{"title":"Scratching the surface: mental health training for rural health workers.","authors":"J Muirhead, J Tilley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper will describe the Mental Health Training for Rural Health Workers Project that was completed in 1995 under the Rural Health Support Education and Training Program. The lack of specialist mental health services in rural areas means that generalist health workers need to provide mental health services in rural communities. Generalist health workers often feel ill-equipped to help people who require mental health services. The aim of this project was to provide generalist workers in rural areas with practical skills and knowledge in order to help people with mental health disorders and promote positive mental health. The project involved an initial needs survey, the development of education and training material, the implementation of the training, and evaluation of the project.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"4 2","pages":"95-8"},"PeriodicalIF":0.0,"publicationDate":"1995-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20038798","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":"Storytelling: what can it reveal about the knowledge of mental health nursing?","authors":"R Geanellos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper uses a hermeneutic approach to examine nurses' stories as found in the literature. It raises epistemological issues surrounding questions of nursing knowledge: practical and theoretical. By examining nurses' stories holistically and selectively, the study uses a combined approach to interpretation and theme development, revealing issues, questions and themes generated by the hermeneutic process. The author suggests that revealing knowledge in this manner can support the knowledge claims of mental health nursing and provide opportunities for theory development or testing.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"4 2","pages":"87-94"},"PeriodicalIF":0.0,"publicationDate":"1995-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20038797","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":"Coping strategies of caregivers of family members with dementia.","authors":"P J Brown, R Sloman, L M Brown, R Mitchell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Data derived from a national sample of 89 caregivers of non-institutionalized family members with dementia were examined in order to identify the specific coping strategies caregivers utilized and whether the identified strategies were associated with negative or positive outcomes. Results from this study indicated that caregivers predominantly used problem-focused strategies. Further analysis demonstrated that employing more positive coping strategies did not necessarily result in a reduced sense of burden.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"4 2","pages":"70-6"},"PeriodicalIF":0.0,"publicationDate":"1995-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20038794","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":"Health rights and consumer responsibilities.","authors":"M Clinton","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"4 2","pages":"51-2"},"PeriodicalIF":0.0,"publicationDate":"1995-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20038791","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":"Community psychiatric nursing with non-psychotic patients: relating process to outcome.","authors":"G J Devilly, K Gournay","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this study was to investigate the community psychiatric nursing (CPN) process with non-psychotic patients and to relate various constructs of the initial assessment interview to final patient outcome. The overall purpose of the research was to provide future directions for CPN training. This study used a repeated measures design, assessing patients at pre- and post-intervention on various scales to obtain outcome data. These clients were referred by general practitioners to community psychiatric nurses working in primary health care settings. The first contact session was video recorded (n = 8). Process measures were derived from these recordings using two independent expert raters using several process measures. Anxiety, depression and 'psychiatric caseness' indices all related to various process constructs (R(s) > or = 0.69). These results are based on correlations of a small sample, and the evidence suggests that a poor initial interview has a negative weighting on patient outcomes. This first interview may be related to the CPN skill base. CPN training may need to incorporate a module on structured assessment techniques. This study concludes that it is possible to conduct action research successfully within this field.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"4 2","pages":"53-60"},"PeriodicalIF":0.0,"publicationDate":"1995-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20038792","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":"Parasuicide in people with schizophrenia.","authors":"R Chatterton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper reviews patterns of suicidal behaviour in a group of 100 people with schizophrenia. All of the people in this review have a DSM 111-R diagnosis of schizophrenia and have had contact with a clinical research unit. Fifty-four per cent of the subjects have attempted suicide. The mean number of past attempts was 2.2, with a range between 0 and 15. Within the 5 year period of the review three people have suicided. These 100 people were chosen because self-reported demographic data were available on them. The group of people who attempted suicide tended to be young, unmarried, and had higher than average rates of admission to hospital.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"4 2","pages":"83-6"},"PeriodicalIF":0.0,"publicationDate":"1995-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20038796","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 ethnographic study of nurses in a forensic psychiatric setting: education and training implications.","authors":"R Dhondea","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The number of nurses working in forensic and prison settings has been increasing in recent years. Studies have confirmed the need for special knowledge and skills for these nurses, who face the challenge of working with patients with extreme behavioural problems. This need is strengthened by the changing pattern of mental health care in Australia as health departments attempt to manage all forensic patients within the hospital system. However, studies in the area of forensic nursing have been few and there has been concern about the survey-type research already undertaken because it does not reflect the real world of forensic nursing practice. This study was an attempt to make sense of what nurses do in forensic psychiatric settings and to identify their educational needs. The intention was to gain an understanding of the nurses' working reality through research.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"4 2","pages":"77-82"},"PeriodicalIF":0.0,"publicationDate":"1995-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20038795","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":"Philosophy of nursing: future directions.","authors":"A M Evans","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>At a time when psychiatric nurses in Australia face the changes brought about by the transfer of nursing education to the universities, it is timely to reconsider the knowledge base of the profession, not from the perspective of any one theoretical position, but by reflecting on a fundamental division in the way nursing is thought about. Many nurse theorists argue for a shift away from conceptions of nursing based on medicine and science. The alternative, idealism, brings with it a new set of problems, particularly the tendency to react against the perceived dominance of the medical profession instead of positing a philosophy of nursing that reflects a more considered response. The argument developed here begins by aligning medicine and related conceptions of nursing with materialism. This leads to a consideration of the relevance of philosophical positions on the nature of body and mind, that is then linked to the assumptions of medicine and nurse theorists. Introduction of the concepts of holism and interactionist dualism follows. The implications of these concepts for psychiatric nursing are drawn out by using conceptions of the objective and rational. Finally, it is argued that interactionist dualism enables psychiatric nurses to be sensitive to the experiences of patients while still acknowledging the importance of objective knowledge.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"4 1","pages":"14-21"},"PeriodicalIF":0.0,"publicationDate":"1995-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20038690","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 national review of 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":"4 1","pages":"2-4"},"PeriodicalIF":0.0,"publicationDate":"1995-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20038799","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":"Perceptions of stressors and reported coping strategies in nurses caring for residents with Alzheimer's disease in a dementia unit.","authors":"M Clinton, W Moyle, D Weir, H Edwards","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A study was undertaken on the perceptions of stressors and coping behaviours in a group of nurses caring for residents with Alzheimer's disease in a dementia unit. The purpose of this paper is to report on the preliminary findings of the study. Repertory grid data were used to explore how nurses perceive residents, the stressors nurses experience in their work, and the coping strategies nurses use when caring for residents. The nurses identified 92 sources of stress, 683 coping behaviours and 708 coping strategies. Analyses of selected repertory grid data are presented and the stressors reported by the nurses are summarized. The coping strategies the nurses report using are classified into categories of adaptive and maladaptive responses to stress. In addition, the nursing implications of the coping strategies used by the nurses are also considered.</p>","PeriodicalId":79537,"journal":{"name":"The Australian and New Zealand journal of mental health nursing","volume":"4 1","pages":"5-13"},"PeriodicalIF":0.0,"publicationDate":"1995-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20038800","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}