Psychophysiological two-handed grasp, psychiatric specialist nurses have a great responsibility BMC Nursing。

Title: Mental health nurses' attitudes, experience, and knowledge withing routine physical healthcare: system, Journal:
Geoffrey
L. Dickens, Robin Ion, Cheryl Waters, Evan Atlantis and Bronwyn Everett
Published time: 2019/04/26
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Psychiatric nurses play an important role in the psychological and physical health of people with long-term mental illness.
of a recently published systematic review will share a detailed talk about the important role of specialist nurses in improving the physical health of people with mental illness.people are becoming more aware of mental health crises or people with long-term mental illness. But perhaps most people don't realize it -
According to the World Health Organization, life expectancy for people with severe mental illness is 20 years shorter than it is for people without mental health problems, a number that many are stunned by. The main causes of death in people with mental illness are physiological diseases, such as heart disease, tumors, diabetes and so on.
well known that these physical diseases are greatly affected by poor lifestyles such as smoking, substance abuse, obesity, etc. Some poor lifestyles are particularly common in people with mental illness, such as schizophrenia, which accounts for 3-4 times more severe smokers than the normal population. Without intervention in these lifestyles, it is difficult to change the high risk of physical illness and reduced life expectancy in people with mental illness. In mental health institutions, however, lifestyle interventions are rarely included in the treatment of patients' diseases., psychiatric nurses gain the full trust of patients during long-term treatment. If they can guide people with severe mental illness and persuade them to change their poor lifestyle, it will significantly reduce the physical burden of mental illness. However, traditional training for psychiatric nurses revolves around mental illness or mental health issues, so they may lack the knowledge and skills associated with physical illness.our research is to explore the views and willingness of psychiatric nurses around the world to join the physiological disease intervention process. We conducted a systematic search of published studies, which focused on the attitude and mastery of psychiatric nurses to routine treatment interventions that can significantly reduce the physiological conditions of mentally ill patients. We would like to know how well specialist nurses understand these diseases and their interventions.
In other words, what we want to explore is whether specialist nurses agree that physical illness care is an important part of their day-to-day work, whether they feel they have the knowledge and skills to care for physical illness and what training methods can best improve the quality of care for specialist nurses." We rated the quality of each study, and the weight given to the results depended on the reliability of the evidence.has grown rapidly in recent years: we have found that more than 40 studies have been conducted in this area over the past 25 years, 31 of which have been published since 2010. The research we have adopted covers more than 7,500 psychiatric nurses worldwide. As far as we know, in terms of sample size, this topic exceeds all studies to date targeting psychiatric nurses., it is not surprising that nurses who are positive about the care of physical illness are more likely to take on responsibilities. However, the effectiveness of the physical disease care training received by specialist nurses still needs to be evaluated by more rigorous research.
finding is that british nurses showed the most positive attitudes in all the studies we included, significantly outpacing those in Australia and some Asian countries. The findings come as a surprise because the training of specialist nurses in the UK is the most specialized, with the vast majority focusing on mental health rather than physical health.good news is that most psychiatric specialist nurses recognize and value their role in improving the health of the marginalized group of people with mental illness. On the other hand, we still need to take measures to upgrade the knowledge, confidence and skills of specialist nurses in the care of physical illness. There is currently a low number of studies on how to improve the effectiveness of training.
, as observed in the UK, specialist nurses may not lack confidence in their ability to care for physical illness, even if they are trained in mental health specialisation.psychiatric nurses need more skills in intervening with patients to change their poor lifestyle. If they can play a greater role in persuading patients to quit smoking, control alcohol consumption, weight control, and safe sex, then we have every reason to believe that the physical health of people with mental illness will gradually improve. With advances in other aspects of medical care, patients with long-term mental health problems will eventually live longer and healthier lives.。 There has been a recent growth in research addressing mental health nurses' routine physical healthcare knowledge and attitudes. We aimed to systematically review the empirical evidence about i) mental health nurses' knowledge, attitudes, and experiences of physical healthcare for mental health patients, and ii) the effectiveness of any interventions to improve these aspects of their work.。 Systematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Multiple electronic databases were searched using comprehensive terms. Inclusion criteria: English language papers recounting empirical studies about: i) mental health nurses' routine physical healthcare-related knowledge, skills, experience, attitudes, or training needs; and ii) the effectiveness of interventions to improve any outcome related to mental health nurses' delivery of routine physical health care for mental health patients. Effect sizes from intervention studies were extracted or calculated where there was sufficient information. An integrative, narrative synthesis of study findings was conducted.。 Fifty-one papers covering studies from 41 unique samples including 7549 mental health nurses in 14 countries met inclusion criteria. Forty-two (82.4%) papers were published since 2010. Eleven were intervention studies; 40 were cross-sectional. Observational and qualitative studies were generally of good quality and establish a baseline picture of the issue. Intervention studies were prone to bias due to lack of randomisation and control groups but produced some large effect sizes for targeted education innovations. Comparisons of international data from studies using the Physical Health Attitudes Scale for Mental Health Nursing revealed differences across the world which may have implications for different models of student nurse preparation.。 Mental health nurses' ability and increasing enthusiasm for routine physical healthcare has been highlighted in recent years. Contemporary literature provides a base for future research which must now concentrate on determining the effectiveness of nurse preparation for providing physical health care for people with mental disorder, determining the appropriate content for such preparation, and evaluating the effectiveness both in terms of nurse and patient- related outcomes. At the same time, developments are needed which are congruent with the needs and wants of patients.
(Source: Science.com)