{"title":"An exploratory investigation into women's experiences in a mixed sex psychiatric admission unit.","authors":"M Cleary, R Warren","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In recent years, expressions of concern about the safety of women in mixed sex wards have been noted. The purpose of this exploratory study was to give hospitalized women with a diagnosis of mental illness the opportunity to describe their experiences in mixed sex wards. A qualitative study, using focus groups, was conducted. The three major themes that emerged from the study were: (i) environment; (ii) gender; and (iii) vulnerability. The study incorporated a feminist and phenomenological perspective. In essence, the study found that although some women had experienced problems with safety, they indicated they would prefer mixed sex to single sex wards.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"7 1","pages":"33-40"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20624843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ethical practice and legal responsibility for duly authorized officers: achieving a balance.","authors":"B Foster","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In New Zealand the Mental Health (Compulsory Assessment and Treatment) Act (1992) has influenced the practice of psychiatric nurse acting as duly authorized officers by challenging traditional perceptions of the nurse-patient relationship. This paper describes the legal role and responsibilities of the duly authorized officer, and reflects on ethical principles that affect decision making using an example from practice. Performing legislative responsibilities within a bicultural context in a health climate driven by economic rationalism is problematic, and concern is raised to ensure a body of psychiatric nursing experience for the future.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"7 1","pages":"41-5"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20624061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An historical perspective on clinical supervision in nursing.","authors":"T Yegdich, A Cushing","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper examines the concept of formalized clinical supervision by focusing attention on several aspects. First, the current popularity of the concept and the practice of clinical supervision in the British nursing literature. Second, further discussion takes place about the lack of agreement among scholars on the definitions, models and models of utilization of clinical supervision. Third, the significance of the relationship between clinical supervision and management is analyzed. Fourth, the identification of what is currently presented as formal clinical supervision in both mental health nursing and general nursing is achieved through an examination of the relevant psychoanalytic sources from which the concept originated, and the North American nursing contribution. Finally, from examination of the current and past literature, the conclusion is that nursing has misconceived the intention of formalized clinical supervision.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"7 1","pages":"3-24"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20624841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The international voice of mental health nurses: a deafening silence.","authors":"E Shanley","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"7 1","pages":"46-8"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20624062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Spirituality, communication and mental health nursing: the tacit interdiction.","authors":"A Fry","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Spirituality was embedded in the underpinnings of nursing when care of the sick was a 'good work' in the medieval monastic Christian tradition and human beings were recognized as spiritual beings. Contemporary mental health nursing practice is slow to recognize the value of the spiritual. This paper explores the nature of spirituality and communication about spirituality in mental health nursing practice. Philosophical, biological, psychiatric and psychological arguments antithetical to spirituality are explored. Effective mental health nursing practice incorporates conceptual frameworks and skills that reflect universal spiritual wisdom by means of various therapeutic modalities.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"7 1","pages":"25-32"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20624842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Suicide in Queensland.","authors":"M Clinton","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 4","pages":"135-6"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20406608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Group therapy for anxiety disorders using rational emotive behaviour therapy.","authors":"D Cowan, S Brunero","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper reports a pilot study designed to investigate Rational Emotive Behaviour Therapy in the group treatment of selected clients suffering from anxiety disorders. A convenience sample of 17 clients who completed the treatment programme was selected for the study. Biographical information was sought and data were collected on subject anxiety and depression. Intervention was targeted at identifying and correcting irrational beliefs via the application of a range of Rational Emotive Behaviour Therapy techniques. Pre- and postintervention data were analysed by two-tailed t-tests for paired samples and found to be significant at P < 0.001. The results suggest that the treatment approach was successful in modifying irrational beliefs and anxiety.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 4","pages":"164-8"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20406612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Providing nursing care for a patient with borderline personality disorder on an acute inpatient unit: a phenomenological study.","authors":"L O'Brien, J Flöte","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper presents the findings of a study that used a phenomenological framework to examine the experience of six nurses who had provided inpatient care to a patient with borderline personality disorder, exhibiting active self-harming behaviours. The nurses' experiences of providing care were considered as being unsure, being in conflict, struggling to make sense of the patient's experience, and being traumatized. Difficulties were related to both the patient's behaviour and the organizational demands of care provision. The study highlighted the need for: education about the disorder and its treatment; comprehensive models of care; guidelines for nursing interventions; and supervision of staff.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 4","pages":"137-47"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20406609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neuroleptic malignant syndrome: an assessment of registered psychiatric nurses' knowledge.","authors":"S Cardy, R Chatterton, T Meehan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Neuroleptic Malignant Syndrome (NMS) is a potentially fatal complication of neuroleptic use and is frequently underdiagnosed by medical and nursing staff. The current project was undertaken to assess the knowledge registered psychiatric nurses (RPN) have of the signs, symptoms and interventions to be initiated in cases of NMS. A total of 126 RPN employed in a large tertiary inpatient facility and community mental health centre responded to a self-completed questionnaire. The results indicate that while the RPN in the study's sample demonstrated adequate knowledge of NMS, there was evidence to suggest that these RPN may actually lack confidence in their ability to identify and initiate appropriate interventions in suspected cases of NMS. Although RPN employed in the rehabilitation and psychogeriatric areas of the hospital had more years of experience in the mental health field, their overall knowledge of NMS was significantly lower than that of RPN employed in other clinical settings (F = 3.35; d.f. = 5119; P = 0.007). The findings underscore the importance of ongoing education for RPN employed within clinical mental health settings.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 4","pages":"156-63"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20406611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Self-help groups, family carers and mental health.","authors":"H Chapman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Deinstitutionalization has changed both the setting and delivery of mental health care. Mental health nurses are now providing complex and diverse services in contexts that are often far removed from the traditional realms of health care provision. If they are to meet the challenge of contemporary and future mental health-care needs, it is essential that mental health nurses be aware and understand the changing mental health environment. One specific change that has received limited attention in the literature is the increase in socio-political awareness of family carers of people with mental illness, and the concomitant increase in their collective voice and influence through self-help groups.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 4","pages":"148-55"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20406610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}