In the know: cognitive and social factors in mental health nursing assessment

MacNeela, Pádraig; Pearce, Scott; Treacy, Pearl; Hyde, Abbey

doi:10.1111/j.1365-2702.2009.03127.x

Cited by 11 publications

(8 citation statements)

References 44 publications

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“…MacNeela et al 18 concluded that nurses strive to ‘know the patient’, while having to ‘work the system’, with implications for patient care and decision-making quality. Interviews revealed that assessing practitioners are often put in very difficult scenarios and need to respond to multiple pressures.…”

Section: Discussionmentioning

confidence: 99%

Decision-making in crisis resolution and home treatment teams: The AWARE framework

et al. 2018

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Aims and methodThe aim of the study is to improve patient safety by identifying factors influencing gatekeeping decisions by crisis resolution and home treatment teams. A theoretical sampling method was used to recruit clinicians. Semi-structured interviews to elicit various aspects of clinical decision-making were carried out. The transcripts were thematically analysed using a grounded theory approach.ResultsPatient needs (safety and treatment) was the primary driver behind decisions. The research also revealed that information gathered was processed using heuristics. We identified five key themes (anxiety, weighting, agenda, resource and experience), which were constructed into an acronym ‘AWARE’.Clinical implicationsAWARE provides a framework to make explicit drivers for decision-making that are often implicit. Incorporating these drivers into reflective practice will help staff be more mindful of undue influences and result in improved clinical decisions.Declaration of interestNone.

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Section: Discussionmentioning

confidence: 99%

Decision-making in crisis resolution and home treatment teams: The AWARE framework

et al. 2018

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“…Godin (2004), for example, found that community mental health nurses in the UK experienced tensions in utilising more explicit and standardised assessment practices alongside clinical judgment and intuition, as well as prioritising certain types of risk such as suicide and selfharm over other potential risks. In a study on mental health nursing assessment, MacNeela, Scott, Treacy, and Hyde (2010) suggested that "psychiatric nurses' assessment practices are influenced more by experiential, tacit knowledge than by formal decision aids and assessment models" (p. 1298), and proposed that this is at odds with concerns in health care for transparency, accountability, and quality assurance. These researchers also pointed to the 4 importance of examining cognitive decision-making processes as well as social and environmental factors.…”

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confidence: 99%

Managing Risk: Clinical Decision-Making in Mental Health Services

Muir‐Cochrane

Gerace

Mosel

et al. 2011

Issues in Mental Health Nursing

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“…They found from the focus groups that risk assessments were undertaken informally, and that nurses did not use checklists or other objective measures, but instead relied on their own knowledge and experience. In an analysis of 10 focus groups comprising a total of 59 registered mental health nurses from inpatient and community settings in Ireland, MacNeela et al . (2010) observed that informal sources of information were privileged over formal sources, such as handover and case notes.…”

Section: Resultsmentioning

confidence: 99%

What is a comprehensive mental health nursing assessment? A review of the literature

Coombs

Curtis

Crookes

2011

International Journal of Mental Health Nursing

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Assessment is the foundation on which nursing care is delivered. The aim of this paper is to better understand the content (what information nurses seek about consumers) and the process (how they go about gathering that information) of a comprehensive mental health nursing assessment in practice. Using terms, such as 'nursing', 'mental health', and 'assessment', the CINAHL, Medline, and PsycINFO databases were searched for studies that describe the content and process of a comprehensive mental health nursing assessment. Although studies of aspects of mental health nursing assessment, such as the assessment of risk or carer burden, were found, no single study described both the content and process of a comprehensive mental health nursing assessment in practice. In Australia, a comprehensive assessment is codified as a competency to practice nursing; however, the standards of practice set for mental health nurses are less clear on what constitutes a comprehensive assessment or how this should be undertaken. The peer-reviewed literature describes assessment as both an independent and interdependent activity. It is described as informal, and there is evidence that comprehensive mental health nursing assessments are not well documented. The credibility of training and research into mental health nursing requires that the content and the process of a comprehensive mental health nursing assessment needs to be clearly defined.

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In the know: cognitive and social factors in mental health nursing assessment

Cited by 11 publications

References 44 publications

Decision-making in crisis resolution and home treatment teams: The AWARE framework

Decision-making in crisis resolution and home treatment teams: The AWARE framework

Managing Risk: Clinical Decision-Making in Mental Health Services

What is a comprehensive mental health nursing assessment? A review of the literature

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