scholarly journals Capturing the Unsaid: Nurses’ Experiences of Identifying Mental Ill-Health in Older Men in Primary Care—A Qualitative Study of Narratives

2021 ◽  
Vol 11 (1) ◽  
pp. 152-163
Author(s):  
Jenny Karlsson ◽  
Lena Marmstål Hammar ◽  
Birgitta Kerstis
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Best Practice ◽  
Qualitative Content Analysis ◽  
Older Men ◽  
Main Theme ◽  
Health Issues ◽  
Open Questions ◽  
Evidence Based Care ◽  
Time Competence

This study describes nurses’ experiences in identifying mental ill-health in older men in primary care. The aging population is growing in Sweden and life expectancy is increasing. Age is a risk factor for mental ill-health. Older men are over-represented in deaths from suicide. When older men seek primary care, it is often because of somatic symptoms and rarely for mental health issues. A questionnaire with five open questions was answered by 39 nurses from 10 primary care centres and subjected to inductive qualitative content analysis. The results revealed a main theme—capturing the unsaid—and two categories: (1) feeling secure in the role, with three subcategories (building trust, daring to ask and interpreting signs); and (2) the need for resources, with two subcategories (time and continuity, and finding support in collaboration). The results confirm that nurses in primary care play a key role in identifying mental ill-health in older men. There is a need for resources in the form of time, competence and collaboration with other professionals and patients’ relatives. This strategy will establish best practice and provide evidence-based care to facilitate improvements in older men’s mental health and prevent suicide.

Navigating the Faculty–Student Relationship: Interacting With Nursing Students With Mental Health Issues

2017 ◽  
Vol 23 (6) ◽  
pp. 393-403 ◽  
Author(s):  
Brenda G. Kucirka
Keyword(s):  
Mental Health ◽  
Nursing Students ◽  
Nursing Faculty ◽  
Best Practice ◽  
Psychological Process ◽  
Health Issues ◽  
Social Psychological ◽  
Mental Health Issues ◽  
Student Relationship ◽  
Faculty Student Relationship

BACKGROUND: There is an increase in students enrolled in higher education diagnosed with mental illness or experiencing symptoms suggestive of mental health issues (MHI). This has a significant impact on the faculty–student relationship. OBJECTIVES: The purpose of this study was to identify the basic social psychological process that occurs when nursing faculty interact with students with MHI. DESIGN: Grounded theory methodology was implemented to identify the basic social psychological process that occurs when faculty encounter students with MHI. Thirteen nursing faculty were interviewed. Data were analyzed using line by line coding and constant comparative analysis. RESULTS: The resulting substantive theory, navigating the faculty–student relationship in the context of student MHI, is an iterative four-phase process: noticing, responding, experiencing, and reflecting. CONCLUSION: This theory provides a framework for understanding how nursing faculty recognize and address student MHI. The theory can be used to establish interventional strategies and best practice guidelines.

On the Intersection of Faith Background and Mental Health Beliefs: What MSW Students Learned About Themselves

2021 ◽  
Vol 48 (3) ◽  
pp. 308-322
Author(s):  
Jennifer Payne
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Content Analysis ◽  
Health Beliefs ◽  
Qualitative Content Analysis ◽  
Health Issues ◽  
Childhood Experience ◽  
Demonic Possession ◽  
Mental Health Issues ◽  
Msw Students

Students enter college with pre-formed beliefs about the causes of mental health issues, from spiritual explanations (e.g., demonic possession) to biological explanations (e.g., genetics). However, they rarely have thought through how their faith backgrounds influence their beliefs about mental health. MSW students in their clinical concentration year engaged in a class-based assignment in which they explored the question, "Where are you on the spectrum of belief regarding the cause of mental illness?" A qualitative content analysis was completed on 69 student papers collected over five years. Results showed how each student's religious childhood experience shaped his or her view about mental illness causes.

Should Mental Health Issues be Addressed in Primary Care, and can it be Done? Views of Rural General Practitioners in Queensland

2007 ◽  
Vol 15 (1_suppl) ◽  
pp. S90-S94 ◽  
Author(s):  
Heidi Sturk ◽  
David Kavanagh ◽  
Cindy Gallois ◽  
David King ◽  
Merrill Turpin ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practitioners ◽  
Health Issues ◽  
Mental Health Issues

scholarly journals Setting Mental Health Priorities in Ghana: A 15-Year Contextual Analysis of the Presidential State of the Nation Address

Challenges ◽  
2021 ◽  
Vol 12 (2) ◽  
pp. 22
Author(s):  
Emmanuel Quarshie ◽  
Priscilla Davies ◽  
Pearl Otoo
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Qualitative Content Analysis ◽  
Public Support ◽  
Health Condition ◽  
Health Priorities ◽  
Health Issues ◽  
Political Actors ◽  
Long Time ◽  
Years Lived With Disability

Globally, mental health issues have been neglected and allowed to be suppressed by stigma and discrimination for a very long time, although mental disorders are responsible for about 30% of the global non-fatal disease burden. Thus, the global call for solution to this challenge admonishes governments, donors, and mental health service users to prioritise mental health. Towards this end, speeches by key political actors can be used to garner public support and set out strong arguments for the prioritisation of mental health. Guided by the agenda-setting theory, this study sought to contribute to the evidence on the mental health priorities in Ghana by conducting a summative qualitative content analysis of the state of the nation addresses (SONAs) presented by presidents of Ghana from 2007 to 2021. Findings show that no mental health condition was highlighted in any of the SONAs, and mental health priorities in terms of policy and investment were superficial, inadequate, and woefully incomparable to those of physical health. It is suggested that government should heighten mental health priorities, given that mental disorders are leading the top 10 causes of the years lived with disability burden in the country.

The physical health Wellness Clinic model of care for patients with mental health issues who are ‘hard to engage’

2019 ◽  
Vol 28 (3) ◽  
pp. 303-306 ◽  
Author(s):  
Susanne H Stanley ◽  
Lucia Ferguson ◽  
Ajay Velayudhan
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Physical Health ◽  
Level Of Care ◽  
Treatment Model ◽  
Health Issues ◽  
Model Of Care ◽  
Mental Health Issues ◽  
Service Setting ◽  
Ongoing Monitoring

Objective: People with chronic and severe mental health issues die 15–25 years earlier than people in the general population – the main reason for this is poor physical health. An innovative treatment model for the management of primary care within a mental health service setting for ‘hard to engage’ patients is presented. Conclusion: The Wellness Clinic model provides the final level of care, where individuals who are at risk will receive a thorough physical health check and be referred for any additional tests and scans that are needed ensuring that any health issues are addressed. Ongoing monitoring and treatment occurs with the overall aim of reintegrating individuals back into the community through linking them in with community GPs.

scholarly journals Developing a local shared care protocol for managing people with psychotic illness in primary care

2003 ◽  
Vol 27 (7) ◽  
pp. 261-266 ◽  
Author(s):  
Helen Snowden ◽  
Sarah Marriott
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Best Practice ◽  
National Level ◽  
Shared Care ◽  
Psychotic Illness ◽  
Clinical Recommendations ◽  
Best Practice Guidelines ◽  
Care Protocol ◽  
National Service Framework

Aims and MethodThe National Service Framework sets standards to improve the treatment of mental health on a national level, and requires the development of localised shared care protocols. We aimed to develop a shared care protocol for use in local National Health Service (NHS) services, based on best practice guidelines and local consensus. A systematic literature search used three databases and the advice of a clinical expert. Articles satisfying the search inclusion criteria were retrieved and appraised. Clinical recommendations from well-designed regional and national documents relevant to all aspects of the management of psychotic illness in primary care were compared and contrasted by a facilitated group involving primary and secondary care clinicians who drafted the final recommendations. A multi-agency steering group guided the work.ResultsTwenty-two articles were retrieved, of which nine reached the criteria for inclusion. The protocol provided a comprehensive range of recommendations regarding detection, assessment, management, referral and shared working with local mental health services.Clinical ImplicationsUsing local clinical consensus to resolve uncertainty about conflicting clinical recommendations from a series of well-designed guidelines was an effective method for adapting clinical guidelines to local circumstances.

Sign in / Sign up

Export Citation Format

Share Document