurses using a consultation liaison framework. It provides for specialist mental health assessment and brief intervention in collaboration with the general practitioner, who remains the primary health provider. It also aims to raise co... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5198086 Wed, 07 Sep 2011 23:19:48 +0100 5198086 http://www.medworm.com/index.php?rid=5111745&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00762.x ABSTRACTYoung carers are a global phenomenon. The UK estimates it has in excess of 175 000 young carers, the onset of their caring role often occurring between 8 and 10 years of age. Of these, 17 000 are caring for a parent who has severe mental illness, a significant factor for children entering the health and social care system, as up to 60% experience mental health difficulties themselves. This paper reports on the outcome of a participatory project aimed at better understanding the needs of young people. A World Café event was hosted, bringing together those involved in promoting the mental health of young people in a partnership consortium. The event was led by young service users and carers. Important issues raised by the young carers were being excluded from being included; s... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5111745 Sun, 07 Aug 2011 23:00:00 +0100 5111745 http://www.medworm.com/index.php?rid=5111744&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00764.x This study examined the relationship between interpersonal style, perceived coercion, and psychiatric symptoms on the therapeutic alliance between patients and staff, and how each, in turn, is related to aggression. Participants in this study were 79 patients admitted to an acute psychiatric hospital. Each participant was interviewed to determine perceived coercion, symptoms of psychiatric illness, interpersonal style, and therapeutic alliance. Incidents of aggression were recorded at discharge through a review of incident forms, file review, and interviews with unit nursing staff. The results showed that a hostile–dominant interpersonal style and symptoms of paranoia predicted poor therapeutic alliance, contributing 14% of the variance in therapeutic alliance scores. A dominant interper... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5111744 Sun, 31 Jul 2011 23:00:00 +0100 5111744 http://www.medworm.com/index.php?rid=5065197&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00761.x In this study, we subjected these data to a thematic analysis. People who hear voices make use of standard psychiatric explanations about the experience in their accounts. However, the accounts paint a more complex picture and show that people also impute personal meaning to the experience. This in turn implicates both personal and social identity; that is, how the person is known to themselves and to others. We suggest that this knowledge can inform a more thoughtful engagement with the experiences of voice hearing by mental health nurses. (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5065197 Wed, 27 Jul 2011 04:21:52 +0100 5065197 http://www.medworm.com/index.php?rid=5042413&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00760.x ABSTRACTThe 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,... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5042413 Thu, 21 Jul 2011 14:14:31 +0100 5042413 http://www.medworm.com/index.php?rid=5022872&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00758.x This study explored patient, staff, and visitor perceptions about the acceptability of locking the ward door on acute psychiatric inpatient wards. Interviews were conducted with 14 registered nurses, 15 patients, and six visitors from three different acute wards. Findings revealed commonalities across all groups, with general agreement that locking the door reduced absconding. Staff expressed feelings of guilt, embarrassment, and fear of being blamed when a patient absconded. Staff also reported that open wards created anxious vigilance to prevent an abscond and increased workload in allocating staff to watch the door, whereas staff on partially‐locked doors also perceived an increased workload in letting people in and out of the ward. Patients had mixed feelings about the status of the ... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5022872 Wed, 13 Jul 2011 22:02:17 +0100 5022872 http://www.medworm.com/index.php?rid=5001542&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00759.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5001542 Thu, 07 Jul 2011 15:32:31 +0100 5001542 http://www.medworm.com/index.php?rid=5001541&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00763.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5001541 Thu, 07 Jul 2011 15:32:26 +0100 5001541 http://www.medworm.com/index.php?rid=5001539&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00757.x ABSTRACTThe 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 requir... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5001539 Thu, 07 Jul 2011 15:32:15 +0100 5001539 http://www.medworm.com/index.php?rid=5001540&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00756.x This study aimed to assess the relationship of manual restraint and show of force to conflict behaviours, the use of containment methods, service environment, physical environment, patient routines, staff characteristics, and staff group variables. Data from a multivariate, cross‐sectional study of 136 acute psychiatric wards in England were used to conduct this analysis. Manual restraint was used less frequently on English acute psychiatric wards (0.20 incidents per day) than show of force (0.28 incidents per day). Both were strongly associated with the proportion of patients subject to legal detention, aggressive behaviours, and the enforcement of treatment and detention. Medical, nursing, and security guard staff provision were associated in different ways with variations in the use o... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5001540 Tue, 05 Jul 2011 23:00:00 +0100 5001540 http://www.medworm.com/index.php?rid=4940082&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00752.x ABSTRACTIn this qualitative study, the experiences of a small cohort of registered nurses (RN) during the first 2 years of mental health employment were documented. A total of 13 semistructured interviews were completed from within a specialist mental health setting. Eleven issues were identified: (i) teamwork; (ii) experiential learning; (iii) self‐development; (iv) confidence; (v) listening; (vi) rapport; (vii) keen observation; (viii) patience; (ix) empathy; (x) learning from colleagues; and (xi) maintaining a positive approach towards patients. The nurses focused on the here‐and‐now circumstances, rather than on future plans, or past preparation, and were able to elucidate the qualities and skills that they brought to their clinical work. Participants were most proud of achieve... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4940082 Wed, 15 Jun 2011 23:00:00 +0100 4940082 http://www.medworm.com/index.php?rid=4956043&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00754.x ABSTRACTThere is substantial evidence supporting the need for effective intervention for children and families living with parental mental illness. However, translation of this knowledge into mental health workforce practice remains variable, with a range of clinical practices and models of care evident. Nurses, who constitute the majority of the mental health workforce, are in prime positions to support children and families and provide preventative measures, identify those at risk, and intervene early. In this paper, we provide a framework for practice for nurses working with consumer parents. We contend that traditional models of nursing practice concentrating on the consumer are insufficient in meeting the needs of children and families living with parental mental illness. A focus on f... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4956043 Tue, 31 May 2011 23:00:00 +0100 4956043 http://www.medworm.com/index.php?rid=4940081&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00755.x ABSTRACTWith the popularity of accelerated pre‐licensure nursing programmes and the growth in nursing student enrolments, traditional clinical education continues to be a challenge to deliver. Nursing faculty members are required to develop and implement educational innovations that achieve effective learning outcomes, while using fewer resources. The purpose of this qualitative study was to explore the effectiveness of a constructivism‐based learning project to achieve specific learning outcomes and to supplement approximately 30 clinical hours in a psychiatric–mental health nursing course. Students participated in a 10‐week, multistage project that examined life histories, treatment resources, and evidence‐based practice, as applied to a single individual with a mental illness.... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4940081 Tue, 31 May 2011 23:00:00 +0100 4940081 http://www.medworm.com/index.php?rid=4856576&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00749.x ABSTRACTThis paper examines and offers a critique of the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM‐IV‐TR), underlying principles and assumptions, and the nature and consequences of its nosological framework. The reason for this critique is to look at the rationale for some of the diagnostic categories and also why some categories are retained, including some of the long‐standing diagnostic groups, such as schizophrenia. It is not the intention here to rehearse the problems of biological psychiatric thinking, nor argue the strengths and weaknesses of the DSM‐IV‐TR in its definitions and descriptions of particular syndromes and illnesses. The ideas presented here derive from a range of previous research that argued that the DSM‐IV‐TR... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4856576 Wed, 25 May 2011 16:25:26 +0100 4856576 http://www.medworm.com/index.php?rid=4834101&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00748.x ABSTRACTThere 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 ... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4834101 Thu, 19 May 2011 13:59:19 +0100 4834101 http://www.medworm.com/index.php?rid=4815209&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00747.x ABSTRACTWeight gain and obesity has reached epidemic proportions, with the prevalence of metabolic syndrome (MetS) reaching 20–25% of the global population. MetS is a cluster of metabolic abnormalities, including weight gain, associated with an increased risk of cardiovascular disease, diabetes, and stroke. While individuals in the general population are at risk of physical conditions, such as MetS, people with mental illness are at even higher risk. The increased incidence of MetS for people with serious mental illness has been linked to the use of second‐generation antipsychotic medication. This paper describes the content, structure, and development of ‘Passport 4 Life’, a healthy lifestyle intervention to maintain weight and prevent further weight gain for people with serious m... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4815209 Thu, 12 May 2011 22:35:46 +0100 4815209 http://www.medworm.com/index.php?rid=4815210&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00746.x ABSTRACTPro re nata (PRN) or ‘as required’ medication is a regular part of mental health nursing practice. This retrospective study accessed data recorded for all PRN being given to patients within an eight‐bed psychiatric intensive care unit. Data from the same consecutive 4‐month period from 2005 and from 2007–2009 were analysed for trends in overall rates, time of administration, and type of medication given. PRN administration was identified to each patient, but no demographic information was analysed. Results of this study demonstrated a gradual decline in the total number of PRN given, reducing from an average of 314 PRN per month in 2005, to 181 PRN per month in 2009. The typical number of patients per month receiving any PRN did not change, with 41 out of a total of 72 pa... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4815210 Wed, 11 May 2011 23:00:00 +0100 4815210 http://www.medworm.com/index.php?rid=4716508&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00751.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4716508 Fri, 15 Apr 2011 22:00:36 +0100 4716508 http://www.medworm.com/index.php?rid=4716507&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00750.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4716507 Fri, 15 Apr 2011 22:00:32 +0100 4716507 http://www.medworm.com/index.php?rid=4699883&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00731.x ABSTRACTA successful working partnership in research between a consumer project team from the Victorian Mental Illness Awareness Council and a carer project team from the Victorian Mental Health Carers Network was forged during their collaborative involvement in an innovative 2‐year pilot project funded by the Victorian Government of Australia. This project trialled new ways of capturing consumer and carer experiences of mental health services, and that feedback was integrated into service quality improvement. Towards the end of the project, an external facilitator was used to enable the two teams to reflect on their experience of working together so that their joint story could be shared with others and used to promote further use of this approach in the mental health field. Main findin... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4699883 Mon, 11 Apr 2011 23:00:00 +0100 4699883 http://www.medworm.com/index.php?rid=4672648&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00743.x ABSTRACTThe nurse practitioner role incorporates enhancing access to health‐care services, particularly for populations that are underserved. This entails working collaboratively with colleagues across multidisciplinary teams and emphasizing a nursing model of practice within the nurse practitioner role. In Australia, the added value associated with establishing mental health nurse practitioner (MHNP) positions based in the emergency department (ED) is emerging. This paper presents qualitative findings from a study using a mixed‐method design to evaluate an ED‐based MHNP outpatient service in Sydney, Australia. One component of the evaluation involved semistructured interviews conducted with a random selection of study participants and a stratified sample of ED staff. This is the sec... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4672648 Sun, 03 Apr 2011 23:00:00 +0100 4672648 http://www.medworm.com/index.php?rid=4711318&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00739.x ABSTRACTAccurate verification of patient identity during medication administration is an important component of medication administration practice. In medical and surgical inpatient settings, the use of identification aids, such as wristbands, is common. In many psychiatric inpatient units in Victoria, Australia, however, standardized identification aids are not used. The present paper outlines the findings of a qualitative research project that employed focus groups to examine mental health nurse and mental health consumer perspectives on the identification of patients during routine medication administration in psychiatric inpatient units. The study identified a range of different methods currently employed to verify patient identity, including technical methods, such as wristband and ph... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4711318 Thu, 31 Mar 2011 23:00:00 +0100 4711318 http://www.medworm.com/index.php?rid=4699882&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00742.x ABSTRACTAssessment is the foundation on which nursing care is delivered. The aim of this paper is to better understand the content (what information nurses seek about consumers) and the process (how they go about gathering that information) of a comprehensive mental health nursing assessment in practice. Using terms, such as ‘nursing’, ‘mental health’, and ‘assessment’, the CINAHL, Medline, and PsycINFO databases were searched for studies that describe the content and process of a comprehensive mental health nursing assessment. Although studies of aspects of mental health nursing assessment, such as the assessment of risk or carer burden, were found, no single study described both the content and process of a comprehensive mental health nursing assessment in practice. In Austra... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4699882 Thu, 31 Mar 2011 23:00:00 +0100 4699882 http://www.medworm.com/index.php?rid=4688427&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00745.x ABSTRACTOver 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 healt... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4688427 Thu, 31 Mar 2011 23:00:00 +0100 4688427 http://www.medworm.com/index.php?rid=4672647&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00744.x ABSTRACTThe mental health liaison nurse role in the emergency department (ED) has demonstrated a range of positive outcomes for both consumers and staff. In Australia, the added value associated with establishing mental health nurse practitioner (MHNP) positions based on this model is emerging. This paper presents qualitative findings from a study using a mixed‐method design to evaluate an ED‐based MHNP outpatient service in Sydney, Australia. In evaluating this new service, semistructured interviews were conducted with a random selection of study participants and a stratified sample of ED staff. This is the first of a two‐part paper that presents an analysis of qualitative data from interviews conducted with study participants (n = 23). Participants reported numerous therapeutic... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4672647 Thu, 31 Mar 2011 23:00:00 +0100 4672647 http://www.medworm.com/index.php?rid=4660283&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00726.x ABSTRACTThis exploratory study examined the impact of deinstitutionalization on consumers admitted to a regional community care unit (CCU) between 1996 and 2007, and looked at lengths of stay and re‐admissions to acute psychiatric care units and the impact this might have on quality of life. The results showed that the original and current residents of CCU have improved quality of life through friendships, a home‐like environment, and reduced re‐admissions to acute psychiatric care units; however, further improvements can be made with more emphasis on employment/vocational services and social inclusion. More concerning is those who are unable to access a CCU bed due to chronic CCU bed shortages. This group, referred to as the ‘new chronic patients’, tend to become victims of ‘t... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4660283 Thu, 31 Mar 2011 21:43:12 +0100 4660283 http://www.medworm.com/index.php?rid=4628414&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00729.x ABSTRACTPsychiatric nurses interested in extending their interpersonal and psychotherapeutic skills sometimes undertake postgraduate training in gestalt therapy. Little is known about how this new knowledge and psychotherapeutic skill base informs their practice. This paper presents the findings of a qualitative study that aimed to explore the influence of gestalt therapy training on psychiatric nursing practice. Within a framework of narrative inquiry, four psychiatric nurses trained in gestalt therapy were invited to tell their stories of training in a gestalt approach to therapy, and recount their experiences of how it influenced their practice. In keeping with narrative analysis methods, the research findings were presented as a collection of four stories. Eight themes were derived fro... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4628414 Thu, 24 Mar 2011 20:18:11 +0100 4628414 http://www.medworm.com/index.php?rid=4618061&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00733.x ABSTRACTThe present study explored the applicability of two brief evidence‐based interventions to improve sleep quality in inpatient psychiatry. The study involved three comparable admission wards of a psychiatric hospital. Stimulus control was introduced at the first ward, and music‐assisted relaxation at the second. At the third ward, no intervention was introduced. A mixed‐method study was employed. We found that nurses share the opinion that both interventions can be applied, but patients are hard to motivate. They perceived the lack of available time, busyness at the ward, and the lack of cooperation of patients as the main obstacles. The perception of a successful implementation is correlated with the perception of gained attention for sleep problems, the perception of increase... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4618061 Tue, 22 Mar 2011 20:13:48 +0100 4618061 http://www.medworm.com/index.php?rid=4583636&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00741.x ABSTRACTThe purpose of the present study was to test the psychometric properties and dimensionality of the Quality in Psychiatric Care – Outpatient (QPC–OP) instrument, in order to determine whether the model of QPC that is applicable to the inpatient clinic is also applicable to the outpatient clinic, and to briefly describe the patients' perceptions of quality of psychiatric outpatient care. A sample of 1340 outpatients from 15 general adult psychiatric clinics in Sweden participated in the study. A confirmatory factor analysis revealed that the QPC–OP consists of eight dimensions, and has a factor structure largely corresponding to that of the QCP – Inpatient instrument. The internal consistency of the factors was generally acceptable, except in the case of two, where there were... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4583636 Tue, 15 Mar 2011 16:46:23 +0100 4583636 http://www.medworm.com/index.php?rid=4562709&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00740.x ABSTRACTChildren of parents with mental illness have been identified as a hidden population within mental health services, despite many clients being parents. In Australia, children of parents with a mental illness have been the focus of initiatives aimed at promoting their health and well‐being and developing family‐focused services. However, there has been little focus on children visiting acute inpatient mental health facilities. The aim of this study was to understand the experiences of children, their parents and carers, and staff when children visit, to better inform service planning. A qualitative exploratory research framework was used, and data were gathered through interviews. This paper presents the findings from the perspective of staff. Findings indicated that staff experi... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4562709 Wed, 09 Mar 2011 19:32:01 +0100 4562709 http://www.medworm.com/index.php?rid=4562712&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00735.x ABSTRACTThe Australian Mental Health Nurse Education Taskforce conducted a national examination of mental health content of preregistration nursing curricula in order to develop a framework for including mental health in future curricula. This paper presents the qualitative findings from national consultations about the framework. Content analysis of data was undertaken, and the findings show four key themes. First, the mental health content of curricula should be increased; second, overall mental health nursing leadership should be strengthened; third, mental health consumer participation should be increased in all aspects of curricula; and finally, a repository should be established for mental health teaching resources. (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4562712 Tue, 08 Mar 2011 00:00:00 +0100 4562712 http://www.medworm.com/index.php?rid=4562711&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00737.x ABSTRACTIn the present study, we present qualitative findings of study of nurses' perceptions of a mental health education programme for Australian nurses. Many nurses avoid disclosing their mental health problem/illness because of the stigmatization by health workers. Mental health education is a successful means to address workplace stigma; thus, it can be anticipated that such education can address workplace difficulties experienced by nurses with mental health problems. During 2008, a qualitative study was conducted to obtain nurses' perceptions of a short mental health education programme for nurses. The workshop purpose was to improve mental health literacy in order to improve support to colleagues with mental health problems. Semistructured, audio‐taped interviews were conducted w... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4562711 Tue, 08 Mar 2011 00:00:00 +0100 4562711 http://www.medworm.com/index.php?rid=4562710&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00736.x ABSTRACTApproximately 15% of new mothers experience postpartum depression, representing the most common source of maternal morbidity post‐delivery. Postpartum depression may impair maternal–infant interactions, contributing to poor developmental outcomes in the offspring of mothers with depression. The purpose of this study was to test the effectiveness of home‐based peer support that included maternal–infant interaction teaching for mothers with symptoms of postpartum depression and their infants. Mothers with postpartum depression were randomly assigned to control (n = 33) or intervention groups (n = 27). Intervention group mothers received 12 weeks of home‐based peer support that included maternal–infant interaction teaching; peers were mothers who had recovered fr... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4562710 Tue, 08 Mar 2011 00:00:00 +0100 4562710 http://www.medworm.com/index.php?rid=4546408&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00702.x This study confirmed the reliability and validity of the ESS‐JI for outpatients with schizophrenia. (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4546408 Fri, 04 Mar 2011 19:47:46 +0100 4546408 http://www.medworm.com/index.php?rid=4546407&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00718.x ABSTRACTA significant number of clients utilizing mental health services will also be parents. Being a child of a parent with mental illness increases health risks for the child, and hospitalization of the parent has been identified as one of the most difficult times for children. However, few proactive measures have been taken to understand or provide for the needs of children visiting psychiatric inpatient facilities. The aim of this exploratory study was to identify the perspectives children, their parents, nominated carers, and clinicians from their experience of children visiting. The study used qualitative data gathered from interviews to develop an understanding of the issues. The purpose of this paper was to present the findings from parents, carers, and children. Children indicate... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4546407 Fri, 04 Mar 2011 19:47:45 +0100 4546407 http://www.medworm.com/index.php?rid=4546406&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00711.x ABSTRACTDespite the high comorbidity of insomnia with psychiatric illness, few studies have examined insomnia or insomnia treatments in psychiatric inpatients. The present study had two overall goals. First, we sought to describe insomnia symptoms in 76 US veterans hospitalized for a wide‐range of psychiatric illnesses. Next, we sought to examine whether participation in one session of group therapy for insomnia was associated with improvement in Insomnia Severity Index (ISI) scores for a subset of these inpatients (n = 19). Data were extracted from the clinical charts of 140 inpatients admitted into the 26‐bed psychiatric ward at the New Mexico VA Healthcare System. The majority of the veterans had clinical insomnia in the moderate‐to‐severe range, and only 18% of the sample r... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4546406 Fri, 04 Mar 2011 19:47:45 +0100 4546406 http://www.medworm.com/index.php?rid=4546405&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00689.x This study aimed to assess changes in psychological distress and social participation in adults diagnosed with clinical depression during and after participating in a therapeutic horticulture programme, and to investigate if the changes covaried with levels of group cohesiveness during the intervention. An intervention with a single‐group design was repeated with different samples in successive years (pooled n = 46). In each year, five groups of 3–7 participants went through the intervention. Data were collected before, twice during, and immediately after a 12‐week therapeutic horticulture programme, as well as at 3‐months' follow up. Mental health assessments included the Beck Depression Inventory, the State Subscale of Spielberger State‐Trait Anxiety Inventory, the Positive... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4546405 Fri, 04 Mar 2011 19:47:44 +0100 4546405 http://www.medworm.com/index.php?rid=4546404&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00723.x ABSTRACTAlmost half the Australian population, aged 16–85 years, are affected by mental illness at some point in their life, and general practice plays a key role in providing effective mental health care. This paper presents the findings from a study that explored how people living with mental illness are supported in Australian general practice. A descriptive, exploratory study was conducted using semistructured interviews to gather data. The role of mental health nurses in the care and support of people with mental illness emerged from the data. This was explored further and resulted in two key themes: dimensions of time and dimensions of space. Findings from this study present key similarities and differences in the role of mental health nurses, as compared to general practitioners... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4546404 Fri, 04 Mar 2011 19:47:44 +0100 4546404 http://www.medworm.com/index.php?rid=4546403&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00717.x The objective of this study was to test a model for analysing the possible benefits of clinical supervision. The model suggested a pathway from participation to effectiveness to benefits of clinical supervision, and included possible influences of individual and workplace factors. The study sample was 136 nursing staff members in permanent employment on nine general psychiatric wards and at four community mental health centres at a Danish psychiatric university hospital. Data were collected by means of a set of questionnaires. Participation in clinical supervision was associated with the effectiveness of clinical supervision, as measured by the Manchester Clinical Supervision Scale (MCSS). Furthermore, MCSS scores were associated with benefits, such as increased job satisfaction, vitality,... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4546403 Fri, 04 Mar 2011 19:47:43 +0100 4546403 http://www.medworm.com/index.php?rid=4546402&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00709.x ABSTRACTThis paper is a report of an interview study exploring psychiatric hospital nursing staff members' reflections on participating in supervision. Clinical supervision is a pedagogical process designed to direct, develop, and support clinical nurses. Participation rates in clinical supervision in psychiatric settings have been reported to be relatively low. Qualitative research indicates that staff members appreciate clinical supervision, but paradoxically, do not prioritize participation and find participation emotionally challenging. Little is known about these contradictory experiences and how they influence participation rates. Twenty‐two psychiatric hospital nursing staff members were interviewed with a semistructured interview guide. Interview transcripts were interpreted by m... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4546402 Fri, 04 Mar 2011 19:47:42 +0100 4546402 http://www.medworm.com/index.php?rid=4546401&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00716.x This study has clinical implications in terms of developing strategies for reducing stress and improving organizational support among mental health nurses, and it should help in future research. (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4546401 Fri, 04 Mar 2011 19:47:42 +0100 4546401 http://www.medworm.com/index.php?rid=4546400&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00715.x ABSTRACTThe recruitment and retention of mental health nurses within acute inpatient mental health facilities continues to be an ongoing issue. Literature and current research highlight an environment fraught with pressure and stress, identifying several key factors contributing to job dissatisfaction. These factors include greater patient acuity, unpredictable and challenging workspaces, violence, increased paperwork, and reduced managerial support. This qualitative, critical, feminist exploration investigated the lived experiences of 13 female mental health nurses working in inpatient services. They were asked about their practice and perceptions of workplace culture, and they shared their thoughts on stress management and professional well‐being. Positive workplace practice was highli... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4546400 Fri, 04 Mar 2011 19:47:41 +0100 4546400 http://www.medworm.com/index.php?rid=4546399&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00738.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4546399 Fri, 04 Mar 2011 19:47:40 +0100 4546399 http://www.medworm.com/index.php?rid=4508955&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00728.x ABSTRACTThe 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 ma... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4508955 Tue, 22 Feb 2011 00:00:00 +0100 4508955 http://www.medworm.com/index.php?rid=4491529&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00713.x ABSTRACTBorderline personality disorder (BPD) is described as the most lethal of psychiatric disorders, with suicide rates of 3–9.5%, a rate almost 50 times higher than that of the general population. The struggle to recover by changing suicidal behaviour is not well described in relation to people with BPD. The most common reason given for suicide attempts was to escape or obtain relief from situations of extreme distress. The aim of this study was to explore how a recovery process facilitated changes in suicidal behaviour in a sample of women with BPD. An exploratory design was used. Data were collected by means of in‐depth interviews (n = 13), and a thematic analysis was employed. The findings revealed two themes: ‘struggling to assume responsibility for self and others’ and... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4491529 Fri, 18 Feb 2011 00:00:00 +0100 4491529 http://www.medworm.com/index.php?rid=4491528&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00714.x ABSTRACTFamily plays an important role in the care provided for patients in all areas of nursing. However, relatively few studies deal with the focus of the present study: the ways that nurses experience family participation in acute psychiatric inpatient settings. Data were collected by interviewing 18 nurses who had experience working in such settings. A phenomenographical approach was used to analyse the interviews. Three descriptive categories were found: family participation as a part of the caring process, barriers to family participation, and nurses' resources in family participation. The findings show that the nurses' conceptions of family participation varied, and that the family was not always a priority in this caring context. The implementation of family participation was often... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4491528 Fri, 18 Feb 2011 00:00:00 +0100 4491528 http://www.medworm.com/index.php?rid=4491527&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00719.x ABSTRACTConsumer participation occurs in all Victorian public mental health services. Area mental health services employ consumer consultants to enhance consumer participation across the network. Ongoing support of management is essential to the success of consumer participation. This project aimed to explore understandings of consumer participation from a manager's perspective. Semistructured interviews were conducted with seven participants in this qualitative, interpretive study. The thematic analysis revealed the complexities around defining consumer participation and demonstrated the difficulties and possible reasons as to why there is no real clarity between managers, service providers, and consumers as to what consumer participation should look like. Power and change were the primar... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4491527 Fri, 18 Feb 2011 00:00:00 +0100 4491527 http://www.medworm.com/index.php?rid=4491526&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00720.x ABSTRACTThe aim of the present study was to identify core components in the care of immigrants with psychosis in Sweden. Experts (n = 43) from different perspectives (immigrants, families, and health‐care staff) were assembled and used to score the importance of statements regarding components in the care for a person with psychosis in three questionnaire rounds. After each round, the opinions were consolidated and compared to identify whether consensus was reached. Consensus was reached about the importance of being treated on equal terms, regardless of country of birth. Staff interest and respect, shown in different ways of understanding, was valued. Consensus could not be reached on approximately half of the statements, of which four tended to be ranked towards unimportant. Those ... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4491526 Fri, 18 Feb 2011 00:00:00 +0100 4491526 http://www.medworm.com/index.php?rid=4491525&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00722.x ABSTRACTThe results of interventions to enhance patient adherence to medication have been inconsistent. This research investigated the utility of an enhanced adherence training programme to ascertain its effectiveness and the possible mechanisms of that effect. Forty‐six clinicians were trained in ‘medication alliance’, and data were collected from 51 patients matched to the clinician. Data on clinician changes in skills, knowledge, and attitudes, in relation to enhancing patient adherence and patient changes in adherence, insight, and psychopathology were collected at baseline and at 6 and 12 months. The quality of the therapeutic relationship between the clinician and the patient was also assessed. The results indicated significant improvements in both clinician and patient measu... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4491525 Fri, 18 Feb 2011 00:00:00 +0100 4491525 http://www.medworm.com/index.php?rid=4491524&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00721.x ABSTRACTPeople with serious mental illness have higher morbidity and mortality rates than general populations, and overweight/obesity‐related conditions are prevalent. Psychotropic medications are a primary factor in significant weight gain. Adolescents and young adults, particularly those with first‐episode psychoses taking atypical antipsychotics, are susceptible to weight gain. This paper reports findings from an integrative review of research investigating the impact and treatment of psychotropic‐induced weight gain. Four databases were searched, yielding 522 papers. From these and hand‐searched papers, 36 research reports were systematically classified and analysed. The review revealed people experiencing psychotropic‐induced weight gain perceive it as distressing. It impact... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4491524 Fri, 18 Feb 2011 00:00:00 +0100 4491524 http://www.medworm.com/index.php?rid=4491523&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00724.x This study has also identified areas for mental health nurses to target interventions. (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4491523 Fri, 18 Feb 2011 00:00:00 +0100 4491523 http://www.medworm.com/index.php?rid=4533796&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2011.00730.x This study investigated the work of a peer support service provided by Mater Child and Youth Mental Health Service in Brisbane, Australia. The study took the form of a content analysis of records of consultations between consumer consultants and 50 families/carers of children admitted into the acute inpatient unit during the period May 2006–April 2008. The content analysis identified four key themes or domains: experience of service provision, emotions and feelings associated with the admission, need for information, and coping with challenges. The findings from the study affirm the role of consumer consultants in child and adolescent inpatient services. Some families value a peer perspective and the opportunity to seek advice and information around a wide variety of topics from people n... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4533796 Tue, 01 Feb 2011 00:00:00 +0100 4533796 http://www.medworm.com/index.php?rid=4508954&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00732.x ABSTRACTThe 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... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4508954 Tue, 01 Feb 2011 00:00:00 +0100 4508954 http://www.medworm.com/index.php?rid=4491522&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00725.x This study has shown that auditing of ECT practices and services by mental health nurses is essential for quality improvement processes. The audit highlighted areas of service delivery that should be subject to review and evaluation against professional standards. (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4491522 Tue, 01 Feb 2011 00:00:00 +0100 4491522 http://www.medworm.com/index.php?rid=4485578&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00734.x ABSTRACTAlthough the concept of ‘mental health nursing’ has grown in popularity over the past 35 years, it remains a myth. People believe that they know what it is and value it highly, but cannot describe or define it other than in vague terms. This paper briefly charts the rise of ‘mental health nursing’, emphasizing its political implications, and in particular, the drive towards an embrace of a person‐centred, recovery‐focused approach to care. If nurses are to realize such ambitions, they must resolve their historical association with psychiatric nursing. The concept of the ‘mental health nurse’ might signal the emergence of a new vision for human services, but might also signal the need for ‘mental health nurses’ to negotiate a formal separation from the traditio... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4485578 Tue, 01 Feb 2011 00:00:00 +0100 4485578 http://www.medworm.com/index.php?rid=4306622&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00701.x ABSTRACTFamily group conferences are usually organized in youth care settings, especially in cases of (sexual) abuse of children and domestic violence. Studies on the application of family group conferences in mental health practices are scarce, let alone in a setting even more specific, such as public mental health care. The present study reports on an exploratory study on the applicability of family group conferencing in public mental health care. Findings suggest that there are six reasons to start family group conference pilots in public mental health care. First, care providers who work in public mental health care often need to deal with clients who are not motivated in seeking help. Family group conferences could yield support or provide a plan, even without the presence of the clie... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4306622 Tue, 04 Jan 2011 19:22:04 +0100 4306622 http://www.medworm.com/index.php?rid=4306621&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00710.x ABSTRACTFamily carers of people with mental illness provide an immense contribution to society in caring for mental health consumers. However, carers can experience substantial burdens and poor health outcomes themselves. Recognition of their needs for education and support has led to the development of a range of family education programmes. Throughout Australia, the Mental Illness Fellowship Australia offers the Well Ways programme, a group‐based, family‐to‐family, education programme that provides information and aims to increase carers' capacity to care effectively for themselves, their families, and the mental health consumers. This paper describes a qualitative evaluation of an emotional support service piloted in a Well Ways programme in rural Queensland, Australia. The pilot ... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4306621 Tue, 04 Jan 2011 19:22:03 +0100 4306621 http://www.medworm.com/index.php?rid=4306620&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00708.x ABSTRACTAdopting a collaborative approach within clinical relationships is illustrative of consumers' and nurses' positive beliefs, values, and attitudes towards each other and their partnership. However, for collaboration to be successful, how roles are determined, how each partner relates to the other, and how decisions are to be made need to be clearly defined and agreed upon. The research study described here utilized a mixed‐method approach comprising focus groups and surveys to explore the subjective understandings, attitudes, and experiences of consumer–nurse collaboration within a mental health rehabilitation context in order to more clearly determine the conditions for successful nurse–consumer collaboration. The study found that although consumers and nurses conceptualized ... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4306620 Tue, 04 Jan 2011 19:22:02 +0100 4306620 http://www.medworm.com/index.php?rid=4306619&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00706.x ABSTRACTCollaboration between psychiatric nurses and family members is considered an important part of caring for people with schizophrenia either in hospital or at home after discharge. Studies have demonstrated family involvement in terms of caring for patients who have been discharged early from hospital. An extensive review of the literature and related studies regarding nursing interventions have been done, but there have been limited studies on what psychiatric nurses actually do when working with the families of people with schizophrenia in Thailand. The purpose of the present study was to explore relationships between Thai psychiatric nurses and families in terms of administering nursing care to patients. Grounded theory methodology was used to examine the processes through which p... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4306619 Tue, 04 Jan 2011 19:22:02 +0100 4306619 http://www.medworm.com/index.php?rid=4306618&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00704.x This study underlines the importance of strengthening support holistically for family members living with an adult person with BD. Support and interventions concerning these families' needs have to be developed and should be provided by all mental health‐care services. (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4306618 Tue, 04 Jan 2011 19:22:01 +0100 4306618 http://www.medworm.com/index.php?rid=4306617&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00705.x ABSTRACTMental 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 individual 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... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4306617 Tue, 04 Jan 2011 19:22:01 +0100 4306617 http://www.medworm.com/index.php?rid=4306616&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00700.x ABSTRACTThere is emerging evidence that young people with first‐episode psychosis are at greater risk of sexually‐transmitted infections (STI) than their peers. Theoretical constructs central to behavioural change theories, broadly defined as sexual health‐related knowledge, attitudes, and beliefs, have guided most sexual risk‐reduction interventions in other at‐risk populations. The role of these constructs in the sexual risk behaviour of young people with early psychosis remains unknown. A convenience sample of 67 young people with first‐episode psychosis and 48 healthy controls matched on a number of sociodemographic characteristics was recruited. Participants completed a survey assessing their sexual behaviour and sexual health‐related knowledge, attitudes, and beliefs. G... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4306616 Tue, 04 Jan 2011 19:22:00 +0100 4306616 http://www.medworm.com/index.php?rid=4306615&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00697.x This article presents findings from an exploratory Australian study. The aim of the study was to explore factors that influenced how mental health Crisis Assessment and Treatment Service (CATS) workers respond to women who disclose sexual assault in crisis service settings. Fifteen CATS workers were surveyed and the predominantly qualitative data were then analysed using thematic analysis. This article presents two key findings: (i) the majority of participants had not experienced adequate sexual assault training, and seven of the 15 did not feel well equipped to respond to a disclosure of sexual assault; and (ii) they rarely consulted or referred women to specialist sexual assault services, despite recognizing the significant impact of sexual assault on mental health functioning. Recommen... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4306615 Tue, 04 Jan 2011 19:22:00 +0100 4306615 http://www.medworm.com/index.php?rid=4306614&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00727.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4306614 Tue, 04 Jan 2011 19:21:59 +0100 4306614 http://www.medworm.com/index.php?rid=4136674&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00707.x This study describes the attributional style of Egyptians with schizophrenia. The study took place in a psychiatric hospital in Egypt. Eight psychiatric wards were randomly selected, and all participants (150) with a diagnosis of schizophrenia participated. Data were collected using the Ambiguous Intention Hostility Questionnaire (AIHQ), the attributional style interview schedule, and the sociodemographic/clinical data sheet. Participants' scores on the AIHQ varied significantly between different situations (intentional, accidental, and ambiguous). The attributional style of the studied participants regarding their perceived psychosocial problems tended to be related to specific causes. These causes were mostly externally attributed to other people and to circumstances, and were perceived ... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4136674 Fri, 05 Nov 2010 22:16:00 +0100 4136674 http://www.medworm.com/index.php?rid=4136673&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00693.x ABSTRACTThe aim of this study was to investigate characteristics that might enhance retention among adolescents attending outpatient alcohol and drug group therapy within a youth mental health setting. An important goal was to provide information for nurses and other clinicians who work with adolescents with coexisting substance use and mental health disorders. A retrospective file audit reviewed the files of 64 adolescents who attended a weekly alcohol and drug group between 2002 and 2004. Five characteristics were shown to have a significant impact on enhancing participant group retention. These were Māori and Pacific Island ethnicity, past or current legal charges, youth drug court (YDC) involvement, having a diagnosis of cannabis dependence, and a diagnosis of conduct disorder. Logist... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4136673 Fri, 05 Nov 2010 22:15:59 +0100 4136673 http://www.medworm.com/index.php?rid=4136672&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00695.x ABSTRACTMental health nurses play a key role in maintaining the safety of patients, themselves, and others during hospitalization. The aim of the research was to evaluate the safety measures that are taken by mental health nurses to identify the security policies that exist in acute mental health wards. The Ward Safety and Security Rules Survey was used as a method of data collection. Descriptive analysis and content analysis were carried out in order to identify nurses' practices. The total sample consisted of 172 mental health nurses and nurses' assistants who worked in 14 acute inpatient psychiatric wards in three psychiatric hospitals in the greater area of Athens, Greece. The results show a minimum number of security features existing in the wards. Only one of the 14 wards had an inte... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4136672 Fri, 05 Nov 2010 22:15:59 +0100 4136672 http://www.medworm.com/index.php?rid=4136671&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00694.x ABSTRACTPublications providing information on the safe use of physical restraints, guidelines for restraint use, and journal articles on the care of mental health patients are frequently devoid of information regarding patients' perspectives on physical restraint. As physical restraint is a common procedure in many settings, the purpose of this review is to examine and summarize the qualitative literature on patients' perspectives on being physically restrained, from 1966 through to 2009. A formal integrative review of existing qualitative literature on patients' perspectives of physical restraint was conducted. Studies were critiqued, evaluated for their strength, and analysed for key themes and meanings. Twelve studies were ultimately identified and included in the review. Four themes em... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4136671 Fri, 05 Nov 2010 22:15:58 +0100 4136671 http://www.medworm.com/index.php?rid=4136670&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00688.x ABSTRACTReactions to caregiving and depression affect a carer's ability to continue in their caring role. This paper examines the relationship between reactions to caregiving and depression in carers of frail, older people and is a cross‐sectional study of carers of community‐living people (≥70 years), identified as frail, who completed a postal questionnaire. Reactions to caregiving were evaluated using the Caregiver Reaction Assessment. Anxiety and depression symptoms were measured using the Hospital Anxiety and Depression Scale. Borderline depressive symptoms were reported in 15% of carers, and 10% had abnormal depressive symptoms. Anxiety symptoms in the carers were slightly higher at 24% and 12%, respectively. Multiple regression indicated that the impact on carers' daily sche... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4136670 Fri, 05 Nov 2010 22:15:57 +0100 4136670 http://www.medworm.com/index.php?rid=4136669&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00703.x ABSTRACTIf early intervention in dementia care is to be enhanced, it is important to have a critical debate over how this should be realized. In this paper, we offer a synthesis of two approaches to care: mental health recovery and person‐centred care, and apply them to early‐stage dementia care. ‘Person‐centred care’ has become a catchphrase for good dementia care. However, many people have not experienced improvements in care, and other lynch pin concepts, such as ‘mental health recovery’, might have utility in driving reform. The similarities and differences between the two approaches are drawn out, and the difficulties of using the word ‘recovery’ when discussing a degenerative disease are highlighted. The implications of this discussion for early intervention are dis... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4136669 Fri, 05 Nov 2010 22:15:57 +0100 4136669 http://www.medworm.com/index.php?rid=4136668&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00684.x ABSTRACTSpiritual reminiscence is a way of telling a life story with emphasis on meaning. Spiritual reminiscence can identify meaning associated with joy, sadness, anger, guilt, or regret. Exploring these issues in older age can help people to reframe some of these events and come to new understanding of the meaning and purpose of their lives. A total of 113 older adults with dementia, living in aged‐care facilities, participated in this study. They were allocated to small groups for spiritual reminiscence, to meet weekly over 6 weeks or 6 months. Quantitative data were gathered using a behavioural scale before and after each spiritual reminiscence session. Qualitative data included taped and transcribed reminiscence sessions, individual interviews, and observer journals. A facilitat... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4136668 Fri, 05 Nov 2010 22:15:56 +0100 4136668 http://www.medworm.com/index.php?rid=4136667&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00699.x The objective of the present study was to explore how mental health‐care professionals initiate, improve, and maintain client autonomy while improving other aspects of quality of care. We studied the different ways in which they approach autonomy and the dilemmas associated with them. As a methodology, we used the insights of actor‐network theory, where concepts cannot be predefined, but are formed within specific situations, and therefore, should be studied by addressing the actors involved. Data were gathered by conducting ethnographic observations of national conferences of a quality‐improvement collaborative and by interviewing actors involved in the improvement practices. In a bottom‐up analysis, four approaches to autonomy emerged: (i) professionals removed constraints to aut... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4136667 Fri, 05 Nov 2010 22:15:56 +0100 4136667 http://www.medworm.com/index.php?rid=4136666&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00692.x ABSTRACTIf 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. (Source: Int... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4136666 Fri, 05 Nov 2010 22:15:55 +0100 4136666 http://www.medworm.com/index.php?rid=4136665&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00687.x ABSTRACTHistorically, the education and training of psychiatric nurses in Canada have only been available within a psychiatric institutional setting or community college. This trend, however, has experienced a recent shift with the establishment of a Canadian undergraduate programme. This development is symbolic of the profession's evolution and serves three primary purposes. First, it continues to address the psychiatric nursing shortage; second, it provides additional educational and career opportunities for students; and third, it serves to advance the psychiatric nursing profession. This essay reflects on a decade of undergraduate psychiatric nurse education and discusses the salient challenges and needs of learners and educators. (Source: International Journal of Mental Health Nursing... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4136665 Fri, 05 Nov 2010 22:15:54 +0100 4136665 http://www.medworm.com/index.php?rid=4136664&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00712_2.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4136664 Fri, 05 Nov 2010 22:15:54 +0100 4136664 http://www.medworm.com/index.php?rid=4136663&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00712_1.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4136663 Fri, 05 Nov 2010 22:15:54 +0100 4136663 http://www.medworm.com/index.php?rid=3922741&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00678.x ABSTRACT (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3922741 Thu, 02 Sep 2010 06:59:40 +0100 3922741 http://www.medworm.com/index.php?rid=3922740&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00674.x ABSTRACT (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3922740 Thu, 02 Sep 2010 06:59:40 +0100 3922740 http://www.medworm.com/index.php?rid=3922739&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00686.x ABSTRACT (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3922739 Thu, 02 Sep 2010 06:59:39 +0100 3922739 http://www.medworm.com/index.php?rid=3922738&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00681.x ABSTRACT (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3922738 Thu, 02 Sep 2010 06:59:39 +0100 3922738 http://www.medworm.com/index.php?rid=3922737&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00679.x ABSTRACT (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3922737 Thu, 02 Sep 2010 06:59:39 +0100 3922737 http://www.medworm.com/index.php?rid=3922736&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00682.x ABSTRACT (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3922736 Thu, 02 Sep 2010 06:59:38 +0100 3922736 http://www.medworm.com/index.php?rid=3922735&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00691.x ABSTRACT (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3922735 Thu, 02 Sep 2010 06:59:38 +0100 3922735 http://www.medworm.com/index.php?rid=3922734&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00690.x ABSTRACT (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3922734 Thu, 02 Sep 2010 06:59:37 +0100 3922734 http://www.medworm.com/index.php?rid=3922733&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00683.x ABSTRACT (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3922733 Thu, 02 Sep 2010 06:59:37 +0100 3922733 http://www.medworm.com/index.php?rid=3922732&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00696.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3922732 Thu, 02 Sep 2010 06:59:36 +0100 3922732 http://www.medworm.com/index.php?rid=3874475&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00698.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3874475 Wed, 18 Aug 2010 06:56:40 +0100 3874475 http://www.medworm.com/index.php?rid=3838057&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00664.x ABSTRACT (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3838057 Sat, 31 Jul 2010 23:00:00 +0100 3838057 http://www.medworm.com/index.php?rid=3838056&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00676.x ABSTRACT (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3838056 Sat, 31 Jul 2010 23:00:00 +0100 3838056 http://www.medworm.com/index.php?rid=3838055&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00665.x ABSTRACT (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3838055 Sat, 31 Jul 2010 23:00:00 +0100 3838055 http://www.medworm.com/index.php?rid=3716251&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00685.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3716251 Fri, 02 Jul 2010 06:11:29 +0100 3716251 http://www.medworm.com/index.php?rid=3716260&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00662.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3716260 Wed, 30 Jun 2010 23:00:00 +0100 3716260 http://www.medworm.com/index.php?rid=3716259&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00675.x Retention and recruitment of the mental health nursing workforce is a critical issue in Australia and more specifically in Western Australia (WA), partly due to the isolation of the state. It has been suggested that these workforce issues might be minimized through the introduction of clinical supervision within WA mental health services, where, historically, it has been misunderstood and viewed with caution by mental health nurses. This may have been partly due to a lack of understanding of clinical supervision, its models, and its many benefits, due to a paucity of information delivered into initial nurse education programs. The aim of this pilot project is to explore and evaluate the introduction of clinical supervision in WA public mental health services. A quantitative approach inform... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3716259 Wed, 30 Jun 2010 23:00:00 +0100 3716259 http://www.medworm.com/index.php?rid=3716258&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00668.x This paper reviews current literature on succession planning for mental health nurse practitioners (NPs) and discusses a model of succession planning that is underpinned by principals of leadership development, workforce participation and client engagement. The paper identifies succession planning as a means of managing a present and future workforce, while simultaneously addressing individual and organizational learning and practice development needs. A discussion of the processes attendant upon sustainable succession planning [ndash] collegial support, career planning and development, information exchange, capacity building, and mentoring is framed within the potential interrelationships between existing NP, developing NP and service directors and/or team managers. Done effectively and i... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3716258 Wed, 30 Jun 2010 23:00:00 +0100 3716258 http://www.medworm.com/index.php?rid=3716257&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00667.x We are often confronted with the dilemmas of interacting with people from different cultural backgrounds. How do we ensure that we meet their needs, if they have some barriers to communicating those needs? This project explores the communication mechanisms used by mental health clinicians, to explore how they modify their communication to reconcile cultural differences and promote self-disclosure. It also identifies the practical experiences that have enlightened clinicians' practice when interacting with culturally and linguistically diverse (CALD) groups. Through focus groups, mental health clinicians were probed about their experiences with CALD groups and the methods used to facilitate communication. Clinicians were working in either acute adult inpatient or community settings in a lar... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3716257 Wed, 30 Jun 2010 23:00:00 +0100 3716257 http://www.medworm.com/index.php?rid=3716256&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00664.x Predecessor research suggests that anything from 37% to 53% of hospitalized service users are readmitted within 12 months of discharge. This cycle of frequent admissions represents a serious challenge to clinicians and service users alike. Critically, much of the research in this field has relied exclusively on professional attributions for readmission with little acknowledgement of service user or patient viewpoints. This paper reports on a phenomenological study which used multiple data collection approaches to explore service user and clinician attributions for frequent hospitalization to an identified psychiatric unit over a 24-month index period. Methods included a retrospective review of multi-professional case notes, clinician and service user semi-structured interviews, and focus g... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3716256 Wed, 30 Jun 2010 23:00:00 +0100 3716256 http://www.medworm.com/index.php?rid=3716255&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00666.x 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 reve... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3716255 Wed, 30 Jun 2010 23:00:00 +0100 3716255 http://www.medworm.com/index.php?rid=3716254&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00676.x Sexuality is a complex and fundamental aspect of a person's health and mental well-being, yet mental health professionals generally seem reluctant to discuss sexuality related issues and few research studies have specifically explored the sexuality of women with enduring mental illness. The aim of this qualitative research was to gain a deeper understanding about the sexuality experiences of this group of women. Eight women were interviewed individually, and then together as a focus group. Working from a feminist theoretical perspective, the interview transcripts were analysed thematically. All the women considered sexuality an essential component of their identity. However, powerful interlocking systems controlled and influenced how the women expressed their sexuality, often marginalizing... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3716254 Wed, 30 Jun 2010 23:00:00 +0100 3716254 http://www.medworm.com/index.php?rid=3716253&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00672.x The aim of this study was to illuminate and interpret guilt and shame expressed by mothers with eating difficulties (ED). The research question was: What is the meaning of guilt and shame experienced by mothers with ED? Experiences of guilt and shame in mothers with ED may be strong, yet concealed, and should be addressed when promoting women's mental health. The study design was explorative, and in-depth interviews were conducted with eight mothers suffering from ED. The data were analysed by means of qualitative content analysis and interpreted according to a hermeneutic approach. The main theme 'Struggling in silence with guilt and shame as a mother living with ED and trying to keep it secret' was interpreted on two levels: emotional, 'Feeling worried about failure and wanting to be suc... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3716253 Wed, 30 Jun 2010 23:00:00 +0100 3716253 http://www.medworm.com/index.php?rid=3716252&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00665.x This study sought to assess individual needs assessed using a widely used clinician rated assessment (Health of the Nation Outcome Scales-Secure; HoNOS-Secure), a subjective needs assessment that considers both staff and patient perspectives (Camberwell Assessment of Need-Forensic version; CANFOR), and a measure of risk for general criminal recidivism (Level of Service Inventory: Screening Version; LSI:SV) in a secure forensic mental health service. Results revealed significant positive correlations between staff ratings on HoNOS-Secure, CANFOR total needs, and CANFOR met needs scores, but no significant association between CANFOR ratings or HoNOS-Secure ratings and LSI:SV scores. Although patients and staff reported the same number of needs overall according to CANFOR (7.2 vs. 7.5, P > 0.... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3716252 Wed, 30 Jun 2010 23:00:00 +0100 3716252 http://www.medworm.com/index.php?rid=3536029&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00680.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3536029 Thu, 06 May 2010 14:06:20 +0100 3536029 http://www.medworm.com/index.php?rid=3536037&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00659.x Solution focused therapy (SFT) is a relatively new and increasingly popular model of brief intervention in mental health care. The central assertion of SFT is that the individual's problem or difficulty (and its cause) need not determine the direction in which the discussion proceeds. Instead the role of the SFT practitioner is to identify what the individual wants to be different and then to explore and elaborate on that difference. This paper outlines the principles of SFT and highlights the compatibility of this approach with the core values of nursing practice. Specific strategies and techniques used in SFT are detailed with clinical examples to illustrate the application of SFT to mental health nursing practice. A summary of current research outcomes and future prospects for SFT in cl... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3536037 Tue, 04 May 2010 23:00:00 +0100 3536037 http://www.medworm.com/index.php?rid=3536036&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00671.x One in five Australians has a diagnosable mental illness and the impact of the illness on the individual, their family, and the community is significant. Since comprehensive nursing was introduced in the 1980s there have been repeated concerns raised regarding the preparedness of graduates from Australian undergraduate nursing programs to care for people who have a mental illness. In 2009, despite a recent comprehensive national review of the mental health/illness content in pre-registration curricula, these concerns remain. The nursing profession must have a responsibility to the global community to ensure that registered nurses are educated to meet evolving health challenges and the needs of the health consumer in the 21st Century. The purpose of this paper is to highlight the prevalence... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3536036 Tue, 04 May 2010 23:00:00 +0100 3536036 http://www.medworm.com/index.php?rid=3536035&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00656.x This study aimed to develop a Japanese version of the SISR and to examine its reliability and validity. The Japanese versions of the SISR-A and SISR-B were developed through focus group cognitive interviews and the translation[ndash]back translation procedure. A cross-sectional questionnaire survey was conducted of 223 participants who had long term mental illness, were aged 20 years or older, and currently living in communities and inpatient ward settings; 59.2% were males and the average age was 47.6 years. The questionnaire also included the 24-item Recovery Assessment Scale, Herth Hope Index, Empowerment Scale, and Resilience Scale. Cronbach's alpha coefficient, intraclass correlation coefficient, and weighted kappas were generally fair to high, and the SISR-A and SISR-B scores were po... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3536035 Tue, 04 May 2010 23:00:00 +0100 3536035 http://www.medworm.com/index.php?rid=3536034&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00663.x This study was the first of its kind to use a theory of cognitive adaptation to explore nurses' experiences of workplace violence. Participants were found to use the cognitive processes of finding meaning, gaining mastery and enhancing the self to adapt to workplace violence. Critical incident debriefing may facilitate the nurse victim's psychological recovery following an episode of workplace violence. (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3536034 Tue, 04 May 2010 23:00:00 +0100 3536034 http://www.medworm.com/index.php?rid=3536033&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00660.x This study examines absconding behaviours across three acute care wards within an Australian psychiatric hospital campus over a 12-month period. A descriptive statistical analysis determined the rate of absconding from 49 consumers who absconded 64 times. The absconding rate was 13.33% (absconding events), with most absconding events arising from males diagnosed with schizophrenia (57.14%) aged between 20 and 29 years, and with 62.50% of absconding events occurring whilst consumers were on their first 21-day detention order. Nearly half of all absconding events were by consumers who had absconded previously, with the highest proportion of events occurring during nursing handover. A profile of people who abscond, time of day of absconding, legal status and repeated absconding behaviours are... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3536033 Tue, 04 May 2010 23:00:00 +0100 3536033 http://www.medworm.com/index.php?rid=3536032&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00670.x 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 samples t-tests and chi-square statistics. Age, gender, diagnosis, indigenous status and Hea... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3536032 Tue, 04 May 2010 23:00:00 +0100 3536032 http://www.medworm.com/index.php?rid=3536031&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00669.x 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; ... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3536031 Tue, 04 May 2010 23:00:00 +0100 3536031 http://www.medworm.com/index.php?rid=3536030&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00657.x The establishment of a positive therapeutic relationship has been widely acknowledged internationally as an intrinsic part of therapy and caring services, even healing and restorative in its own right. In this paper, current understandings of the therapeutic relationship are presented and reconsidered within the context of caring for patients with anorexia in hospital in the UK. The relevance of interpersonal processes and the expectations of care and recovery are re-evaluated and the question posed as to whether these principles can be wholly employed in this setting. The service in which the therapeutic relationship exists (eating disorder services), current understandings of 'therapeutic relationship', responsibility, and tensions that exist in attaining a relationship are examined. (So... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3536030 Tue, 04 May 2010 23:00:00 +0100 3536030 http://www.medworm.com/index.php?rid=3325046&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00673.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3325046 Wed, 03 Mar 2010 14:57:45 +0100 3325046 http://www.medworm.com/index.php?rid=3325056&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2010.00677.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3325056 Tue, 02 Mar 2010 00:00:00 +0100 3325056 http://www.medworm.com/index.php?rid=3325055&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00655.x Web 2.0, the second-generation of the World Wide Web, differs to earlier versions of Web development and design in that it facilitates more user-friendly, interactive information sharing and mechanisms for greater collaboration between users. Examples of Web 2.0 include Web-based communities, hosted services, social networking sites, video sharing sites, blogs, mashups, and wikis. Users are able to interact with others across the world or to add to or change website content. This paper examines examples of wiki use in the Australian mental health sector. A wiki can be described as an online collaborative and interactive database that can be easily edited by users. They are accessed via a standard Web browser which has an interface similar to traditional Web pages, thus do not require speci... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3325055 Tue, 02 Mar 2010 00:00:00 +0100 3325055 http://www.medworm.com/index.php?rid=3325054&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00654.x There is a growing expectation for staff to participate in benchmarking activities. If benchmarking projects are to be successful, managers and clinicians need to be aware of the steps involved. In this article, we identify key aspects of benchmarking and consider how clinicians and managers can respond to and meet contemporary requirements for the development of sound benchmarking relationships. Practicalities and issues that must be considered by benchmarking teams are also outlined. Before commencing a benchmarking project, ground rules and benchmarking agreements must be developed and ratified. An understandable benchmarking framework is required: one that is sufficiently robust for clinicians to engage in benchmarking activities and convince others that benchmarking has taken place. T... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3325054 Tue, 02 Mar 2010 00:00:00 +0100 3325054 http://www.medworm.com/index.php?rid=3325053&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00651.x Concern regarding the low numbers of graduate nurses expressing interest in entering the psychiatric field leads to the question: who would be a psychiatric nurse? In this interpretative, phenomenological study, the lived experiences of seven veteran psychiatric nurses were examined in order to gain understanding of the reasons why they had remained in the field of psychiatric nursing. Each of these participants had more than 10 years' clinical practice in psychiatric nursing and shared a wide range of thoughts, memories, and experiences. The major emergent theme, 'being different', revealed what it is like for the participants being psychiatric nurses. These participants felt and saw themselves as different in many ways from other nurses and from society in general. Related to and an aspe... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3325053 Tue, 02 Mar 2010 00:00:00 +0100 3325053 http://www.medworm.com/index.php?rid=3325052&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00652.x This study highlights staff view of the once-a-week psychiatric ward round compared to a reformed ward round taking place every weekday. Interviews were conducted at one acute psychiatric ward in north-west England. Our analysis revealed a core theme, 'forming a new way of working', which could be understood from three themes. The theme, 'bound by tradition', emphasized how the traditional ward round represented a double-edged sword: it provided a safe structure, but it also highlighted a shared awareness of an urgent need to leave old ways of working behind. The process of change became discernable in the themes 'juggling the change' and 'light at the end of the tunnel', which showed that restructuring the traditional ward round was both possible and valued. We found that staff views on w... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3325052 Tue, 02 Mar 2010 00:00:00 +0100 3325052 http://www.medworm.com/index.php?rid=3325051&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00643.x This article presents findings from a qualitative study of mental health work in community mental health centres with a multiprofessional workforce and aims of active user participation in the service. User participation implies collaborative relationships and different roles than that of expert professionals and dependent patients. How do professionals working in these services experience their work and professional role? This question was explored in order to highlight important aspects of community mental health work. A group of six experienced professionals from three community mental health centres in a Norwegian city were interviewed twice. The informants highlighted the complexity of community mental health work and the need to be flexible when working to support people with mental ... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3325051 Tue, 02 Mar 2010 00:00:00 +0100 3325051 http://www.medworm.com/index.php?rid=3325050&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00641.x There were two objectives of this study. The first was to identify the attitudes of home-visit nurses towards clients with schizophrenia that lead to the provisions of effective care and positive client outcomes for clients with schizophrenia. The second was to develop a framework to understand how nurses acquire nursing attitudes that lead to such provisions. Seven expert home-visit nurses who had successfully prevented rehospitalization of clients with schizophrenia for more than 2 years were interviewed. In the semistructured interviews, the nurses described their experiences in assisting one or two clients. Data were analyzed qualitatively. The central theme was having equal footing with the client. An effective nursing attitude was acquired through recognizing one's own preconceptions... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3325050 Tue, 02 Mar 2010 00:00:00 +0100 3325050 http://www.medworm.com/index.php?rid=3325049&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00644.x International studies report increased rates of mental health problems and subsequent suicidality among homosexual populations. While international health-care policy is concerned with reducing suicide among young people, important research findings relating to gay people and suicidality remain unacknowledged in the Suicide Prevention Strategy for England. This qualitative study, utilizing single case studies, was used to gain an in-depth understanding of the life experiences contributing to the suicidality of four gay men. The methodology was psychoanalytically informed, using free association narrative interviewing. The initial data analysis involved interpretation of each of the case studies and a subsequent analysis exploring the shared experiences found in each of the individual narra... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3325049 Tue, 02 Mar 2010 00:00:00 +0100 3325049 http://www.medworm.com/index.php?rid=3325048&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00653.x The purpose of the current research was to compare former detainees of Khiam prison to a comparison group regarding depression, anxiety, presence of chronic diseases, smoking, and alcohol drinking. The sample consisted of 118 ex-detainees and 90 community controls. The Beck Depression Inventory, the Hamilton Anxiety Scale, the Clinician-Administered Post-Traumatic Stress Disorder Scale, and the Harvard Trauma Questionnaire were used. The ex-detainees suffered from an increased level of depression, high anxiety scores, increased chronic diseases, smoked more, and consumed more alcohol than their comparison group. Regression analyses showed that detainment independently predicted depression and anxiety. (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3325048 Tue, 02 Mar 2010 00:00:00 +0100 3325048 http://www.medworm.com/index.php?rid=3325047&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00647.x Mental disorders are the second leading cause of disease burden among Australia's Indigenous people after cardiovascular disease. Yet Indigenous people do not access mental health services in proportion to their need. This paper explores the barriers and facilitators for Indigenous people seeking mental health services in Australia and identifies key elements in the development and maintenance of partnerships for improved service delivery and future research. The process of seeking help for mental illness has been conceptualized as four consecutive steps starting from recognizing that there is a problem to actually contacting the mental health service. We have attempted to explore the factors affecting each of these stages. While people in the general population experience barriers across ... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3325047 Tue, 02 Mar 2010 00:00:00 +0100 3325047 http://www.medworm.com/index.php?rid=3147559&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00661.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3147559 Thu, 07 Jan 2010 14:43:17 +0100 3147559 http://www.medworm.com/index.php?rid=3147568&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00658.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3147568 Wed, 06 Jan 2010 00:00:00 +0100 3147568 http://www.medworm.com/index.php?rid=3147567&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00639.x This study aimed to investigate the relationship between oral status, health perceptions and life satisfaction, and their impacts on oral health-related quality of life (OHQoL). Data were collected from 113 patients in outpatient psychiatric care using a structured interview and an oral examination. Six multivariate models (one comprising the total population, three separate diagnostic groups, and two sex groups) investigated the variance in OHQoL. In the total population, the number of teeth, subjective life satisfaction, perception of physical health, sex, and relying on chance accounted for 40% of the variance. In the group consisting of patients diagnosed with schizophrenia 41% of the variance was explained by the variables 'number of teeth' and 'perception of physical health'. In the ... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3147567 Wed, 06 Jan 2010 00:00:00 +0100 3147567 http://www.medworm.com/index.php?rid=3147566&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00638.x The administration of medication is an important therapeutic intervention. However, concerns have been raised about the management of this procedure in the acute area. Therefore, a survey was conducted with registered nurses (n = 24) and patients (n = 57) from three acute admission wards in an inner city hospital in the north west of England. Semistructured interviews were conducted immediately following medication administration and then analyzed using thematic analysis. Nurses' views were categorized into three themes: ward environment, communication, and sharing of information. Nurses reported that policies and procedures provided clear guidance, but that the task remained stressful and the role of other professionals affected the integrity of the procedure. Patients' views were categor... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3147566 Wed, 06 Jan 2010 00:00:00 +0100 3147566 http://www.medworm.com/index.php?rid=3147565&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00632.x If practice development (PD) is to be implemented in diverse 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 ... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3147565 Wed, 06 Jan 2010 00:00:00 +0100 3147565 http://www.medworm.com/index.php?rid=3147564&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00649.x This paper describes the development of an adherence therapy intervention in schizophrenia and synthesizes the results to date of a collaborative international programme of research. Sticking to treatment is essential to control symptoms and prevent relapse, but as with other long-term conditions, medication adherence is poor. Adherence therapy seeks to facilitate a process of shared decision making, where both parties work towards agreed goals. Central is the theory that when patients make shared choices with a professional they are more likely to stick with them because they are personally owned and meaningful. The results of adherence therapy trials that seek to test this theory are mixed. Outcomes of trials might have been be affected by the point in the patient's illness cycle when th... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3147564 Wed, 06 Jan 2010 00:00:00 +0100 3147564 http://www.medworm.com/index.php?rid=3147563&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00642.x This paper describes a service user role in the mental health component of an undergraduate nursing programme in New Zealand. The paper provides a background to mental health nursing education in New Zealand and discusses the implications of recent reforms in the mental health sector. The undergraduate nursing programme at the University of Auckland has a strong commitment to service user involvement. The programme aims to educate nurses to be responsive and skilful in meeting the mental health needs of service users in all areas of the health sector and to present mental health nursing as an attractive option for nurses upon graduation. We outline the mental health component of the programme, with an emphasis on the development of the service user role. In the second half of the paper, we... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3147563 Wed, 06 Jan 2010 00:00:00 +0100 3147563 http://www.medworm.com/index.php?rid=3147562&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00635.x This study is part two of a two-part study (see Browne et al. 2008). It used focus groups with seven carers to explore their perspectives on recovery, with a particular focus on housing needs. The participants agreed that quality housing is a critical element of recovery. They identified 'safety and vulnerability' and 'stigma' as the important issues to be considered. They recommended that supported housing be stable, that services come to the consumer, and that the safety of consumers be a priority. This study took place in Australia and the findings have relevance there, but there are also implications for mental health service delivery internationally. (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3147562 Wed, 06 Jan 2010 00:00:00 +0100 3147562 http://www.medworm.com/index.php?rid=3147561&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00637.x This paper questions the current mental health discourse that offers new definitions of the concept of 'recovery' and offers a different perspective that aims to clarify its meaning. Confusion is caused when medical language continues to be used in discussions that aim to challenge traditional medical understanding of the term 'recovery' (meaning cure). Medical and non-medical concepts of recovery are referred to interchangeably in many narratives and the common references to and acceptance of the Harding et al. papers and similar that report on how people can 'get better' from schizophrenia perpetuates this confusion. In this paper, it is suggested that 'recovery' should not be viewed as having new meaning, but that two different concepts have been confused, with the same word having been... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3147561 Wed, 06 Jan 2010 00:00:00 +0100 3147561 http://www.medworm.com/index.php?rid=3147560&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00636.x The purpose of this paper is to present selected findings of a grounded theory study that aims to explore individual processes and desired outcomes of recovery from recurrent health problems in order to build up a theoretical framework of recovery in an Irish context. Volunteers included mental health service users or participants of peer support groups who have experienced recurrent mental health problems for two or more years, consider themselves in improvement, and are willing to participate in individual interviews. The current paper is based on the analysis of 15 audiorecorded and transcribed interviews. We identified two open codes of 'giving up' and 'fighting to get better'. Giving up was associated with accepting a passive identity of a patient with a chronic mental illness and a l... International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=3147560 Wed, 06 Jan 2010 00:00:00 +0100 3147560 http://www.medworm.com/index.php?rid=2952708&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00650.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=2952708 Tue, 03 Nov 2009 14:39:03 +0100 2952708 http://www.medworm.com/index.php?rid=2952717&cid=s_32351_27_f&fid=32351&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1447-0349.2009.00646.x (Source: International Journal of Mental Health Nursing) International Journal of Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=2952717 Mon, 02 Nov 2009 00:00:00 +0100 2952717