Tabvuma Tracy, Stanton Robert, Huang Ya-Ling, Happell Brenda
Faculty of Health, Southern Cross University, Lismore, New South Wales, Australia.
School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia.
Int J Ment Health Nurs. 2024 Dec;33(6):2304-2313. doi: 10.1111/inm.13399. Epub 2024 Aug 1.
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.
有心理健康问题的人（以下简称消费者）过早死亡在很大程度上是可以预防的。医疗保健专业人员认为，诸如诊断遮蔽、耻辱感以及身心医疗服务碎片化等医疗保健系统缺陷可以通过有效的整合方法来解决。服务层面和个人层面的整合方法涉及多学科团队协作与协调护理，以全面满足消费者的身心健康需求。有证据表明，经过适当培训的医疗保健专业人员无需进行财务或组织重组就能提供有效的综合治疗。诸如身体健康护士顾问等专科护理职位可以支持并整合身心健康护理。消费者报告称，身体健康护士顾问提供了专门的、综合的、协调的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索身体健康护士顾问的角色。采用了定性探索性研究设计。14名医疗保健专业人员参与了个人访谈或焦点小组。对访谈录音进行了转录并进行了主题分析。确定了三个主题：（i）角色功能，包括身心健康护理的整合；（ii）对消费者身体健康结果的影响；（iii）对服务提供的影响。医疗保健专业人员认为，身体健康护士顾问有效地整合了身心健康护理，并随后支持在日常实践中延续和确立该角色。需要未来的研究来探索医疗保健专业人员对于如何将这些角色转化为常规临床实践的经验和看法。审视实现这些结果所需的专业发展要求、服务提供者的限制以及经济影响也值得关注。
