Knowledge, confidence and attitudes towards mental health of nurses working in NHS Direct and the effects of training

Payne, Fiona; Harvey, Kate; Jessopp, Lynda; Plummer, Sue; Tylee, André; Gournay, Kevin

doi:10.1046/j.1365-2648.2002.02413.x

Cited by 44 publications

(45 citation statements)

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“…A recent survey in the UK indicated the majority of nurses use computers regularly at work but more than 50% had received no training in IT within the last six months [20]. Nurses working for NHS Direct (the national telephone triage system used in England and Wales) reported increased confidence in dealing with mental health related calls and more positive attitudes towards their role in dealing with depressed patients following specific mental health training [21]. However, few studies have examined the training given to nurses on the use of specific computer systems and the effect of training on their subsequent use of technology.…”

Section: Organisational Influences On Technology Usementioning

confidence: 99%

Organisational influences on nurses’ use of clinical decision support systems

Randell

Dowding

2010

International Journal of Medical Informatics

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Section: Organisational Influences On Technology Usementioning

confidence: 99%

Organisational influences on nurses’ use of clinical decision support systems

Randell

Dowding

2010

International Journal of Medical Informatics

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“…71 Indeed, nurses' confidence in dealing with depressed patients has been shown to improve following training. 72 Encouraging results have been seen in the past when educational initiatives were used to improve the recognition of depression in primary care. The most prominent data came from a program instigated by the Swedish Committee for the Prevention and Treatment of Depression during the 1980s on the island of Gotland.…”

Section: Implications Of Somatic Symptoms In Depression: Can Trainingmentioning

confidence: 99%

The Importance of Somatic Symptoms in Depression in Primary Care

Gandhi¹

2005

Prim. Care Companion CNS Disord.

237

186

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Objective:Patients with depression present with psychological and somatic symptoms, including general aches and pains. In primary care, somatic symptoms often dominate. A review of the literature was conducted to ascertain the importance of somatic symptoms in depression in primary care.Data sources and extraction: MEDLINE, EMBASE, and PsychLIT/PsychINFO databases ( -January 2004 were searched for the terms depression, depressive, depressed AND physical, somatic, unexplained symptoms, complaints, problems; somatised, somatized symptoms; somatisation, somatization, somatoform, psychosomatic; pain; recognition, underrecognition; diagnosis, underdiagnosis; acknowledgment, underacknowledgment; treatment, undertreatment AND primary care, ambulatory care; primary physician; office; general practice; attribution, reattribution; and normalising, normalizing. Only English-language publications and abstracts were considered.Study selection: More than 80 papers related to somatic symptoms in depression were identified using the content of their titles and abstracts.Data synthesis: Approximately two thirds of patients with depression in primary care present with somatic symptoms. These patients are difficult to diagnose, feel an increased burden of disease, rely heavily on health care services, and are harder to treat. Patient and physician factors that prevent discussion of psychological symptoms during consultations must be overcome.Conclusions: Educational initiatives that raise awareness of somatic symptoms in depression and help patients to reattribute these symptoms should help to improve the recognition of depression in primary care.( 3 Despite improved awareness of the condition in primary care, depression remains difficult to diagnose initially, and the majority of cases are only recognized at subsequent consultations, sometimes several years after the patient's initial visit. 4 In primary care, physicians require sophisticated consulting skills to enable them to differentiate a wide range of symptoms from a complex narrative in a short period of time. Symptoms of depression include classic psychological symptoms, such as low mood, loss of interest, poor concentration, and associated anxiety, and somatic symptoms, such as changes in appetite, lack of energy, sleep disturbance, and general aches and pains. 5,6 The suspicion of depression is usually raised by the presence of psychological symptoms. However, in approximately two thirds of patients with depression, the clinical picture is dominated by somatic symptoms, such as lack of energy and general aches and pains, 7,8 which patients frequently attribute to normalizing causes. As a result, many physicians become preoccupied with lengthy investigations into possible underlying organic disease rather than considering depression as a diagnosis.9 Indeed, depression is mostly difficult to recognize in patients who present with chiefly somatic complaints. 8,10 We conducted a review of the recent literature to ascertain the importance of somatic symptoms in depress...

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“…Factors such as format, duration, content, trainer expertise, staff education level, and staff attitudes toward residents all need to be addressed to improve the quality of training programs. Effective training positively impacts the knowledge, attitudes, and self-efficacy of mental health staff and can improve generalized caregiving skills as well [35][36][37] . Training can also help NAs feel that their jobs are more rewarding and less frustrating 38,39 .…”

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confidence: 99%

Internet Training for Nurse Aides to Prevent Resident Aggression

Irvine

Bourgeois

Billow

et al. 2007

Journal of the American Medical Directors Association

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Objectives-Evaluate Internet training to help Nurse Aides decrease resident aggression.Design-Randomized treatment and control design; pre-post assessment.Setting-The study was conducted entirely on the Internet. Participants-Nurse Aides; N=62Intervention-Internet based interactive training using video modeling and mastery learning instructional design.Measurements-Video situations testing and assessment of psycho-social constructs associated with behavior change; follow-up interviews with a sample of treatment participants.Results-MANCOVA analysis showed positive results (p=.001) for knowledge, attitudes, self efficacy, and behavioral intention, with large effect sizes; it was well received by the users.Conclusions-Interactive training is an effective approach to shaping appropriate staff reactions to aggressive resident behaviors. The training can effectively be delivered on the Internet. In this research, it was both valued and well received by study participants.Keywords resident aggression; training; Internet; Nurse Aides; long term care; interactive Violence and assaults by residents against staff or other residents in the long-term care system are a major public health concern 1-5 . Direct care workers in long-term care facilities (LTCs) are the workers at highest risk to suffer from workplace violence 6 (e.g., grabs, chokes, hair pulls, kicks, hits, bites, etc,) and injury due to interactions with residents. Aggressive behavior in the form of threats, harassment, and assaults by residents often occurs daily in LTCs and is widely accepted as part of the job by Nurse Aides (NAs) 4,7-10 . Aggressive resident behaviors can take a physical and emotional toll on both NAs and residents 8,11 , impacting the quality of care provided 4 , and potentially making workers more prone to aggressive responses towards residents 12,13 . The frequency of assaults has been poorly documented, but in a recent study, 138 NAs reported an average of 4.69 assaults during 80 hours of work with a range of 0-67 assaults 14 . Morgan, Stewart, D'Arcy, Forbes, and Lawson 15 reported that 73.4% of NAs in Conflict of interest: None of the authors has a conflict of interest related to this research.Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. An interactive multimedia (IMM) training approach that links video presentations with the interactive capabilities of computers has the potential to solve many of these problems 42,43 . IMM programs potentially can blend video modeling vignettes and testimonials, graphics and text, and test questions into a criterion-referenced mastery learning ins...

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Knowledge, confidence and attitudes towards mental health of nurses working in NHS Direct and the effects of training

Cited by 44 publications

References 14 publications

Organisational influences on nurses’ use of clinical decision support systems

Organisational influences on nurses’ use of clinical decision support systems

The Importance of Somatic Symptoms in Depression in Primary Care

Internet Training for Nurse Aides to Prevent Resident Aggression

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