Mental health nursing: getting the message across.
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Biomedical subjects
Publications and source records attributed to B Thomas.
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Recent developments in healthcare legislation have caused nurses to examine new and innovative styles of practice. Psychiatric consultation liaison nursing promotes collaboration among healthcare practitioners, raises standards of patient care and strengthens rather than negates the traditional role of the mental health nurse.
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Care of people with mental health problems demands a range of specialist skills from various disciplines. Although there is growing awareness of the issues surrounding the implementation of clinical supervision within mental health nursing, there is little published research about its use, either among or between other disciplines. This article examines the models and practice of clinical supervision among a group of professionals working in a mental health trust.
Recent reports have highlighted areas of inadequacy within mental health services which can lead to suicide. This article examines the support mental health nurses should be given to improve their clinical practice in an effort to reduce the risk of suicide.
The demand for continuing care of the elderly, mentally ill continues to rise. The Government's latest response to this increase is to issue new guidelines on the responsibilities of the NHS in meeting continuing health-care needs. The general principles underpinning the guidelines are welcomed; however, this article identifies a number of problems with them regarding the elderly mentally ill.
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There is clear evidence of illicit drug abuse in psychiatric hospitals (Deahl, 1991), and illicit drug use has been associated with relapse in people with serious mental health problems. Cannabis abuse in the general population is common and has both desirable and undesirable effects on users. However, when cannabis is used by people with serious mental health problems, a more pronounced effect may be seen. There is little evidence to suggest that cannabis 'causes' schizophrenia, but its abuse may prove to be a trigger in vulnerable individuals. Studies have demonstrated that cannabis abuse can exacerbate the symptoms of schizophrenia and may reduce the effectiveness of antipsychotic drugs. Mental health nurses need to develop interventions in order to manage illicit drug abuse effectively in both the hospital and community settings.
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When unlimited supplies of biosynthetic human growth hormone (hGH) became available in the late 1980s, the envisaged potential of its therapeutic applications was enormous in that it was hoped that perhaps most short children would be able to be made taller. However, this seems to have been far too simplistic a view and certainly in those children with various growth disorders treated with pharmacological doses of growth hormone (GH), the potential for increased final height does not appear to be fulfilled, with the exception of girls with Turner's syndrome. Further challenges in the growth field involve the manipulation of pubertal development during concomitant GH therapy.
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A collaborative education program between Schools of Nursing at the Jordan University of Science and Technology and the University of Windsor, funded by the Canadian International Development Agency (CIDA), provides advanced clinical and theoretical education for Jordanian faculty and thus enriches the education of nursing students. This article describes the preparation of the faculty development proposal and the implementation of the project in a transcultural context, and identifies strengths and limitations of the project. Recommendations for effective strategies regarding international development in nursing education are made and a discussion of the benefits that ensued to both faculties is included.
Using breast health and illness, this article reviews relevant research literature and compares it for congruency with patient stories. Inconsistencies and issues found are related to desired outcomes and decision-making. Patients may view cancer treatment as an unbroken continuum from pre-diagnosis to completion of treatment. While moving through the continuum, they interact with nursing professionals in several roles and locations. Strategic suggestions acknowledge the need to incorporate health professionals, patients and families in the continuing education activity. Nurses working in continuing education have the opportunity to improve care along the treatment continuum and reduce the distance between research and practice. Implications for nursing practice and continuing education are identified. Suggestions for enhancing continuing education related to this continuum are made.
BACKGROUND: This article describes a collaborative international health and development program between a Jordanian and a Canadian university. It presents a human resource development model in Jordan that has been the basis for a variety of developmental activities for practicing nurses and nurse educators in academic and clinical settings. METHOD: Reciprocal visits by leaders of the project, as well as continued collaboration between key members of the two universities were instrumental in ensuring success of this venture. RESULTS: The activities implemented in this project culminated in the development of a pragmatic human resource development model that is sensitive to issues particularly relevant to the Jordanian culture. CONCLUSION: The collaborative venture discussed in this article has enabled nurses and nurse educators to increase their academic and clinical skills and raised the profile of the nursing profession in Jordan.
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