Provision of care for older people with co-morbid mental illness in general hospitals: general nurses' perceptions of their training needs

Atkin, Kris; Holmes, John; Martin, Carol

doi:10.1002/gps.1414

Cited by 34 publications

(62 citation statements)

References 3 publications

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“…Some studies have shown that fear prevented health professionals from effectively caring for people who experience mental illness in acute secondary care settings (Arnold & Mitchell, 2008;Atkin, Holmes, & Martin, 2005). This view is supported by the evidence from this study, which indicates that many of the nurses expressed low competence in risk assessment, and found management of violence and aggression a major challenge in working with the mentally ill.…”

Section: Discussionsupporting

confidence: 67%

Perceived training needs of nurses working with mentally ill patients

et al. 2016

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Section: Discussionsupporting

confidence: 67%

Perceived training needs of nurses working with mentally ill patients

et al. 2016

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“…The importance of feelings of competence to care for patients with comorbid mental illness is supported by a number of qualitative studies (Atkin, Holmes, & Martin, 2005;Clark et al, 2005;Harrison & Zohhadi, 2005;Liggins & Hatcher, 2005;Mavundla, 2000;Reed & Fitzgerald, 2005). However, a lack of knowledge and skills is often mentioned together with a lack of additional training in psychiatric nursing skills (Bailey, 1994(Bailey, , 1998Harrison & Zohhadi, 2005;Mavundla, 2000;Reed & Fitzgerald, 2005;Samuelsson, Sunbring, Winell, & Asberg, 1997;Sun, Long, & Boore, 2007).…”

Section: Discussionmentioning

confidence: 95%

Attitude Disentangled: A Cross-Sectional Study into the Factors Underlying Attitudes of Nurses in Dutch Rehabilitation Centers toward Patients with Comorbid Mental Illness

Kluit¹,

Goossens²,

Leeuw³

2013

Issues in Mental Health Nursing

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In rehabilitation centers, many patients suffer a comorbid mental illness. Nurses have different attitudes toward these patients. A cross-sectional, questionnaire-based study among nurses in Dutch rehabilitation centers was undertaken to clarify the factors that underlie attitudes toward patients with comorbid mental illness. The main factors associated with attitudes were feelings of competence and experiences with dealing with patients with mental illness. Other associations were perceived support; frequency of caring for patients with comorbid mental illness; work experience in mental health care; additional psychiatric training; and the personality traits "extraversion," "emotional stability," and "openness to experience." Perceived support had the strongest association with feelings of competence.

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“…The papers were published across a 12 year period, between 2002 and 2014. Studies selected for inclusion originated mainly from the UK (Atkin, Holmes, & Martin, 2005;Baille, Cox, & Merritt, 2012a ;Baille, Merritt, & Cox, 2012b ;Charter & Hughes, 2012;Cowdell, 2010;Fessey, 2007;Smythe et al, 2014), but also from Ireland (Nolan, 2006;Nolan, 2007), Sweden (Eriksson & Saveman, 2002;Nilsson, Rasmussen, & Edvardsson, 2013) and Australia (Borbasi, Jones, Lockwood, & Emden, 2006;Moyle, Borbasi, Wallis, Olorenshaw, & Gracia, 2010). Most data were gathered using focus groups or semi-structured 8 interviews.…”

Section: Characteristics Of Selected Studiesmentioning

confidence: 99%

The experience of caring for patients with dementia within a general hospital setting: a meta-synthesis of the qualitative literature

Turner

Eccles

Elvish

et al. 2015

Aging & Mental Health

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Objectives: The optimal care of people with dementia in general hospitals has become a policy and practice imperative over recent years. However, despite this emphasis, the everyday experiences of staff caring for this patient group is poorly understood. This review aimed to synthesise the findings from recent qualitative studies in this topic published prior to January 2014 to develop knowledge and provide a framework to help inform future training needs.Method: A systematic search of the literature was conducted across five academic databases and inclusion/exclusion criteria applied to the retrieved papers. A meta-ethnographic approach was utilised to synthesise the resulting 14 qualitative papers.Results: Five key themes were constructed from the findings: overcoming uncertainty in care; constraints of the environmental and wider organisational context; inequality of care; recognising the benefits of person-centred care; and identifying the need for training. These themes explore the opportunities and challenges associated with caring for this group of patients, as well as suggestions to improve staff experiences and patient care. Conclusion:The synthesis highlighted a lack of knowledge and understanding of dementia within general hospital staff, particularly with regard to communication with patients and managing behaviours that are considered challenging. This limited understanding, coupled with organisational constraints on a busy hospital ward, contributed to low staff confidence, negative attitudes towards patients with dementia and an inability to provide person-centred care. The benefits of dementia training for both ward staff and hospital management and peer discussion/support for ward staff are discussed.

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Provision of care for older people with co-morbid mental illness in general hospitals: general nurses' perceptions of their training needs

Cited by 34 publications

References 3 publications

Perceived training needs of nurses working with mentally ill patients

Perceived training needs of nurses working with mentally ill patients

Attitude Disentangled: A Cross-Sectional Study into the Factors Underlying Attitudes of Nurses in Dutch Rehabilitation Centers toward Patients with Comorbid Mental Illness

The experience of caring for patients with dementia within a general hospital setting: a meta-synthesis of the qualitative literature

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