Patient health outcomes in psychiatric mental health nursing

Abstract

This integrative literature review examined evidence concerning the relationship between psychiatric mental health nursing interventions and patient-focused outcomes. Empirical studies, published between 1997 and 2007, were identified and gathered by searching relevant databases and specific data sources. Although 156 articles were critically appraised, only 25 of them met the inclusion criteria. Findings from this review showed that the most frequently used outcome instruments assessed psychiatric symptom severity. Most of the instruments targeted two symptom categories: altered thoughts/perceptions and altered mood. Other outcome instruments were categorized in the following domains: self-care, functioning, quality of life and satisfaction. The most important finding of this review is the lack of consistently strong evidence to support decisions concerning which outcome instrument or combination of instruments to recommend for routine use in practice. Based on this review, additional research to conceptualize, measure and examine the feasibility of outcome instruments sensitive to psychiatric mental health nursing interventions is recommended.

Interpersonal Community Psychiatric Treatment for non-psychotic chronic patients and nurses in outpatient mental health care: A controlled pilot study on feasibility and effects

“…Since establishing meaningful health outcomes in SMIpatients is complicated due to often limited progress (Montgomery et al, 2009), we used the WHO International Classification of Functioning, Disability and Health (ICFDH; Ustun et al, 2003) to distinguish between disease (body structures and functions), disability (activity limitations) and functioning (participation limitations). In psychiatry, these three concepts usually are interpreted as the type and severity of psychiatric disorder (functions), psychosocial functioning (activity limitations), and quality of life and social participation (participation limitations).…”

Processo de enfermagem na saúde mental: revisão integrativa da literatura

“…The evidence of nursing process application to establish mental health care is weak, since on the strength of evidence (12) , there was one (5.26%) level III (22) , seven (36.84%) of level IV (7,(18)(19)(20)(21)(26)(27) , eight (41.10%) of level V (23)(24)(25)(28)(29)(30)(31)(32) and three (15.78%) of level VI (33)(34)(35) . It is noteworthy that the scale used describes as studies of strong evidence those that are at level I of evidence strength (12) .…”

“…A study takes as its main point the teaching of NP and uses the Outcome strategy -Present State Test (OPT) that aims at making decisions and promotes the use of NANDA International, Inc -Nursing Interventions Classification (NIC) -Nursing Outcomes Classification NOC), or NNN language, while another prioritizes the description of nursing diagnoses (7,18) . The main focus of integrative review is the articulation between the proposition of interventions and the expected results (22) . The four studies that advance the NP development beyond the data collection phase use the NANDA-I taxonomy and the NNN language and bring in a remarkable way the shared care, integrating the patient in the evaluation and decision making (7,18,(20)(21) .…”

Fostering real‐world clinical mental health research

“…A focus on quality, outcomes and change is fundamental to evidence‐based practice (Essock et al. 2003b); frameworks are crucial for improving outcomes expected from the implementation of evidence‐based practices and incorporation into usual business (Ganju 2006, Montgomery et al. 2009).…”

“…A focus on quality, outcomes and change is fundamental to evidence-based practice (Essock et al 2003b); frameworks are crucial for improving outcomes expected from the implementation of evidence-based practices and incorporation into usual business (Ganju 2006, Montgomery et al 2009). Clinicians need to be able to integrate justifiable conclusions from new knowledge into their practice and accurate interpretation, and translation requires a long-term iterative approach (Emsley & Hawkridge 2009).…”