scholarly journals Facilitating knowledge of mental health nurses to undertake physical health interventions: a pre-test/post-test evaluation

2014 ◽  
Vol 22 (3) ◽  
pp. 383-393 ◽  
Author(s):  
Steve Hemingway ◽  
Andrew Clifton ◽  
John Stephenson ◽  
Karen-Leigh Edward
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Health Interventions ◽  
Test Evaluation ◽  
Mental Health Nurses ◽  
Post Test

scholarly journals Involving carers in risk assessment: a study of a structured dialogue between mental health nurses and carers

2019 ◽  
Vol 24 (5) ◽  
pp. 330-341 ◽  
Author(s):  
Haley Jackson ◽  
Jane Wray ◽  
Eric Gardiner ◽  
Tracy Flanagan
Keyword(s):  
Mental Health ◽  
Safety Information ◽  
Intervention Group ◽  
Service Users ◽  
Chi Square ◽  
Mental Health Nurses ◽  
Perceptions Of Risk ◽  
Post Test ◽  
The Impact ◽  
Satisfaction With Services

Background Involving carers is a key priority in mental health services. Carers report the sharing of service users’ safety information by mental health nurses is problematic and seldom takes place. Aims The impact of an intervention on consensus between nurses and carers on perceptions of risk was investigated. Methods Carer–nurse risk consensus scores were measured pre- and post-introduction of a structured dialogue (paired t-test/ANOVA). Carer experience with involvement was surveyed pre-test ( n = 60) and compared with the post-test intervention group ( n = 32) (chi-square tests of linear-by-linear association). Results Consensus and perceptions regarding type and severity of risk did not change significantly for carers or nurses after engaging in a structured dialogue. Statistically significant differences were found with carers reporting higher levels of satisfaction with services in four out of six areas surveyed. Conclusions Findings provide support for increasing carer contribution to discussions regarding risk. Further work to embed carer involvement in clinical practice is warranted.

scholarly journals Switching antipsychotics to support the physical health of people with severe mental illness: a qualitative study of healthcare professionals’ perspectives

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e042497
Author(s):  
Annabel Nash ◽  
Tom Kingstone ◽  
Saeed Farooq ◽  
Jessica Tunmore ◽  
Carolyn A Chew-Graham
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Mental Illness ◽  
Side Effects ◽  
Qualitative Study ◽  
Physical Health ◽  
Severe Mental Illness ◽  
Secondary Care ◽  
Healthcare Professionals ◽  
Mental Health Nurses

ObjectivesThe side effects of antipsychotic medications (APs) can increase the risk of developing physical health conditions. Some APs pose a higher risk than others. Evidence suggests switching to lower risk APs can support physical health outcomes. We sought to explore the views of healthcare professionals about switching antipsychotics to support physical health in people with severe mental illness (SMI).DesignA qualitative study with semi-structured interviews conducted with general practitioners (GPs), psychiatrists and mental health nurses. The main focus was to explore participants’ views on the physical health of people with SMI, the impact of APs and decision-making about switching medication to support physical health. Data were analysed thematically using principles of constant comparison.SettingsParticipants recruited through primary care and one mental health trust in the West Midlands.ParticipantsInterviews were conducted with 9 GPs, 10 psychiatrists and 4 mental health nurses.ResultsAwareness and knowledge of AP side-effects and risk profiles varied considerably between primary and secondary care clinicians. GPs reported limited awareness, while psychiatrists and nurses demonstrated a comprehensive understanding of AP risk profiles and side-effects. Mental health and control of symptoms were prioritised. Switching to promote physical health was considered as a reactive intervention, once side-effects or complications developed. There were a range of views over where responsibility lay for monitoring physical health and consideration of switching. Collaboration between primary and secondary care was identified as a way to address this.ConclusionsThis study presents multidisciplinary perspectives on awareness, decision making, perceived responsibility and barriers to switching APs to support physical health. Collaborative approaches that involve liaison between primary and secondary care, but tailored to the individual patient, may support switching, and present an opportunity to intervene to address the physical health inequalities experienced by individuals with SMI.

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