Predictors of Nurse Support for the Introduction of the Cardiometabolic Health Nurse in the Australian Mental Health Sector

Happell, Brenda; Platania‐Phung, Chris; Scott, David; Stanton, Robert

doi:10.1111/ppc.12077

Cited by 5 publications

(9 citation statements)

References 44 publications

(51 reference statements)

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“…Physical healthcare.Adapted PHASe [11] plus new items. N = 643 see 5.Routine practiceNationalPhysical health care was explained by self-reported nurse views on patient health, rights and nurse role ideal (‘nurses should be involved in physical health care’), and organisational factors. The latter may be more important in determining physical health careHappell et al [35] [2012]AustraliaCross-sectional survey. Physical healthcare.Questionnaire domains: 1.Perceived Relative Health; 2.…”

Section: Resultsmentioning

confidence: 99%

Mental health nurses’ attitudes, experience, and knowledge regarding routine physical healthcare: systematic, integrative review of studies involving 7,549 nurses working in mental health settings

et al. 2019

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Background There has been a recent growth in research addressing mental health nurses’ routine physical healthcare knowledge and attitudes. We aimed to systematically review the empirical evidence about i) mental health nurses’ knowledge, attitudes, and experiences of physical healthcare for mental health patients, and ii) the effectiveness of any interventions to improve these aspects of their work. Methods Systematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Multiple electronic databases were searched using comprehensive terms. Inclusion criteria: English language papers recounting empirical studies about: i) mental health nurses’ routine physical healthcare-related knowledge, skills, experience, attitudes, or training needs; and ii) the effectiveness of interventions to improve any outcome related to mental health nurses’ delivery of routine physical health care for mental health patients. Effect sizes from intervention studies were extracted or calculated where there was sufficient information. An integrative, narrative synthesis of study findings was conducted. Results Fifty-one papers covering studies from 41 unique samples including 7549 mental health nurses in 14 countries met inclusion criteria. Forty-two (82.4%) papers were published since 2010. Eleven were intervention studies; 40 were cross-sectional. Observational and qualitative studies were generally of good quality and establish a baseline picture of the issue. Intervention studies were prone to bias due to lack of randomisation and control groups but produced some large effect sizes for targeted education innovations. Comparisons of international data from studies using the Physical Health Attitudes Scale for Mental Health Nursing revealed differences across the world which may have implications for different models of student nurse preparation. Conclusions Mental health nurses’ ability and increasing enthusiasm for routine physical healthcare has been highlighted in recent years. Contemporary literature provides a base for future research which must now concentrate on determining the effectiveness of nurse preparation for providing physical health care for people with mental disorder, determining the appropriate content for such preparation, and evaluating the effectiveness both in terms of nurse and patient- related outcomes. At the same time, developments are needed which are congruent with the needs and wants of patients. Electronic supplementary material The online version of this article (10.1186/s12912-019-0339-x) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Mental health nurses’ attitudes, experience, and knowledge regarding routine physical healthcare: systematic, integrative review of studies involving 7,549 nurses working in mental health settings

et al. 2019

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“…The capacity of such a role to address consumer physical health disparities has been well received by nurses (Happell et al . ; Happell et al . ), particularly following the implementation of a similar role (Happell et al .…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have also shown that such a role is well‐supported by nurses in mental health (Happell et al . ; Happell et al . 2013).…”

Section: Discussionmentioning

confidence: 99%

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Embedding a physical health nurse consultant within mental health services: Consumers’ perspectives

Happell

Ewart

Platania‐Phung

et al. 2016

Int J Mental Health Nurs

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The life expectancy of people living with mental illness is significantly shorter than that of the rest of the population. Despite the profound impact of physical health issues on both quality of life and life expectancy, the perspectives of mental health consumers have yet to be thoroughly explored. Furthermore, research has focused far more on describing barriers than on identifying solutions. This paper reports on findings from a qualitative exploratory research study, with the aim to examine the potential role of a specialist nurse with advanced physical health-care skills. Focus groups were conducted with 31 consumers. Data were analysed thematically. The concept of a role like this was supported; however, participants stressed: (i) the importance of integration between health professionals and various components of the health-care system; and (ii) the need for culture change for nurses to work from a less medically-dominated approach. Previous research literature suggests that a nursing position dedicated to physical health care and coordination might produce positive outcomes for mental health consumers. The findings from the current research project emphasize the need for consumers to be identified as key stakeholders in a solution-focused approach to improved physical health care for mental health consumers.

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“…A specialist nursing position has been proposed as a potential approach to promoting improved physical health care within mental health services. Positions of this kind, while limited in number, have been evaluated positively (Druss et al ; Happell et al ; McKenna et al ), and the attitudes of nurses from mental health services have been favourable (Happell et al ; Happell et al ), becoming more so following the introduction of a position of this type (Happell et al ). However, at this stage the views and opinions of those most closely affected by the inadequacy in physical health care including carers, have not been canvassed.…”

Section: Discussionmentioning

confidence: 99%

Physical health nurse consultant role to improve physical health in mental health services: A carer's perspective

Happell

Wilson

Platania‐Phung

et al. 2016

Int J Mental Health Nurs

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The physical health of people diagnosed with a mental illness is significantly poorer in comparison with the general population. Awareness of this health disparity is increasing; however, strategies to address the problem are limited. Carers play an important role in the physical health care of people with mental illness, particularly in facilitating navigation of and advocating in the health care system. A specialist physical health nurse consultant position has been suggested as a way to address the physical health care disparity and limited research available suggests that positive outcomes are possible. In the present study, a qualitative exploratory research project was undertaken, involving in-depth interviews with people identifying as mental health carers. Two focus groups and one individual interview were conducted involving a total of 13 carers. The resulting data were analyzed thematically. Views and opinions about the proposed physical health nurse consultant (PHNC) position were sought during these interviews and are reported in this paper. Two main sub-themes were evident relating to characteristics of this role: reliability and consistency; and communication and support. Essentially carers expressed a need for support for themselves and consumers in addressing physical health concerns. Successful implementation of this position would require a consistent and reliable approach. Carers are significant stakeholders in the physical health of consumers of mental health services and their active involvement in identifying and tailoring services, including development of the physical health nurse consultant must be seen as a priority.

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Predictors of Nurse Support for the Introduction of the Cardiometabolic Health Nurse in the Australian Mental Health Sector

Cited by 5 publications

References 44 publications

Mental health nurses’ attitudes, experience, and knowledge regarding routine physical healthcare: systematic, integrative review of studies involving 7,549 nurses working in mental health settings

Mental health nurses’ attitudes, experience, and knowledge regarding routine physical healthcare: systematic, integrative review of studies involving 7,549 nurses working in mental health settings

Embedding a physical health nurse consultant within mental health services: Consumers’ perspectives

Physical health nurse consultant role to improve physical health in mental health services: A carer's perspective

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