The Experts below are selected from a list of 18084 Experts worldwide ranked by ideXlab platform
Richard Gray - One of the best experts on this subject based on the ideXlab platform.
-
What Are the Core Competencies of a Mental Health Nurse? Protocol for a Concept Mapping Study
Nursing Reports, 2020Co-Authors: Nompilo Moyo, Martin Jones, Rachel Cardwell, Richard GrayAbstract: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.
-
the association between the Mental Health Nurse to registered Nurse ratio and patient outcomes in psychiatric inpatient wards a systematic review
International Journal of Environmental Research and Public Health, 2020Co-Authors: Nompilo Moyo, Martin Jones, Diana Kushemererwa, Sandesh Pantha, Sue Gilbert, Lorena Romero, Richard GrayAbstract:Nursing skill mix in inpatient Mental Health wards varies considerably between countries. Some countries have an all-registered Mental Health Nurse workforce; others have a mix of registered Mental Health and registered Nurses. Understanding the optimal nursing skill mix in Mental Health inpatient units would inform service planning. This report aims to examine the association between the registered Mental Health Nurse-to-registered Nurse ratio and psychiatric readmission (or referral to community crisis services) in adult Mental Health inpatients. A systematic review was performed. We searched key databases for observational and experiMental studies. Two researchers completed title-and-abstract and full-text screening. Our search identified 7956 citations. A full-text review of four papers was undertaken. No studies met our inclusion criteria. We report an empty review. Despite the obvious importance of the research question for the safe staffing of inpatient Mental Health services, there are no studies that have tested this association.
-
the association between Mental Health Nurse to registered Nurse ratio and patient outcomes in psychiatric inpatient wards protocol for a systematic review
Journal of Psychiatric and Mental Health Nursing, 2020Co-Authors: Nompilo Moyo, Martin Jones, Sue Gilbert, Lorena Romero, Richard GrayAbstract:WHAT IS KNOWN ON THE SUBJECT?: Nursing skill mix research has primarily focused on medical and surgical patients. The association between nursing skill mix and clinical outcomes for psychiatric inpatients has not been adequately explored. No systematic reviews have been reported that have examined the association between the ratio of Mental Health to registered Nurses and patient outcomes. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Our protocol sets out, in detail, the methods we intend to follow to ensure that this review is conducted and reported to the highest possible standards. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The review will summarize evidence about safe staffing in Mental Health inpatient units internationally. The review will inform Health policy and planning of Health services. ABSTRACT: Aim To assess the association between Mental Health Nurse to comprehensive/general Nurse ratio and relapse-determined by hospital admission-in adult psychiatric inpatients. Background information There is considerable variation in psychiatric inpatient nursing skill mix internationally. In most countries, wards are typically staffed by a mix of Mental Health and comprehensive/general Nurses. To date, there have been no systematic reviews that have examined the association between the ratio of Mental Health to registered Nurses and patient outcomes. Method We will systematically search five databases. Risk of bias will be determined using the Effective Public Health Practice Project Quality Assessment Tool. A meta-analysis will be undertaken if there are at least two similar studies. Results For included studies, we will produce table summarizing risk of bias and extracted data. If we are able to undertake a meta-analysis, this will be reported as a forest plot. Discussion This paper sets out a detailed plan for a systematic review of Mental Health Nurse skill mix research. Implications for practice High-quality evidence about the association between nursing skill mix and patient outcomes is important to inform the planning of Mental Health services internationally.
-
what do Mental Health workers in the bush think about Mental Health Nurse prescribing a cross sectional study
American Journal of Roentgenology, 2018Co-Authors: Kuda Muyambi, Richard Gray, Ruth Mcphail, Kathryn Cronin, Marianne H Gillam, Lee Martinez, Shaun Dennis, Daniel Bressington, Martin JonesAbstract:Introduction: Relatively few psychiatrists live and work in rural South Australia. The rural GP is an essential component of support for people with Mental Health problems. However, considerable GP maldistribution between rural and metropolitan Australia still exists. Thus, accessing Health services, including medication, becomes challenging for rural communities. Extending Mental Health Nurse prescribing could be a strategy to build additional capacity to complement the GPs and psychiatrists who practice in rural South Australia. Until now, no studies have examined Mental Health workers’ attitudes towards Nurse prescribing in rural Australia. Objective: To examine the attitudes of rural and remote South Australian Mental Health workers about Mental Health Nurse prescribing. Design/method: A cross‐sectional survey assessing Mental Health workers’ attitudes to Mental Health Nurse prescribing. Setting: The study was conducted across South Australia, excluding metropolitan Adelaide. Participants: Mental Health workers employed by the Country Health South Australia Local Health Network for Mental Health. Results: Of the 289 potential participants, 93 (32%) responded and were included in this study. All the respondents reported positive attitudes towards Mental Health Nurse prescribing. However, they expressed concerns about safety, educational preparation and supervision structures. Conclusion: The attitudes of rural South Australian Mental Health workers are not a barrier to Mental Health Nurse prescribing. The implementation and sustainability of Mental Health Nurse prescribing will require additional staff training in psychopharmacology and a governance framework to assure quality and safety. Policy‐makers need to focus their attention on the uptake of Mental Health Nurse prescribing in parts of Australia that struggle to attract and retain psychiatrists.
-
Mental Health Nurse prescribing a qualitative systematic review
International Journal of Mental Health Nursing, 2017Co-Authors: Michelle Cleary, Rachel Kornhaber, Jan Sayers, Richard GrayAbstract:The aim of the present qualitative, systematic review was to identify and summarize qualitative research that focussed on Mental Health Nurse prescribing, synthesize findings, and outline key themes discerned. In November 2016, a systematic search was conducted for primary studies of the electronic databases PubMed, Excerpta Medica, (Embase), Cumulative Index to Nursing and Allied Health Literature, Scopus, and PsycINFO. Of the 101 papers identified through the search strategy, 12 qualitative studies met the review inclusion criteria. These studies included perspectives from Nurses, doctors, and patients/clients regarding their attitudes about, and experiences of, Nurse prescribing. Three themes emerged from the review: (i) patient-centred care; (ii) professional role; and (iii) professional support. Nurse prescribers embrace a patient-centred approach, providing timely and effective medication management. Adequate education and continuing professional development inclusive of clinical supervision enable competency development in Nurse prescribing, supportive professional relationships, and patient safety. Further research is necessary to establish safety and demonstrate enhanced clinical outcomes from Mental Health Nurse prescribing.
Richard Lakeman - One of the best experts on this subject based on the ideXlab platform.
-
What Mental Health Nurses have to say about themselves: A discourse analysis.
International journal of mental health nursing, 2020Co-Authors: Richard Lakeman, John HurleyAbstract:Mental Health nursing is largely invisible within public discourse. When mentioned at all in news media, it is usually a signifier of an occupation connoting where a Nurse works. There is rarely a presumption of expertise in any sphere or articulation of a unique skill set or defining features which differentiate the Mental Health Nurse from other Nurses. This paper sought to examine the professional discourse around Mental Health nursing as inferred from a review of papers published in the International Journal of Mental Health Nursing in 2019. A discourse analysis of full-text papers (n = 117) was undertaken exploring references to Mental Health Nurses or nursing and what this communicated about the field. The discourse clustered around three themes: The invisible or absent Mental Health Nurse, ambiguous and blended identities, and a group of low attributed value and sophistication. There were few examples of authors presenting Mental Health Nurses in a way which counters stereotypes of the dominant discourse about Mental Health Nurses as a lesser skilled occupational group. Academics, editors, authors, and practitioners are urged to contribute to the construction of discourse around Mental Health nursing expertise which differentiates it from other branches of nursing and other distinctive disciplines.
-
The remarkable (Disappearing Act of the) Mental Health Nurse psychotherapist.
International journal of mental health nursing, 2020Co-Authors: John Hurley, Richard Lakeman, Andrew Cashin, Tom RyanAbstract:The aim of this Australian based qualitative study was to better understand key drivers for Mental Health Nurses to undertake training in psychotherapy, and how these capabilities are integrated into their clinical practice. Open ended reposes from a national survey of 153 Mental Health Nurses were supplemented with data from 12 semi-structured interviews of Nurses with rich experience of integrating psychotherapy and Mental Health nursing capabilities. Key findings emerging from the thematic analysis were that Mental Health Nurses are providing uniquely holistic psychotherapeutic services to consumers with often complex conditions, despite overtly hostile clinical and policy contexts. These often very well qualified Mental Health Nurse psychotherapists are different to the traditional identity of either a Nurse or psychotherapist. Recommendations from the findings of this study are that where appropriately qualified, Mental Health Nurses be granted eligible provider status for existing Medicare funding items. Finally, training and building foundational capabilities in psychotherapy is highly recommended for all Mental Health Nurses.
-
Mental Health Nurses in primary care: quantitative outcomes of the Mental Health Nurse incentive program
Journal of psychiatric and mental health nursing, 2013Co-Authors: Richard Lakeman, Joanne BradburyAbstract:Accessible summary The Mental Health Nurse Incentive Program (MHNIP) is a funding scheme in Australia that enables Mental Health Nurses to work in primary care settings with people with complex Mental Health problems for as long as necessary. This study examined the outcomes of the programme as reported by Nurses. Nurses provided profiles of 64 people with whom they worked, including measures of symptoms and problems on admission to the programme and at a second point in time. The findings showed that people had high levels of symptom severity and distress on admission, and they experienced significant improvements in all problem areas except physical Health over their time working with the Nurse. The MHNIP appears to be addressing the needs of people with highly complex needs, but more sensitive measures of outcome ought to be routinely collected.
-
oxymoronic or synergistic deconstructing the psychiatric and or Mental Health Nurse
International Journal of Mental Health Nursing, 2013Co-Authors: John R Cutcliffe, Chris Stevenson, Richard LakemanAbstract:Examination of the names used to signify a Nurse who specializes in working with people with Mental Health problems indicates the absence of a shared nomenclature and the frequent conflation of the terms ‘psychiatric’ and ‘Mental Health’. Informed by the work of Derrida (Writing and difference. London: Routledge, 1978) and de Saussure (Course in general linguistics (trans. Roy Harris). London: Duckworth, 1916/1983), the authors encourage the deconstruction and problematization of these terms, and this shows that what Nurses who work with people with so-called Mental illness are called has depended on where they have worked, the vagaries of passing fashion and public policy. Further, there are irreconcilable philosophical, theoretical and clinical positions that prevent Nurses from practising simultaneously as ‘psychiatric’ and ‘Mental Health’ Nurses. Related service user literature indicates that it is disingenuous to camouflage ‘psychiatric’ services as ‘Mental Health’ services, and as signifiers, signified and signs, psychiatric and Mental Health nursing are sustained by political agendas, which do not necessarily prioritize the needs of the person with the illness. Clearly demarked and less disingenuous signs for both Mental Health and psychiatric care would not only be a more honest approach but would also be in keeping with the service user literature that highlights the expectation that there are two signs (and thus two services): psychiatric and Mental Health services.
-
Mental Health Nurses in primary care: qualitative outcomes of the Mental Health Nurse Incentive Program.
International journal of mental health nursing, 2013Co-Authors: Richard LakemanAbstract:The Mental Health Nurse Incentive Program (MHNIP) is a government-funded programme, which, since 2007, has enabled Mental Health Nurses to work in primary care settings in Australia in collaboration with general practitioners (GPs) or private psychiatrists. To date, small-scale qualitative studies have explored outcomes of the programme from the point of view of Nurses, consumers, and the perceptions of GPs. This study reports on an on-line survey of credentialed Mental Health Nurses perceptions of outcomes of the MHNIP. Two hundred and twenty five Nurses who worked in MHNIP provided detailed narrative responses that were examined using thematic content analysis. The most commonly-cited outcomes were reductions in symptoms or improved coping, improved relationships, and enhanced community participation. Other reported outcomes included reduced hospitalization or use of state-funded Mental Health services, better use of Health services, the continuation or establishment of meaningful occupation, improved physical Health and medication management, less use of coercive interventions, and greater independence.
Martin Jones - One of the best experts on this subject based on the ideXlab platform.
-
What Are the Core Competencies of a Mental Health Nurse? Protocol for a Concept Mapping Study
Nursing Reports, 2020Co-Authors: Nompilo Moyo, Martin Jones, Rachel Cardwell, Richard GrayAbstract: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.
-
the association between the Mental Health Nurse to registered Nurse ratio and patient outcomes in psychiatric inpatient wards a systematic review
International Journal of Environmental Research and Public Health, 2020Co-Authors: Nompilo Moyo, Martin Jones, Diana Kushemererwa, Sandesh Pantha, Sue Gilbert, Lorena Romero, Richard GrayAbstract:Nursing skill mix in inpatient Mental Health wards varies considerably between countries. Some countries have an all-registered Mental Health Nurse workforce; others have a mix of registered Mental Health and registered Nurses. Understanding the optimal nursing skill mix in Mental Health inpatient units would inform service planning. This report aims to examine the association between the registered Mental Health Nurse-to-registered Nurse ratio and psychiatric readmission (or referral to community crisis services) in adult Mental Health inpatients. A systematic review was performed. We searched key databases for observational and experiMental studies. Two researchers completed title-and-abstract and full-text screening. Our search identified 7956 citations. A full-text review of four papers was undertaken. No studies met our inclusion criteria. We report an empty review. Despite the obvious importance of the research question for the safe staffing of inpatient Mental Health services, there are no studies that have tested this association.
-
the association between Mental Health Nurse to registered Nurse ratio and patient outcomes in psychiatric inpatient wards protocol for a systematic review
Journal of Psychiatric and Mental Health Nursing, 2020Co-Authors: Nompilo Moyo, Martin Jones, Sue Gilbert, Lorena Romero, Richard GrayAbstract:WHAT IS KNOWN ON THE SUBJECT?: Nursing skill mix research has primarily focused on medical and surgical patients. The association between nursing skill mix and clinical outcomes for psychiatric inpatients has not been adequately explored. No systematic reviews have been reported that have examined the association between the ratio of Mental Health to registered Nurses and patient outcomes. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Our protocol sets out, in detail, the methods we intend to follow to ensure that this review is conducted and reported to the highest possible standards. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The review will summarize evidence about safe staffing in Mental Health inpatient units internationally. The review will inform Health policy and planning of Health services. ABSTRACT: Aim To assess the association between Mental Health Nurse to comprehensive/general Nurse ratio and relapse-determined by hospital admission-in adult psychiatric inpatients. Background information There is considerable variation in psychiatric inpatient nursing skill mix internationally. In most countries, wards are typically staffed by a mix of Mental Health and comprehensive/general Nurses. To date, there have been no systematic reviews that have examined the association between the ratio of Mental Health to registered Nurses and patient outcomes. Method We will systematically search five databases. Risk of bias will be determined using the Effective Public Health Practice Project Quality Assessment Tool. A meta-analysis will be undertaken if there are at least two similar studies. Results For included studies, we will produce table summarizing risk of bias and extracted data. If we are able to undertake a meta-analysis, this will be reported as a forest plot. Discussion This paper sets out a detailed plan for a systematic review of Mental Health Nurse skill mix research. Implications for practice High-quality evidence about the association between nursing skill mix and patient outcomes is important to inform the planning of Mental Health services internationally.
-
what do Mental Health workers in the bush think about Mental Health Nurse prescribing a cross sectional study
American Journal of Roentgenology, 2018Co-Authors: Kuda Muyambi, Richard Gray, Ruth Mcphail, Kathryn Cronin, Marianne H Gillam, Lee Martinez, Shaun Dennis, Daniel Bressington, Martin JonesAbstract:Introduction: Relatively few psychiatrists live and work in rural South Australia. The rural GP is an essential component of support for people with Mental Health problems. However, considerable GP maldistribution between rural and metropolitan Australia still exists. Thus, accessing Health services, including medication, becomes challenging for rural communities. Extending Mental Health Nurse prescribing could be a strategy to build additional capacity to complement the GPs and psychiatrists who practice in rural South Australia. Until now, no studies have examined Mental Health workers’ attitudes towards Nurse prescribing in rural Australia. Objective: To examine the attitudes of rural and remote South Australian Mental Health workers about Mental Health Nurse prescribing. Design/method: A cross‐sectional survey assessing Mental Health workers’ attitudes to Mental Health Nurse prescribing. Setting: The study was conducted across South Australia, excluding metropolitan Adelaide. Participants: Mental Health workers employed by the Country Health South Australia Local Health Network for Mental Health. Results: Of the 289 potential participants, 93 (32%) responded and were included in this study. All the respondents reported positive attitudes towards Mental Health Nurse prescribing. However, they expressed concerns about safety, educational preparation and supervision structures. Conclusion: The attitudes of rural South Australian Mental Health workers are not a barrier to Mental Health Nurse prescribing. The implementation and sustainability of Mental Health Nurse prescribing will require additional staff training in psychopharmacology and a governance framework to assure quality and safety. Policy‐makers need to focus their attention on the uptake of Mental Health Nurse prescribing in parts of Australia that struggle to attract and retain psychiatrists.
-
Mental Health Nurse supplementary prescribing: experiences of Mental Health Nurses, psychiatrists and patients.
Journal of advanced nursing, 2007Co-Authors: Martin Jones, Joanna Bennett, Ben Lucas, Dawn Miller, Richard GrayAbstract:Aim. This paper is a report of a study to explore the views of patients, Mental Health Nurses and psychiatrists involved in Mental Health Nurse supplementary prescribing. Background. Medication prescribing by Mental Health Nurses in the United Kingdom is controversial. However, the experience of Mental Health patients suggests that increasing prescribing capacity could be one strategy to provide a person-centred prescribing approach. Method. A qualitative study was carried out in 2005. Semi-structured interviews were conducted with 12 psychiatrists, 11 Mental Health Nurses with prescribing authority, and 12 patients who had been prescribed psychiatric medication by a Mental Health Nurse. Participants were interviewed about positive aspects of supplementary prescribing including the extent of it being evidence-based, person-centred and clinically focussed. Findings. Participants from all three groups had a positive reaction to Nurse supplementary prescribing. Mental Health Nurse prescribing was viewed as evidence-based, person-centred and with an additional focus on physical Health. Mental Health Nurses worked within their levels of competency. Barriers to the implementation of Mental Health Nurse prescribing were Nurses’ lack of prescribing experience, shortfalls in supervision, insufficient focus on redesigning the service to support the role of the Mental Health Nurse, and preparation for the role. Conclusion. Mental Health Nurse prescribing seems potentially beneficial. However, more rigorous audit and evaluation are needed to confirm its safety, patient satisfaction and Health outcomes. Mental Health Nurse prescribing will require service redesign to ensure that is becomes embedded in the service organizational culture.
John Hurley - One of the best experts on this subject based on the ideXlab platform.
-
What Mental Health Nurses have to say about themselves: A discourse analysis.
International journal of mental health nursing, 2020Co-Authors: Richard Lakeman, John HurleyAbstract:Mental Health nursing is largely invisible within public discourse. When mentioned at all in news media, it is usually a signifier of an occupation connoting where a Nurse works. There is rarely a presumption of expertise in any sphere or articulation of a unique skill set or defining features which differentiate the Mental Health Nurse from other Nurses. This paper sought to examine the professional discourse around Mental Health nursing as inferred from a review of papers published in the International Journal of Mental Health Nursing in 2019. A discourse analysis of full-text papers (n = 117) was undertaken exploring references to Mental Health Nurses or nursing and what this communicated about the field. The discourse clustered around three themes: The invisible or absent Mental Health Nurse, ambiguous and blended identities, and a group of low attributed value and sophistication. There were few examples of authors presenting Mental Health Nurses in a way which counters stereotypes of the dominant discourse about Mental Health Nurses as a lesser skilled occupational group. Academics, editors, authors, and practitioners are urged to contribute to the construction of discourse around Mental Health nursing expertise which differentiates it from other branches of nursing and other distinctive disciplines.
-
The remarkable (Disappearing Act of the) Mental Health Nurse psychotherapist.
International journal of mental health nursing, 2020Co-Authors: John Hurley, Richard Lakeman, Andrew Cashin, Tom RyanAbstract:The aim of this Australian based qualitative study was to better understand key drivers for Mental Health Nurses to undertake training in psychotherapy, and how these capabilities are integrated into their clinical practice. Open ended reposes from a national survey of 153 Mental Health Nurses were supplemented with data from 12 semi-structured interviews of Nurses with rich experience of integrating psychotherapy and Mental Health nursing capabilities. Key findings emerging from the thematic analysis were that Mental Health Nurses are providing uniquely holistic psychotherapeutic services to consumers with often complex conditions, despite overtly hostile clinical and policy contexts. These often very well qualified Mental Health Nurse psychotherapists are different to the traditional identity of either a Nurse or psychotherapist. Recommendations from the findings of this study are that where appropriately qualified, Mental Health Nurses be granted eligible provider status for existing Medicare funding items. Finally, training and building foundational capabilities in psychotherapy is highly recommended for all Mental Health Nurses.
-
becoming a psychiatric Mental Health Nurse in the uk a qualitative study exploring processes of identity formation
Issues in Mental Health Nursing, 2011Co-Authors: John Hurley, Richard LakemanAbstract:Identity studies are well established across the social science literature with Mental Health nursing beginning to offer evidenced insights into what may, or may not, constitute key identity performances. For Mental Health nursing these performances remain contested, both from within the profession and from international contexts that favour generic constructions of Mental Health. This paper offers findings from a qualitative study that focused upon the process of how Mental Health nursing identity development is influenced, rather than what that identity may or may not be. These findings highlight that Mental Health Nurses (MHNs) not only form their identity around service user centred education and training, but that many also use the education as a means to leave the profession. Through highlighting the impact of informal education (i.e., through work), formal education, and training upon the formation of Mental Health nursing identity, Nurses are potentially alerted to the importance of clinically focussed Mental Health being prominent within curricula, rewarding Mental Health nursing skills specialisation, and the importance of the role of the service user in Mental Health Nurse education and, hence, identity formation.
-
a qualitative study of Mental Health Nurse identities many roles one profession
International Journal of Mental Health Nursing, 2009Co-Authors: John HurleyAbstract:The aim of the study was to clarify and build upon current understandings of Mental Health Nurse (MHN) identity. The study adopted a framework of social constructionism and qualitative methodology. Semistructured interviews were conducted, which were thematically analyzed using Nvivo software. Twenty-five MHN were recruited across three geographical sites in the UK. Participants constructed a cluster of seven MHN identity characteristics that constituted a unique contribution to talk-based therapies. These themes of characteristics are: (i) the MHN as generic specialist; (ii) the MHN as adopting a service-user focus; (iii) the MHN as positioning and utilizing the personal self; (iv) the MHN as spending time with the service user; (v) the MHN as delivering talk-based therapies in versatile ways; (vi) the MHN as having an everyday attitude; and (vii) the MHN as having transferable skills. The distinctiveness, and thus, professional identity of Mental Health nursing, must be understood as a cluster of capabilities rather than a search for a singular point of difference. The breadth of capabilities employed by MHN highlights the value and worth of their contribution to service-user care.
Nompilo Moyo - One of the best experts on this subject based on the ideXlab platform.
-
What Are the Core Competencies of a Mental Health Nurse? Protocol for a Concept Mapping Study
Nursing Reports, 2020Co-Authors: Nompilo Moyo, Martin Jones, Rachel Cardwell, Richard GrayAbstract: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.
-
the association between the Mental Health Nurse to registered Nurse ratio and patient outcomes in psychiatric inpatient wards a systematic review
International Journal of Environmental Research and Public Health, 2020Co-Authors: Nompilo Moyo, Martin Jones, Diana Kushemererwa, Sandesh Pantha, Sue Gilbert, Lorena Romero, Richard GrayAbstract:Nursing skill mix in inpatient Mental Health wards varies considerably between countries. Some countries have an all-registered Mental Health Nurse workforce; others have a mix of registered Mental Health and registered Nurses. Understanding the optimal nursing skill mix in Mental Health inpatient units would inform service planning. This report aims to examine the association between the registered Mental Health Nurse-to-registered Nurse ratio and psychiatric readmission (or referral to community crisis services) in adult Mental Health inpatients. A systematic review was performed. We searched key databases for observational and experiMental studies. Two researchers completed title-and-abstract and full-text screening. Our search identified 7956 citations. A full-text review of four papers was undertaken. No studies met our inclusion criteria. We report an empty review. Despite the obvious importance of the research question for the safe staffing of inpatient Mental Health services, there are no studies that have tested this association.
-
the association between Mental Health Nurse to registered Nurse ratio and patient outcomes in psychiatric inpatient wards protocol for a systematic review
Journal of Psychiatric and Mental Health Nursing, 2020Co-Authors: Nompilo Moyo, Martin Jones, Sue Gilbert, Lorena Romero, Richard GrayAbstract:WHAT IS KNOWN ON THE SUBJECT?: Nursing skill mix research has primarily focused on medical and surgical patients. The association between nursing skill mix and clinical outcomes for psychiatric inpatients has not been adequately explored. No systematic reviews have been reported that have examined the association between the ratio of Mental Health to registered Nurses and patient outcomes. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Our protocol sets out, in detail, the methods we intend to follow to ensure that this review is conducted and reported to the highest possible standards. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The review will summarize evidence about safe staffing in Mental Health inpatient units internationally. The review will inform Health policy and planning of Health services. ABSTRACT: Aim To assess the association between Mental Health Nurse to comprehensive/general Nurse ratio and relapse-determined by hospital admission-in adult psychiatric inpatients. Background information There is considerable variation in psychiatric inpatient nursing skill mix internationally. In most countries, wards are typically staffed by a mix of Mental Health and comprehensive/general Nurses. To date, there have been no systematic reviews that have examined the association between the ratio of Mental Health to registered Nurses and patient outcomes. Method We will systematically search five databases. Risk of bias will be determined using the Effective Public Health Practice Project Quality Assessment Tool. A meta-analysis will be undertaken if there are at least two similar studies. Results For included studies, we will produce table summarizing risk of bias and extracted data. If we are able to undertake a meta-analysis, this will be reported as a forest plot. Discussion This paper sets out a detailed plan for a systematic review of Mental Health Nurse skill mix research. Implications for practice High-quality evidence about the association between nursing skill mix and patient outcomes is important to inform the planning of Mental Health services internationally.