Fostering real-world clinical mental health research
ABSTRACT In this article, we identify key aspects for enhancing real-world research in mental health care clinical settings and broadly discuss some practicalities and issues that must be considered beforehand.
Practice which is evidence-based uses interventions or treatment methods that are supported by research findings for their quality and efficacy. Modern mental health settings endorse evidence-based practice and welcome the development of innovative, evidence-based approaches to care. Often, however, research findings are inaccessible, inconclusive, inconsistent, contradictory and overwhelming in sheer volume. Further, where there is no evidence, the absence of evidence is frequently mistaken for evidence of absence of the effectiveness of services.
The main themes expressed in the literature were collated by the authors into themes, and their relevance to the development of real-world clinical mental health research is summarised with the aid of a vignette.
Ideally, research should be part of mainstream activities and as such constitute core business. Staff in mental health services should be encouraged to be research productive, and prospective clinical researchers should consider linking their studies to higher research degree programmes so that they can access resources, support and expertise to sustain motivation and morale.
For research findings to make the leap to evidence-based practice, the research needs to include real-world consumers and families typical of clinical practice supported by clinically relevant outcomes. Clinical and research leaders should create opportunities for academic and clinical nurses to collaborate in research, and researchers should ensure that clinically relevant outcomes are presented in ways that are meaningful and accessible to clinicians.
- SourceAvailable from: Michael J RiceJournal of the American Psychiatric Nurses Association 03/2011; 17(1):13-5. DOI:10.1177/1078390310396708
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ABSTRACT: Acute inpatient mental health units are busy and sometimes chaotic settings, with high bed occupancy rates. These settings include acutely unwell patients, busy staff, and a milieu characterised by unpredictable interactions and events. This paper is a report of a literature review conducted to identify, analyse, and synthesize ethnographic research in adult acute inpatient mental health units. Several electronic databases were searched using relevant keywords to identify studies published from 1990-present. Additional searches were conducted using reference lists. Ethnographic studies published in English were included if they investigated acute inpatient care in adult settings. Papers were excluded if the unit under study was not exclusively for patients in the acute phase of their mental illness, or where the original study was not fully ethnographic. Ten research studies meeting our criteria were found (21 papers). Findings were grouped into the following overarching categories: (1) Micro-skills; (2) Collectivity; (3) Pragmatism; and (4) Reframing of nursing activities. The results of this ethnographic review reveal the complexity, patient-orientation, and productivity of some nursing interventions that may not have been observed or understood without the use of this research method. Additional quality research should focus on redefining clinical priorities and philosophies to ensure everyday care is aligned constructively with the expectations of stakeholders and is consistent with policy and the realities of the organisational setting. We have more to learn from each other with regard to the effective nursing care of inpatients who are acutely disturbed.Issues in Mental Health Nursing 07/2011; 32(7):424-35. DOI:10.3109/01612840.2011.563339
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ABSTRACT: Abstract The literature describing the experience of nurses undertaking higher studies suggests that many students struggle with the demands of study and other aspects of their lives, such as work and family commitments. The aim of this paper is to encourage higher degree students to develop a strategic approach to their studies in order that they: (1) minimize the extra demands created by additional studies; and (2) make the most of their work as a student to facilitate the development of their careers and establish a track record in doing so. We also provide an overview of relevant issues to consider, including Thesis marking and discuss some of the practicalities to make the most of higher degree opportunities.Contemporary nurse: a journal for the Australian nursing profession 06/2013; 44(2):196-203. DOI:10.5172/conu.2013.44.2.196 · 0.65 Impact Factor