scholarly journals Introducing a nurse-led deliberate self-harm assessment service

2001 ◽  
Vol 25 (6) ◽  
pp. 212-214 ◽  
Author(s):  
Gill Griffin ◽  
Jonathan I. Bisson
Keyword(s):  
Mental Health ◽  
Training Needs ◽  
Clinical Implications ◽  
Junior Doctors ◽  
Mental Health Nurses ◽  
Deliberate Self Harm ◽  
Mental Health Nurse ◽  
Health Nurse ◽  
Nurse Assessment ◽  
Self Harm

Aims and MethodThis study considered patients admitted to hospital following deliberate self-poisoning. The characteristics of the patients and the outcomes of assessments by trainee psychiatrists and a mental health nurse were compared.ResultsThere were no significant differences in the outcome of 68 assessments performed by a trainee psychiatrist and 77 by a mental health nurse. The nurse assessment service was well-received by the poisons unit, a medical ward specialising in overdose treatment, and trainee psychiatrists.Clinical ImplicationsPsychosocial assessments following self-poisoning can be provided by appropriately trained and supervised mental health nurses. The introduction of a nurse-led service should enhance relationships with the local poisons unit and reduce the workload of junior doctors without compromising their training needs.

scholarly journals Joint assessment out of hours: assessing the benefits for patients and junior doctors

2013 ◽  
Vol 37 (8) ◽  
pp. 272-275
Author(s):  
Laura Boyd ◽  
Colin Crawford ◽  
Eugene Wong
Keyword(s):  
Mental Health ◽  
Clinical Implications ◽  
Junior Doctors ◽  
Out Of Hours ◽  
Assessment Protocol ◽  
Admission Rates ◽  
Mental Health Nurse ◽  
Health Nurse ◽  
The Impact ◽  
Joint Assessment

Aims and methodWe examined the impact of implementing a new Acute Mental Health Emergency Assessment Protocol (AMHEAP) on joint psychiatric assessments out of hours within Forth Valley, Scotland, over the course of 4 calendar months. The protocol states that assessments should be carried out by a junior doctor and a registered, qualified mental health nurse. The impact measures were taken as admission rates and experience of the doctor in training.ResultsIn the 4 months that were examined (1 June–30 September 2011), 79.5% of out-of-hours emergency assessments were performed jointly. Admission rates were significantly decreased (P<0.001) compared with a similar period in 2008, before the AMHEAP protocol was developed. Most junior doctors valued the experience of joint assessment.Clinical implicationsJoint assessment can enhance patient experience, reduce hospital admission, and provide a learning opportunity for junior doctors in emergency psychiatric assessments. However, it represents a move away from the doctor as sole decision maker.

Mental Health Nurses' Dispositional Decision-Making for People Presenting to the Emergency Department With Deliberate Self-Harm: An Exploratory Study

2014 ◽  
Vol 51 (2) ◽  
pp. 148-153 ◽  
Author(s):  
Grant Phillips ◽  
Marie Frances Gerdtz ◽  
Stephen James Elsom ◽  
Tracey J. Weiland ◽  
David Castle
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Emergency Department ◽  
Exploratory Study ◽  
Mental Health Nurses ◽  
Deliberate Self Harm ◽  
Self Harm

scholarly journals ‘Enhanced Support for High Intensity Users of the Criminal Justice System’: An Evaluation of Mental Health Nurse Input into Integrated Offender Management Services in the North East of England

2015 ◽  
Vol 15 (1) ◽  
pp. 43-55 ◽  
Author(s):  
Wendy Dyer ◽  
Paul Biddle
Keyword(s):  
Mental Health ◽  
Criminal Justice ◽  
Justice System ◽  
Mental Health Problems ◽  
Service Development ◽  
Mental Health Nurses ◽  
North East ◽  
The North ◽  
Mental Health Nurse ◽  
Health Nurse

The current UK Government's focus on the development of services to manage and support offenders with mental health problems has resulted in a number of innovative project developments. This research examines a service development in the North East of England which co-located mental health nurses with two Integrated Offender Management teams. While not solving all problems, the benefits of co-location were clear, although such innovations are now at risk from government changes which will make Integrated Offender Management the responsibility of new providers without compelling them to co-operate with health services.

scholarly journals An exploration of why qualified mental health nurse prescribers do not prescribe

2020 ◽  
Vol 2 (7) ◽  
pp. 404-412
Author(s):  
Helen Oldknow ◽  
Warren Gillibrand ◽  
Andrew Clifton
Keyword(s):  
Mental Health ◽  
Mental Health Nurses ◽  
Descriptive Phenomenology ◽  
Face To Face ◽  
Structure And Agency ◽  
Knowledge Culture ◽  
Mental Health Nurse ◽  
Health Nurse ◽  
Field Notes ◽  
Mapping Exercise

This article is an exploratory study of perceptions in mental health nurses who are qualified to prescribe yet choose not to do so. In-depth semi-structured face-to-face interviews, field notes and analysis of documents were used to investigate the perceptions of the non–prescribing nurse prescriber. A mapping exercise was conducted to identify potential participants. Interview data analysis was based on the principles of descriptive phenomenology and the research was theoretically framed within concepts of power, structure/agency and culture. This study has contributed to understanding the views of non-prescribing mental health nurse prescribers on why they do not use their prescribing qualification. The findings from this study suggest that there are complex, interlocking factors: power and knowledge; culture; and structure and agency, which may enable or prevent mental health nurse prescribers from independently prescribing.

scholarly journals What Are the Core Competencies of a Mental Health Nurse? Protocol for a Concept Mapping Study

2020 ◽  
Vol 10 (2) ◽  
pp. 146-153
Author(s):  
Nompilo Moyo ◽  
Martin Jones ◽  
Rachel Cardwell ◽  
Richard Gray
Keyword(s):  
Mental Health ◽  
Concept Mapping ◽  
Core Competencies ◽  
Direct Care ◽  
Mental Health Nursing ◽  
Mental Health Nurses ◽  
The Core ◽  
Stakeholder Perspectives ◽  
Mental Health Nurse ◽  
Health Nurse

This study aims to identify and contrast key stakeholder perspectives about the core competencies of mental health nurses. Mental health nurses provide much of the direct care and treatment to patients with mental disorders. The perspectives of users of mental health services, mental health nurses, mental health nurse clinical leaders, psychiatrists, and mental health nurse academics regarding the core competencies of a mental health nurse are informative to improve the quality of care given to patients. We will use concept mapping to compare and contrast the views of different stakeholder groups (n = 50, 10 per group) about the core competencies (knowledge, skills, and attitudes) of mental health nurses. There are six stages in concept mapping: preparation, generation of statements, structuring of statements, representation of statements, interpretation of maps, and utilisation of maps. The Good Reporting of A Mixed Methods Study (GRAMMS) checklist will guide this study. The final output is a “concept map” that can be used and interpreted to understand core mental health nursing competencies. This study will provide insight into the perceived core competencies of mental health nurses from a variety of perspectives.

scholarly journals The role of the community mental health nurse in Botswana: The needs and problems of carers of schizophrenic clients in the community

Curationis ◽  
1996 ◽  
Vol 19 (2) ◽  
Author(s):  
A. Kgosidintsi
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Community Mental Health ◽  
Quantitative Data ◽  
Mental Health Nurses ◽  
Qualitative And Quantitative ◽  
Mental Health Nurse ◽  
Health Nurse ◽  
Community Mental Health Nurses

The purpose of this study was to identify and describe the role of the psychiatric/community mental health nurse in the context of primary health care in which mental health is an integral part of the general health care system and in a specific socio-economic background. Nine (9) community mental health nurses who graduated from a local training program for community mental health nurses at post basic level, twenty five (25) carers responsible for daily care and welfare of schizophrenic clients from rural, semi-rural, urban and semi-urban areas country wide participated in the study. The study was exploratory and both qualitative and quantitative data was collected using semi structured interviews, unstructured observation and documentary search methods were used. Data analysis for both qualitative and quantitative data was done through simple frequency counts.

scholarly journals Mental health nurse supplementary prescribing: mapping progress 1 year after implementation

2005 ◽  
Vol 29 (8) ◽  
pp. 295-297 ◽  
Author(s):  
Richard Gray ◽  
Ann-Marie Parr ◽  
Neil Brimblecombe
Keyword(s):  
Mental Health ◽  
Postal Questionnaire ◽  
Community Settings ◽  
Mental Health Nurses ◽  
Widespread Implementation ◽  
Mental Health Nurse ◽  
Supplementary Prescribing ◽  
Health Nurse ◽  
Important Means ◽  
Improving Patient Care

Aims and MethodA postal questionnaire survey was conducted of the directors of nursing of all mental health NHS trusts in England, in order to examine current activities and attitudes regarding nurse supplementary prescribing (NSP) in psychiatric settings.ResultsFifty-four per cent of nurse directors returned the questionnaire. They perceived that NSP was an important means for improving patient care and treatment, particularly in community settings. In their opinion, psychiatrists were generally not opposed to its introduction. To date, relatively few mental health nurses have received training in NSP.Clinical ImplicationsDirectors of nursing have positive views and experiences of NSP. Widespread implementation of NSP is likely to occur over the next few years and psychiatrists will need to consider how this will impact on their role.

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