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  1. Article ; Online: Psychological distress, multimorbidity and health services among older adults in rural South Australia.

    Asante, Dennis / Rio, Josephien / Stanaway, Fiona / Worley, Paul / Isaac, Vivian

    Journal of affective disorders

    2022  Volume 309, Page(s) 453–460

    Abstract: Objective: Psychological distress may relate to higher health services use. However, data on psychological distress and health services use among rural older adults are limited. This study investigates psychological distress in older adults (aged ≥60) ... ...

    Abstract Objective: Psychological distress may relate to higher health services use. However, data on psychological distress and health services use among rural older adults are limited. This study investigates psychological distress in older adults (aged ≥60) and evaluates the relationship between psychological distress, multimorbidity and health services utilization.
    Design: A cross-sectional design was adopted using data on older adults (≥60) (n = 5920) from the South Australia's 2013-2017 population health survey. The Modified Monash Model MM2-7 was used to designate rural areas. The dataset provides information on reported physical health conditions, psychological distress, and patterns of health services use. The Kessler Psychological Distress Scale (K10) was used to compute scores for reported mental health disorders in this population.
    Results: The mean (SD) age of the study participants was 72.1 (8.1) years. Women constituted 58.8% of the sample. The mean (SD) score for psychological distress was 12.5 (3.6). One-fourth (33.7%) report one-chronic condition, 20.4% reported 2 chronic conditions and 13% had more than 3 chronic conditions. High psychological distress was associated with female gender (χ
    Conclusion/implication: Psychological distress and multimorbidity were independently associated with health services use. Thus, psychological distress, particularly in the presence of multimorbidity, presents an opportunity for intervention by clinicians that may reduce the demand on rural health services.
    MeSH term(s) Aged ; Chronic Disease ; Cross-Sectional Studies ; Female ; Health Services ; Humans ; Multimorbidity ; Psychological Distress ; South Australia/epidemiology
    Language English
    Publishing date 2022-04-28
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 135449-8
    ISSN 1573-2517 ; 0165-0327
    ISSN (online) 1573-2517
    ISSN 0165-0327
    DOI 10.1016/j.jad.2022.04.140
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1485: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  2. Article ; Online: The impact of workplace culture on the accountability of mental health nurses to involve consumers in care planning: A focused ethnography.

    Rio, Josephien H M / Fuller, Jeffrey / Taylor, Kerry / Muir-Cochrane, Eimear

    Nursing & health sciences

    2021  Volume 23, Issue 1, Page(s) 255–262

    Abstract: Recovery-oriented mental health practice guidelines recommend regular consumer involvement in care plans, yet in many acute settings, these are not routinely created thereby compromising accountability. This study explored the impact of workplace culture ...

    Abstract Recovery-oriented mental health practice guidelines recommend regular consumer involvement in care plans, yet in many acute settings, these are not routinely created thereby compromising accountability. This study explored the impact of workplace culture on the capacity of mental health nurses to involve consumers in care planning and consequently to work accountably. A focused ethnography was undertaken in one Australian inpatient unit involving mental health nurses and other health professionals. Data were derived from in-depth semistructured interviews with 12 nurses and 6 months of nonparticipant observation of multidisciplinary meetings and clinical handovers. Workplace culture had an impact on mental health nurses' accountability practices. A culture that prioritized reduction in length of stay resulted in less recovery-oriented care. Health professionals who paid more attention to crisis and risk management resulted in fewer opportunities for consumer-involved care planning.
    MeSH term(s) Anthropology, Cultural ; Australia ; Humans ; Mental Disorders/therapy ; Mental Health ; Mental Health Services ; Nurses/psychology ; Organizational Culture ; Patient Care Planning ; Patient Participation/psychology ; Risk Management ; Social Responsibility ; Workplace/psychology
    Language English
    Publishing date 2021-02-02
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2213282-X
    ISSN 1442-2018 ; 1441-0745
    ISSN (online) 1442-2018
    ISSN 1441-0745
    DOI 10.1111/nhs.12807
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6245: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: A lack of therapeutic engagement and consumer input in acute inpatient care planning limits fully accountable mental health nursing practice.

    Rio, Josephien H M / Fuller, Jeffrey / Taylor, Kerry / Muir-Cochrane, Eimear

    International journal of mental health nursing

    2019  Volume 29, Issue 2, Page(s) 290–298

    Abstract: It is mental health consumer's human right to lead a fulfilling life as they are empowered to actively manage their recovery. This can be facilitated through care planning, yet research suggests that the care plan is not routinely created, discussed, or ... ...

    Abstract It is mental health consumer's human right to lead a fulfilling life as they are empowered to actively manage their recovery. This can be facilitated through care planning, yet research suggests that the care plan is not routinely created, discussed, or updated in acute mental health settings. Research on care planning and the role of the mental health nurse highlights the importance of therapeutic communication in care plan development. This paper argues that the lack of meaningful care plan discussions between consumers and mental health nurses in an acute setting is a limitation to the practice of fully accountable mental health nursing care. We explore this limitation in quality care provision by examining literature on accountability and conclude that in mental health nursing, accountability is frequently enacted through an overarching focus on the organizational need to manage risks, rather than on therapeutic engagement.
    MeSH term(s) Health Services Needs and Demand ; Hospitals, Psychiatric/organization & administration ; Humans ; Mental Disorders/nursing ; Mental Disorders/psychology ; Mental Disorders/therapy ; Nurse-Patient Relations ; Patient Care Planning ; Patient Participation/psychology ; Psychiatric Nursing/methods ; Risk Management
    Language English
    Publishing date 2019-12-20
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2076760-2
    ISSN 1447-0349 ; 1445-8330
    ISSN (online) 1447-0349
    ISSN 1445-8330
    DOI 10.1111/inm.12684
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5240: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

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