Happell Brenda, Ewart Stephanie B, Platania-Phung Chris, Bocking Julia, Griffiths Kathleen, Scholz Brett, Stanton Robert
Synergy, Nursing and Midwifery Research Centre, University of Canberra, and ACT Health, Canberra Hospital, Woden, Australia.
National Institute for Mental Health Research, Research School of Population Health, Australian National University, Canberra, Woden, Australian Capital Territory, Australia.
Int J Ment Health Nurs. 2016 Aug;25(4):377-84. doi: 10.1111/inm.12185. Epub 2016 Jan 7.
The life expectancy of people living with mental illness is significantly shorter than that of the rest of the population. Despite the profound impact of physical health issues on both quality of life and life expectancy, the perspectives of mental health consumers have yet to be thoroughly explored. Furthermore, research has focused far more on describing barriers than on identifying solutions. This paper reports on findings from a qualitative exploratory research study, with the aim to examine the potential role of a specialist nurse with advanced physical health-care skills. Focus groups were conducted with 31 consumers. Data were analysed thematically. The concept of a role like this was supported; however, participants stressed: (i) the importance of integration between health professionals and various components of the health-care system; and (ii) the need for culture change for nurses to work from a less medically-dominated approach. Previous research literature suggests that a nursing position dedicated to physical health care and coordination might produce positive outcomes for mental health consumers. The findings from the current research project emphasize the need for consumers to be identified as key stakeholders in a solution-focused approach to improved physical health care for mental health consumers.
患有精神疾病的人的预期寿命明显短于其他人群。尽管身体健康问题对生活质量和预期寿命都有深远影响,但精神健康消费者的观点尚未得到充分探讨。此外,研究更多地集中在描述障碍而非寻找解决方案。本文报告了一项定性探索性研究的结果,旨在研究具有高级身体健康护理技能的专科护士的潜在作用。对31名消费者进行了焦点小组访谈。对数据进行了主题分析。这样一个角色的概念得到了支持;然而,参与者强调:(i)卫生专业人员与医疗保健系统各组成部分之间整合的重要性;(ii)护士需要改变文化,从较少受医学主导的方式开展工作。先前的研究文献表明,一个专注于身体健康护理和协调的护理职位可能会为精神健康消费者带来积极结果。当前研究项目的结果强调,在以解决方案为重点的方法中,需要将消费者确定为改善精神健康消费者身体健康护理的关键利益相关者。