Improving the cardiometabolic health of people with psychosis: A protocol for a randomised controlled trial of the Physical Health Nurse Consultant service

Self Cite

Consumers of mental health services experience poor physical health compared to the general population, leading to long‐term physical illness and premature death. Current research and policy activity prioritizes the physical health of consumers yet few of these recommendations have translated to practice. This implementation gap may be influenced by the paucity of literature exploring consumer perceptions and experiences with physical healthcare and treatment. As a result, little is understood about the views and attitudes of consumers towards interventions designed to improve their physical health. This integrative review aims to explore the literature regarding consumer perspectives of physical healthcare and, interventions to improve their physical health. A systematic search was undertaken using (i) CINAHL, (ii) MEDLINE, (iii) PsycINFO, (iv) Scopus, and (v) Google Scholar between September and December 2021. Sixty‐one papers comprising 3828 consumer participants met the inclusion criteria. This review found that consumers provide invaluable insights into the barriers and enablers of physical healthcare and interventions. When consumers are authentically involved in physical healthcare evaluation, constructive and relevant recommendations to improve physical healthcare services, policy, and future research directions are produced. Consumer evaluation is the cornerstone required to successfully implement tailored physical health services.

Section: Discussionmentioning

confidence: 99%

“…2019; Happell et al . 2013, 2018). The comprehensive educational background of mental health nurses, proximity, and therapeutic relationship with consumers place specialist mental health nurses in an ideal position to improve consumers' physical health outcomes.…”

Section: Discussionmentioning

confidence: 99%

Mental health consumers' perspectives of physical health interventions: An integrative review

Tabvuma

Stanton

Browne

et al. 2022

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“…Mental health consumers are supportive of nurse-led physical healthcare interventions, but the perspectives of consumers who engage with these interventions are lacking. Recently, a trial of a Physical Health Nurse Consultant (PHNC) role was conducted at Canberra Community Mental Health Services (Happell et al, 2018). This study examines the perspective of consumers regarding the implementation of this novel service.…”

Section: Implementation Of Thementioning

confidence: 99%

Abstracts

2022

BACKGROUND: Care coordination is designed to provide holistic care across multiple health care delivery systems in a timely manner. Care coordination involves a multi-disciplinary team and a collaborative approach when walking alongside the consumer. Care coordination offers a health care delivery model that is entrenched in several key delivery principles that are based on understanding a consumers' experience and formulating a shared-care pathway in a respectful manner. OBJECTIVE: The aim of this study was to explore consumer experiences of care coordination within Barwon Health's Hospital Admission Risk Program (HARP) located in Geelong, Victoria, using a qualitative descriptive approach. METHOD: The study adopted an inclusive and coproduced research design. Semi-structured interviews were conducted with a purposive convenience sample of six consumers living with chronic health conditions and other complex psychosocial needs. Participants were asked about their experiences related to accessing the service, communication, health and supports before and after accessing the service, and 'their' lived experiences. RESULTS: Five meta-themes were identified: (1) experiencing authentic, values-based care, (2) collaborative care and working together, (3) gaining independence, (4) improved health and quality of life, and (5) limited understanding of HARP at the start. Overall, participants' experiences were positive, assistance in improving health literacy, quality of life, and sustainable supports. While gains were experienced, most of the participants identified that their knowledge of HARP was limited when services were introduced and 'their' enrolled voluntary participation. CONCLUSION: This research addresses the knowledge gap related to consumer experiences of care coordination. Findings offer an insight in providing personcentred, authentic and values-based care. The findings highlight the need to improve consumer and referrer knowledge and provides an understanding of care coordination service delivery principles that are: inclusive, individualised, and holistic and embodies a creative ideology to break down roadblocks in a consumer's health care journey.

“…The PHNC is a specialist mental health nursing role developed to provide targeted physical healthcare coordination and health behaviour change advice for consumers diagnosed with psychosis (Happell et al 2018). The PHNC applied the Positive Cardiometabolic Health treatment framework (Curtis et al 2012) when consulting with and monitoring the physical health of consumers (Happell et al 2018). Consumers working with the PHNC were supported to identify and implement their self-identified goals and health priorities.…”

Section: Phnc Rolementioning

confidence: 99%

“…The CHN demonstrated capacity and capability to support physical activity, dietary habits, alcohol reduction and smoking cessation (Happell et al 2014). More recently, a PHNC role was co-located at a community mental health setting (Happell et al 2018). To fully understand the impact of this role, it is critical to explore consumers' perspectives of key drivers of a high-quality therapeutic partnership between the PHNC and consumer, and its impact on physical health outcomes.…”

Section: Introductionmentioning

confidence: 99%

The physical health nurse consultant and mental health consumer: An important therapeutic partnership

Tabvuma

Stanton

Happell

2022

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People diagnosed with mental illness (hereon referred to as consumers) experience a disproportionately lower life expectancy of up 30 years compared to the general population. Systemic issues such as diagnostic overshadowing and stigma from healthcare professionals have inhibited the development of positive therapeutic partnerships that enable consumers to seek and engage support for their physical health concerns. Consumers have called for healthcare professionals to skillfully develop and prioritize therapeutic partnerships whilst coordinating and providing physical healthcare. The aim of this qualitative descriptive research was to explore consumer views and experiences of their interactions with a specialist mental health nursing role, the Physical Health Nurse Consultant. Semi-structured interviews were conducted with 14 consumers from a large public Community Mental Health Service in the Australian Capital Territory. Interviews were transcribed and thematically analysed. Therapeutic partnerships were an overarching theme identified from the data and included three sub-themes: personal attributes of the Physical Health Nurse Consultant; behaviour change engagement strategies; and impact of the therapeutic partnership. Consumers described the personal and professional attributes of the Physical Health Nurse Consultant that enabled the establishment and maintenance of their highly valued therapeutic partnership. This therapeutic partnership was perceived to positively impact their personal and clinical outcomes. With increasing support from consumers, clinical practice settings should move towards embedding a Physical Health Nurse Consultant role in routine practice. Further research exploring the co-development of health behaviour change goals and, barriers and facilitators experienced by the consumers regarding the Physical Health Nurse Consultant is required to further role development.