Community Psychiatric/Mental Health Nursing: Contexts and Challenges—The Case of Nurse Prescribing and Recovery-Focused Interventions

Hemingway, Stephen; Brimblecombe, Neil

doi:10.1007/978-3-319-31772-4_14

Cited by 2 publications

(2 citation statements)

References 42 publications

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“…Recovery was not named as a background theory in the treatments included in this review, but it has been suggested to be a guiding philosophy for community mental health nurses (Hemingway & Brimblecombe, 2018). Our findings support this suggestion from the perspective of nurse-delivered interventions in the psychiatric outpatient care.…”

Section: Discussionsupporting

confidence: 72%

“…Although supported by policy in many countries, there has been lack of implementation of recovery‐oriented practice at the clinical level (Simpson et al, ). Recovery was not named as a background theory in the treatments included in this review, but it has been suggested to be a guiding philosophy for community mental health nurses (Hemingway & Brimblecombe, ). Our findings support this suggestion from the perspective of nurse‐delivered interventions in the psychiatric outpatient care.…”

Section: Discussionmentioning

confidence: 99%

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Interventions delivered by nurses in adult outpatient psychiatric care: An integrative review

Ameel

Kontio

Välimäki

2019

Psychiatric Ment Health Nurs

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Accessible summary What is known on the subject? In many countries, the majority of psychiatric care is being delivered in an outpatient setting and the proportion of outpatients is increasing on a global level. Nurses are the largest workforce in psychiatric care, but their role has been said to be difficult to define. According to our knowledge, there are no previous reviews focusing on nurse‐delivered interventions in the adult psychiatric outpatient setting. What this paper adds to existing knowledge? This review summarizes nurse‐delivered interventions identified in the research literature and describes these systematically. Analysing all the identified interventions using the Nursing Interventions Classification, we conclude that the emphasis of nurse‐delivered interventions in psychiatric outpatient care is on interventions aiming at improving the functioning of both patients and their family members by building on their own strengths. These findings differ from those presented in a review on inpatient psychiatric nursing. There are several clinical trials describing nurse‐delivered evidence‐based treatments, such as psychoeducation for patients and their family members in the case of patients diagnosed with schizophrenia and bipolar disorder. The quality of randomized controlled trials was higher than in earlier reviews describing psychiatric nursing interventions in general or in connection with a specific patient group. Further clinical trials are needed to describe the role of nurses in the care of patients diagnosed with depression and in the use of web‐based interventions. Additionally, it would be important to study what supports, and on the other hand hinders, the role of nurses in delivering evidence‐based treatments at the clinical level. What are the implications for practice? Nurses can play a central role in responding to the growing demand for evidence‐based practices in adult outpatient psychiatry, by delivering treatments for patients and family members. It is important that both nursing education and clinical practices recognize and support this role. AbstractIntroductionAccording to our knowledge, there are no previous reviews on nurse‐delivered interventions in the adult psychiatric outpatient setting.AimTo identify and systematically describe and analyse nurse‐delivered interventions based on research literature.MethodAn integrative review.ResultsThis review included 60 studies, of which 46 were intervention studies, including 40 clinical trials. The most common patient groups were patients diagnosed with schizophrenia and bipolar disorder. The nursing interventions described in the studies resembled a total of 68 interventions from the Nursing Interventions Classification. The treatment delivery methods varied and treatments often lacked a clear theoretical background.Implications for practiceThe core of nurse‐delivered interventions identified in research literature in psychiatric outpatient care is on interventions aiming at improving the functioning of both patients an...

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Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Interventions delivered by nurses in adult outpatient psychiatric care: An integrative review

Ameel

Kontio

Välimäki

2019

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

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Developing the advanced nurse practitioner role in a memory service

2019

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This article describes how one NHS trust in northern England developed the advanced nurse practitioner (ANP) role within its memory services. It discusses how ANP roles were developed and implemented across four localities of a large NHS trust that provides a number of locally based memory services to improve the diagnostic pathway for people referred to the service and their carers. Advanced practice is considered more broadly followed by a review of the literature related to the role of the ANP and non-medical prescriber in mental health and, more specifically, memory assessment and diagnostic services. Challenges to gaining the requisite competency to work as an ANP are discussed. The need for a clear agreed strategy to ensure practitioner competence and effective governance for the introduction of these roles is described. It is argued that using this model allowed for mental health nurses within memory services to make a major contribution to the transformation of such services and receive recognition for the expansion of their role and appropriate remuneration linked to national NHS employment role profiles. The potential benefit of the ANP role more broadly in mental health services is discussed, together with factors that may have previously hindered their contribution to the transformation of services. The strategic development and planning process that led to implementing the ANP role within memory services is presented, together with a description of how the relevant higher level clinical skills required for the roles were achieved and formally accredited.

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Community Psychiatric/Mental Health Nursing: Contexts and Challenges—The Case of Nurse Prescribing and Recovery-Focused Interventions

Cited by 2 publications

References 42 publications

Interventions delivered by nurses in adult outpatient psychiatric care: An integrative review

Interventions delivered by nurses in adult outpatient psychiatric care: An integrative review

Developing the advanced nurse practitioner role in a memory service

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