In this chapter, we will examine some ways in which crisis resolution teams (CRTs) liaise and wor... more In this chapter, we will examine some ways in which crisis resolution teams (CRTs) liaise and work with other acute care services, especially in facilitating early discharge from hospital. Ways of establishing strong and effective working relationships between hospital and crisis services will be described. Finally, different approaches to facilitating early discharge will be explored in three case studies. The relationship between crisis and acute services Much of the focus in the literature discussing CRTs tends to be on providing an alternative at the point of hospital admission. However, another important role, particularly where one of the main goals of introducing them is to reduce bed use and divert resources into community-based mental healthcare, is their potential for becoming involved following admission in order to allow early discharge from hospital. As yet, very little research has focused specifically on the effectiveness of strategies for reducing hospital stay. Early discharge is perhaps the activity for which strong relationships between CRTs and ward teams are most important, but this relationship is also important when CRTs offer intensive home treatment to patients who present significant risks: rapid access to inpatient beds is needed if escalating risk and lack of treatment response make management at home unsustainable. An effective relationship with inpatient teams is important to allow CRTs to engage in positive risk taking with this group.
Blackwell Science, Annual subscription £180 ISSN 1369 6513 ——————— Rating: ★★★★ Health Expectat... more Blackwell Science, Annual subscription £180 ISSN 1369 6513 ——————— Rating: ★★★★ Health Expectations is a new journal, established in 1998 and published quarterly from 1999. It focuses on “things done with the active involvement of patients, users or citizens” rather than “things done to them.” These include “involvement of patients and their advocates in decisions about individual health care; involvement of users and their representatives in service design, delivery, and evaluation; and involvement of consumer advocates and the general public in debates about health care.” The four issues published so far contained 16 research papers, seven “viewpoints” or literature reviews, and 25 reviews of books or resources in 219 pages. Most of the published research concerns the involvement of individual patients, focusing on information aids and patient satisfaction. The remaining research papers deal with surveys on users’ opinions about specific topics that are relevant to health policy making. The viewpoints and literature reviews refer to debates about the organisation and delivery of health care, while the reviews cover books on user involvement and information aids for users and patients. The format of the articles is similar to that in most medical journals, although the papers are somewhat longer than usual. Examples of the published research include a pilot study of an information aid for women with a family history of breast cancer, a survey of the use of evidence by healthcare user organisations, an in-depth analysis of shared decision making in consultations for upper respiratory tract infections, an interview study on the relation between expectations and satisfaction of patients who considered surgery for gynaecological cancer. Health Expectations has certainly expanded the opportunities to read and publish articles on involvement of patients and users in health care. Concentrating such papers into one journal should make it much easier to learn about new developments in the subject, as such articles were previously scattered among many journals. Health Expectations may therefore stimulate further research and development in this subject. One limitation is that it is not very interactive: it does not yet have a section for letters to the editor or a website for responses to published papers. Another limitation, also mentioned by the editors, is that the journal has a strong British orientation. A major danger is that the journal will become (or be regarded as) a promoter of involvement of patients and users as such. The editors are aware of this danger, as one of them writes in an editorial that “progress is hampered by the politically correct position that more participation is always a good thing.” Furthermore, at least one of the papers reports on negative consequences of greater patient participation: patients who received more information on coronary angiography were less satisfied with the care they received. It is crucial that the editors maintain this critical and balanced approach. I am not sure whether Health Expectations has a long term future. The interest in patients’ and users’ involvement in health care is currently fashionable, but that may disappear, and well designed studies in the subject may increasingly be published in established healthcare journals. In the meantime, however, Health Expectations should provide an important forum for research and debate on the subject.
Background Research priority setting aims to identify research gaps within particular health fiel... more Background Research priority setting aims to identify research gaps within particular health fields. Given the global burden of mental illness and underfunding of mental health research compared to other health topics, knowledge of methodological procedures may raise the quality of priority setting to identify research with value and impact. However, to date there has been no comprehensive review on the approaches adopted with priority setting projects that identify mental health research, despite viewed as essential knowledge to address research gaps. Hence, the paper presents a summary of the methods, designs, and existing frameworks that can be adopted for prioritising mental health research to inform future prioritising projects. Method A systematic review of electronic databases located prioritisation literature, while a critical interpretive synthesis was adopted whereby the appraisal of methodological procedures was integrated into the synthesis of the findings. The synthesis...
Objectives: Numerous studies revealed that improved nursing skills are associated with the experi... more Objectives: Numerous studies revealed that improved nursing skills are associated with the experience of the nurses, social skills, self-education, autonomy, anxiety. In the present study, we have examined whether nursing skills are related to occupational stress. Methods: An institution based cross sectional study was conducted from June 20 to December 25, 2020. A total of one hundred and forty-four psychiatric nurses completed a questionnaire assessing the aforementioned variables. Descriptive statistics and independent t-test were used to determine the characteristics of the participants and examine the difference among different variables. Results: During the one-month data collection period, 144 psychiatric nurses were included in the analysis. Mean age of the participants were 39.3 ± 9.4. The majority (127 (88.2%)) of them were female. Of 144 respondents, 83 (57.6%) had a bachelor’s degree and 6 (6%) had a higher degree certification. Comparison by courses, those who studied p...
Objectives: The satisfaction scale is an imperious and commonly used indicator for measuring the ... more Objectives: The satisfaction scale is an imperious and commonly used indicator for measuring the quality of healthcare. We have aimed in the present study to determine the satisfaction level of the associated factors on psychiatric patient caretakers in Mongolia. Methods: The cross-sectional study was conducted from March 5 to June 12, 2020, and a total of 264 psychiatric patient caretakers visiting outpatient psychiatric care in Mental Hospital during the study period completed a satisfaction questionnaire. Independent t-test and descriptive statistics were used to determine the participants' characteristics and examine the satisfaction variables. Results: During the one-month data collection period, 264 participants were included in the analysis. The mean age of the participants was 42 ± 3.3. The majority (157,59.5%) were females and visited the hospital more than once (216,81.8%).The participants were mostly dissatisfied with health professional communications, particularly r...
Background A changing sociodemographic landscape has seen rising numbers of people with two or mo... more Background A changing sociodemographic landscape has seen rising numbers of people with two or more long-term health conditions. Multimorbidity presents numerous challenges for patients and families and those who work in healthcare services. Therefore, the nursing profession needs to understand the issues involved in supporting people with multiple chronic conditions and how to prepare the future workforce to care for them. Methods A descriptive, exploratory study was used to examine the future of nursing in an age of multimorbidity. An hour-long Twitter chat was organised and run by the Florence Nightingale Foundation Chairs of Clinical Nursing Practice Research to discuss this important area of practice and identify what needs to be done to adequately upskill and prepare the nursing profession to care for individuals with more than one long-term illness. Questions were formulated in advance to provide some structure to the online discussion. Data were collected and analysed from t...
The daily experience of mental health nurses in providing care for women with psychosis Norah Aly... more The daily experience of mental health nurses in providing care for women with psychosis Norah Alyahya, Ian Munro, Wendy Cross Monash University, Melbourne, Australia, King Saud University, Riyadh, Saudi Arabia, National Mental Health Commission, Melbourne, Australia The lived experience of psychosis is closely associated with the person’s potential for recovery. Therefore a better understanding of this experience will enable service providers to address the gaps in service delivery and improve overall outcomes for people with psychosis. This study investigated how nurses working in mental health in Saudi Arabia understand psychosis and the psychotic experience. It also explored nurses’ attitudes towards caring for women with psychosis. To examine this phenomenon, we opted to utilise van Manen’s methodology due to its features and its appropriateness to the research area. Ethical approval was received from the Monash University Human Research Ethics Committee, in addition to both hos...
BackgroundClinical academic nursing roles are rare, and clinical academic leadership positions ev... more BackgroundClinical academic nursing roles are rare, and clinical academic leadership positions even more scarce. Amongst the United Kingdom (UK) academia, only 3% of nurses who are employed within universities are clinically active. Furthermore, access to research fellowships and research grant funding for nurses in clinical or academic practice is also limited. The work of Florence Nightingale, the original role model for clinical academic nursing, is discussed in terms of how this has shaped and influenced that of clinical academic nurse leaders in modern UK healthcare settings. We analysed case studies with a view to providing exemplars and informing a new model by which to visualise a trajectory of clinical academic careers.MethodsA Framework analysis of seven exemplar cases was conducted for a network of Clinical Academic Nursing Professors (n = 7), using a structured template. Independent analysis highlighted shared features of the roles: (a) model of clinical academic practic...
Journal of Psychiatric and Mental Health Nursing, 2021
Accessible SummaryWhat is known on the subject? Advanced clinical practitioners (ACPs) are, typic... more Accessible SummaryWhat is known on the subject? Advanced clinical practitioners (ACPs) are, typically, non‐medical healthcare professionals, who possess advanced clinical skills, a master's level qualification and evidence of leadership, management and research abilities. Most ACPs are nurses and new ACP roles are increasingly being established around the world. The views of senior staff towards new mental health nursing roles in organizations are likely to influence their introduction and sustainability Research on mental health nursing ACP roles is sparse. What the paper adds to existing knowledge? The paper uniquely provides specific information as to factors perceived by senior staff as affecting the implementation of ACP roles in mental health services. A wide range of mental health services were perceived as potentially benefiting from ACPs. Establishing role clarity for MHN ACPs is perceived as being as essential to successful introduction of the role, as has been found f...
In this chapter, we will examine some ways in which crisis resolution teams (CRTs) liaise and wor... more In this chapter, we will examine some ways in which crisis resolution teams (CRTs) liaise and work with other acute care services, especially in facilitating early discharge from hospital. Ways of establishing strong and effective working relationships between hospital and crisis services will be described. Finally, different approaches to facilitating early discharge will be explored in three case studies. The relationship between crisis and acute services Much of the focus in the literature discussing CRTs tends to be on providing an alternative at the point of hospital admission. However, another important role, particularly where one of the main goals of introducing them is to reduce bed use and divert resources into community-based mental healthcare, is their potential for becoming involved following admission in order to allow early discharge from hospital. As yet, very little research has focused specifically on the effectiveness of strategies for reducing hospital stay. Early discharge is perhaps the activity for which strong relationships between CRTs and ward teams are most important, but this relationship is also important when CRTs offer intensive home treatment to patients who present significant risks: rapid access to inpatient beds is needed if escalating risk and lack of treatment response make management at home unsustainable. An effective relationship with inpatient teams is important to allow CRTs to engage in positive risk taking with this group.
Blackwell Science, Annual subscription £180 ISSN 1369 6513 ——————— Rating: ★★★★ Health Expectat... more Blackwell Science, Annual subscription £180 ISSN 1369 6513 ——————— Rating: ★★★★ Health Expectations is a new journal, established in 1998 and published quarterly from 1999. It focuses on “things done with the active involvement of patients, users or citizens” rather than “things done to them.” These include “involvement of patients and their advocates in decisions about individual health care; involvement of users and their representatives in service design, delivery, and evaluation; and involvement of consumer advocates and the general public in debates about health care.” The four issues published so far contained 16 research papers, seven “viewpoints” or literature reviews, and 25 reviews of books or resources in 219 pages. Most of the published research concerns the involvement of individual patients, focusing on information aids and patient satisfaction. The remaining research papers deal with surveys on users’ opinions about specific topics that are relevant to health policy making. The viewpoints and literature reviews refer to debates about the organisation and delivery of health care, while the reviews cover books on user involvement and information aids for users and patients. The format of the articles is similar to that in most medical journals, although the papers are somewhat longer than usual. Examples of the published research include a pilot study of an information aid for women with a family history of breast cancer, a survey of the use of evidence by healthcare user organisations, an in-depth analysis of shared decision making in consultations for upper respiratory tract infections, an interview study on the relation between expectations and satisfaction of patients who considered surgery for gynaecological cancer. Health Expectations has certainly expanded the opportunities to read and publish articles on involvement of patients and users in health care. Concentrating such papers into one journal should make it much easier to learn about new developments in the subject, as such articles were previously scattered among many journals. Health Expectations may therefore stimulate further research and development in this subject. One limitation is that it is not very interactive: it does not yet have a section for letters to the editor or a website for responses to published papers. Another limitation, also mentioned by the editors, is that the journal has a strong British orientation. A major danger is that the journal will become (or be regarded as) a promoter of involvement of patients and users as such. The editors are aware of this danger, as one of them writes in an editorial that “progress is hampered by the politically correct position that more participation is always a good thing.” Furthermore, at least one of the papers reports on negative consequences of greater patient participation: patients who received more information on coronary angiography were less satisfied with the care they received. It is crucial that the editors maintain this critical and balanced approach. I am not sure whether Health Expectations has a long term future. The interest in patients’ and users’ involvement in health care is currently fashionable, but that may disappear, and well designed studies in the subject may increasingly be published in established healthcare journals. In the meantime, however, Health Expectations should provide an important forum for research and debate on the subject.
Background Research priority setting aims to identify research gaps within particular health fiel... more Background Research priority setting aims to identify research gaps within particular health fields. Given the global burden of mental illness and underfunding of mental health research compared to other health topics, knowledge of methodological procedures may raise the quality of priority setting to identify research with value and impact. However, to date there has been no comprehensive review on the approaches adopted with priority setting projects that identify mental health research, despite viewed as essential knowledge to address research gaps. Hence, the paper presents a summary of the methods, designs, and existing frameworks that can be adopted for prioritising mental health research to inform future prioritising projects. Method A systematic review of electronic databases located prioritisation literature, while a critical interpretive synthesis was adopted whereby the appraisal of methodological procedures was integrated into the synthesis of the findings. The synthesis...
Objectives: Numerous studies revealed that improved nursing skills are associated with the experi... more Objectives: Numerous studies revealed that improved nursing skills are associated with the experience of the nurses, social skills, self-education, autonomy, anxiety. In the present study, we have examined whether nursing skills are related to occupational stress. Methods: An institution based cross sectional study was conducted from June 20 to December 25, 2020. A total of one hundred and forty-four psychiatric nurses completed a questionnaire assessing the aforementioned variables. Descriptive statistics and independent t-test were used to determine the characteristics of the participants and examine the difference among different variables. Results: During the one-month data collection period, 144 psychiatric nurses were included in the analysis. Mean age of the participants were 39.3 ± 9.4. The majority (127 (88.2%)) of them were female. Of 144 respondents, 83 (57.6%) had a bachelor’s degree and 6 (6%) had a higher degree certification. Comparison by courses, those who studied p...
Objectives: The satisfaction scale is an imperious and commonly used indicator for measuring the ... more Objectives: The satisfaction scale is an imperious and commonly used indicator for measuring the quality of healthcare. We have aimed in the present study to determine the satisfaction level of the associated factors on psychiatric patient caretakers in Mongolia. Methods: The cross-sectional study was conducted from March 5 to June 12, 2020, and a total of 264 psychiatric patient caretakers visiting outpatient psychiatric care in Mental Hospital during the study period completed a satisfaction questionnaire. Independent t-test and descriptive statistics were used to determine the participants' characteristics and examine the satisfaction variables. Results: During the one-month data collection period, 264 participants were included in the analysis. The mean age of the participants was 42 ± 3.3. The majority (157,59.5%) were females and visited the hospital more than once (216,81.8%).The participants were mostly dissatisfied with health professional communications, particularly r...
Background A changing sociodemographic landscape has seen rising numbers of people with two or mo... more Background A changing sociodemographic landscape has seen rising numbers of people with two or more long-term health conditions. Multimorbidity presents numerous challenges for patients and families and those who work in healthcare services. Therefore, the nursing profession needs to understand the issues involved in supporting people with multiple chronic conditions and how to prepare the future workforce to care for them. Methods A descriptive, exploratory study was used to examine the future of nursing in an age of multimorbidity. An hour-long Twitter chat was organised and run by the Florence Nightingale Foundation Chairs of Clinical Nursing Practice Research to discuss this important area of practice and identify what needs to be done to adequately upskill and prepare the nursing profession to care for individuals with more than one long-term illness. Questions were formulated in advance to provide some structure to the online discussion. Data were collected and analysed from t...
The daily experience of mental health nurses in providing care for women with psychosis Norah Aly... more The daily experience of mental health nurses in providing care for women with psychosis Norah Alyahya, Ian Munro, Wendy Cross Monash University, Melbourne, Australia, King Saud University, Riyadh, Saudi Arabia, National Mental Health Commission, Melbourne, Australia The lived experience of psychosis is closely associated with the person’s potential for recovery. Therefore a better understanding of this experience will enable service providers to address the gaps in service delivery and improve overall outcomes for people with psychosis. This study investigated how nurses working in mental health in Saudi Arabia understand psychosis and the psychotic experience. It also explored nurses’ attitudes towards caring for women with psychosis. To examine this phenomenon, we opted to utilise van Manen’s methodology due to its features and its appropriateness to the research area. Ethical approval was received from the Monash University Human Research Ethics Committee, in addition to both hos...
BackgroundClinical academic nursing roles are rare, and clinical academic leadership positions ev... more BackgroundClinical academic nursing roles are rare, and clinical academic leadership positions even more scarce. Amongst the United Kingdom (UK) academia, only 3% of nurses who are employed within universities are clinically active. Furthermore, access to research fellowships and research grant funding for nurses in clinical or academic practice is also limited. The work of Florence Nightingale, the original role model for clinical academic nursing, is discussed in terms of how this has shaped and influenced that of clinical academic nurse leaders in modern UK healthcare settings. We analysed case studies with a view to providing exemplars and informing a new model by which to visualise a trajectory of clinical academic careers.MethodsA Framework analysis of seven exemplar cases was conducted for a network of Clinical Academic Nursing Professors (n = 7), using a structured template. Independent analysis highlighted shared features of the roles: (a) model of clinical academic practic...
Journal of Psychiatric and Mental Health Nursing, 2021
Accessible SummaryWhat is known on the subject? Advanced clinical practitioners (ACPs) are, typic... more Accessible SummaryWhat is known on the subject? Advanced clinical practitioners (ACPs) are, typically, non‐medical healthcare professionals, who possess advanced clinical skills, a master's level qualification and evidence of leadership, management and research abilities. Most ACPs are nurses and new ACP roles are increasingly being established around the world. The views of senior staff towards new mental health nursing roles in organizations are likely to influence their introduction and sustainability Research on mental health nursing ACP roles is sparse. What the paper adds to existing knowledge? The paper uniquely provides specific information as to factors perceived by senior staff as affecting the implementation of ACP roles in mental health services. A wide range of mental health services were perceived as potentially benefiting from ACPs. Establishing role clarity for MHN ACPs is perceived as being as essential to successful introduction of the role, as has been found f...
Uploads
Papers