School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Fitzroy, Victoria, Australia.
NorthWestern Mental Health, Melbourne Health, Parkville, Victoria, Australia.
Int J Ment Health Nurs. 2018 Dec;27(6):1709-1718. doi: 10.1111/inm.12470. Epub 2018 Apr 27.
For people with severe mental illness, accredited practising dietitians may assist with a nutrition care plan that considers the medical, psychiatric, psychological, social, spiritual, and pharmacological aspects of their care. However, consumers' access to care has been limited by difficulties attending appointments and suboptimal interface between nutritional and mental health services. Therefore, the objectives of this exploratory study were to describe access to, and key stakeholder perspectives of, the accredited practising dietitian role colocated in a community mental health service. A total of 16 key stakeholders participated in one-to-one interviews. Two main themes with subthemes were derived from analysis of interviews: (i) 'building empowerment and collaboration' and included the subthemes, (a) nutrition awareness and education and (b) healthy lifestyle changes, and (ii) 'overcoming challenges to optimal nutrition and effective health care'. In addition, improved access to the role was demonstrated with 124 (79%) consumers attending at least one appointment with an accredited practising dietitian. A total of 15 (12%) consumers attended more than 10 appointments during their outpatient admission to the community mental health service. Colocating an accredited practising dietitian was perceived to build empowerment and collaboration, and overcome challenges to optimal nutrition and effective health care for consumers, carers, and clinicians. The colocation of a dietitian can empower consumers' to make health-informed decisions and support their willingness to engage with physical healthcare provision when it is prioritized alongside mental healthcare provision.
对于患有严重精神疾病的人，经过认证的执业营养师可以协助制定营养护理计划，其中考虑到他们护理的医学、精神科、心理、社会、精神和药理学方面。然而，由于难以预约和营养与心理健康服务之间的接口不佳，消费者获得护理的机会受到限制。因此，本探索性研究的目的是描述在社区心理健康服务中，经过认证的执业营养师的角色的可及性以及主要利益相关者的观点。共有 16 名主要利益相关者参加了一对一的访谈。通过对访谈的分析得出了两个主题和子主题：(i)“建立赋权和协作”，包括以下子主题：(a)营养意识和教育，(b)健康生活方式的改变，和 (ii)“克服最佳营养和有效医疗保健的挑战”。此外，通过 124 名(79%)消费者至少与一名经过认证的执业营养师预约，证明了对该角色的更多访问。共有 15 名(12%)消费者在社区心理健康服务门诊期间接受了超过 10 次预约。经过认证的执业营养师的配置被认为可以为消费者、护理人员和临床医生建立赋权和协作，克服最佳营养和有效医疗保健的挑战。营养师的配置可以使消费者能够做出知情的健康决策，并在优先考虑心理健康服务的同时，支持他们对身体保健服务的参与意愿。
