Issues in mental health nursing
-
Mental health is an important measure of public health (WHO, 2004); however, nursing practice and research continues to prioritize mental illness, rather than well-being (Wand, 2011). Flourishing is a recent concept in the field of well-being. The term has been used sparingly in nursing practice and research, and conceptual clarification is needed to promote comprehensive understanding of the phenomenon. The purpose of this study is to critically analyze flourishing, assess the maturity of the concept, and provide recommendations for future research, education, and practice. ⋯ The concept of flourishing is immature; however, evidence is building for related concepts. A lack of consistent terminology regarding flourishing prevents knowledge development of flourishing as a distinct concept. Further multidisciplinary research is needed to establish standard operational and conceptual definitions and develop effective interventions.
-
Issues Ment Health Nurs · Dec 2016
Randomized Controlled TrialAggression in Psychiatric Wards: Effect of the Use of a Structured Risk Assessment.
Health care workers are often exposed to violence and aggression in psychiatric settings. Short-term risk assessments, such as the Brøset Violence Checklist (BVC), are strong predictors of such aggression and may enable staff to take preventive measures against aggression. This study evaluated whether the routine use of the BVC could reduce the frequency of patient aggression. ⋯ The regression discontinuity analysis found a 45% reduction in the risk of aggression (Odds Ratio (OR) = 0.55, 95% confidence interval: 0.21-1.43). The study did not find a significant reduction in the risk of aggression after implementing a systematic short-term risk assessment with the BVC. Although our findings suggest that use of the BVC may reduce the risk of aggression, the results need to be confirmed in studies with more statistical power.
-
Issues Ment Health Nurs · May 2015
Distilling the Antecedents and Enabling Dynamics of Leader Moral Courage: A Framework to Guide Action.
Intelligent, robust and courageous nursing leadership is essential in all areas of nursing, including mental health. However, in the nursing leadership literature, the theoretical discourse regarding how leaders recognise the need for action and make the choice to act with moral purpose is currently limited. Little has been written about the cognitions, capabilities and contextual factors that enable leader courage. ⋯ From the analysis, we distilled a multi-level framework that identifies a range of individual characteristics and capabilities, and enabling contextual factors that underpin leader moral courage. The framework suggests leader moral courage is more complex than often posited in theories of leadership, as it comprises elements that shape moral thought and conduct. Given the complexity and challenges of nursing work, the framework for moral action derived from our analysis provides insight and suggestions for strengthening individual and group capacity to assist nurse leaders and mental health nurses to act with integrity and courage.
-
Article title: “Suicide-specific Safety in the Inpatient Psychiatric Unit”. Authors: M. L. ⋯ The name of the fifth author appeared incorrectly in the online and print version of this article. The correct name should be:Colette Rhue. The publisher apologizes for this error.
-
Issues Ment Health Nurs · Jan 2015
Policy and Payment Factors Affecting the PMH-NP in the United States.
There are unique policy and reimbursement issues pertinent to the Psychiatric Mental Health-Nurse Practitioner (PMH-NP) that are complex and ever-evolving. In the past decade specifically, mental health legislation at the federal level has made, and will continue to make, a serious impact on PMH-NP practice. ⋯ This article summarizes some recent developments and trends regarding delivery of care and payment that are germane to the PMH-NP. The Center for Medicaid and Medicare Services' (CMS) guidelines for mental health billing and telehealth also are discussed.