The Cardiometabolic Health Nurse: Physical Health Behaviour Outcomes from a Randomised Controlled Trial

Happell, Brenda; Stanton, Robert; Platania‐Phung, Chris; McKenna, Brian; Scott, David

doi:10.3109/01612840.2014.896061

Cited by 14 publications

(25 citation statements)

References 49 publications

(45 reference statements)

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“…A specialist nursing position has been proposed as a potential approach to promoting improved physical health care within mental health services. Positions of this kind, while limited in number, have been evaluated positively (Druss et al ; Happell et al ; McKenna et al ), and the attitudes of nurses from mental health services have been favourable (Happell et al ; Happell et al ), becoming more so following the introduction of a position of this type (Happell et al ). However, at this stage the views and opinions of those most closely affected by the inadequacy in physical health care including carers, have not been canvassed.…”

Section: Discussionmentioning

confidence: 99%

Physical health nurse consultant role to improve physical health in mental health services: A carer's perspective

Happell

Wilson

Platania‐Phung

et al. 2016

Int J Mental Health Nurs

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The physical health of people diagnosed with a mental illness is significantly poorer in comparison with the general population. Awareness of this health disparity is increasing; however, strategies to address the problem are limited. Carers play an important role in the physical health care of people with mental illness, particularly in facilitating navigation of and advocating in the health care system. A specialist physical health nurse consultant position has been suggested as a way to address the physical health care disparity and limited research available suggests that positive outcomes are possible. In the present study, a qualitative exploratory research project was undertaken, involving in-depth interviews with people identifying as mental health carers. Two focus groups and one individual interview were conducted involving a total of 13 carers. The resulting data were analyzed thematically. Views and opinions about the proposed physical health nurse consultant (PHNC) position were sought during these interviews and are reported in this paper. Two main sub-themes were evident relating to characteristics of this role: reliability and consistency; and communication and support. Essentially carers expressed a need for support for themselves and consumers in addressing physical health concerns. Successful implementation of this position would require a consistent and reliable approach. Carers are significant stakeholders in the physical health of consumers of mental health services and their active involvement in identifying and tailoring services, including development of the physical health nurse consultant must be seen as a priority.

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Section: Discussionmentioning

confidence: 99%

Physical health nurse consultant role to improve physical health in mental health services: A carer's perspective

Happell

Wilson

Platania‐Phung

et al. 2016

Int J Mental Health Nurs

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“…Several innovations have been proposed for improving rates of metabolic monitoring by mental health nurses. Happell et al (2014) Results: Rates of metabolic monitoring were low in both services. Survey participants expressed positive views towards physical health monitoring and confidence in relating to mental health consumers.…”

Section: Metabolic Syndromementioning

confidence: 97%

“…However, the improvements have occurred against a background of low initial levels of monitoring, the follow-up periods have been short, and the interventions carry the additional cost of establishing the new roles. While the evidence is clear that there is a significant need for practice improvement in the area of physical health care of people with SMI, it is less clear that development of specialist roles such as that proposed by Brunero and Lamont (2009), Happell et al (2014) and Brown et al (2018) is a solution that has long-term sustainability, especially outside larger urban settings. It is also not clear that conceptualizing physical health care as a "specialist" role will support the practice development of the wider body of mental health nurses (Happell et al, 2015).…”

Section: Ta B L E 4 (Continued)mentioning

confidence: 99%

Evaluation of metabolic monitoring practices for mental health consumers in the Southern District Health Board Region of New Zealand

O’Brien

Abraham

2021

Psychiatric Ment Health Nurs

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What is known on this subject?• The physical health of people with serious mental illness (SMI) is an issue of growing concern in New Zealand and internationally.• Metabolic syndrome is prevalent among people with severe mental illness and increases the likelihood of developing cardiovascular disease and diabetes.• No previous international research has investigated rates of metabolic monitoring in specialist mental health services and in primary care. What this paper adds to existing knowledge?• Rates of metabolic monitoring are low in this specialist mental health service and in primary care.• Primary care nurses are positive in their views of their role in providing care for people with mental illness, and would value further education in this area. What are the implications for practice?• Services need to consider ways in which nurses can be supported to improve rates of metabolic monitoring.• Guidelines may have a role to play in improved monitoring but need service-level support in order to be effective.

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“…Recent studies (e.g. Happell et al, 2014) have demonstrated that dedicated nurse-led roles aimed at improving access to quality primary care result in significant improvements in physical health behaviours and outcomes. The findings of this and other studies would seem to support the implementation of a nurse-led role to coordinate the physical health monitoring and care of people with serious mental illness; however, economic and consumer evaluations are needed to determine the impact on bridging healthcare inequalities.…”

Section: A Potential Solution To An Enduring Problemmentioning

confidence: 99%

Addressing the physical health of people with serious mental illness: A potential solution for an enduring problem

Happell

Gaskin

Stanton

2015

Int J Soc Psychiatry

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People with serious mental illness face significant inequalities in physical health care. As a result, the risk of cardiometabolic disorders and premature mortality is far greater than that observed in the general population. Contributiung to this disparity, is the lack of routine physical health screening by mental health clinicians. One possible solution is the implimentation of a physical health nurse consultant, whose role is to monitor and coordinate the physical health care of people with serious mental illness. Current evidence supports the implimentation of such a role, and a failure to address the widening gaps in physical health care will only serve to increase the disparities faced by people with serious mental illness.

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The Cardiometabolic Health Nurse: Physical Health Behaviour Outcomes from a Randomised Controlled Trial

Cited by 14 publications

References 49 publications

Physical health nurse consultant role to improve physical health in mental health services: A carer's perspective

Physical health nurse consultant role to improve physical health in mental health services: A carer's perspective

Evaluation of metabolic monitoring practices for mental health consumers in the Southern District Health Board Region of New Zealand

Addressing the physical health of people with serious mental illness: A potential solution for an enduring problem

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