Generalist health professional's interactions with consumers who have a mental illness in nonmental health settings: A systematic review of the qualitative research

Brunero, Scott; Ramjan, Lucie M.; Salamonson, Yenna; Nicholls, Daniel

doi:10.1111/inm.12472

Cited by 12 publications

(9 citation statements)

References 65 publications

(127 reference statements)

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“…In another finding consistent with our results, Brunero et al (2018) found need for knowledge was a theme in their literature review of general nurses' interactions with mental health consumers, although in contrast to Brunero et al's findings of lack of confidence, nurses in the current study reported high levels of confidence in working with mental health consumers. There was a strong endorsement of the need for further training in this area.…”

Section: Ta B L E 4 (Continued)supporting

confidence: 88%

Evaluation of metabolic monitoring practices for mental health consumers in the Southern District Health Board Region of New Zealand

O’Brien

Abraham

2021

Psychiatric Ment Health Nurs

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What is known on this subject?• The physical health of people with serious mental illness (SMI) is an issue of growing concern in New Zealand and internationally.• Metabolic syndrome is prevalent among people with severe mental illness and increases the likelihood of developing cardiovascular disease and diabetes.• No previous international research has investigated rates of metabolic monitoring in specialist mental health services and in primary care. What this paper adds to existing knowledge?• Rates of metabolic monitoring are low in this specialist mental health service and in primary care.• Primary care nurses are positive in their views of their role in providing care for people with mental illness, and would value further education in this area. What are the implications for practice?• Services need to consider ways in which nurses can be supported to improve rates of metabolic monitoring.• Guidelines may have a role to play in improved monitoring but need service-level support in order to be effective.

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Section: Ta B L E 4 (Continued)supporting

confidence: 88%

Evaluation of metabolic monitoring practices for mental health consumers in the Southern District Health Board Region of New Zealand

O’Brien

Abraham

2021

Psychiatric Ment Health Nurs

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“…General Practitioners are often required to provide care outside of their clinical speciality. In addition to educational programs, organisational and system-level changes are needed to ensure the quality of care provided to those experiencing mental health concerns is consonant with their needs [44]. Alternative understandings of suicidal distress, coupled with stigma or previous negative experiences of treatment and care, may also reasonably explain the reluctance of those with undiagnosed symptoms to seek help or comply with treatment [45,46].…”

Section: Discussionmentioning

confidence: 99%

Suicide in rural Australia: A retrospective study of mental health problems, health-seeking and service utilisation

et al. 2021

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Background Suicide rates are higher in rural Australia than in major cities, although the factors contributing to this are not well understood. This study highlights trends in suicide and examines the prevalence of mental health problems and service utilisation of non-Indigenous Australians by geographic remoteness in rural Australia. Methods A retrospective study of National Coronial Information System data of intentional self-harm deaths in rural New South Wales, Queensland, South Australia and Tasmania for 2010–2015 from the National Coronial Information System. Results There were 3163 closed cases of intentional self-harm deaths by non-Indigenous Australians for the period 2010–2015. The suicide rate of 12.7 deaths per 100,000 persons was 11% higher than the national Australian rate and increased with remoteness. Among people who died by suicide, up to 56% had a diagnosed mental illness, and a further 24% had undiagnosed symptoms. Reported diagnoses of mental illness decreased with remoteness, as did treatment for mental illness, particularly in men. The most reported diagnoses were mood disorders (70%), psychotic disorders (9%) and anxiety disorders (8%). In the six weeks before suicide, 22% of cases had visited any type of health service at least once, and 6% had visited two or more services. Medication alone accounted for 76% of all cases treated. Conclusions Higher suicide rates in rural areas, which increase with remoteness, may be attributable to decreasing diagnosis and treatment of mental disorders, particularly in men. Less availability of mental health specialists coupled with socio-demographic factors within more remote areas may contribute to lower mental health diagnoses and treatment. Despite an emphasis on improving health-seeking and service accessibility in rural Australia, research is needed to determine factors related to the under-utilisation of services and treatment by specific groups vulnerable to death by suicide.

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“…In rural and remote settings, nurses find that patients with mental health concerns, who often present with highly complex needs, are challenging to manage; there is little backup, fewer resources (such as detox centres), and no on-hand mental health specialist services (Beks et al 2018;Brunero et al 2018;Caxaj 2016;Kidd et al 2012;Wideman et al 2020). While caring for patients with mental health concerns in general acute care settings has been acknowledged (Beks et al 2018;Kidd et al 2012;Link et al 2019), less recognized is the inclusion of mental health nursing care within nurses' generalist practice in primary care and community settings (Wideman et al 2020) and within LPNs' practice in long-term care.…”

Section: Discussionmentioning

confidence: 99%

“…Unlike the literature that discusses this stigma only in the context of professional practice interactions (Brunero et al . 2018 ) or the workplace (Moore et al . 2010 ), the nurses in this study noted how mental health stigma affected their lives in rural and remote communities.…”

Section: Discussionmentioning

confidence: 99%

Mental health nursing practice in rural and remote Canada: Insights from a national survey

MacLeod

Penz

Banner

et al. 2021

Int J Mental Health Nurs

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Access to and delivery of quality mental health services remains challenging in rural and remote Canada. To improve access, services, and support providers, improved understanding is needed about nurses who identify mental health as an area of practice. The aim of this study is to explore the characteristics and context of practice of registered nurses (RNs), licensed practical nurses (LPNs), and registered psychiatric nurses (RPNs) in rural and remote Canada, who provide care to those experiencing mental health concerns. Data were from a pan‐Canadian cross‐sectional survey of 3822 regulated nurses in rural and remote areas. Individual and work community characteristics, practice responsibilities, and workplace factors were analysed, along with responses to open‐ended questions. Few nurses identified mental health as their sole area of practice, with the majority of those being RPNs employed in mental health or crisis centres, and general or psychiatric hospitals. Nurses who indicated that mental health was only one area of their practice were predominantly employed as generalists, often working in both hospital and primary care settings. Both groups experienced moderate levels of job resources and demands. Over half of the nurses, particularly LPNs, had recently experienced and/or witnessed violence. Persons with mental health concerns in rural and remote Canada often receive care from those for whom mental health nursing is only part of their everyday practice. Practice and education supports tailored for generalist nurses are, therefore, essential, especially to support nurses in smaller communities, those at risk of violence, and those distant from advanced referral centres.

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Generalist health professional's interactions with consumers who have a mental illness in nonmental health settings: A systematic review of the qualitative research

Cited by 12 publications

References 65 publications

Evaluation of metabolic monitoring practices for mental health consumers in the Southern District Health Board Region of New Zealand

Evaluation of metabolic monitoring practices for mental health consumers in the Southern District Health Board Region of New Zealand

Suicide in rural Australia: A retrospective study of mental health problems, health-seeking and service utilisation

Mental health nursing practice in rural and remote Canada: Insights from a national survey

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