{"title":"Evaluation of group processes in the professional development of mental health nurses.","authors":"M Clinton, P Lunney, G Hart","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this paper is to report on group process data for 41 registered nurses endorsed as psychiatric nurses. Profile analysis was used to evaluate the flatness of ratings of group interaction by two groups of participants. Accelerated professional development participants had non-flat rating profiles for their ratings of how far group sessions helped them to clarify or validate issues, focused on the 'reasons for' and consequences of session content, achieved resolution of different points of view, or promoted consensus and group cohesiveness. The peer consultation participants had a non-flat rating profile for overall group supportiveness, demonstrating that the participants felt less supported over time.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 3","pages":"113-21"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20312125","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":"Crisis intervention workers in New South Wales: knowledge, skills, qualities and preparation.","authors":"T Meehan, A Boateng","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ninety-five mental health workers employed by 13 randomly selected crisis intervention and extended hours teams in NSW responded to a questionnaire designed to elicit information concerning the perceived competencies required for crisis intervention. The findings reported and underscore the need for specialized knowledge and skills to address the problems presented by mentally ill clients in crisis. Assessment of suicide risk, being able to work as part of a team, and knowledge of crisis intervention strategies were perceived as the most important competencies required. It is suggested that these competencies are gained through initial induction programmes, 'on-the-job' experience, and clinical supervision rather than previous experience in the mental health field. The lists of competencies provided will be of interest to those involved in the development of induction and continuing education programmes for crisis intervention workers and in the selection of staff for positions in crisis intervention.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 3","pages":"122-8"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20312126","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":"Alcohol early intervention: a nursing model for screening and intervention strategies.","authors":"D Arthur","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper presents the background policy directions in Australia that are encouraging nurses to initiate alcohol early intervention strategies. The current clinical initiatives that are supporting screening and early intervention strategies are critically reviewed and presented in the form of an Alcohol Early Intervention Model to guide nursing practice. The model is compatible with current directions in nursing which encourage more independent, empowering and educationally focused strategies. This model also provides direction for undergraduate and graduate nursing curricula and offers opportunities for future research.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 3","pages":"93-101"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20312123","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":"Madness and mayhem: the place of people with dementia in a mental health setting.","authors":"S Mott","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Demographic predictions indicate that there will be between 174,300 and 194,200 people in Australia experiencing dementia of the Alzheimer's type by the year 2006. At present, 60% of those who make up the resident population in nursing homes and aged-care units in psychiatric hospitals suffer from dementia. To explore the place of people with dementia in a mental health setting, a comprehensive review of the literature was undertaken and the results compared with the outcomes of an ethnographic study of a unit for confused older people.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 3","pages":"102-12"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20312124","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":"Clinical response to clozapine treatment of 11 chronic patients in a state psychiatric hospital.","authors":"M Herman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this study was to evaluate the clinical response to clozapine of 11 treatment-resistant patients with schizophrenia. Nine male and two female inpatients of a state psychiatric hospital, with at least a 2-year history of unresponsiveness to adequate trials of at least three antipsychotics and from chemically distinct groups, were challenged with clozapine. Clinical assessment involved baseline and repeated post-baseline ratings using the Brief Psychiatric Rating Scale (BPRS), the Clinical Global Impressions Scale (CGI), the Nurses Observation Scale for Inpatient Evaluation (NOSIE-30), and the Abnormal Involuntary Movement Scale (AIMS). Progression to lower categories of care was used as an additional outcome measure. Statistically significant reductions were achieved in global symptomatology, positive psychotic symptoms, and hostility. A statistically significant improvement occurred on the Social Interest factor; however, improvements in the remaining negative symptoms were not statistically significant. Reductions in psychopathology enabled eight patients to progress to lower categories of care with five patients moving to community care. The results indicate that clozapine was effective in treating hospital patients with a very severe form of mental illness.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 3","pages":"129-33"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20312127","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":"National review of specialist nurse education.","authors":"M Clinton","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 3","pages":"91-2"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20312897","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 analysis of the sociopolitical context of mental health nursing practice.","authors":"M Crowe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper will explore the delivery of mental health nursing care within a neo-liberal model of mental health care delivery in New Zealand. Mental health nursing as a socially constructed activity occurs within a particular political context, which determines its role and function. This environment determines the nature of the nurse-patient relationship which is integral to the role of mental health nurses. Critical analysis of the New Zealand Government's neo-liberal health policies will be conducted to explore their effect on mental health care delivery and the nurse-patient relationship. Some of the ideologies and values maintained by current dominant discourses within nursing and the State are discussed. To establish therapeutic partnerships with service-users, mental health nurses are urged to critically analyse their practice and the context in which it occurs.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 2","pages":"59-65"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20199431","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":"Maori cultural identity and the New Zealand search for nationhood.","authors":"M H Durie","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Maori cultural identity has been seriously eroded by military might, the law, loss of land, exclusion from power, and economic deprivation. The effects remain evident and are related to a variety of sociocultural problems. This paper focuses on conditions which undermined a positive Maori identity and discusses measures likely to lead to a restored sense of positive identity including opportunities to reinforce cultural identity in mental health services. If people are able to have access to the Maori world, and to society's institutions and professions without being required to relinquish their own culture, identity can be secured more firmly.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 2","pages":"51-8"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20199548","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":"Reporting mental health: a discourse analysis of mental health-related news in two Australian newspapers.","authors":"M Hazelton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article reports the findings of an analysis of mental health-related news items in two Australian newspapers-one with a national readership, the other being more regionally orientated-over 1 year. The study employs both descriptive and interpretative methods in analyzing how messages about mental health and illness, mental health policy, psychiatry, mental health nursing and other mental health-related topics, are constructed and conveyed in the print media. Which stories are carried both nationally and regionally? How are these framed? Which points of view get canvassed? Which social and political interests are ignored or under-represented?</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 2","pages":"73-89"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20199433","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":"Engendering cultural sensitivity in nursing students.","authors":"C J Palmer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acknowledgement of the cultural aspects of the person is necessary if nurses are to provide holistic care to the recipients of health-care services. The nature of the content to be delivered, as well as the timing and strategies for integrating content into the curriculum, are well debated. A range of innovative educational strategies used by the School of Nursing at the Queensland University of Technology (QUT) to provide students undertaking the Bachelor of Nursing programme with greater awareness of cultural issues are presented. At QUT, culture is a theme that arises throughout the curriculum. Opportunities for applying these principles within cross-cultural clinical settings are made available to students. Feedback from students on a clinical placement in Northland, New Zealand are provided as anecdotal evidence of the effectiveness of these strategies.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 2","pages":"66-72"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20199432","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}