scholarly journals Educational needs of practice nurses in mental health

2011 ◽  
Vol 3 (2) ◽  
pp. 142 ◽  
Author(s):  
Anne Prince ◽  
Katherine Nelson
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Assessment ◽  
Behavioural Therapy ◽  
Postal Survey ◽  
Health Concern ◽  
Health Concerns ◽  
Practice Nurses ◽  
Mental Health Concern ◽  
Mental Health Concerns

INTRODUCTION: Large numbers of patients see practice nurses (PNs) daily for their health care. Many of these patients will have a mental health need. International research suggests that practice nurses are undertaking mental health assessment and interventions without the requisite skills and knowledge. AIM: To describe the needs of PNs in mental health education and to explore any involvement with patients with mental health concerns. METHODS: Postal survey of PNs in Hawkes Bay and Tairawhiti regions. Analysis was by descriptive, correlation and inferential statistics and content analysis for open questions. RESULTS: Fifty-two respondents completed the survey (response rate 36%) and the results demonstrate that these PNs are caring for patients with an extensive range of mental health concerns daily. Most common are people with depression and anxiety. The nurses perform a variety of mental health interventions such as counselling and advice on medication and have minimal confidence in their skill level. Their expressed learning needs included education on many mental health conditions including suicidal ideation, all types of depression and bipolar disorder, and of therapies such as cognitive behavioural therapy and family therapy. DISCUSSION: PNs require education and support specifically designed to meet their identified needs in mental health to help improve care to patients. This will require collaboration between secondary mental health services, primary mental health nurses and tertiary institutions. With targeted education these nurses should become more confident and competent in their dealings with people who present to their practice with a mental health concern. KEYWORDS: Education; mental health; practice nurse; survey; primary health care

scholarly journals Should health care institutions provide job accommodations for health care workers with serious mental health concerns during the COVID-19 pandemic?

2020 ◽  
Vol 9 (5) ◽  
pp. 31
Author(s):  
Alexandra M. Villagran ◽  
Janet Malek ◽  
Sophie C. Schneider ◽  
Christi J. Guerrini
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Workers ◽  
Health Concerns ◽  
Ethical Duty ◽  
Care Workers ◽  
Risk Of Disease ◽  
Mental Health Concerns ◽  
Disease Exposure ◽  
Vulnerable Workers

As the Coronavirus Disease 2019 pandemic continues, increased attention has been given to its mental health impacts on frontline health care workers. There is a consensus, consistent with established standards applicable to the duty to treat, that health care workers who are especially vulnerable to risk of physical harm should be provided job accommodations to reduce their risk of disease exposure, but it is unclear whether health care workers should be provided similar accommodations if their vulnerability relates specifically to mental health concerns. Especially given emerging evidence that the pandemic is taking a heavy toll on the mental health of health care workers, this issue should be included in policy conversations involving support of health care workers and provision of resources to them during the pandemic. Arguments in favor of expanding accommodations to those with mental health concerns include institutions’ ethical duty to protect vulnerable workers and not discriminate against their employees, as well as broader consideration of the consequences of not providing accommodations, both for health care workers and patients.

scholarly journals Proof-of-concept support for the development and implementation of a digital assessment for perinatal mental health: a mixed methods study (Preprint)

2021 ◽  
Author(s):  
Nayra Anna Martin-Key ◽  
Benedetta Spadaro ◽  
Thea Sofie Schei ◽  
Sabine Bahn
Keyword(s):  
Mental Health ◽  
Health Assessment ◽  
Mental Healthcare ◽  
Perinatal Period ◽  
Perinatal Mental Health ◽  
Health Concerns ◽  
Mental Health Assessment ◽  
Digital Assessment ◽  
Mental Health Concerns ◽  
The Uk

BACKGROUND Perinatal mental health symptoms commonly remain underdiagnosed and undertreated in maternity care settings in the UK, with outbreaks of disease, like the coronavirus (COVID-19) pandemic, further disrupting access to adequate mental health support. Digital technologies may offer an innovative way to support the mental health needs of women and their families throughout the perinatal period, as well as assist midwives in the recognition of perinatal mental health concerns. However, little is known about the acceptability and perceived benefits and barriers to using such technologies. OBJECTIVE To conduct a mixed methods evaluation of the current state of perinatal mental healthcare provision in the UK, as well as users’ (women and partners) and midwives’ interest in using a digital mental health assessment throughout the perinatal period. METHODS Eight hundred and twenty-nine women, 103 partners, and 90 midwives participated in the study, which entailed completing an online survey. Quantitative data were explored using descriptive statistics. Open-ended response data were first investigated using thematic analysis. Resultant themes were then mapped onto the components of the Capability, Opportunity, and Motivation Model of Behavior (COM-B model) and summarized using descriptive statistics. RESULTS The provision of adequate perinatal mental healthcare support was limited, with experiences varying significantly across respondents. There was a strong interest in using a digital mental health assessment to screen, diagnose, and triage perinatal mental health concerns, particularly among women and midwives. The digital assessment was seen to be well placed within maternity healthcare settings, with in-person only and blended care (i.e., in-person and remote support) approaches being preferred by women and partners in the event of further care being advised. Identified benefits and barriers mainly related to physical opportunity (e.g., accessibility), psychological capability (e.g., cognitive skills) and automatic motivation (e.g., emotions). CONCLUSIONS This study provides proof-of-concept support for the development and implementation of a digital mental health assessment to inform clinical decision-making in the assessment of perinatal mental health concerns in the UK.

scholarly journals COVID-19 Impact on Pediatric Health: A survey of families in Wayne County, MI

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110261
Author(s):  
Raksha Raheja ◽  
Chaya Pitman-Hunt ◽  
Sara Haidar ◽  
Slavica Gjorgjevska ◽  
Jacqueline Leja
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Social Interactions ◽  
Access To Health Care ◽  
Pediatric Population ◽  
Pediatric Health ◽  
Wayne County ◽  
Health Concerns ◽  
Mental Health Concerns ◽  
The Impact

Background. In response to the novel coronavirus disease (COVID-19), the state mandated “Stay At Home” order included closure of schools and public places and physical distancing measures. As a result, social interactions among children were significantly impaired and pediatric outpatient offices and vaccination rates declined. We sought to determine the impact of the COVID-19 pandemic on mental health as well as access to health care in our pediatric population in Wayne County, Michigan. Design/Methods. We conducted a survey through the Wayne County Public School Districts to elicit information regarding subjects’ access to pediatric health care as well as experiences pertinent to their child(ren)’s mental health. Results. Approximately 8500 surveys were sent to families and 278 responses were received. Responses revealed that 46% of children spent more time alone during the pandemic, 36.9% had changes in sleep, 25.6% had little pleasure in doing things, and 32.5% were unhappy or sad. 66.2% were able to make new visits during the pandemic, however, 20.1% missed their child’s doctors’ visits for reasons including clinic cancellations and fear of entering a healthcare setting. Conclusions. The results of this survey demonstrate significant mental health concerns among our pediatric population as approximately 1/3 of families reported changes in behavior or mental health. As school closures persist in response to the ongoing pandemic and social interactions remain limited, it is imperative that pediatricians screen for depression, behavioral problems and other mental health concerns and offer families help to identify appropriate community mental health resources.

scholarly journals Practice Nurses Educational Needs in Mental Health: a Descriptive Exploratory Survey

2021 ◽  
Author(s):  
◽  
Anne Patricia Prince
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Community Mental Health Services ◽  
Postal Survey ◽  
Health Concern ◽  
Learning Needs ◽  
Practice Nurses ◽  
Co Morbidity ◽  
Wide Range

<p>Background-Large numbers of patients see practice nurses (PNs) daily for their health care. Many of these patients will have a mental illness or a mental health (MH) need. International research suggests that the practice nurses are undertaking mental health assessment and interventions without the requisite skills and knowledge. This thesis reports on a study designed to quantify PNs work in mental health, to determine their education requirements and establish their confidence in the field of mental health. Methods-A postal survey was used to examine the nature of MH problems encountered by PNs, describe the MH interventions currently being used by them and identify the perceived learning needs of PNs in MH. Practice nurses in Hawkes Bay and Tairawhiti regions were surveyed. The questionnaire consisted of 33 open, closed and likert questions. Analysis was by descriptive, correlation and inferential statistics plus content analysis for open questions. Findings-52 respondents completed the questionnaire and the results demonstrate that these PNs are caring for patients with an extensive range of mental health concerns daily. Most common are people with depression and anxiety. The nurses perform a wide range of MH interventions such as counselling and advice on medication and have minimal confidence in their skill level. The nurses expressed learning needs included recognition and management of a wide range of mental health conditions such as suicidal ideation and all types of depression, reflecting the range of conditions met. Other learning requirements included understanding of co-morbidity and how to screen for mental health. The preferred provider of education was community mental health services by means of a short course specifically designed to meet their needs. Discussion-Practice nurses require education and support specifically designed to meet their identified needs in mental health to help then improve the care to patients. This will require collaboration between secondary mental health services, primary mental health nurses and tertiary institutions. With targeted education these nurses should become more confident and competent in their dealings with people who present to their practice with a mental health concern.</p>

scholarly journals LO029: Undetected serious medical illness in mental health patients seen in an academic emergency department

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S39-S40
Author(s):  
C. Poss ◽  
C. Fernandes ◽  
M. Columbus ◽  
K. Wood
Keyword(s):  
Mental Health ◽  
Chart Review ◽  
Primary Outcome ◽  
Average Length ◽  
Health Concern ◽  
Medical Illness ◽  
Health Concerns ◽  
Number Of Patients ◽  
The Mean ◽  
Mental Health Concerns

Introduction: Mental health concerns make up 5-10% of all adult presentations to Canadian emergency departments (ED). One challenge for the emergency physician (EP) is determining if a patient with a mental health concern has concomitant underlying medical illness. We defined “serious medical illness” (SMI) as a pathological condition that requires inpatient treatment on a medical or surgical ward. SMI undetected by emergency physicians in patients presenting with mental health concerns may result in adverse patient outcomes. The aim of this study was to determine the prevalence, timing, and etiology of undetected SMI in the ED among adult patients presenting with mental health concerns. Methods: A retrospective chart review was performed on all patients age 18 and older who presented to the ED at Victoria Hospital, London Health Sciences Centre between October 1, 2014 and April 30, 2015, who were subsequently referred to psychiatry by the EP. The primary outcome was the number of patients transferred to a medicine or surgery inpatient unit for treatment of their SMI within seven days of psychiatry admission from the ED. Results: 1,255 patients were referred to psychiatry during the study period. 803 patients were admitted and 452 were discharged. Of the admitted patients, 14/803 patients (1.7%) met our primary outcome. The mean age of patients in the SMI group (n=14) was 64 years. The mean age in the non-SMI group (n=1,241) was 38. In the SMI group, 3/14 patients died, 2/14 patients required an ICU admission, and 2/14 patients underwent a surgery for their missed SMI. The average length of psychiatry admission prior to transfer was 3.7 days. The average length of medical/surgical admission after transfer from psychiatry was 8.3 days. Undetected diagnoses included NSTEMI, serotonin syndrome, lithium toxicity, thoracic aortic aneurysm, gastrointestinal stromal tumour, forearm abscess, Parkinsonian crisis, and others. Conclusion: This chart review demonstrated a 1.7% rate of undetected serious medical illness in patients who presented to the ED with mental health concerns. Adverse outcomes included death, ICU admissions, and surgeries. This rate is similar to other studies on the topic. The SMI group tended to be older than the non-SMI group. This research may have implications on the appropriate workup and disposition of elderly patients presenting to the ED with mental health concerns.

scholarly journals Practice Nurses Educational Needs in Mental Health: a Descriptive Exploratory Survey

2021 ◽  
Author(s):  
◽  
Anne Patricia Prince
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Community Mental Health Services ◽  
Postal Survey ◽  
Health Concern ◽  
Learning Needs ◽  
Practice Nurses ◽  
Co Morbidity ◽  
Wide Range

<p>Background-Large numbers of patients see practice nurses (PNs) daily for their health care. Many of these patients will have a mental illness or a mental health (MH) need. International research suggests that the practice nurses are undertaking mental health assessment and interventions without the requisite skills and knowledge. This thesis reports on a study designed to quantify PNs work in mental health, to determine their education requirements and establish their confidence in the field of mental health. Methods-A postal survey was used to examine the nature of MH problems encountered by PNs, describe the MH interventions currently being used by them and identify the perceived learning needs of PNs in MH. Practice nurses in Hawkes Bay and Tairawhiti regions were surveyed. The questionnaire consisted of 33 open, closed and likert questions. Analysis was by descriptive, correlation and inferential statistics plus content analysis for open questions. Findings-52 respondents completed the questionnaire and the results demonstrate that these PNs are caring for patients with an extensive range of mental health concerns daily. Most common are people with depression and anxiety. The nurses perform a wide range of MH interventions such as counselling and advice on medication and have minimal confidence in their skill level. The nurses expressed learning needs included recognition and management of a wide range of mental health conditions such as suicidal ideation and all types of depression, reflecting the range of conditions met. Other learning requirements included understanding of co-morbidity and how to screen for mental health. The preferred provider of education was community mental health services by means of a short course specifically designed to meet their needs. Discussion-Practice nurses require education and support specifically designed to meet their identified needs in mental health to help then improve the care to patients. This will require collaboration between secondary mental health services, primary mental health nurses and tertiary institutions. With targeted education these nurses should become more confident and competent in their dealings with people who present to their practice with a mental health concern.</p>

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