Mental health nursing in New Zealand primary health care

O’Brien, Anthony; Hughes, Frances; Kidd, Jacquie

doi:10.5172/conu.2006.21.1.142

Cited by 16 publications

(17 citation statements)

References 23 publications

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“…Nurse leaders in mental health have advocated for systematic professional development for practice nurses as well as mentoring from specialist mental health nurses for skill development. They recommend this be undertaken before implementing models of care for those with mild to moderate conditions (O'Brien et al. 2006; Puskar & Bernardo 2002), noting that the skill‐set required to work in primary health care may differ from the standard mental health skill repertoire:…”

Section: Implications and Conclusionmentioning

confidence: 99%

New Zealand general practice nurses' roles in mental health care

McKinlay

Garrett²,

McBain

et al. 2011

International Nursing Review

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Mental health care is a key role in general practice as this is where people frequently present. Internationally, nurses represent a large workforce with the potential to provide effective mental health care. This study found that attitudinal, structural and professional barriers are restricting New Zealand practice nurse role development in the care of those with mild to moderate mental health conditions. There is potential to develop their role within a structured pathway by workforce development and recognition of the value of interdisciplinary care. Given the shortage of mental health professionals this will be an important aspect of the improvement of primary mental health care.

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Section: Implications and Conclusionmentioning

confidence: 99%

New Zealand general practice nurses' roles in mental health care

McKinlay

Garrett²,

McBain

et al. 2011

International Nursing Review

View full text Add to dashboard Cite

show abstract

“…A core component of the model is service delivery by mental health nurses with experience and skills relevant to the perinatal cohort, offering cost benefits to mental health services. Mental health nurses are well placed in terms of education and skill level to provide effective services within the primary care setting (Gournay cited in O' Brien et al . 2006).…”

Section: Discussionmentioning

confidence: 99%

Evaluating the clinical efficacy of a primary care‐focused, nurse‐led, consultation liaison model for perinatal mental health

Harvey

Fisher

Green

2011

Int J Mental Health Nurs

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In Australia, perinatal mental illness is common, although poorly identified and treated. Improved perinatal mental health depends on service provision models that reflect a focus on promotion, prevention, and early intervention, while facilitating improved referral pathways between primary health and specialist mental health services. In 2008, a contemporary community-based model of mental health service provision was developed as an alternative to the pre-existing hospital-based service model. The model is delivered primarily by mental health nurses using a consultation liaison framework. It provides for specialist mental health assessment and brief intervention in collaboration with the general practitioner, who remains the primary health provider. It also aims to raise community awareness and build capacity for the management of perinatal disorders in the primary care sector. Evaluation of the clinical effectiveness of the model, and the improvement in access for primary health providers and women, was conducted at 2 years from its implementation. Clinical effectiveness was evaluated by using comparative data from the Edinburgh Depression Scale and Depression Anxiety and Stress Scale, and the results demonstrated clinical efficacy. Improved attendance rates indicated that women preferred this community-based service model as an alternative to the pre-existing service model.

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“…However, who performs primary care is somewhat controversial and who receives reimbursement for primary care is very controversial. O'Brien et al . (2006) stated that the MHNP represents an opportunity to extend mental health services to populations that are currently underserved.…”

Section: Ensuring Competence To Practicementioning

confidence: 99%

Progression of the mental health nurse practitioner role in Australia

Wand

White

2007

Psychiatric Ment Health Nurs

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The guiding principle of health care is to serve the needs of the public. Healthcare services are therefore required to be increasingly flexible and open to new approaches to meet changing demands. They must also adjust and expand as new challenges are presented. Public awareness of mental health issues and the current demands placed on health services for access to affordable and appropriate mental health care have never been so great. The introduction of nurse practitioners (NPs) in Australia is a proud and long-anticipated moment for the discipline of nursing. However, a major challenge for the introduction of NPs in Australia will be to reassure medical colleagues, allied health professionals and the public that NPs are able to deliver high-quality primary care. This paper elaborates on the progress of the mental health NP role in Australia. Attention is centred on the characteristics the mental health NP role, the maintenance of professional competency to practise at an advanced clinical level, and the prospects and potential significance of NPs for mental health nursing practice. The nurse-led clinic, implemented through the process of consultation and systematic evaluation, is identified as an avenue for the extension of mental health NP practice in the delivery of autonomous primary care.

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Mental health nursing in New Zealand primary health care

Cited by 16 publications

References 23 publications

New Zealand general practice nurses' roles in mental health care

New Zealand general practice nurses' roles in mental health care

Evaluating the clinical efficacy of a primary care‐focused, nurse‐led, consultation liaison model for perinatal mental health

Progression of the mental health nurse practitioner role in Australia

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