Our clinical nursing articles aim to inform and educate nurse practitioners and students. This is achieved through the publication of peer-reviewed, evidence-based, relevant and topical articles.
Mental health nurses have an important role in providing expertise to GPs
On leaving active service, veterans should be provided with greater mental health support
Update your knowledge of the nurse’s role in suicide assessment and management
Study identified that mindfulness skills can be used in various ways in family carers’ lives
There is a wealth of literature focusing on the transition from being a new graduate to being a newly qualified member of staff. However, the needs of the new-to-role practitioner, who may be expected to manage challenging caseloads and coordinate care, are rarely explored. New-to-role mental health clinicians, particularly in the community, can work alone and experience complex challenges. To meet these demands, an interprofessional practice development group was formed. Clinical practice educators, alongside clinical team managers, designed a programme of six sessions of three hours to be delivered over a six-month period. The programme was delivered to two cohorts of new-to-role or newly qualified mental health staff from a nursing, occupational therapy or social work background. The sessions focused on the role of the care coordinator, on how the last month had been for participants and on discussing relevant articles and case studies. To evaluate the course, participants completed a pre- and post-group questionnaire. There was an improvement in their confidence and competence, but not in their skills.
Background Crisis houses are an alternative to acute psychiatric hospital admission. Aim To review evidence of the efficacy of mental health crisis houses as an alternative to acute hospital admissions. Method A systematic search of studies drawing on eight databases was undertaken, with a total of 135 articles identified. After the selection process, six quantitative and two qualitative studies met the inclusion criteria of the review. Of these, the quantitative studies were assessed for methodological quality using a 21-item tool and all studies were analysed using thematic synthesis. Findings Four of the studies were rated methodologically strong and two as methodologically moderate. It was found that people admitted to crisis houses experience fewer negative events, have more autonomy, receive more holistic care and spend more time with staff members. They also receive more peer support and report more therapeutic relationships with staff. Conclusion Service users who access crisis houses rather than acute wards tend to rate their recovery as lower and think that pharmacological treatments are less available. Crisis house admissions are shorter and less expensive than acute ward stays, but do not always prevent admission to hospital.
Concurrent disorders as conceptualised in academic literature and practice guidelines
This article describes the elements of a suicide intervention training programme, known as the ‘I CARED and Shared’ model
This article uses a case study approach to increase awareness of CBT skills
All nurses need to be aware of the dangers associated with clozapine-induced constipation
Delivery of training by mental health nurses to staff in a benefits district in west Scotland
Delivery of training by mental health nurses to staff in a benefits district in west Scotland.