Journal of Psychiatric and Mental Health NursingThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

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Alternative approaches to 'enhanced observations' in acute inpatient mental health care: a review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study looks at research studies that study alternatives to enhanced observation and argues that there are other ways, perhaps involving less intrusive monitoring or organizing care differently, that could be used as a more acceptable replacement. The paper also argues that more research is needed into this area of mental health nursing. Formal 'enhanced observations' involving allocating one or two nurses to place an patient under continuous observation when acutely ill and at risk of self-harm are ineffective, contribute to impersonal care, are stressful to practitioners and reinforce the perception of a custodial en...
Source: Journal of Psychiatric and Mental Health Nursing - November 6, 2009 Category: Nursing Authors: A. COX, M. HAYTER, J. RUANE Source Type: journals

The experience and consequences of people with mental health problems, the impact of stigma upon people with schizophrenia: a way forwardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The concept of schizophrenia has been examined and discussed in relation to its impact on service users. Discriminating people with schizophrenia, service user's experiences are discussed and how they are disempowered. The impact of stigma on a service user's quality of life has been explored and how this affects the social acceptance of service users. Suggestions are made as to how the negative impact of schizophrenia can be reduced. The aim of this literature review is to explore stigma as experienced by individuals with mental health problems, focusing primarily on schizophrenia. The concept of stigma has been examined....
Source: Journal of Psychiatric and Mental Health Nursing - October 30, 2009 Category: Nursing Authors: J. HARRISON, A. GILL Source Type: journals

Zoning: focused support: a trust wide implementation projectEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Applying pragmatic risk management procedures to facilitate the sharing of clinical knowledge in and across mental health teams. Zoning: focused support is pragmatic risk management support procedure that enhances adherence to operational policies, provides a forum in which staff can receive support and visually facilitates the sharing of clinical knowledge. This paper presents a 3-year multi-method management project that sought to introduce zoning principles into all teams of an inner city Mental Health NHS Trust. By changing the language and culture of the organization findings indicate that there has been a positive at...
Source: Journal of Psychiatric and Mental Health Nursing - October 29, 2009 Category: Nursing Authors: C. GAMBLE, G. DODD, J. GRELLIER, M. HEVER, C. O'CONNER, T. CLARKE, R. CHIPERE, M. MELLOR, M. NESS Source Type: journals

The review and revision of 'Standards of practice for mental health nurses in Australia'Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Psychiatric and Mental Health Nursing)
Source: Journal of Psychiatric and Mental Health Nursing - October 12, 2009 Category: Nursing Authors: CHRISTINE NEVILLE, CATHERINE HANGAN, DIANN ELEY, JIM WEIR, JOHN QUINN, TOM MEEHAN Source Type: journals

Comparison of recovery style and insight of patients with severe mental illness in secure services with those in community servicesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study wishes to examine the idea that there is a relationship between recovery style and insight and where a person receives treatment. In particular, whether they receive treatment in the community or in a secure service. This study is relevant because it connects recovery style and insight with a person's ability to cope. Impairment resulting from illness can continue throughout life despite adequate and appropriate medication. This impairment has been linked to depression and the experience of stigma. By better understanding the relationship between recovery style, insight and coping, services may be able to provid...
Source: Journal of Psychiatric and Mental Health Nursing - October 11, 2009 Category: Nursing Authors: M. M. FITZGERALD Source Type: journals

Health-related quality of life among subjects with long-term mental symptoms in a population-based sampleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We examined HRQL, gender differences and correlates among subjects with long-term mental symptoms in a population-based sample. There was no gender difference in HRQL. Correlates of the poor Physical Component Summary scale were somatic diseases, alexithymic features in men, and a low level of education and the BDI score among women. Life dissatisfaction, alexithymic features in men, and frequent use of alcohol and the BDI score in women associated with the poor Mental Component Summary scale. Women have shown to have poorer health-related quality of life (HRQL) than men. The purpose of this study was to examine HRQL, its ...
Source: Journal of Psychiatric and Mental Health Nursing - October 11, 2009 Category: Nursing Authors: T. SAHARINEN, J. HINTIKKA, L. NISKANEN, J. KYLMÄ, H. KOIVUMAA-HONKANEN, K. HONKALAMPI, M. NIKKONEN, K. HAATAINEN, H. VIINAMÄKI Source Type: journals

Effectiveness of formal observation in inpatient psychiatry in preventing adverse outcomes: the state of the scienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The term 'formal observation' includes routine or general observation, 30- to 15-min checks, and constant or continuous observation. Although nurses have used formal observation in the psychiatric setting for more than 25 years to monitor patient behaviour, the benefits of such approaches are questionable. While formal observation is utilized in a defensive mode to prevent patient harm, the actual efficacy of formal observation is unclear. Additionally, formal observation consumes nursing resources; thus, evidence is necessary to validate and support this intervention. The purpose of this paper is to: determine whether or ...
Source: Journal of Psychiatric and Mental Health Nursing - October 10, 2009 Category: Nursing Authors: M. MANNA Source Type: journals

Case study evaluating the impact of de-escalation and physical intervention trainingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study shows no significant differences in the number or severity of incidents before and after training in de-escalation and physical interventions. Violence and aggression is acknowledged as a serious issue in the mental health services. The aims are to explore whether de-escalation and physical intervention training is effective in reducing incidents and incident severity on a Psychiatric Intensive Care Unit (PICU) and to consider the cost impact. Poisson regression analysis was used to compare the number and severity of incidents on a PICU before and after de-escalation and restraint training. This study shows no s...
Source: Journal of Psychiatric and Mental Health Nursing - October 7, 2009 Category: Nursing Authors: C. LAKER, R. GRAY, C. FLACH Source Type: journals

Child and adolescent experience of and satisfaction with psychiatric care: a critical review of the research literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This review paper contributes to better understanding of child and adolescent perception of quality of psychiatric care and should therefore be of interests for those who are concerned with the development and improvement of psychiatric care. The review shows that the concept of patient satisfaction in child and adolescent psychiatric care is still underdeveloped and that few valid instruments have been developed to measure the concept. The review helps to clarify the concept of adolescent satisfaction with psychiatric care by indentifying the universal components of the concept. The paper concludes that children's percept...
Source: Journal of Psychiatric and Mental Health Nursing - October 6, 2009 Category: Nursing Authors: P. BIERING Source Type: journals

Can the introduction of a quality of life tool affect individual professional practice and the quality of care planning in a community mental health team?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Audit should not be restricted to one form of methodology and should embrace mixing methods of data collection. Use of a quality of life tool allows users more of a voice, enhancing the partnership with service providers and presenting an alternate view of risk. Implementation of any change to practice needs to address local level barriers and engage the service providers in the process, therefore, avoiding the common perception of being given more work without negotiation and feelings of alienation. This practice development paper demonstrates the scope for creativity in mixing audit and methods of investigation. It detai...
Source: Journal of Psychiatric and Mental Health Nursing - September 29, 2009 Category: Nursing Authors: N. MURPHY, H. CUTTS Source Type: journals

Beyond satisfaction, what service users expect of inpatient mental health care: a literature reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Accessible summary Inpatient care is a necessary part of the care continuum for some mental health service users. This inpatient care is increasingly burdened by fewer beds, shorter lengths of stay and fewer resources. Service users expect to have a safe environment in which to receive mental health treatment. They emphasize the expectation that this treatment will involve developing relationships with nurses and other staff. They expect their inpatient care to provide one-on-one counselling, self-help groups, educational sessions, informal opportunities for communication with knowledgeable and empathetic staff, and discha...
Source: Journal of Psychiatric and Mental Health Nursing - September 27, 2009 Category: Nursing Authors: J. E. HOPKINS, S. J. LOEB, D. M. FICK Source Type: journals

Emotional intelligence, empathy and the educative power of poetry: a Deleuzo-Guattarian perspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The employment of poetry in the education of mental health nurses provides a valuable opportunity for the ongoing development of both emotional intelligence and empathy. In particular, poetry's highly creative employment of a variety of sophisticated linguistic techniques enables mental health nurses to participate in a multiplicity of points of view and affective states. This enables the mental health professional to enter the clinical area better prepared to begin the complex and often challenging process of moving towards an empathic understanding of the often complex and multidimensional perceptual and affective states...
Source: Journal of Psychiatric and Mental Health Nursing - September 24, 2009 Category: Nursing Authors: M. ROBERTS Source Type: journals

Service user involvement and the restrictive sense of psychiatric categories: the challenge facing mental health nursesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The language of psychiatry, and the attendant valuations or 'sense' of its diagnostic categories in particular, serve to restrict active service user involvement in mental health care. The challenge, as well as the opportunity, that confronts mental health nurses is to facilitate greater, more active user participation by practising in a manner that elicits the resources, capabilities and potential that service users possess. By doing so, mental health nurses challenge the prevailing and restrictive sense of the diagnostic categories by which service users are identified, and by which they come to identify themselves. The ...
Source: Journal of Psychiatric and Mental Health Nursing - September 24, 2009 Category: Nursing Authors: M. ROBERTS Source Type: journals

The attitudes of nursing staff in secure environments to young people who self-harmEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Psychiatric and Mental Health Nursing)
Source: Journal of Psychiatric and Mental Health Nursing - September 24, 2009 Category: Nursing Authors: T. DICKINSON, K. M. WRIGHT, J. HARRISON Source Type: journals

A preliminary analysis of narratives on the impact of training in solution-focused therapy expressed by students having completed a 6-month training courseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Students who participated in a six month training course in SFBT reported significant changes in their relationships with clients. They reported increased trust in clients as people, increased confidence in their own professional role, and increased enthusiasm for working with clients. Students demonstrated an in-depth knowledge and understanding of solution focused principles and practice, enabling them to own their practice and respond creatively to individual clients. It is suggested that substantive training in solution focused brief therapy may help to enhance the professional role and cultural identity of participant...
Source: Journal of Psychiatric and Mental Health Nursing - September 23, 2009 Category: Nursing Authors: S. SMITH Source Type: journals

Young students' use of the Internet for mental health information and supportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aimed to elicit the views of 922 students on using the Internet for health information and support. The findings of this study can help inform website design and web-based interventions for young people with mental health problems. It is recognized that young people experience difficulties in accessing mainstream mental health services particularly because of the stigma that remains associated with mental health problems. One potential solution is to use the many websites available offering information and support for mental health problems, such support and information could be offered by Psychiatric Nurses. Ho...
Source: Journal of Psychiatric and Mental Health Nursing - September 23, 2009 Category: Nursing Authors: Á. HORGAN, J. SWEENEY Source Type: journals

Investigating mental health service user views regarding sexual and relationship issuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The study presents the views and opinions of service users. User perspectives are captured and clearly articulated. The study also highlights important issues that may be addressed in practice, research and education. To date, very few empirical studies exist that investigate sexual and relationship issues and people who experience enduring mental health problems and less attention has been paid to the personal accounts of clients in this respect. The present study, carried out in the UK, involved 30 people who were asked about past and present relationship experiences and elicited hopes and aspirations for future sexual a...
Source: Journal of Psychiatric and Mental Health Nursing - September 23, 2009 Category: Nursing Authors: E. MCCANN Source Type: journals

Psychiatric wards: places of safety?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There is growing evidence at the international, national and local level of variation in the quality of care provided in psychiatric wards. Interviews with psychiatric inpatients from 60 different wards in England confirmed the findings of smaller-scale studies that although many service users feel safe and cared for in hospital, for others, psychiatric wards are perceived as risky environments. The most irritating problem experienced by psychiatric inpatients, and relatively underreported by previous studies, is the theft of personal property. There is a strong culture of peer support among service users on psychiatric wa...
Source: Journal of Psychiatric and Mental Health Nursing - September 17, 2009 Category: Nursing Authors: J. JONES, P. NOLAN, L. BOWERS, A. SIMPSON, R. WHITTINGTON, D. HACKNEY, K. BHUI Source Type: journals

The place and promotion of well-being in mental health services: a qualitative investigationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study explored service users' and mental health professionals' understandings, experiences and opinions of well-being and its promotion within mental health services. A qualitative case study methodology included nine participants (five adult service users, three mental health professionals, one senior manager) who were purposively sampled from a Mental Health Trust in England. Service users participated in a focus group, while individual semi-structured interviews were held with the mental health professionals and senior manager. Interpretative phenomenological analysis of the data revealed five main themes including...
Source: Journal of Psychiatric and Mental Health Nursing - September 16, 2009 Category: Nursing Authors: C. OWENS, D. CRONE, L. KILGOUR, W. EL ANSARI Source Type: journals

Proposing a common sense approach to assessing the risks posed by physical intervention techniquesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Physical intervention techniques pose a risk to all those exposed to them. Suitable and sufficient risk assessments are therefore essential to ensure patient safety. A robust process for assessing such techniques is outlined in this paper. Irrespective of whether they are universally accepted or approved, physical intervention techniques are being applied, in a variety of health and care settings, on a daily basis. Every time a technique is applied there is a risk of injury. Therefore, there is an imperative to develop an effective way in which such techniques can be effectively risk assessed. The development of a process ...
Source: Journal of Psychiatric and Mental Health Nursing - September 14, 2009 Category: Nursing Authors: L. P. HOLLINS Source Type: journals

Ethnography and the ethics of undertaking research in different mental healthcare settingsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report our experiences of seeking regulatory approval to undertake a qualitative research study using observation and interviews in three different mental healthcare settings. All users of mental health services are classified as 'vulnerable' research participants by UK regulatory research systems. We argue that this is both disempowering to users and also at odds with current health care policy to promote service user involvement in research processes. Access to mental healthcare sites was difficult in spite of agreement by senior area managers. Front-line team leaders acted as gatekeepers to influence which service us...
Source: Journal of Psychiatric and Mental Health Nursing - September 13, 2009 Category: Nursing Authors: H. ALLBUTT, H. MASTERS Source Type: journals

Are chronic fatigue syndrome and fibromyalgia the same? Implications for the provision of appropriate mental health interventionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper views the historical perspectives of chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) and fibromyalgia (FM) that gives an understanding of the background to these complex syndromes. The relationship between CFS/ME and FM are considered based on the evidence presented, which identifies that there is compelling evidence that these two syndromes may in fact be the same. This is interesting as current evidence suggests that these two syndromes are currently treated differently. The long-standing controversy surrounding the aetiology CFS/ME is discussed in relation to the issues of mental health, in partic...
Source: Journal of Psychiatric and Mental Health Nursing - September 8, 2009 Category: Nursing Authors: P. G. MCKAY, T. DUFFY, C. R. MARTIN Source Type: journals

A potential model for the first all Wales mental health service user and carer-led research groupEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper will inform mental health service users and carers on how a University in Wales established a service user and carer-led research group. The group's primary aim will be to undertake its own service user and carer-led research projects. Mental health service users have undergone empowerment and research training at a University in Wales. This is an important initiative because it is the first service user and carer-led research group in Wales. This paper is co-authored by a mental health service user and includes transcripts of service users' stories written in their words. Service user and carer involvement in r...
Source: Journal of Psychiatric and Mental Health Nursing - September 8, 2009 Category: Nursing Authors: C. WILSON, A. FOTHERGILL, H. Rees Source Type: journals

Autoethnographic ethics and rewriting the fragmented selfEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper juxtaposes my own mental health problems with autoethnographic ethics relevant to my subject matter. Autoethnographic ethics are treated according to their historical development in the social sciences. It is argued that culture flows through self and vice versa. The paper begins with a summary of severe mental health difficulties I had in recent years. The narrative then turns to the crisis of representation in the social sciences which gave rise to autoethnographic ethics. Autoethnographic writing is compared and contrasted with realist writing, the former being seen to be accorded with several advantages when...
Source: Journal of Psychiatric and Mental Health Nursing - September 7, 2009 Category: Nursing Authors: A. GRANT Source Type: journals

Community psychiatric nursing in the Netherlands: a survey of a thriving but threatened professionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Community psychiatric nursing is a widespread nursing differentiation across the world. In spite of their large numbers, Dutch community psychiatric nurses (CPNs) have contributed little to the literature. Community psychiatric nursing has developed within the typical Dutch system of strictly separated hospital-based and community-based psychiatric care. The autonomous position of CPNs is challenged by increasing evidence-based practice and specialization in both nursing and mental health care. An increased focus on research and evidence-based practice is necessary to maintain the merits of the community-based psychiatric ...
Source: Journal of Psychiatric and Mental Health Nursing - September 3, 2009 Category: Nursing Authors: B. KOEKKOEK, B. VAN MEIJEL, A. SCHENE, G. HUTSCHEMAEKERS Source Type: journals

Forensic nurses perceptions of labels of mental illness and personality disorder: clinical versus management issuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study reports on research carried out across the High, Medium and Low secure psychiatric services in the UK. One thousand two hundred questionnaires were distributed with a response rate of 34.6%. The results indicated a statistically significant difference across High (z= 9.69; P[le] 0.01), Medium (z= 11.06; P[le] 0.01) and Low (z= 9.57; P= 0.01) security with a focus on the management of people with a personality disorder using the Wilcoxon paired samples test. There was also a statistically significant difference in relation to a more clinical/treatment focus for those with a diagnosis of mental illness in Medium (...
Source: Journal of Psychiatric and Mental Health Nursing - August 30, 2009 Category: Nursing Authors: T. MASON, R. HALL, M. CAULFIED, K. MELLING Source Type: journals

Antipsychotic-induced hyperprolactinaemia in patients with schizophrenia: considerations in relation to bone mineral densityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Accessible summary Schizophrenia affects about 1% of the world's population and such patients are at risk of a variety of physical health conditions, including diabetes, coronary heart disease, hypertensions and osteoporosis. Osteoporosis secondary to antipsychotic medication-induced hyperprolactinaemia (i.e. raised prolactin levels) has received little attention, when compared with metabolic syndrome for instance. A recent study established that schizophrenia and prolactin-raising antipsychotic medication are directly associated with hip fractures. This is important and concerning as osteoporotic fractures are associated ...
Source: Journal of Psychiatric and Mental Health Nursing - August 25, 2009 Category: Nursing Authors: B. STUBBS Source Type: journals

Antipsychotics in pregnancyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article summarizes the literature relating to the use of antipsychotics in pregnancy with a focus on the most commonly used atypical antipsychotics. Discusses other key factors to be considered when using these medications in pregnant or lactating women. Recognizes the contribution of pregnancy registers in gathering data to provide guidance to clinicians about the psychopharmacological management of women with serious mental illness. Women who are pregnant and who have a history of psychosis are commonly managed with antipsychotic medications. The evidence regarding the use of antipsychotics in pregnancy has been ins...
Source: Journal of Psychiatric and Mental Health Nursing - August 23, 2009 Category: Nursing Authors: K. MCCAULEY-ELSOM, C. GURVICH, S. J. ELSOM, J. KULKARNI Source Type: journals

Investigating barriers to implementation of the NICE Guidelines for Depression: a staff survey with Community Mental Health TeamsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The National Institute for Health and Clinical Excellence produce clinical guidelines that make recommendations for treatment of various physical and mental health conditions. Recent research with Community Mental Health Team's in a South London borough showed that the National Institute for Health and Clinical Excellence guidelines for Depression were not being fully implemented. To find out some of the reasons for this a questionnaire was given to staff about their knowledge and use of these guidelines. Staff reported that the services do not have enough resources to provide the recommended treatments for all people with...
Source: Journal of Psychiatric and Mental Health Nursing - August 23, 2009 Category: Nursing Authors: L. RHODES, R. GENDERS, R. OWEN, K. O'HANLON, J. S. L. BROWN Source Type: journals

Collecting subjective and rating scale data within a single case study design: cognitive behavioural therapy for a person experiencing psychosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cognitive Behavioural Therapy (CBT) for psychotic symptoms is seen as an increasingly important treatment option for individuals with long-term mental health problems such as schizophrenia. CBT for psychosis has been evaluated in a number of randomized controlled trials, with evaluation often being determined only by rating scale data. By using scale data alone within clinical practice it has been argued that this method only provides a narrow view of the effect of the specific intervention being utilized and what benefit this has had for the individual. This paper reports on a case study whereby scale data alone were inco...
Source: Journal of Psychiatric and Mental Health Nursing - August 16, 2009 Category: Nursing Authors: J. CARDEN, A. JONES Source Type: journals

Electroconvulsive therapy: a comparison of knowledge and attitudes of student nurses and staff mental health nurses at a psychiatric hospital in NigeriaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Patient are more likely to accept electroconvulsive therapy based on the attitudes of their health professionals. Nigerian mental health nurses believe electroconvulsive therapy to be beneficial, though overprescribed. They also subscribe to the need for regulation of the procedure. Electroconvulsive therapy (ECT) is effective in the treatment of some psychiatric disorders. Among other reasons, service users may refuse ECT when indicated due to myth and little or lack of knowledge about the procedure. The knowledge of and attitude towards ECT among nurses may reflect on patients and influence treatment choice. Previous st...
Source: Journal of Psychiatric and Mental Health Nursing - August 16, 2009 Category: Nursing Authors: B. O. JAMES, A. O. LAWANI, J. O. OMOAREGBA, E. W. ISA Source Type: journals

Mental health care and resistance to fascismEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The ideas and politics of British nationalism are highly topical at the moment. Issues of race and racism are key elements of this sort of fascist political movement. There are clear links between modern fascist parties and the wartime Nazis. The history of mental health and psychiatric services shows up problems in how ethnic minorities have been treated. The Holocaust offers examples of terrible treatment of people with mental health problems, including the active participation of nurses in programmes of sterilization and murder. We can learn lessons from all of this that are relevant to today's nurses and ethical care. ...
Source: Journal of Psychiatric and Mental Health Nursing - August 16, 2009 Category: Nursing Authors: M. McKEOWN, D. MERCER Source Type: journals

Treatment and recovery as perceived by patients with substance addictionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study was therefore to examine positive and negative perceptions of treatment and recovery from the perspectives of these patients. Data were collected with semi-structured interviews among seven patients who completed treatment and six patients who prematurely dropped out from their programme (n= 13). Patients were strategically sampled from five inpatient facilities and one outpatient opioid maintenance treatment clinic located in two Norwegian counties. All interviews were transcribed and thereafter analysed with contextual content analysis aided by the qsr nvivo 8.0 software. This was carried out ...
Source: Journal of Psychiatric and Mental Health Nursing - August 2, 2009 Category: Nursing Authors: T. NORDFJÆRN, T. RUNDMO, R. HOLE Source Type: journals

Uncovering sexual abuse: evaluation of the effectiveness of The Victims of Violence and Abuse Prevention ProgrammeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Accessible summary Discusses factors inhibiting open talk around a client's history of abuse including gender, age and diagnosis. Evaluates the helpfulness of a training course designed to reduce and overcome these factors. Aim of the evaluation is to help replicate the training nationally, following the positive impact found. Despite the high prevalence of sexual abuse among users of mental health services, it appears that mental health professionals are frequently unaware of clients' abuse histories. In order to address this, a Mental Health Trusts Collaboration Project of nine trusts was formed, which piloted delivering...
Source: Journal of Psychiatric and Mental Health Nursing - July 27, 2009 Category: Nursing Authors: J. DONOHOE Source Type: journals

A narrative review of the Beck Depression Inventory (BDI) and implications for its use in an alcohol-dependent populationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The findings from the present study reveal that the Beck Depression Inventory (BDI) is a reliable and valid instrument for measuring depression in a variety of populations. This realization should enable nurses and other health professionals to utilize the tool with added confidence and assurance. The main finding was that the BDI would probably be a reliable and valid screening tool in an alcohol-dependent population. This conclusion appears to echo the relationship that alcohol consumption generally has with depression. This finding is important to those practitioners using the BDI in this population in that it provides ...
Source: Journal of Psychiatric and Mental Health Nursing - July 27, 2009 Category: Nursing Authors: A. MCPHERSON, C. R. MARTIN Source Type: journals

Manual restraint of adult psychiatric inpatients: a literature reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Information about the use of manual restraint to manage violent or challenging behaviour in psychiatric hospitals is relatively scarce. This review includes 45 studies of manual restraint of adult psychiatric inpatients, mostly from the UK. Overall, the research suggests that manual restraint is used up to five times per month on an average ward, lasts for about 10 min and tends to involve patients being restrained face down on the floor. Manually restrained patients are young, male and detained under mental health legislation. We conclude that more and better-quality research is needed to improve knowledge of how manual r...
Source: Journal of Psychiatric and Mental Health Nursing - July 27, 2009 Category: Nursing Authors: D. STEWART, L. BOWERS, A. SIMPSON, C. RYAN, M. TZIGGILI Source Type: journals

All this happened, more or less: thoughts on 'truth', the role of fiction and its potential application in mental health and psychiatric nursing researchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper explores history and historical research from different perspectives. It explores the role of fiction in the construction of historical work and how there may be elements of fiction in history, and, similarly, historical 'fact' in works of fiction. A number of texts that explore the 1960's counterculture are interrogated. A conclusion is drawn that works of fiction can be used, with caution, to inform our understanding of the past. Fundamental differences in the philosophy of history as an academic discipline are briefly explored, primarily from two perspectives. The traditional psychiatric and mental health nur...
Source: Journal of Psychiatric and Mental Health Nursing - July 26, 2009 Category: Nursing Authors: F. C. BILEY Source Type: journals

An ethnographic study of forensic nursing culture in an Australian prison hospitalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Forensic nurses are faced with unique challenges in their attempt to deliver nursing care in a custodial environment. The impact of such challenges on the cultural dynamic of forensic nursing and consequently on healthcare delivery is largely unknown. The aim of this ethnographic study was to explore the nursing culture within an Australian prison hospital and the migration of the culture over a 12-month period. At the end of the study, the nursing culture was found to be one of hope, although with no clearly articulated vision of nurse-hood or patient-hood and model within which to practice nursing. The ability to articu...
Source: Journal of Psychiatric and Mental Health Nursing - July 26, 2009 Category: Nursing Authors: A. CASHIN, C. NEWMAN, M. EASON, A. THORPE, C. O'DISCOLL Source Type: journals

Older women's experiences of depression: a hermeneutic phenomenological studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study describes what it was like for four older women to live with depression . . . Each woman was interviewed up to three times and we found: Depression had a major effect on the women's beliefs about themselves, resulting in a self-loathing and a feeling of failure. The women's self-loathing caused them to believe that other people thought badly of them, which led them to withdraw from family and friends. Consequently, these older women were unable to be in meaningful relationships with other people. This contributed to them feeling alone and isolated. The findings were supported by the themes of: self-loathing; bei...
Source: Journal of Psychiatric and Mental Health Nursing - July 22, 2009 Category: Nursing Authors: J. ALLAN, A. DIXON Source Type: journals

The experiences of carers in Taiwanese culture who have long-term schizophrenia in their families: a phenomenological studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Carers in families with long-term schizophrenia in Taiwanese culture are suffering several burdens, such as burdens of caring and emotional burdens. Strategies of coping, cognitive and religious coping strategies were used by carers in order to cope with their burdens. The awareness of such traditional cultural values would help people to provide care in a culturally sensitive manner. Schizophrenia is a severe illness with little hope of recovery and requires long-term care. The purpose of this study was to explore the experiences of carers who live with someone with long-term schizophrenia, within the cultural context of ...
Source: Journal of Psychiatric and Mental Health Nursing - July 20, 2009 Category: Nursing Authors: X.-Y. HUANG, B.-J. HUNG, F. K. SUN, J.-D. LIN, C.-C. CHEN Source Type: journals

Special observations in forensic psychiatric practice: gender issues of the watchers and the watchedEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study reports on special observations undertaken in forensic settings focusing specifically on the gender-sensitive issues. The aim of the study was to investigate the specific gender issues relating to special observations in relation to those under the procedure and those engaged in observing. Three medium secure units in the UK formed the sampling frame, and the population studied was eight female and seven male clinical Registered nurses. Semi-structured interviews were conducted, audio-tape-recorded and transcribed for analysis. The analysis involved a Grounded Theory approach to explicate categories and formulat...
Source: Journal of Psychiatric and Mental Health Nursing - July 15, 2009 Category: Nursing Authors: T. MASON, E. MASON-WHITEHEAD, M. THOMAS Source Type: journals

Resilience: resistance factor for depressive symptomEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Resilience is the ability of an individual or group to carry on and solve problems so that survival of hard times is more likely. Resilience protects individuals from depression and includes behaviours that can be taught to persons who are vulnerable to hardships including physical illness, psychosocial isolation and aloneness, and mental illness. Older adults who rated their overall health as relatively good were also more willing to talk with health providers about depressive symptoms if it was affecting their social activities, making them feel useless to others, or affecting how well they could think or concentrate. Ne...
Source: Journal of Psychiatric and Mental Health Nursing - July 14, 2009 Category: Nursing Authors: P. R. SMITH Source Type: journals

The effects of cognitive training on community-dwelling elderly KoreansEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study was to apply and test the effects of cognitive training on community-dwelling, elderly Koreans. The cognitive training was applied for 24 weeks to 129 elderly participants. The participants were divided into two groups to receive either cognitive training followed by observational period, or observational period followed by cognitive training. The primary outcome measures were the geriatric depression scale (Geriatric Depression Scale Short Form-Korean, GDS-SF-K) and mini-mental status examination (Mini-Mental State Examination in the Korean version, MMSE-KC) scores. There were no differences be...
Source: Journal of Psychiatric and Mental Health Nursing - July 13, 2009 Category: Nursing Authors: M. H. PARK, D. Y. KWON, W. K. SEO, K. S. LIM, M. S. SONG Source Type: journals

Implementation of Clinical Supervision: educational preparation and subsequent diary accounts of the practicalities involved, from an Australian mental heath nursing innovationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Clinical Supervision (CS) has shown promise as a positive contribution to the clinical governance agenda in health service provision. Educational preparation and first-hand testimony of the issues faced by mental health nursing staff engaged as supervisors in the implementation of CS arrangements in Queensland, Australia, are reported. Several challenges emerge from the diary accounts of their experience that may confront Clinical Supervision policy makers, educators, managers and clinicians, anywhere in the world, with immediate effect. Set against the backdrop of several inquiry reports about mental health service provis...
Source: Journal of Psychiatric and Mental Health Nursing - July 12, 2009 Category: Nursing Authors: E. WHITE, J. WINSTANLEY Source Type: journals

The life circumstances of persons with a psychiatric disability: a survey in a region in southern SwedenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the life circumstances of persons with a psychiatric disability living in a region in southern Sweden. The respondents themselves describe their life circumstances in terms of their living conditions, occupation and activities, health, and formal and informal support. The results show that 77.5% are unmarried, which differ considerably from corresponding figures for the Swedish population in general, of whom only 34% are single. Approximately 23% reported some sort of regular work, while only 8.7% declared that they earned a salary. Nine of 10 participants reported that their income came from sicknes...
Source: Journal of Psychiatric and Mental Health Nursing - June 30, 2009 Category: Nursing Authors: M. NORDSTRÖM, I. SKÄRSÄTER, T. BJÖRKMAN, H. WIJK Source Type: journals

Observation intervention: time for an overviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article explores the observation literature but not in the traditional literature review sense; rather, it takes the approach of clinical and local practice and the application of the literature to practice. The time has come to take the evidence base for observation intervention to the level of evaluation research. Much material on the subject of observation is not published and few people at local level have an overview of how the intervention has changed over time or how the policies have been implemented. This paper aims to illustrate the nature and extent of research and development work related to observation pr...
Source: Journal of Psychiatric and Mental Health Nursing - June 30, 2009 Category: Nursing Authors: A. M. KETTLES, M. A. ADDO Source Type: journals

An audit of the use of breakaway techniques in a large psychiatric hospital: a replication studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study provides further evidence that breakaway training may be too complex for people to recall in real-life situations. More research is needed to find out what types of training are best recalled. Techniques that most closely resemble instinctual responses may be better remembered. This paper describes an audit study of the effectiveness of breakaway training conducted in a specialist inpatient mental health hospital. Breakaway techniques comprise a set of physical skills to help separate or break away from an aggressor in a safe manner, but do not involve the use of restraint. Staff (n= 147) were assessed on their ...
Source: Journal of Psychiatric and Mental Health Nursing - June 29, 2009 Category: Nursing Authors: G. DICKENS, G. ROGERS, C. ROONEY, A. Mc GUINNESS, D. DOYLE Source Type: journals

Depression: a psychiatric nursing theory of connectivityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Depression is a personal, individually experienced and complex phenomenon. People disconnect from their internal and external worlds as they journey with their despair. Psychiatric nurses are in a unique position to support people while they journey with depression through provision of connective care. This paper presents a theory of connectivity, which was formulated from the findings of a Classical Grounded Theory study that was designed to capture a sample of people's perceptions of living with depression or caring for individuals with depression. Data were collected from: (1) a focus group consisting of people with dep...
Source: Journal of Psychiatric and Mental Health Nursing - June 29, 2009 Category: Nursing Authors: M. FEELY, A. LONG Source Type: journals

Mental health inequalities and mental health nursingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Current research clearly shows that mental health problems occur more frequently in some social groups than others. These inequalities in mental health affect people in many developed countries. For example, depression and anxiety are more common among poorer people than richer people. Depression is more common among women while suicide is more common among men. There are higher rates of certain mental health problems among ethnic minorities. People with long-term mental health problems also have poorer physical health compared with those in the general population. These differences are thought to be determined by a person...
Source: Journal of Psychiatric and Mental Health Nursing - June 29, 2009 Category: Nursing Authors: L. ELLIOTT, H. MASTERS Source Type: journals

Self-help CBT for depression: opportunities for primary care mental health nurses?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There is currently a big demand for effective and accessible treatments for common mental health problems, but waiting lists are often long. The aim of this review is to discover whether self-help cognitive behavioural therapy materials are effective in the treatment of depression. It explores a possible role for mental health nurses within primary care to provide access to and low-level support with, these materials. A possible model for organizing such a service is suggested. Mental health treatments that are effective and accessible to the general population are in high demand. Cognitive behavioural therapy (CBT) has be...
Source: Journal of Psychiatric and Mental Health Nursing - June 29, 2009 Category: Nursing Authors: A. E. WARRILOW, B. BEECH Source Type: journals