Direct care activities for assistants in nursing in inpatient mental health settings in Australia : A modified Delphi study

Abstract BackgroundBangladesh, like other low-resource countries, faces a shortage of a trained mental health workforce to meet its population's mental health needs adequately. The ongoing COVID-19 pandemic has further aggravated this. Mental health first aid (MHFA) is an internationally recognized training program that has been operating in Bangladesh since 2015. It offers a potential way to reduce the mental health treatment gap and skills shortage by training laypeople to help support individuals with mental health issues. The present study evaluated the effectiveness of MHFA training in Bangladesh. MethodsAn online modified Delphi study was conducted consisting of two rounds of a self-administered survey and a consensus workshop. A five-step logic framework was used to develop questionnaire statements (n=111) that consisted of 'general,' 'I,' and 'social impact' statements around the seven MHFA aims. The statements were constructed in English and adapted in Bangla. The expert panel consisted of 20 participants trained in the MHFA program. Participants anonymously stated their opinion on 111 round-1 statements and then on 27 low agreement statements in round-2. The consensus workshop facilitated a group discussion where participants explained their views on the low consensus items. ResultsThe consensus ranged from 61.5% (Aim 3: Promote recovery of good mental health) to 100% (Aim 7: To improve own health and well-being) with an overall consensus of 83.8%. 'Social impact' items produced the most (50%) disagreements. Participants' comments reflected 12 themes of MHFA's effectiveness in fostering and promoting mental health individually and socially. There were nine themes of disagreement reflecting individual, sociocultural, and political barriers to the implementation of MHFA in Bangladesh. Participants made recommendations for the MHFA and mental health initiatives in Bangladesh to increase mental health awareness, acceptance, and support in society.ConclusionMHFA training offers Bangladesh and other low-and-middle-income countries a potential solution to tackle mental health burden at individual and societal levels and the additional challenges that the COVID-19 pandemic poses to mental health.

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Clarity, confidence and complexity: Learning from mental health nurses' experiences of events involving physiological deterioration of consumers in acute inpatient mental health settings

Journal of Clinical Nursing ◽

10.1111/jocn.15126 ◽

2020 ◽

Vol 29 (7-8) ◽

pp. 1102-1114 ◽

Cited By ~ 1

Author(s):

Scott Brunero ◽

Bronwyn Everett ◽

Lucie M. Ramjan ◽

Yenna Salamonson ◽

Kelly Steel ◽

...

Keyword(s):

Mental Health ◽

Mental Health Nurses ◽

Inpatient Mental Health ◽

Mental Health Settings

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Immediate Staff Debriefing Following Seclusion or Restraint Use in Inpatient Mental Health Settings: A Scoping Review

Clinical Nursing Research ◽

10.1177/1054773818791085 ◽

2018 ◽

Vol 29 (7) ◽

pp. 479-495 ◽

Cited By ~ 1

Author(s):

Remar A. Mangaoil ◽

Kristin Cleverley ◽

Elizabeth Peter

Keyword(s):

Mental Health ◽

Scoping Review ◽

Critical Reflection ◽

The Core ◽

Inpatient Mental Health ◽

Restraint Use ◽

Mental Health Settings ◽

Core Components ◽

Training Modules ◽

And Training

The aim of this scoping review is to synthesize the academic and gray literature on the use of immediate staff debriefing following seclusion or restraint events in inpatient mental health settings. Multiple electronic databases were searched to identify literature on the topic of immediate staff debriefing. The analysis identified several core components of immediate staff debriefing: terminology, type, critical reflection, iterative process, training, documentation, and monitoring. While these components were regarded as vital to the implementation of debriefing, they remain inconsistently described in the literature. Immediate staff debriefing is an important intervention not only to prevent future episodes of seclusion and restraint use, but as a forum for staff to support each other emotionally and psychologically after a potentially distressing event. The core components identified in this review should be incorporated into the organization’s policies, practice guidelines, and training modules to ensure consistent conceptualization and implementation of the debriefing process.

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