scholarly journals Collaborative Identification and Prioritisation of Mental Health Nursing Care Process Metrics and Indicators: A Delphi Consensus Study

2021 ◽  
Author(s):  
Andrew Hunter ◽  
Nora Barrett ◽  
Anne Gallen ◽  
Gillian Conway ◽  
Anne Brennan ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Nursing Care ◽  
Care Process ◽  
Mental Health Nursing ◽  
Mental Health Nurses ◽  
Health Care Settings ◽  
Care Processes ◽  
Process Metrics ◽  
Health Nursing

Abstract Background The Irish Office of Nursing & Midwifery Services Director (ONMSD) commissioned the development an updated suite of mental health nursing metrics and indicators for implementation in Irish mental health clinical settings. While measuring care processes does offer the potential to improve care quality, the choice of which mental health nursing metrics to measure presents a significant challenge, both in Ireland and internationally. The provision of safe and high-quality mental health nursing care stems from nurses’ expertise, skills and overall capacity to provide recovery focused care across a range of health care settings. Accordingly, efforts to measure what mental health nurses do depends on the identification of those care processes that contribute to mental health nursing practice. This paper reports on the identification, development and prioritisation of a national suite of Quality Care Metrics (QCM), along with their associated indicators, for mental health nursing care processes in Ireland. Methods The study was undertaken over four phases; i) a systematic literature review to identify mental health care process metrics and their associated indicators of measurement; ii) a two-round, online Delphi survey of mental health nurses to develop consensus on the suit of mental health nursing care process metrics; iii) a two-round online Delphi survey of mental health nurses to develop consensus on the indicators to be used to measure the agreed metrics; and iv) a face-to-face consensus meeting with mental health nurses and service user representatives to develop consensus on the final suite of metrics and indicators. Results Following these four phases 9 metrics and their 73 associated indicators were agreed for inclusion in the final suite of Mental Health Nursing QCM. These metrics are applicable across the life span and the range of mental health nursing health care settings. Conclusion The development of this suite of Mental Health Nursing QCM and their indicators represents an opportunity for the measurement of safe and high-quality mental health nursing care for application in Ireland and internationally. This initial development of metrics and indicators should be followed by a rigorous baseline review of QCM uptake and implementation amongst mental health nurses as part of an ongoing evaluation.

scholarly journals Latent or Manifest Observers: Two Dichotomous Approaches of Surveillance in Mental Health Nursing

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Martin Salzmann-Erikson ◽  
Henrik Eriksson
Keyword(s):  
Mental Health ◽  
Nursing Care ◽  
Psychiatric Care ◽  
Psychiatric Nursing ◽  
Twelve Step ◽  
Mental Health Nursing ◽  
Mental Health Nurses ◽  
Therapeutic Value ◽  
Central Activity ◽  
Health Nursing

Background. Surveillance is a central activity among mental health nursing, but it is also questioned for its therapeutic value and considered to be custodial.Aim. The aim of this study was to describe how mental health nurses use different approaches to observe patients in relation to the practice of surveillance in psychiatric nursing care.Methods. In this study, Spradley's twelve-step ethnographic method was used.Results. Mental health nurses use their cultural knowing to observe patients in psychiatric care in various ways. Two dichotomous approaches were identified: the latent and the manifest approach.Discussion. Different strategies and techniques for observing patients are structured along two dichotomies. The underlying relationships between these two different dichotomous positions transform the act of observing into surveillance. This is further developed in a theoretical model called the powerful scheme of observation and surveillance (PSOS).

scholarly journals SISTEMATIZAÇÃO DA ASSISTÊNCIA DE ENFERMAGEM E CLÍNICA AMPLIADA: DESAFIOS PARA O ENSINO DE SAÚDE MENTAL

2020 ◽  
Vol 10 (7) ◽  
Author(s):  
Cláudia Mara Tavares ◽  
Lucas Marvilla Mesquita
Keyword(s):  
Mental Health ◽  
Nursing Education ◽  
Nursing Care ◽  
Care Process ◽  
Mental Health Nursing ◽  
Main Challenge ◽  
Scientific Principles ◽  
Salud Mental ◽  
Personal Approach ◽  
Health Nursing

Objetivo: A Sistematização da Assistência de Enfermagem é uma metodologia para organizar e realizar o cuidado de enfermagem orientado por princípios científicos. A Clínica Ampliada pressupõe uma abordagem singular do sujeito de forma integral, interdisciplinar e compartilhada. Neste artigo fazemos uma reflexão sobre os desafios que essas duas perspectivas trazem para inovar o ensino de saúde mental, procurando identificar interseções e contrapontos teóricos e formas de apropriação pelos enfermeiros de saúde mental. A articulação entre essas duas abordagens amplia a perspectiva de trabalho do enfermeiro em favor do cliente, valorizando suas potencialidades, transformando o processo de cuidar em algo mais dinâmico, participativo e solidário. O principal desafio posto para o ensino de enfermagem em saúde mental é levar o aluno a aprender a agir em cenário de incertezas por meio de práticas profissionais sistematizadas, criativas, autônomo-dialógicas e que levem ao desenvolvimento da profissão considerando o trabalho interdisciplinar.Descritores: Processo de Enfermagem; Saúde Mental Ensino em Saúde.SYSTEMATIZATION OF NURSING AND CLINICAL ASSISTANCE EXPANDED: CHALLENGES FOR MENTAL HEALTH EDUCATIONObjective: The systematization of nursing care is a methodology in order to organize and make nursing care oriented by scientific principles. The expanded clinical assistance presupposes a singular personal approach through an integral, interdisciplinary and shared practices. This essay reflects on the challenges which these two perspectives bring to innovate the mental health education, intending to identify theoretical intersections and counterpoints and also its appropriation by mental health nurses. The articulation between these two approaches expand the working perspective of the nurses in favor of the patient, valuing their potentialities, making the care process more dynamic, interactive and supportive. The main challenge of mental health nursing education is to take the students to learn how to act in uncertain scenarios by professional, systematic, creative, autonomous-dialogical practices which also take them to their professional development considering interdisciplinary work.Descriptors: Nursing Processes; Mental Health; Health Education.SISTEMATIZACIÓN DE LA ASISTENCIA DE ENFERMERÍA Y CLÍNICA AMPLIADA: DESAFÍOS PARA LA ENSEÑANZA DE SALUD MENTALObjetivo: La sistematización de laasistencia de la enfermería es una metodología para organizar y realizar el cuidado de la enfermería orientado por principios científicos. La clínica ampliada presuponeun enfoque singular delsujeto a través de un enfoque integral, interdisciplinar y compartido. En este artículo hacemos una reflexión sobre losdesafíos que estas dos perspectivastraen para innovarlaenseñanza de la salud mental, buscando identificar intersecciones y contrapuntos teóricos y formas de apropiación por losenfermeros de salud mental. La articulación entre estos dos enfoques amplia la perspectiva de trabajo Del enfermeroen favor del cliente, valorizando sus potencialidades, transformando elproceso de cuidar en algo más dinámico, participativo y solidario. El principal desafio puesto para laenseñanza de la enfermería de la salud mental es llevar al alumno a aprender a actuaren un escenario de incertidumbres por medio de prácticasprofesionales sistematizadas, creativas, autónomas - dialógicas y que lleven al desarrollo de laprofesión considerando eltrabajointerdisciplinario.Descriptores: Procesos de Enfermería; Salud Mental; Educación em Salud.

scholarly journals PENGEMBANGAN MODUL PERAWATAN KESEHATAN MENTAL BERBASIS HOME CARE

2019 ◽  
Vol 6 (01) ◽  
pp. 9-15
Author(s):  
Tati ◽  
Yoyoh Jubaedah ◽  
Ayu Khairunnissa Yusup
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Home Care ◽  
Research And Development ◽  
Mental Health Care ◽  
Nursing Care ◽  
Expert Judgment ◽  
Development Stage ◽  
Mental Health Nursing ◽  
Health Nursing

Development of Mental Health Nursing Care Module with Home Care Based Abstract The purpose of this study was to produce a Home care Based Mental Health Nursing Care Module. The method used was Research and Development with the ADDIE approach. However, the research was only carried out until the development stage. Modules were designed using expert judgment validation by experts to assess the feasibility of the modules that have been designed. The aspects assessed in the validation are aspects of the feasibility of the content and feasibility of the module. The final result of the validation carried out by experts in the field of elderly services and experts in the field of modules/media is the Home care Mental Health Care Mentoring Module Based on Home care stated that it is very feasible to use or implement. Recommendations of this research are shown to assistants, expected to be used as learning materials and reference materials in the Home care mental health care mentoring process. For further researchers, it is expected that research can be continued at the implementation stage can be carried out on family members who are elderly assistants at home. Keywords: elderly, module, mentoring, mental health care Abstrak Tujuan dari penelitian ini yaitu untuk menghasilkan Modul Pendampingan Lanjut Usia Berbasis Home care dalam Perawatan Kesehatan Mental. Metode yang digunakan yaitu Research and Development dengan pendekatan ADDIE. Pengembangan modul dilakukan melalui validasi expert judgment oleh ahli untuk menilai kelayakan modul yang telah dirancang. Aspek yang dinilai dalam validasi adalah aspek kelayakan isi dan kelayakan modul. Hasil akhir dari validasi yang dilakukan oleh ahli di bidang pelayanan lansia dan ahli di bidang modul adalah Modul Pendampingan Lanjut Usia Berbasis Home care dalam Perawatan Kesehatan Mental dinyatakan sangat layak untuk digunakan atau diimplementasikan.  Rekomendasi dari peneitian ini ditunjukkan bagi pendamping, diharapkan dapat digunakan sebagai bahan belajar dan bahan acuan dalam proses pendampingan lanjut usia berbasis Home care dalam perawatan kesehatan mental. Bagi peneliti selanjutnya, diharapkan penelitian dapat dilanjutkan pada tahap implementasi dapat dilakukan pada anggota keluarga yang menjadi pendamping lanjut usia di rumah Kata Kunci: Modul, Pendampingan, Lanjut Usia, Perawatan Kesehatan Mental  

scholarly journals How has Covid-19 affected mental health nurses and the delivery of mental health nursing care in the UK? Results of a mixed methods study

2020 ◽  
Author(s):  
Una Foye ◽  
Christian Dalton-Locke ◽  
Jasmine Harju-Seppanen ◽  
Rebecca Lane ◽  
Lewys Beams ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Nursing Care ◽  
Service Users ◽  
Mental Health Nursing ◽  
Mental Health Nurses ◽  
Inpatient Settings ◽  
Health Nursing ◽  
The Uk ◽  
The Impact

AbstractIntroductionWhile evidence has emerged concerning the impact of Covid-19 on the general population and the challenges facing health services, much less is known regarding how the pandemic has directly affected the delivery of mental health nursing care.AimThis paper aims to explore how Covid-19 has affected the ability of mental health nurses to deliver care in community and inpatient mental health services in the UK.MethodWe investigated staff reports regarding the impact of the Covid-19 pandemic on mental healthcare and mental health service users in the UK, using a mixed methods online survey. A total of 897 nurses across a range of inpatient and community settings participated.DiscussionKey themes within the data explore: new ways of working; remote working; risks of infection/infection control challenges; and the impact on service users. Targeted guidelines are required to support mental health nurses providing care and support during a pandemic to people in severe mental distress, often in unsuitable environments.Implications for PracticeService developments need to occur alongside tailored guidance and support for staff welfare supported by clear leadership. These findings identify areas requiring attention and investment to prepare for future crises and the consequences of the pandemic.Accessible SummaryWhat is known on the subject?During the Covid-19 pandemic there has been research considering the impact on medical healthcare professionals and the mental health needs of the general population. However, limited focus has been placed on mental health services or mental health staff providing care in the community and in hospitals. Whilst nurses make up the largest section of the mental health workforce in the UK, the impact that this pandemic has had on their work has been largely ignored.What the paper adds to existing knowledge?This paper provides a unique insight into the experiences and impact that the Covid-19 pandemic has had on mental health nurses across a range of community and inpatient settings to understand what has changed in their work and the care they can and do provide during this crisis. This includes exploring how services have changed, the move to remote working, the impact of the protective equipment crisis on nurses, and the difficult working conditions facing those in inpatient settings where there is minimal guidance provided.What are the implications for practice?By understanding the impact the pandemic has had on mental health nursing care, we can understand the gaps in guidance that exist, the challenges being faced, and the impact the crisis has had on care for mental health service users. By doing so we can plan for the ongoing nature of this pandemic as well as the aftermath that the crisis may leave for our service users and workforce alike.Relevance StatementThis paper provides insight into the impact that the Covid-19 pandemic has had on the service and care that mental health nurses are expected to and can provide. As a workforce that often requires ongoing face to face contact with service users, many in serious distress, in inpatient and community settings, it is important that we understand their experiences and the challenges and risks that face this workforce. This will enable us to ensure that future planning, guidance, support and safeguarding can take place during the ongoing and future crises.

scholarly journals Knowledge and practice in mental health nursing care

2017 ◽  
Vol 70 (5) ◽  
pp. 973-980 ◽  
Author(s):  
Teresa Cristina da Silva Kurimoto ◽  
Claudia Maria de Mattos Penna ◽  
Débora Isane Ratner Kirschbaum Nitkin
Keyword(s):  
Mental Health ◽  
Nursing Care ◽  
Sampling Technique ◽  
The Body ◽  
Care Process ◽  
Snowball Sampling ◽  
Mental Health Nursing ◽  
The Unconscious ◽  
The Subject ◽  
Health Nursing

ABSTRACT Objective: To understand mental health nursing care based on the concept of the subject of the unconscious proposed by Lacan. Method: A narrative study was carried out with 19 nurses, chosen based on their theoretical approach or referral by other participants, through the snowball sampling technique. The interviews were carried out in person or digitally, and were recorded and fully transcribed. Results: The analysis was carried out based on Freudian and Lacanian psychoanalysis, approaching nursing care as it acts on the body, secretions, and excretions, to distinguish it from the spirit of fineness. Effects on care are discussed, considering the subject of the unconscious with its knowledge, creating unique exits (sinthome). In this situation, professionals are required to abstain from a position of knowing what is better for the Other. Final considerations: This nursing care perspective offers contributions when discussing the centrality of the subject and words in the care process.

The Psychiatric-Mental Health Nursing Workforce: Large Numbers, Little Data

2003 ◽  
Vol 9 (4) ◽  
pp. 111-114 ◽  
Author(s):  
Nancy Hanrahan ◽  
Gail W. Stuart ◽  
Pat Brown ◽  
Mary Johnson ◽  
Claire Burke Draucker ◽  
...  
Keyword(s):  
Mental Health ◽  
Financial Incentives ◽  
Cost Effective ◽  
Nursing Workforce ◽  
Health Care Market ◽  
Mental Health Nursing ◽  
Mental Health Nurses ◽  
Provision Of Services ◽  
Health Nursing ◽  
Psychiatric Mental Health Nursing

Managing the supply of psychiatric-mental health nursing labor, determining the financial incentives associated with the provision of services by these providers, and ensuring optimal patient and cost outcomes are critical elements of cost control and patient safety in the current health care market. Knowledge of the psychiatric-mental health nursing workforce is needed to plan and evaluate cost-effective programs to accomplish the aforementioned elements. However, the psychiatric-mental health nursing workforce data are woefully inadequate. This paper will review the extent to which national data sources contain workforce information on psychiatric-mental health nurses.

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