Mental health nursing in emergency departments: the case for a nurse practitioner role

Nicholls, Daniel; Gaynor, Nick; Shafiei, Touran; Bosanac, Peter; Farrell, Gerald A.

doi:10.1111/j.1365-2702.2010.03504.x

Cited by 26 publications

(18 citation statements)

References 32 publications

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“…Bien que prometteuse, l'évaluation systématique de ses effets sur le système de santé n'en est qu'à ses débuts. Les résultats de quelques études qualitatives indiquent un degré élevé de satisfaction en regard de la disponibilité, de l'accessibilité aux services, de l'écoute, du soutien reçu, de l'information et de l'éducation à la santé (Nicholls et al, 2011 ;Wortans et al, 2006). De plus, une étude quasi expérimentale, réalisée dans un service de crise et d'intervention brève dans la communauté, visait à comparer le traitement entrepris par l'infirmière praticienne en santé mentale (évaluation, prescription, plan de traitement) au traitement usuel entrepris par le psychiatre (groupe contrôle).…”

Section: Vers Une Modernisation Du Rôle Professionnel Des Infirmièresunclassified

La pratique infirmière avancée : un choix qui s’impose pour la qualité des soins et services en santé mentale

Ricard

Page

2014

smq

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La refonte des lois professionnelles et la réorganisation des services en santé mentale ont eu une influence significative sur la pratique infirmière en santé mentale au Québec. De nombreuses infirmières ont fait preuve de leadership clinique et ont su adapter leurs services aux besoins de la population selon les nouveaux milieux de soins de proximité. Cependant, plusieurs sont d’avis que le rôle des infirmières n’est pas suffisamment connu et mis à profit pour contribuer de façon optimale à l’offre de services en santé mentale. Ainsi, cet article porte un regard critique sur la pratique infirmière en santé mentale au Québec et les conditions essentielles à son évolution. Il vise à : 1) décrire les tendances actuelles qui caractérisent l’évolution des rôles et la modernisation de la pratique infirmière en santé mentale au Québec ; 2) offrir un aperçu de l’évolution de la pratique infirmière avancée en santé mentale (PIA-SM) et de ses retombées sur la qualité des services ; 3) clarifier le concept de PIA et situer son évolution au Québec ; et 4) proposer diverses stratégies visant à optimiser le rôle des infirmières et leur complémentarité avec les autres professionnels dans l’offre de services en santé mentale. Les progrès en cours sont illustrés par des exemples de pratiques innovantes développées par des infirmières québécoises dans le contexte de la restructuration des services de santé. Les données quant à l’évolution de la PIA-SM aux États-Unis et en Australie indiquent qu’il existe encore de nombreux défis liés à l’implantation réussie de ce nouveau rôle. Toutefois, il se dégage, de la majorité des études, un consensus de plus en plus important quant à la contribution de la PIA-SM pour améliorer la qualité et l’accessibilité des soins en santé mentale. La réforme des services de santé mentale au Québec s’avère donc être un moment propice pour développer et soutenir la PIA-SM et en retirer les bénéfices attendus.

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Section: Vers Une Modernisation Du Rôle Professionnel Des Infirmièresunclassified

La pratique infirmière avancée : un choix qui s’impose pour la qualité des soins et services en santé mentale

Ricard

Page

2014

smq

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“…There is very limited literature reporting on the initial implementation of NPC roles (Masso & Thompson 2016), and this has focussed primarily on emergency departments (Nicholls et al 2011;Plath et al 2017). In mental health settings, Wortans and Happell (2006) report consumer satisfaction with NPC care provision in a crisis assessment and treatment team.…”

Section: Introductionmentioning

confidence: 99%

Improving physical health outcomes for people with severe mental illness: A proof‐of‐concept study of nurse practitioner candidate practice

Furness

Giandinoto

Wordie-Thompson

et al. 2019

Int J Mental Health Nurs

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People with severe mental illness have significantly reduced life expectancy and higher risk of cardiovascular diseases than the general population. There is a critical need for quality physical health care to improve consumers’ health outcomes. There is minimal knowledge, however, on the impact of mental health nurse practitioner candidate (NPC) practices on consumers’ health outcomes. The aim of this proof‐of‐concept study was to describe the impacts of NPC practices on the quality of physical healthcare provision and physical health outcomes (cardiovascular and cardiometabolic) of consumers in community mental health service settings. Using a mixed methods design, quantitative data were collected for 12 months prior to (Period 1), and 12 months during (Period 2), the candidacy period. Qualitative interviews were conducted with a purposive sample of n = 10 consumers to explore their perspectives on physical healthcare provision by the NPCs. During the 12‐month candidacy period, the number of metabolic monitoring assessments rose from n = 55 in Period 1 to n = 146 in Period 2 (P < 0.01, χ2 = 41.20). Advanced practices provided by NPCs included taking an extensive holistic history and clinical examination, ordering diagnostic pathology, and clinical simulation of physical health medication prescription (under medical supervision). Analysis of consumer interviews resulted in two themes: (i) positive and helpful NPC health care and (ii) improvements in physical and mental health. The findings add new knowledge on specialist mental health nurse practitioner candidate roles and demonstrate the benefits these roles can have in reducing the significant morbidity and mortality of mental health consumers.

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“…The potential for MHNP has been explored and described in detail (Baker 2010; Elsom et al . 2005; 2007; 2009; Fisher 2005; Gardner & Gardner 2005; Nichols et al . 2011; Wand & Fisher 2006; Wand & White 2007a,b; Wortans et al .…”

Section: Introductionmentioning

confidence: 99%

“…The NP is a specialized nurse, prepared at least to Master's level, and typically works within a multidisciplinary context, providing autonomous assessment and management of clients. The potential for MHNP has been explored and described in detail (Baker 2010;Elsom et al 2005;2009;Fisher 2005;Gardner & Gardner 2005;Nichols et al 2011;Wand & Fisher 2006;Wand & White 2007a,b;Wortans et al 2006); however, there is an absence of research outcomes from services provided by MHNP. A recent census of Australian NP conducted by Gardner et al (2009) found that MHNP were the second largest group (n = 12) represented after emergency NP (n = 39).…”

Section: Introductionmentioning

confidence: 99%

An emergency department-based mental health nurse practitioner outpatient service: Part 1, participant evaluation

Wand

White

Patching

et al. 2011

International Journal of Mental Health Nursing

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The mental health liaison nurse role in the emergency department (ED) has demonstrated a range of positive outcomes for both consumers and staff. In Australia, the added value associated with establishing mental health nurse practitioner (MHNP) positions based on this model is emerging. This paper presents qualitative findings from a study using a mixed-method design to evaluate an ED-based MHNP outpatient service in Sydney, Australia. In evaluating this new service, semistructured interviews were conducted with a random selection of study participants and a stratified sample of ED staff. This is the first of a two-part paper that presents an analysis of qualitative data from interviews conducted with study participants (n = 23). Participants reported numerous therapeutic benefits from the service, such as support, understanding, and a focus on solutions rather than problems, and high levels of satisfaction with the accessibility of the service and follow up. Suggestions for improving the service were also offered. Participants emphasized that overall ED service provision would be enhanced through additional resources, especially an extension of operating hours. Findings from these participant interviews provide strong support for an ED-based MHNP outpatient service.

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Mental health nursing in emergency departments: the case for a nurse practitioner role

Abstract: It is expected that those presenting with mental health issues to the emergency department will benefit through the increased assessment and management skills of staff.

Cited by 26 publications

References 32 publications

La pratique infirmière avancée : un choix qui s’impose pour la qualité des soins et services en santé mentale

La pratique infirmière avancée : un choix qui s’impose pour la qualité des soins et services en santé mentale

Improving physical health outcomes for people with severe mental illness: A proof‐of‐concept study of nurse practitioner candidate practice

An emergency department-based mental health nurse practitioner outpatient service: Part 1, participant evaluation

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