scholarly journals Reducing Metabolic Syndrome in Patients with a Severe Mental Illness in a Forensic Unit in New Zealand: Perceived Barriers for Registered Nurses

2021 ◽  
Author(s):  
◽  
Sarah Jane Guthrie
Keyword(s):  
Metabolic Syndrome ◽  
Mental Illness ◽  
New Zealand ◽  
Focus Group ◽  
Severe Mental Illness ◽  
Registered Nurses ◽  
Focus Group Interview ◽  
Perceived Barriers ◽  
Group Interview

<p>The New Zealand Health Strategy in 2000 highlighted significant health inequalities and the need to improve the health status of individuals with severe mental illness (Ministry of Health, 2000). Mental health users die at 2.5 to 4.3 times the rate of the general population, even when suicide is factored out (Handiside, 2004). It is estimated that one quarter of the world's population have Metabolic Syndrome and that they are twice as likely to die from and have a five-fold greater risk of developing type two diabetes mellitus (International Diabetes Federation, 2009). The time has long past when Registered Nurses can only afford to focus on a patient's mental health and to do so would negatively impact on a patient's quality of life. A patient's quality of life encompasses their physical, functional, emotional, spiritual and social well-being (Cella, 1994). This study highlights that Registered Nurses working in inpatient psychiatric units are well positioned to detect, prevent and manage Metabolic Syndrome in patients with severe mental illness as they spend the greatest amount of time in close patient contact. An exploratory qualitative descriptive approach was used for the study to describe the perceived barriers that Registered Nurses encounter in their practice in the reduction of Metabolic Syndrome in patients with severe mental illness. The study was conducted on a forensic psychiatric unit at one DHB in New Zealand. A sample of five Registered Nurses consented to participate in a focus group interview, which was the main data collection tool used for this study. Thematic analysis was used to establish the major themes that emerged from the focus group interview. The findings of this study revealed that there are significant barriers that Registered Nurses have in helping to reduce Metabolic Syndrome in this patient group. These barriers include a patient's mental illness, knowledge of patients and staff, staff provision of care, diet and insufficient resources on the forensic unit. The focus group interview also encouraged Registered Nurses to suggest possible solutions to these barriers and these are reflected upon in this study.</p>

scholarly journals Reducing Metabolic Syndrome in Patients with a Severe Mental Illness in a Forensic Unit in New Zealand: Perceived Barriers for Registered Nurses

2021 ◽  
Author(s):  
◽  
Sarah Jane Guthrie
Keyword(s):  
Metabolic Syndrome ◽  
Mental Illness ◽  
New Zealand ◽  
Focus Group ◽  
Severe Mental Illness ◽  
Registered Nurses ◽  
Focus Group Interview ◽  
Perceived Barriers ◽  
Group Interview

<p>The New Zealand Health Strategy in 2000 highlighted significant health inequalities and the need to improve the health status of individuals with severe mental illness (Ministry of Health, 2000). Mental health users die at 2.5 to 4.3 times the rate of the general population, even when suicide is factored out (Handiside, 2004). It is estimated that one quarter of the world's population have Metabolic Syndrome and that they are twice as likely to die from and have a five-fold greater risk of developing type two diabetes mellitus (International Diabetes Federation, 2009). The time has long past when Registered Nurses can only afford to focus on a patient's mental health and to do so would negatively impact on a patient's quality of life. A patient's quality of life encompasses their physical, functional, emotional, spiritual and social well-being (Cella, 1994). This study highlights that Registered Nurses working in inpatient psychiatric units are well positioned to detect, prevent and manage Metabolic Syndrome in patients with severe mental illness as they spend the greatest amount of time in close patient contact. An exploratory qualitative descriptive approach was used for the study to describe the perceived barriers that Registered Nurses encounter in their practice in the reduction of Metabolic Syndrome in patients with severe mental illness. The study was conducted on a forensic psychiatric unit at one DHB in New Zealand. A sample of five Registered Nurses consented to participate in a focus group interview, which was the main data collection tool used for this study. Thematic analysis was used to establish the major themes that emerged from the focus group interview. The findings of this study revealed that there are significant barriers that Registered Nurses have in helping to reduce Metabolic Syndrome in this patient group. These barriers include a patient's mental illness, knowledge of patients and staff, staff provision of care, diet and insufficient resources on the forensic unit. The focus group interview also encouraged Registered Nurses to suggest possible solutions to these barriers and these are reflected upon in this study.</p>

scholarly journals The postoperative handover: a focus group interview study with nurse anaesthetists, anaesthesiologists and PACU nurses

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e015038 ◽  
Author(s):  
Maria Randmaa ◽  
Maria Engström ◽  
Christine Leo Swenne ◽  
Gunilla Mårtensson
Keyword(s):  
Focus Group ◽  
Focus Group Interview ◽  
Qualitative Content Analysis ◽  
Interview Study ◽  
Group Interview ◽  
Advantages And Disadvantages ◽  
Written Information ◽  
Healthcare Interventions ◽  
Postanaesthesia Care Unit

ObjectivesTo investigate different professionals’ (nurse anaesthetists’, anaesthesiologists’, and postanaesthesia care unit nurses’) descriptions of and reflections on the postoperative handover.DesignA focus group interview study with a descriptive design using qualitative content analysis of transcripts.SettingOne anaesthetic clinic at two hospitals in Sweden.ParticipantsSix focus groups with 23 healthcare professionals involved in postoperative handovers. Each group was homogeneous regarding participant profession, resulting in two groups per profession: nurse anaesthetists (n=8), anaesthesiologists (n=7) and postanaesthesia care unit nurses (n=8).ResultsPatterns and five categories emerged: (1) having different temporal foci during handover, (2) insecurity when information is transferred from one team to another, (3) striving to ensure quality of the handover, (4) weighing the advantages and disadvantages of the bedside handover and (5) having different perspectives on the transfer of responsibility. The professionals’ perceptions of the postoperative handover differed with regard to temporal foci and transfer of responsibility. All professional groups were insecure about having all information needed to ensure the quality of care. They strived to ensure quality of the handover by: focusing on matters that deviated from the normal course of events, aiding memory through structure and written information and cooperating within and between teams. They reported that the bedside handover enhances their control of the patient but also that it could threaten the patient's privacy and that frequent interruptions could be disturbing.ConclusionsThe present findings revealed variations in different professionals’ views on the postoperative handover. Healthcare interventions are needed to minimise the gap between professionals’ perceptions and practices and to achieve a shared understanding of postoperative handover. Furthermore, to ensure high-quality and safe care, stakeholders/decision makers need to pay attention to the environment and infrastructure in postanaesthesia care.

scholarly journals What is the experience of registered nurses in assessing people with severe mental illness for metabolic syndrome?

2021 ◽  
Vol 21 (8) ◽  
pp. 477-484
Author(s):  
Ruth Crawford ◽  
Sisilia Finau Peini ◽  
Teramira Christine Schutz
Keyword(s):  
Mental Health ◽  
Metabolic Syndrome ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Severe Mental Illness ◽  
Registered Nurses ◽  
Face To Face ◽  
Mental Health Settings ◽  
One Stop

Introduction: Metabolic Syndrome is a prevalent condition in New Zealand and worldwide, affecting adult populations, especially those who are in long-term  antipsychotic medications for severe mental illness. Registered nurses play a crucial role in improving the health of this population. Methods: Five registered nurses with at least two years of working experience in the mental health settings participated in this qualitative, exploratory study, underpinned by the Kakala Research Framework. Semi-structured face-to-face interviews with the participants were undertaken to gather research data and thematic analysis was used to find common themes. Findings: Registered nurses in mental health services are experiencing clinical and professional enablers as well as professional, organisational and systematic barriers in assessing people with severe mental illness for metabolic syndrome. Conclusion: Skilled registered nurses in mental health services are required to take the responsibility for providing a “one-stop-shop” for people with metabolic syndrome.

scholarly journals Respresentative Cricketers in New Zealand: Prospects for Collective Bargaining

1970 ◽  
Vol 20 (1) ◽  
Author(s):  
Matt Ballard
Keyword(s):  
New Zealand ◽  
Focus Group ◽  
Collective Bargaining ◽  
Effective Action ◽  
Focus Group Interview ◽  
Postal Questionnaire ◽  
Group Interview ◽  
Team Management ◽  
Causal Factors ◽  
Factors Associated

The study examined by postal questionnaire and focus group interview techniques, the propensity to unionise/collectivise and to bargain collectively with team management amongst a group of semi-professional representative provincial cricketers. The paper reports on causal factors associated with the propensity of these sportspeople to deal collectively with team management and the factors in team management and team circumstances acting to block effective action by the players.

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