Increased Mental Illness and the Challenges This Brings for District Nurses in Primary Care Settings

Björkman, Annica; Andersson, Kajsa; Bergström, Jenny; Salzmann‐Erikson, Martin

doi:10.1080/01612840.2018.1522399

Cited by 15 publications

(31 citation statements)

References 42 publications

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“…Kvarme et al (2016) reported that immigrant mothers of children with disabilities report greater health problems, such as headache and depressive symptoms, compared with fathers. Nurses, as the patient's first-contact healthcare provider, have the closest contact with patients (Bjorkman, Andersson, Bergström, & Salzmann-Erikson, 2018). Thus, nurses can serve a critical role in detecting health problems and performing nursing interventions that can improve the health and quality of life in immigrant mothers of children with disabilities.…”

Section: Discussionmentioning

confidence: 99%

Resilience in Multicultural Families of Children With Disabilities in Korea: A Path Analysis Using National Data

Heo

Lee

2021

J of Nursing Scholarship

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Purpose The number of multicultural families has increased globally, and Korea has also witnessed a surge. Along with the various challenges experienced by these families, a child with a disability can pose additional challenges. In‐depth knowledge about resilience factors among multicultural families of children with disabilities is important. The aim of this study was to examine relationships between family demands, family appraisals, family problem solving and coping, family resources, and family adaptation in multicultural families of children with disabilities in Korea as perceived by married immigrants. Design This study was based on a secondary analysis of national survey data in 2015 and 2018 in Korea. Methods A total of 256 multicultural families who have children with disabilities participated. Family demands were identified by examining marital conflict, cultural differences, marital status, and public assistance recipient households. Family appraisal was assessed by how the family perceived the married immigrant’s culture. Family problem solving and coping were examined by how actively a married immigrant participated in social activities. Family resources were assessed by examining Korean language competency and the health status of immigrants. Family adaptation was identified by how immigrants perceived their life satisfaction. Path analysis was used to assess the factors. Findings Family demands had a direct impact on family resources and family adaptation. Family appraisal had a direct impact on family adaptation. Family resources mediated the effect of family demands on family adaptation. Conclusions This study demonstrated that although a multicultural family of a child with a disability struggles with family demands, if the family receives positive resources from family members, they can adapt well. Current findings can be used to develop interventions that can foster greater resilience among families. Clinical Relevance This study provides evidence that nurses can target modifiable family aspects, including immigrants’ health and family perceptions of immigrants’ cultures identified in this study to enhance the immigrant and family adaptation.

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Section: Discussionmentioning

confidence: 99%

Resilience in Multicultural Families of Children With Disabilities in Korea: A Path Analysis Using National Data

Heo

Lee

2021

J of Nursing Scholarship

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“…Staff experienced that these patients benefitted from communicating in writing rather than having a telephone conversation with a triage nurse. Other studies report similar findings from mental health nurses in primary care experiencing that embarrassment and shame can present a barrier for mental health patients to seek care, given that their concerns are often difficult to express in a conversation [ 27 ]. These findings, together with the flexibility offered through the platform to make contact when the problems were more acute or intense, suggest that services became more sensitive to the specific needs of these patients.…”

Section: Discussionmentioning

confidence: 72%

Digital consultation in primary healthcare: the effects on access, efficiency and patient safety based on provider experience; a qualitative study

Eriksson

Hammar

Lagrosen

et al. 2022

Scandinavian Journal of Primary Health Care

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Objective The objective of the study was to explore the experiences of healthcare staff working with and being part of the implementation of a digital platform for patient-provider consultation across quality dimensions of access, efficiency, and patient safety. Design The study uses qualitative design to investigate experiences and the views of healthcare professionals. Data collection combined semi-structured individual and focus-group interviews. Content analysis was used to identify categories within the content areas ‘access’, ‘efficiency’, and ‘patient safety’. Setting The basis for the study was an e-consultation platform introduced in three primary healthcare centres in the County of Kalmar in southeast Sweden in 2019. Results Healthcare staff experienced that the platform offered an open channel for communication with patients in need of frequent contact. This reduced anxiety and therefore the frequency of follow-up appointments. Healthcare staff also noted that the platform offered flexibility in contact benefitting patients with mental health problems. These patients were found to make contact through the platform after closing hours when problems were more acute or intense. However, the risk of digitally illiterate groups being excluded was also noted. Efficiency gains were identified among patients with simple cases which were handled more quickly through the platform. However, low uptake and the experience that the platform did not replace, rather was added on top of other already existing functions and procedures, negatively affected the overall efficiency. Standardized questions in automated medical history-taking contributed to patient safety. Conclusion The findings suggest that text-based e-consultation platforms may bring important quality improvements to primary healthcare service in terms of access, efficiency, and patient safety. Yet, areas where e-consultation does not contribute to quality improvements puts important quality gains at risk. KEY POINTS Text based digital consultation improved access for patients in need of frequent appointments and for patients with mental health problems. Efficiency gains among patients with simple cases, and in dealing with patients with mental health problems were noted. However, lack of confidence in platform functions due to low uptake, and limited control over work situation, were perceived as negatively affecting overall efficiency. Health care staff experienced improved patient safety through a standardized set of questions in automated medical history-taking.

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“…Nurses in various settings including clinics, schools, and communities are often individuals' first healthcare providers, holding the prime position to screen for adolescent depression (Bjorkman et al, 2018). The BDI is one of the most favored instruments in nursing practice and is recommended as a quick but reliable tool in many psychiatric nursing textbooks (Hagen, 2007).…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Test Accuracy of the Beck Depression Inventory for Detecting Major Depression in Adolescents: A Systematic Review and Meta-Analysis

Lee

Park

2021

Clin Nurs Res

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Major depressive disorder in adolescents is closely linked to poor social, cognitive, and academic outcomes, including suicidality. The Beck Depression Inventory (BDI), a screening tool, is one of the most widely used instruments for detecting depression; however, its diagnostic test accuracy has not yet been thoroughly examined. This study, therefore, aimed to systematically review and perform a meta-analysis to evaluate the accuracy of the BDI for detecting depression in adolescents. In August 2020, a search was conducted in the EMBASE, MEDLINE, CINAHL, and PsycArticles databases, and following a review against predefined eligibility criteria, 22 studies were finally included. The quality of the included articles was evaluated, and a hierarchical regression model was used to calculate the pooled estimates of sensitivity and specificity; 73.0% (95% CI; 62.0%, 81.8%) and 80.3% (72.8%, 86.1%) in cutoff 16, respectively. The findings indicated the BDI is a reliable and useful tool to screen adolescents’ depression.

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Increased Mental Illness and the Challenges This Brings for District Nurses in Primary Care Settings

Cited by 15 publications

References 42 publications

Resilience in Multicultural Families of Children With Disabilities in Korea: A Path Analysis Using National Data

Resilience in Multicultural Families of Children With Disabilities in Korea: A Path Analysis Using National Data

Digital consultation in primary healthcare: the effects on access, efficiency and patient safety based on provider experience; a qualitative study

Diagnostic Test Accuracy of the Beck Depression Inventory for Detecting Major Depression in Adolescents: A Systematic Review and Meta-Analysis

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