{"title":"The use of behavioural mapping in a study of seclusion.","authors":"P Morrison, M Lehane, C Palmer, T Meehan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As part of a larger study into the use of seclusion we set out to examine some of the antecedents that led to patients being secluded in one locked psychiatric ward. Behavioural mapping was used to chart the location of incidents that resulted in seclusion. Incidents were observed in several ward areas but most of these occurred in the day room and the dining room. This finding enabled us to question the ward policy of confining patients to these areas to facilitate nursing observation and management. The policy may have contributed to the number of disturbances by limiting personal space for patients. Literature on body buffer zones, crowding and territoriality is used to clarify and interpret the findings.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 1","pages":"11-8"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20158213","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":"Taking neuroleptic medications: a review.","authors":"K Usher, B Happell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Failure to take neuroleptic medications as prescribed often results in relapse and readmission to a psychiatric facility. It is the responsibility of the psychiatric/mental health nurse to ensure that clients have sufficient knowledge and support to enable them to make informed decisions regarding their medication regimen. In addition, the nurse has an important role as client advocate with regard to this treatment option. However, the issues surrounding noncompliance represent a major challenge to psychiatric/mental health nurses. This paper explores these complex issues surrounding the taking of prescribed neuroleptic medication, in particular, the impact of personal factors, knowledge of neuroleptic medications, therapy factors and the helper relationship upon the medication taking behaviour of psychiatric clients is presented in relation to the literature and recent research findings. Finally, the implications of these factors towards the role of the mental health nurse is discussed.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 1","pages":"3-10"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20158212","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":"Getting through ethics committees: partnerships between researchers and clinicians working with mentally ill clients.","authors":"R Warren, J Allan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper discusses principles of ethics in nursing research with people suffering from mental illness. It offers a set of protocols which have been successful in obtaining approval from ethics committees to conduct research in the area of mental illness-'getting through'. The paper argues that nurse researchers and clinicians can achieve successful outcomes in mental health nursing research by working in partnership. An important aspect of this partnership is a commitment to uphold the rights of consumers of mental health care.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 1","pages":"37-43"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20158216","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 Rozelle Hospital Winter Symposium: clinical supervision in mental health nursing.","authors":"T Meehan, J Delaney, R Jordan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 1","pages":"44-5"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20158217","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":"Adaptation to the mental health setting: the lived experience of comprehensive nurse graduates.","authors":"K Prebble, B McDonald","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this qualitative descriptive study was to explore the experience of new comprehensive nurse graduates as they adapted to working in the acute psychiatric setting. Interviews were conducted with four participants, focusing on their current work experiences and how the philosophical beliefs and values derived from their educational preparation fit with those they encountered within the practice setting. The data were analysed by noting common experiences, values and meanings and identifying the themes that emerged. The themes were: transition to practice, conflict, contradiction, structural constraints, and the 'reality' of the psychiatric setting. The results of the study confirm the concern that has been voiced by new graduates about the quality and quantity of current orientation programs. Conflicting values and beliefs concerning the nature of mental health/psychiatric nursing also became evident. It appears that the graduates' Comprehensive nursing preparation may have contributed to their feelings of unease as they attempted to fit their own values and beliefs about nursing with those of the acute psychiatric setting.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 1","pages":"30-6"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20158215","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":"On reflection and prejudice.","authors":"M Clinton","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20158954","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":"Social science at the crossroads: what direction for mental health nurses?","authors":"G A Farrell, W L Grichting","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We explore the current and, it would appear, the increasing opposition by some nurse academics to the notion that the traditional scientific methods are suitable for deriving knowledge of essentially social constructions and events. We caution against pursuing an anti-quantitative rhetoric and argue that a rapprochement is possible between contrasting methodologies. To argue for one methodology to the exclusion of all others is both naive and simplistic. All research traditions can be criticized for failing to do justice to social phenomena; it is therefore incumbent upon nurse researchers to be aware of the relative merits of each approach. An example is provided on how different research methodologies can be profitably combined.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"6 1","pages":"19-29"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20158214","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":"Biological psychiatry and mental health nursing.","authors":"S Fanker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Psychiatry is becoming increasingly dominated by 'biologism', that is, the epistemological premise that the truths of mental illness can be uncovered, conceptualized, explained and remedied biologically. Historically, mental health nursing has been influenced by philosophical movements within, and the knowledge claims of, psychiatry. It is likely, therefore, that mental health nursing will be similarly influenced by the apparent 'biologization' of psychiatry. While it would be foolhardy or indeed absurd to suggest that biological research and treatment have no place in the understanding and management of mental disorder, it is reasonable and appropriate for mental health nurses to critically evaluate the extent, nature and ramifications of the apparent shift towards a biologically oriented epistemology in psychiatry. This paper seeks to evaluate some of the epistemological assumptions of biological psychiatry. It is maintained that biological psychiatry, at least in its most extreme or doctrinaire forms, is potentially incompatible with nursing's epistemological commitment to holism, and that mental health nursing should resist embracing a reductionistic biological worldview such as that espoused, implicitly or explicitly, by adherents of biological psychiatry.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 4","pages":"180-90"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032996","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 medication: the literature and implications for mental health nursing.","authors":"K Usher, B Happell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The past twenty years have been a period of consolidation in the pharmacotherapy of schizophrenia followed more recently by a period where a number of new, atypical neuroleptics have enhanced the treatment options available to people with schizophrenia. In this article the contemporary research into neuroleptic medications, the mainstay of treatment for schizophrenia, is reviewed and critiqued. In particular, the article addresses important issues such as drug efficacy and action, the therapeutic effects of neuroleptics, side effects, including the recent research related to these side effects and, finally, the implications for mental health nurses. The issues raised here have sufficient relevance for mental health nurses for items to be considered in all undergraduate nursing and postgraduate mental health nursing courses.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 4","pages":"191-8"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032997","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":"Forensic psychiatric nursing: visions of social control.","authors":"T Mason, D Mercer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Forensic nursing is a relatively recent, and fast developing, specialization within the wider field of psychiatry. The construction of professional practice at the interface of medical and legal services reflects larger ideological shifts in the management of human difference. Central to this trend is the posited relationship between mental disorder and criminality. The expanding loci of forensic expertise, beyond traditional institutional and health service settings, calls for a critical appraisal of present and proposed provision. Focusing on the British experience, in particular, this paper outlines the historical development of treatment for disordered offenders and explores contemporary initiatives. Deployment of nursing staff in the community, police stations, law courts and prisons, as an adjunct of medicalized crime, confuses further professional care with political control. The main conclusions presented are that the encroachment of psychiatry can be understood in terms of surveillance and social control. It is essential that nurses working in this field are aware of the power/knowledge equation that frames their practice, research and education. The penetration of forensic nursing into realms of society otherwise bereft of psychiatric intervention can be seen to have a darker dimension.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"5 4","pages":"153-62"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20032524","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}