Lessons Learned From the Trial of a Cardiometabolic Health Nurse

Happell, Brenda; Hodgetts, Danya; Stanton, Robert; Millar, Freyja; Phung, Chris Platania; Scott, David

doi:10.1111/ppc.12091

Cited by 3 publications

(5 citation statements)

References 52 publications

(61 reference statements)

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“…This is supported by Happell et al . () who claimed that mental health nurses are at the frontline of health care for consumers with serious mental illness. Additionally, Reilly et al .…”

Section: Discussionmentioning

confidence: 99%

Who is responsible for metabolic screening for mental health clients taking antipsychotic medications?

Ward

Wynaden

Heslop

2017

Int J Mental Health Nurs

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Metabolic syndrome is common in mental health consumer populations, and is linked to cardiovascular disease, stroke and diabetes. Metabolic screening is a way of recognising consumers who are at risk of developing metabolic syndrome but internationally screening rates remain low. A retrospective audit was completed at one Australian public mental health service on the case files of 100 randomly selected consumers to determine nurses level of compliance with metabolic screening policies over a 12 month period. Consumers included in the review were prescribed antipsychotic medications for at least 12 months and had their care in the community coordinated by mental health nurses. Data were entered into an Excel spreadsheet for analysis. Low levels of metabolic screening were identified and these levels decreased over the 12 months under review. No consumers had metabolic screening that recorded all parameters at three monthly intervals over the 12 month period. Only one consumer had every metabolic parameter recorded on the physical health screen tool at baseline assessment. The findings demonstrated that while there is increased awareness of co-morbid physical health issues in this consumer population, the translation of guidelines and policy directives to clinical practice to address this disparity remains low. Improving physical health outcomes is the responsibility of all health professionals, particularly doctors who prescribe and nurses who administer antipsychotic medications regularly to mental health consumers. Moreover, nurses are well placed to demonstrate leadership in reducing the rate of metabolic syndrome through the delivery of holistic care that includes effective screening programs.

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“…This is supported by Happell et al . () who claimed that mental health nurses are at the frontline of health care for consumers with serious mental illness. Additionally, Reilly et al .…”

Section: Discussionmentioning

confidence: 99%

Who is responsible for metabolic screening for mental health clients taking antipsychotic medications?

Ward

Wynaden

Heslop

2017

Int J Mental Health Nurs

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“…A further suggestion was the development, or deployment, of a specialist role 73,74,78,79,85,88,89 with various identified responsibilities including provision of type 2 diabetes care and supporting service users to navigate the health system. The value of the role however was not unanimous as there were some concerns that the role would lead to service fragmentation or be unfeasible owing to cost implications 89 .…”

Section: Resultsmentioning

confidence: 99%

“…74 Current approaches to service provision, including transportation challenges and inappropriate appointment times, were identified as a barrier to access for service users; 37,73,74,75,78,79,80,83,84,87 with a more flexible service, such as walk-in clinics or the development of a new care pathway, identified as a type 2 diabetes care enabler. 37,73,74,78,79,83,84 A further suggestion was the development, or deployment, of a specialist role 73,74,78,79,85,88,89 with various identified responsibilities including provision of type 2 diabetes care and supporting service users to navigate the health system. The value of the role however was not unanimous as there were some concerns that the role would lead to service fragmentation or be unfeasible owing to cost implications.…”

Section: Context and Resourcesmentioning

confidence: 99%

“…90 Less frequently identified barriers included challenges in contacting service users to provide care over the phone 91 and laws prohibiting prescribing by certain US states. 74 3.6 | Domain 2: Social Influence Engagement of service users was reported to influence the delivery of type 2 diabetes care; the most frequently identified sub-themes included the severity of service users' SMI creating a barrier to type 2 diabetes care , 38,72,73,74,75,78,79,80,81,82,83,87,88,91,94 with descriptions of treatment refusal owing to reasons which are not "rational because [service users] are not thinking clearly" 74 , but also an enabler. For example where service users lacked capacity, health professionals felt individuals should be supported to empower them to care for their own physical health.…”

Section: Context and Resourcesmentioning

confidence: 99%

“…Perceptions of inadequate type 2 diabetes care skills were identified as a barrier, most frequently for mental health professionals; 37,38,73,75,78,79,81,85,88,89,92,93 who, beyond a general training need, expressed a need for more 'practical skills', particularly foot care advice, weight management and medication management as well as basic insulin training. Having good communication skills when working with service users was labelled as an enabler, 37,38,88 with a lack of specialist communication skills a barrier to type 2 diabetes care. 74 The ability to communicate with other professionals about type 2 diabetes care was also identified as a training need by mental health professionals.…”

Section: Domain 3: Skillsmentioning

confidence: 99%

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A systematic review of barriers and enablers that health professionals experience to the delivery of type 2 diabetes care for adults with severe mental illness

et al. 2023

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Background: People with severe mental illness have a heightened risk for type 2 diabetes. They also experience poorer outcomes, including more diabetes complications, more emergency admissions, lower quality of life and excess mortality.Aims: This systematic review aimed to identify health professionals' barriers to and enablers of delivering and organising type 2 diabetes care for people with severe mental illness.

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What Is the Impact of Targeted Health Education for Mental Health Nurses in the Provision of Physical Health Care? An Integrated Literature Review

Hennessy

Cocoman

2018

Issues in Mental Health Nursing

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Individuals with a severe mental illness have a gap in life expectancy of up to twenty years in comparison to the general population. Nurses who work in mental health services have been identified as best placed to improve the physical health outcomes of individuals with mental illness. The literature identifies a lack of nursing knowledge related to physical health care and the presence of metabolic syndrome which is impeding nurses in providing essential physical health care to patients. An integrated literature review was carried out due to the dearth of research evidence pertaining to the impact of targeted education specifically with psychiatric/mental health nurses in the provision of physical healthcare. A search for literature included the following databases: CINAHL, Medline, PsycINFO, Embase and Web of Science revealed nine studies: seven quantitative, one qualitative and one mixed method. Qualitative synthesis has shed light on the value of targeted education on improving knowledge and skills in providing physical health care that can then be translated into clinical practice. Targeted education in physical healthcare grows psychiatric/mental health nurse's confidence and develops the skills necessary to enable them to screen and monitor and offer range of physical health interventions to individuals with severe mental illness. Accessible summary • The poor physical health outcomes and premature death of individuals with severe mental illness is of growing concern; a contributing factor is a lack of knowledge and confidence amongst psychiatric/mental health nurses to providing physical health screening and intervening in preventable diseases such as cardiovascular disease, stroke cancer, and type 2 diabetes mellitus. • An integrated literature review was used to ascertain if targeted education on physical health care can improve the knowledge base of psychiatric/mental health nurses within physical health care. • Nine studies were critically appraised, and the data reduced using a narrative synthesis that tells a story of the findings from these research studies. • The review found that targeted education with psychiatric/mental health nurses does result in a statistical increase in knowledge This review finds that nurses have not been regularly supported with physical health education to alter existing practices. This lack of knowledge within physical healthcare is hindering psychiatric/mental health nurses to fully engaging in physical health care activities in practice.

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Lessons Learned From the Trial of a Cardiometabolic Health Nurse

Abstract: While personally rewarding, more can be done to help the CHN role reach its potential.

Cited by 3 publications

References 52 publications

Who is responsible for metabolic screening for mental health clients taking antipsychotic medications?

Who is responsible for metabolic screening for mental health clients taking antipsychotic medications?

A systematic review of barriers and enablers that health professionals experience to the delivery of type 2 diabetes care for adults with severe mental illness

What Is the Impact of Targeted Health Education for Mental Health Nurses in the Provision of Physical Health Care? An Integrated Literature Review

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