Subscribe to RSS
DOI: 10.1055/a-2349-4764
Profile und Merkmale psychiatrischer Pflegefachpersonen in der gemeindenahen Gesundheitsversorgung von Menschen mit psychischen Erkrankungen – Integratives Review und thematische Framework Analyse
Profiles and Characteristics of Mental Health Nurses in Community-Based Health Care for People with Mental Illness – Integrative Review and Thematic Framework AnalysisZusammenfassung
Ziel Exploration der spezifischen Tätigkeitsfelder von Community Mental Health Nurses (CMHNs) innerhalb verschiedener CMHN-Rollen und Versorgungskontexte.
Methoden Systematische Literaturrecherche in CINAHL, PubMed/Medline, Google und Google Scholar, ergänzt durch eine Suche in verschiedenen Verlagsdatenbanken. Die Analyse und Synthese der Daten erfolgte in Anlehnung an die Methode der Framework Analyse.
Ergebnisse Es wurden zwei Rollenprofile von CMHNs identifiziert, die unterschiedliche Funktionen in der ambulanten Versorgung von psychisch kranken Menschen beschreiben: (A) Primary Care CMHN und (B) Specialized Care CMHN. Für jedes Rollenprofil werden kontextuelle Faktoren und spezifische Rolleninhalte beschrieben und im Hinblick auf Gemeinsamkeiten und Unterschiede analysiert.
Schlussfolgerungen Die beschriebenen Rollenprofile können als Vorlage für die Entwicklung von Curricula im Bereich CMHN dienen. Hier ist es wichtig, den nationalen Kontext sowie den vorherrschenden und zukünftigen psychosozialen Versorgungsbedarf zu berücksichtigen.
Abstract
Objective To examine the specific scope of practice of community mental health nurses (CMHNs) across CMHN roles and care contexts.
Methods Systematic literature searches in CINAHL, PubMed/Medline, Google and Google Scholar, supplemented by a search of various publishersʼ databases. Data were analyzed and synthesized using the framework analysis method.
Results This paper identifies two role profiles in CMHN practice that describe distinct functions in the outpatient care of people with mental illness: (A) Primary Care CMHN and (B) Specialized Care CMHN. For each role profile, contextual factors and specific role content are described and analyzed for similarities and differences.
Conclusions The described role profiles can serve as a template for the development of curricula in the field of CMHN. It is important to consider the national context as well as the current and future need for psychosocial care.
Schlüsselwörter
Community Mental Health Nursing - Gemeindepsychiatrische Pflege - Rollenprofile - Aufgabenbereiche - Integrative ReviewKeywords
Community Mental Health Nursing - Role Profiles - Scope of Practice - Integrative Review - Community Mental Health NursesPublication History
Received: 17 April 2024
Accepted: 16 May 2024
Article published online:
16 July 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
Literatur
- 1 Begum R, Riordan S. Nurses’ experiences of working in Crisis Resolution Home Treatment Teams with its additional gatekeeping responsibilities. J Psychiatr Ment Health Nurs 2016; 23: 45-53 DOI: 10.1111/jpm.12276.
- 2 Thornicroft G, Deb T, Henderson C. Community mental health care worldwide: current status and further developments. World Psychiatry 2016; 15: 276-286 DOI: 10.1002/wps.20349.
- 3 World Health Organization. Guidance on community mental health services: promoting person-centred and rights-based approaches (2021). Im Internet: https://www.who.int/publications/i/item/9789240025707; Stand: 08.01.2024
- 4 Burr C, Richter D. Predictors of community mental health nursing services use in Switzerland: Results from a representative national survey. Int J Ment Health Nurs 2021; 30: 1640-1648 DOI: 10.1111/inm.12917.
- 5 Scheydt S. Psychosoziale Versorgungsanforderungen und deren Implikationen auf die Rolle der Psychiatrischen Pflege. Entwicklung eines möglichen Zukunftsszenarios. Psychiat Prax 2024; 21 DOI: 10.1055/a-2288-6856.
- 6 Thornicroft G, Tansella M. The balanced care model for global mental health. Psychol Med 2013; 43: 849-863 DOI: 10.1017/S0033291712001420.
- 7 Bury D, Hendrick D, Smith T. et al. The Psychiatric Nurse Care Coordinator on a Multi-disciplinary, Community Mental Health Treatment Team. Community Ment Health J 2022; 58: 1354-1360 DOI: 10.1007/s10597-022-00945-7.
- 8 Wand T, Glover S, Paul D. What should be the future focus of mental health nursing? Exploring the perspectives of mental health nurses, consumers, and allied health staff. Int J Ment Health Nurs 2022; 31: 179-188 DOI: 10.1111/inm.12947.
- 9 Kudless MW, White JH. Competencies and roles of community mental health nurses. J Psychosoc Nurs Ment Health Serv 2007; 45: 36-44 DOI: 10.3928/02793695-20070501-08.
- 10 Huang X, Yen W, Liu S. et al. The role of community mental health nurses caring for people with schizophrenia in Taiwan: a substantive grounded theory. J Clin Nurs 2008; 17: 654-666 DOI: 10.1111/j.1365-2702.2007.02110.x.
- 11 World Health Organization. Enhancing the role of community health nursing for universal health coverage. (2017). Im Internet: https://iris.who.int/handle/10665/255047 Stand: 13.05.2024
- 12 Sozialdemokratische Partei Deutschlands, Bündnis 90/Die Grünen, Freie Demokratische Partei. Koalitionsvertrag 2021-2025: Mehr Fortschritt wagen. Bündnis für Freiheit, Gerechtigkeit und Nachhaltigkeit. Im Internet: https://www.spd.de/fileadmin/Dokumente/Koalitionsvertrag/Koalitionsvertrag_2021-2025.pdf; Stand: 17.04.2024
- 13 Robert Bosch Stiftung. Vision und Umsetzung eines PORT-Gesundheitszentrums. Im Internet: https://www.bosch-stiftung.de/sites/default/files/publications/pdf/2020-11/Vision_und_Umsetzung_eines_PORT-Gesundheitszentrums.pdf; Stand: 17.04.2024
- 14 Stemmer R, Wöhrle O, Klein J. et al. FAMOUS – der Einsatz von Advanced Practice Nurses in der Primärversorgung von Patient:innen mit Multimorbidität. Gesundheits- und Sozialpolitik (G&S) 2023; 77: 13-19 DOI: 10.5771/1611-5821-2023-2-13.
- 15 Whittemore R, Knafl KA. The integrative review: updeted methodology. J Adv Nurs 2005; 52: 546-553 DOI: 10.1111/j.1365-2648.2005.03621.x.
- 16 Oermann MH, Knafl KA. Strategies for completing a successful integrative review. Nurse Author & Editor 2021; 31: 65-68 DOI: 10.1111/nae2.30.
- 17 Tong A, Flemming K, McInnes E. et al. Enhancing transparency in reproting the synthesis of qualitative research: ENTREQ. BMC Medical Research Methodology 2012; 12: 181-188 DOI: 10.1186/1471-2288-12-181.
- 18 Ritchie J, Lewis J. Hrsg. Qualitative Research Practice. A Guide for Social Science Students and Researchers. London, Thousand Oaks, New Delhi: Sage Publications Inc; 2003
- 19 Scheydt S, Hegedüs A. Tasks and activities of Advanced Practice Nurses in the psychiatric and mental health care context: A systematic review and thematic analysis. Int J Nurs Stud 2021; 118 N.PAG-N.PAG DOI: 10.1016/j.ijnurstu.2020.103759.
- 20 Ryan R, Garlick R, Happell B. Exploring the role of the mental health nurse in community mental health care for the aged. Issues Ment Health Nurs 2006; 27: 91-105 DOI: 10.1080/01612840500312902.
- 21 Sharrock J, Bryant J, McNamara P. et al. Exploratory study of mental health consultation-liaison nursing in Australia: Part 1. Demographics and role characteristics. Int J Ment Health Nurs 2008; 17: 180-188 DOI: 10.1111/j.1447-0349.2008.00530.x.
- 22 Olasoji M, Maude P. The advent of mental health nurses in Australian general practice. Contemp Nurse 2010; 36: 106-117 DOI: 10.5172/conu.2010.36.1-2.106.
- 23 McKinlay E, Garrett S, McBain L. et al. New Zealand general practice nurses’ roles in mental health care. Int Nurse Rev 2011; 58: 225-233 DOI: 10.1111/j.1466-7657.2010.00859.x.
- 24 Happell B, Platania-Phung C, Scott D. Mental Health Nurse Incentive Program: Facilitating physical health care for people with mental illness?. Int J Ment Health Nurs 2013; 22: 399-408 DOI: 10.1111/inm.12006.
- 25 Meehan T, Robertson S. Mental health nurses working in primary care: Perceptions of general practitioners. Int J Ment Health Nurs 2013; 22: 377-383 DOI: 10.1111/j.1447-0349.2012.00884.x.
- 26 Barraclough F, Longman J, Barclay L. Integration in a nurse practitioner-led mental health service in rural Australia. Aust J Rural Health 2016; 24: 144-150 DOI: 10.1111/ajr.12233.
- 27 Harvey ST, Bennett JA, Burmeister E. et al. Evaluating a nurse-led community model of service for perinatal mental health. Collegian 2018; 25: 525-531 DOI: 10.1016/j.colegn.2017.12.005.
- 28 Price LM. Transition to Community: a program to help clients with schizophrenia move from inpatient to community care; a pilot study. Arch Psychiatr Nurs 2007; 21: 336-344 DOI: 10.1016/j.apnu.2006.11.005.
- 29 Baker N. Exploring the mental health nurse practitioner scope of practice in youth early psychosis: an anecdotal account. Contemp Nurse 2010; 34: 211-220 DOI: 10.5172/conu.2010.34.2.211.
- 30 Bertram JE, Narendorf SC, McMillen JC. Pioneering the psychiatric nurse role in foster care. Arch Psychiatr Nurs 2013; 27: 285-292 DOI: 10.1016/j.apnu.2013.09.003.
- 31 Phoenix BJ, Hurd M, Chapman SA. Experience of Psychiatric Mental Health Nurse Practitioners in Public Mental Health. Nurs Adm Q 2016; 40: 212-224 DOI: 10.1097/NAQ.0000000000000171.
- 32 Hughes CP. The development of a nurse-led liaison mental health service for older people in Chesterfield, Derbyshire, UK. J Psychiatr Ment Health Nurs 2008; 15: 595-604 DOI: 10.1111/j.1365-2850.2008.001279.x.
- 33 Rao T. The role of community nursing in providing integrated care for older people with alcohol abuse. Br J Community Nurs 2014; 19: 80-84
- 34 McInally B. Nurse-led older adult mental health clinics in rural GP practices. Ment Health Pract 2015; 18: 12-18 DOI: 10.7748/mhp.18.6.12.e989.
- 35 Wallace T, O’Connell S, Frisch SR. Community Psychiatric Practice: What do Nurses do When they Take to the Streets? An Analysis of Psychiatric and Mental Health Nursing Interventions in the Community. Community Ment Health J 2005; 41: 481-496 DOI: 10.1007/s10597-005-5086-7.
- 36 Brinkman K, Hunks D, Bruggencate G. et al. Evaluation of a new mental health liaison role in a rural health centre in Rocky Mountain House, Alberta: a Canadian story. Int J Ment Health Nurs 2009; 18: 42-52 DOI: 10.1111/j.1447-0349.2008.00582.x.
- 37 Goossens PJJ, Beentjes TAA, de Leeuw JAM. et al. The nursing of outpatients with a bipolar disorder: what nurses actually do. Arch Psychiatr Nurs 2008; 22: 3-11 DOI: 10.1016/j.apnu.2007.05.004.
- 38 Dreizler J, Koppitz A, Probst S. et al. Including nurses in care models for older people with mild to moderate depression: an integrative review. J Clin Nurs 2014; 23: 911-926 DOI: 10.1111/jocn.12237.
- 39 Thornicroft G. Most people with mental illness are not treated. Lancet 2007; 370: 807-808 DOI: 10.1016/S0140-6736(07)61392-0.
- 40 Stigler FL, Zipp CR, Jeitler K. et al. Comprehensive catalogue of international measures aimed at preventing general practitioner shortages. Fam Pract 2021; 38: 793-801 DOI: 10.1093/fampra/cmab045.
- 41 Thom J, Bretschneider J, Kraus N. et al. Healthcare epidemiology of mental disorders : Why is the prevalence not declining despite growing provision of care?. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2019; 62: 128-139 DOI: 10.1007/s00103-018-2867-z.
- 42 Bhugra D, Tasman A, Pathare S. et al. The WPA-Lancet Psychiatry Commission on the Future of Psychiatry. Lancet Psychiatry 2017; 4: 775-818 DOI: 10.1016/S2215-0366(17)30333-4.
- 43 Giacco D, Amering M, Bird V. et al. Scenarios for the future of mental health care: a social perspective. Lancet Psychiatry 2017; 4: 257-260 DOI: 10.1016/S2215-0366(16)30219-X.
- 44 Priebe S, Arenas Borrero Á, Bird V. et al. Possibilities for the future of global mental health: a scenario planning approach. BMC Psychiatry 2019; 19: 392 DOI: 10.1186/s12888-019-2381-3.