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Proposed nurse‐led initiatives in improving physical health of people with serious mental illness: a survey of nurses in mental health

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  • Brenda Happell
  • Chris Platania‐Phung
  • David Scott

Abstract

Aims and objectives To identify nurse perceptions on the potential value of general and specific nursing approaches to improving physical health outcomes of people with serious mental illness. Background People diagnosed with serious mental illnesses experience heightened rates of physical illnesses and can be supported better via healthcare system prevention and management. Nurses working in mental health are a critical part of a system‐wide approach to improving physical health care, but there is little known on their views on specific approaches within Australia (e.g. screening for risks, stigma reduction). Design A national, cross‐sectional and nonrandom survey study delivered online. Methods Members of the Australian College of Mental Health Nurses (n = 643), representing nurses employed in mental healthcare services across Australia (71·6% from public mental health services). Participants were asked to rate the potential of nine nurse‐based strategies for improving physical health (options: ‘yes’, ‘no’, ‘not sure’) and the potential value of 10 nursing and general strategies for improving physical health (rating from ‘negative value’ to ‘significant value’). Results There was a high endorsement of all nine nurse‐based strategies for physical health (e.g. lifestyle programmes, screening, linking services), although there was less support for reducing antipsychotics or advocating for fewer side effects. Participants mainly viewed all strategies as of moderate to significant value, with the most promising value attached to colocation of primary and mental care services, lifestyle programmes and improving primary care services (reduce stigma, train GPs). Conclusions Australian nurses working in mental health services view a range of nurse‐based strategies for improving physical healthcare services and standards as important. Relevance to clinical practice Nurses collectively need to work with consumers, health agencies and the general public to further define how to organise and implement physical health integration strategies, towards more comprehensive health care of people with serious mental illness.

Suggested Citation

  • Brenda Happell & Chris Platania‐Phung & David Scott, 2014. "Proposed nurse‐led initiatives in improving physical health of people with serious mental illness: a survey of nurses in mental health," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(7-8), pages 1018-1029, April.
  • Handle: RePEc:wly:jocnur:v:23:y:2014:i:7-8:p:1018-1029
    DOI: 10.1111/jocn.12371
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    References listed on IDEAS

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    1. Karl A Forsberg & Tommy Björkman & Per O Sandman & Mikael Sandlund, 2010. "Influence of a lifestyle intervention among persons with a psychiatric disability: a cluster randomised controlled trail on symptoms, quality of life and sense of coherence," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(11‐12), pages 1519-1528, June.
    2. Siobhan Tranter & Fiona Irvine & Eve Collins, 2012. "Innovations aimed at improving the physical health of the seriously mentally ill: an integrative review," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(9‐10), pages 1199-1214, May.
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    Cited by:

    1. Herbert Mwebe, 2017. "Physical health monitoring in mental health settings: a study exploring mental health nurses’ views of their role," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(19-20), pages 3067-3078, October.

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