Evaluation of a mental health liaison team. Part 2: the themes and their effect on practice

McClimens, Alex; Kelly, Shona; Ismail, Mubarak; Breckon, Jeff

doi:10.7748/en.2017.e1747

Cited by 6 publications

(5 citation statements)

References 8 publications

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“…Therefore, we advocate for future patient care pathways to be organized that mental health and ED nurses work together during the acute lifesaving phase. The identified gap in the current healthcare system can be filled by collaboration from a healthcare professionals point of view as has been shown in different aspects in other research worldwide (McClimens et al 2017a(McClimens et al , 2017bSinclair et al 2006;Wand et al 2020).…”

Section: Discussionmentioning

confidence: 97%

“…The identified gap in the current healthcare system can be filled by collaboration from a healthcare professionals point of view as has been shown in different aspects in other research worldwide (McClimens et al . 2017a, 2017b; Sinclair et al . 2006; Wand et al .…”

Section: Discussionmentioning

confidence: 99%

“…This was suggested as a solution, as ED nurses main tasks are connected with immediate lifesaving observation and care. Studies on the effectiveness of mental healthcare nurse assessment services in acute and emergency departments have been conducted worldwide (McClimens et al 2017a(McClimens et al , 2017bSinclair et al 2006;Wand et al 2020)and have shown that a collaborative approach with mental health nurses can provide an accurate assessment and referral service with advantages for patient care. According to ED nurses in our study, such a 'social track' would entail organizational changes in structure and work flow.…”

Section: Discussionmentioning

confidence: 99%

“…Studies on the effectiveness of mental healthcare nurse assessment services in acute and emergency departments have been conducted worldwide (McClimens et al . 2017a, 2017b; Sinclair et al . 2006; Wand et al .…”

Section: Discussionmentioning

confidence: 99%

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Experiences of nursing care for patients who self‐harm and suggestions for future practices: The perspectives of emergency care nurses

Østervang

Johansen

Friis-Brixen

et al. 2021

Int J Mental Health Nurs

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Self‐harm is a major challenge in healthcare systems. Emergency department nurses provide care to numerous patients with self‐harm injuries. Accordingly, nurse–patient interactions are vital to improve the physical and psychological outcomes of this complex patient group. Previous studies have proposed the establishment of improved teaching programs to increase the competence of emergency department nurses within mental health care; however, few studies have comprehensively investigated the experiences and suggestions for future nursing practices. Therefore, we gathered in‐depth knowledge of Danish emergency department nurses' experiences caring for patients who self‐harm and obtained their suggestions on future nursing practices. Ten semi‐structured interviews were conducted to capture the nurses' individual perspectives. The scientific theory is based on phenomenology and hermeneutics. Interpretative phenomenological analysis was used, and three themes were identified: (i) importance of having the competences to establish a relationship in the acute phase; (ii) acute care from a biomedical perspective; and (iii) highlighting ideas for improved future practices. The emergency department nurses were aware of the importance of mental health care but found their competence and motivation situated in medical care. The nurses felt that they lacked skills to undertake in‐depth mental care for patients who self‐harm and that the healthcare system failed to help this group of patients. Based on these findings, rather than aiming at improving nursing skills, we suggest a close collaboration between the emergency and psychiatric departments to improve the quality of care for patients who self‐harm. We also recommend organizational changes within the emergency department, such as the introduction of a so‐called ‘social track’.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Experiences of nursing care for patients who self‐harm and suggestions for future practices: The perspectives of emergency care nurses

Østervang

Johansen

Friis-Brixen

et al. 2021

Int J Mental Health Nurs

View full text Add to dashboard Cite

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“…Mental health nurses working in liaison roles are ideally positioned to lead and drive changes for these consumers (Mcclimens et al . ,). Reconstructing the way GHPs are educated using recovery focused, strengths based, and consumers’ lived experiences may reduce the fear generated in GHPs.…”

Section: Relevance To Clinical Practicementioning

confidence: 99%

Generalist health professional's interactions with consumers who have a mental illness in nonmental health settings: A systematic review of the qualitative research

Brunero

Ramjan

Salamonson

et al. 2018

Int J Mental Health Nurs

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Generalist health professionals (GHPs) or those healthcare professionals working in nonmental health facilities are increasingly being required to provide care to consumers with a mental illness. The review aimed to synthesize the qualitative research evidence on the meanings and interpretations made by GHPs (nonmental health professional) who interact with consumers with mental illness in nonmental health settings. A systematic review of the qualitative literature was undertaken for the years 1994-2016. The following electronic databases were searched: CINAHL, MEDLINE, PsycINFO, and Sociological Abstracts. Using narrative synthesis methods, the following themes were identified: mental health knowledge (the GHPs' knowledge level about mental illness and how this impacts their experiences and perceptions); GHPs perceive mental illness as a safety risk (GHPs concern over harm to the consumer and themselves); organizational support (the system response from the environmental design, and expert support and care); and emotional consequences of care (the feelings expressed by GHPs based on their experiences and perceptions of consumers). The results suggest that GHPs provide care in a setting which consists of multiple understandings of what care means. Efforts beyond educational initiatives such as organizational and system-level changes will need to be implemented if we are to progress care for this consumer group.

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Documenting the pre-implementation phase for a multi-site translational research project to test a new model Emergency Department-based mental health nursing care

Wand

Crawford

Bell

et al. 2019

International Emergency Nursing

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Evaluation of a mental health liaison team. Part 2: the themes and their effect on practice

Cited by 6 publications

References 8 publications

Experiences of nursing care for patients who self‐harm and suggestions for future practices: The perspectives of emergency care nurses

Experiences of nursing care for patients who self‐harm and suggestions for future practices: The perspectives of emergency care nurses

Generalist health professional's interactions with consumers who have a mental illness in nonmental health settings: A systematic review of the qualitative research

Documenting the pre-implementation phase for a multi-site translational research project to test a new model Emergency Department-based mental health nursing care

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