Psychosocial care in mental health nursing: a think aloud study

MacNeela, Pádraig; Clinton, Gerard; Place, Chris; Pearce, Scott; Treacy, Pearl; Hyde, Abbey; Dowd, Haulie

doi:10.1111/j.1365-2648.2009.05245.x

Cited by 21 publications

(27 citation statements)

References 45 publications

(50 reference statements)

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“…These authors (3)(4)15,(20)(21)(22) emphasize that the rehabilitation and recovery process of patients must take into account a psychosocial assessment, which consists on identifying sources of stress, social problems, and the need for specialized interventions. Other essential actions to meet mental health demands are drug management, referral to specialized services when necessary, group activities, lifestyle counseling, and working with families (3)(4)15,(20)(21)(22) . It is of utmost importance that teams help users maintain their independence and implement strategies to combat stigma and social isolation (9)(10)22) .…”

Section: Discussionmentioning

confidence: 99%

“…Other essential actions to meet mental health demands are drug management, referral to specialized services when necessary, group activities, lifestyle counseling, and working with families (3)(4)15,(20)(21)(22) . It is of utmost importance that teams help users maintain their independence and implement strategies to combat stigma and social isolation (9)(10)22) . Another recommendation for unspecific mental health actions is for teams to use therapeutic alliances to explain to patients the connections that exist among behaviors, beliefs and feelings that they do not perceive.…”

Section: Discussionmentioning

confidence: 99%

“…The teams' discomfort and reluctance to address such demands are a challenge that has been addressed by the WHO in relation to integrating mental health actions in primary care (9)(10) . These difficulties refer to the need for training that emphasize communication skills and psychosocial management of psychiatric patients (3) and developing notions about ongoing care for this population (22) . Other difficulties mentioned were counter-referrals and integration with specialized services within the health network.…”

Section: Discussionmentioning

confidence: 99%

“…The first refers to giving greater emphasis to psychosocial care skills, instead of giving priority only to case identification (3)(4) . Psychosocial interventions should be developed, including psychotherapy resources, such as cognitive and behavioral approaches, which have been associated with lower rates of re-hospitalization (22) . Another recommendation is shifting from a perspective centered on psychopathology to an empathy-centered approach (22) , giving priority to actions based on "clinical formulation" or "individual therapeutic project" techniques within the scope of primary care.…”

Section: Discussionmentioning

confidence: 99%

“…Psychosocial interventions should be developed, including psychotherapy resources, such as cognitive and behavioral approaches, which have been associated with lower rates of re-hospitalization (22) . Another recommendation is shifting from a perspective centered on psychopathology to an empathy-centered approach (22) , giving priority to actions based on "clinical formulation" or "individual therapeutic project" techniques within the scope of primary care. These should focus on the situational, psychological, and social processes of patients, and highlight the factors that trigger suffering (22)(23) .…”

Section: Discussionmentioning

confidence: 99%

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Mental health in the Family Health Strategy as perceived by health professionals

et al. 2017

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RESUMOObjetivo: analisar o manejo das necessidades de saúde mental na atenção primária à saúde de acordo com a percepção dos profi ssionais da Estratégia Saúde da Família. Método: estudo qualitativo, descritivo exploratório, desenvolvido no território de abrangência de cinco equipes de saúde da família. Os participantes foram cinco enfermeiras, cinco coordenadores e 17 agentes comunitários de saúde. Os dados foram coletados utilizando observação, entrevistas grupais, entrevistas individuais semiestruturadas e grupos focais. Fez-se a análise de conteúdo com o auxílio de um Software de análise textual, e a interpretação baseou-se nas estruturas analíticas correspondentes. Resultados: inúmeras e desafi adoras demandas de saúde mental têm sido acolhidas nesse setting, para as quais as equipes identifi caram recursos de atendimento; no entanto, apontaram difi culdades, sobretudo relacionadas à operacionalização e integração destes recursos. Conclusão: destaca-se a necessidade de uma rede de cuidados sensível a tais demandas, mais articulada e gerida de modo efi caz. Descritores: Enfermagem; Saúde Mental; Atenção Primária à Saúde; Estratégia Saúde da Família; Enfermagem Psiquiátrica.ABSTRACT Objective: to analyze the management of mental health needs in primary care as perceived by Family Health Strategy professionals. Method: this was a qualitative descriptive exploratory study developed within the coverage area of fi ve family health teams. The data were collected using observation, group interviews, individual semi-structured interviews, and focus groups. Content analysis was conducted using text analysis software and interpretation was based on the corresponding analytical structures. Results: numerous and challenging mental health demands occur in this setting, for which the teams identifi ed care resources; however, they also indicated diffi culties, especially related to the operationalization and integration of such resources. Conclusion: there is a need for a care network sensitive to mental health demands that are better coordinated and more effectively managed. Descriptors: Nursing; Mental Health; Primary Care; Family Health Strategy; Psychiatric Nursing. RESUMENObjetivo: analizar el manejo de necesidades de salud mental en la atención primaria de salud, según la visión de los profesionales de la Estrategia Salud de la Familia. Método: estudio cualitativo, descriptivo, exploratorio, desarrollado en el campo de acción de cinco equipos de salud familiar. Participaron cinco enfermeras, cinco coordinadores y diecisiete agentes comunitarios de salud. Datos recolectados mediante observación, entrevistas grupales, entrevistas individuales semiestructuradas y grupos focuses. Se aplicó análisis de contenido, con ayuda de software de análisis textual. La interpretación se basó en las correspondientes estructuras analíticas. Resultados: numerosas y desafi antes demandas de salud mental fueron recogidas en este setting, para las cuales los equipos identifi caron recursos de atención; Mental health in the Family Health ...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Mental health in the Family Health Strategy as perceived by health professionals

et al. 2017

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The skills, knowledge and attributes needed as a first‐contact physiotherapist in musculoskeletal healthcare

Langridge

2019

Musculoskeletal Care

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Objectives The provision of musculoskeletal assessment and pathway management by physiotherapists in primary care is an expanding innovation within the UK National Health Service. This new model of care is challenging physiotherapists to work in new ways, and so an understanding of these roles is timely and wil contribute to the growing knowledge regarding these practitioners and their impact. Methods This qualitative study aimed to improve the understanding of the clinical practice of first‐contact clinicians in musculoskeletal healthcare. The study used a think‐aloud method to explore eight clinicians’ views via a stage 1 semi‐structured interview process. This was followed by a stage 2 focus group involving physiotherapists and a general practitioner trainer. A thematic analysis then followed, which involved the researcher and a research colleague coding the data and subsequently developing themes. Results The themes identified were: medical assessment and systems knowledge; speed of thought in an uncertain environment; breadth of knowledge; people and communication skills; common sense/simplify; and responsibility and experience. Conclusions The identified themes should help to underpin the competence, capability and training requirements for these new roles, and should be considered when developing new services utilizing first‐contact primary care physiotherapy practice.

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A risk to himself: Attitudes toward psychiatric patients and choice of psychosocial strategies among nurses in medical–surgical units

MacNeela

Pearce

Treacy

et al. 2012

Research in Nursing & Health

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Psychiatric patients are liable to stereotyping by healthcare providers. We explored attitudes toward caring for psychiatric patients among 13 nurses working in general hospitals in Ireland. Participants thought aloud in response to a simulated patient case and described a critical incident of a patient for whom they had cared. Two attitudinal orientations were identified that correspond to stereotypical depictions of risk and vulnerability. The nurses described psychosocial care strategies that were pragmatic rather than authentically person-centered, with particular associations between risk-oriented attitudes and directive nursing care. Nurses had expectations likely to impede relationship building and collaborative care. Implications arising include the need for improved knowledge about psychiatric conditions and for access to professional development in targeted therapeutic communication skills.

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Psychosocial care in mental health nursing: a think aloud study

Cited by 21 publications

References 45 publications

Mental health in the Family Health Strategy as perceived by health professionals

Mental health in the Family Health Strategy as perceived by health professionals

The skills, knowledge and attributes needed as a first‐contact physiotherapist in musculoskeletal healthcare

A risk to himself: Attitudes toward psychiatric patients and choice of psychosocial strategies among nurses in medical–surgical units

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