Healthcare Professional Perspectives on the Impact of the Physical Health Nurse Consultant.

Tracy Tabvuma, Robert Stanton, Ya-Ling Huang, Brenda Happell
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Abstract

Early mortality experienced by people living with mental health issues (hereon termed consumers) is largely preventable. Healthcare professionals perceive healthcare system inadequacies such as diagnostic overshadowing, stigma and fragmentation of physical and mental healthcare services can be resolved through effective integration approaches. Service- and individual-level integration approaches involve multidisciplinary teams collaborating and coordinating care to holistically meet consumers' physical and mental health needs. Evidence suggests appropriately trained healthcare professionals can deliver effective integrated treatment without financial or organisational restructuring. Specialist nursing positions such as Physical Health Nurse Consultants can support and integrate physical and mental health care. Consumers report the Physical Health Nurse Consultant as providing dedicated, integrated, coordinated and holistic mental and physical health care. This study aimed to explore the Physical Health Nurse Consultant role from the perspectives of healthcare professionals. A qualitative exploratory study design was used. Fourteen healthcare professionals participated in individual interviews or focus groups. Interview recordings were transcribed, and thematically analysed. Three themes were identified: (i) role functions, including integration of physical and mental health care, (ii) impact on consumer physical health outcomes and (iii) impact on service delivery. Healthcare professionals perceive the Physical Health Nurse Consultant effectively integrates physical and mental health care and subsequently support the continuation and embedding of the role in routine practice. Future research is required to explore healthcare professionals' experiences and perceptions of how these roles be translated to routine clinical practice. Examining the professional development requirements, service provider constraints and economic implication to achieve these outcomes also warrants attention.

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医疗保健专业人员对物理健康护士顾问影响的看法。
心理健康问题患者(以下简称消费者)的过早死亡在很大程度上是可以预防的。医疗保健专业人士认为,医疗保健系统的不足之处,如诊断上的阴影、污名化以及身体和精神医疗保健服务的割裂,都可以通过有效的整合方法来解决。服务和个人层面的整合方法涉及多学科团队的合作和协调护理,以全面满足消费者的身心健康需求。有证据表明,经过适当培训的医护专业人员可以在不进行财务或组织结构调整的情况下提供有效的整合治疗。专业护理职位,如身体健康护士顾问,可以支持并整合身体和精神健康护理。据消费者反映,身体健康护士顾问可提供专门、综合、协调和全面的身心健康护理。本研究旨在从医疗保健专业人员的角度探讨生理健康顾问护士的角色。研究采用了定性探索性研究设计。14 名专业医护人员参加了个人访谈或焦点小组。访谈记录已转录,并进行了主题分析。确定了三个主题(i) 角色功能,包括整合身体和心理健康护理;(ii) 对消费者身体健康结果的影响;(iii) 对服务提供的影响。医护专业人员认为,身体健康顾问护士有效地整合了身体和精神健康护理,因此支持在日常实践中继续并嵌入这一角色。未来的研究需要探索医护专业人员对如何将这些角色转化为常规临床实践的经验和看法。此外,为取得这些成果,对专业发展要求、服务提供者的限制和经济影响的研究也值得关注。
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