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Mixed methods evaluation research for a mental health screening and referral clinical pathway

Allen, Jacqui, Annells, Merilyn, Clark, Eileen, Lang, Lyn, Nunn, Russell, Petrie, Eileen and Robins, Alan 2011, Mixed methods evaluation research for a mental health screening and referral clinical pathway, World views on evidence based nursing, vol. 9, no. 3, pp. 172-185, doi: 10.1111/j.1741-6787.2011.00226.x.

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Title Mixed methods evaluation research for a mental health screening and referral clinical pathway
Author(s) Allen, JacquiORCID iD for Allen, Jacqui orcid.org/0000-0002-3610-1335
Annells, Merilyn
Clark, Eileen
Lang, Lyn
Nunn, Russell
Petrie, Eileen
Robins, Alan
Journal name World views on evidence based nursing
Volume number 9
Issue number 3
Start page 172
End page 185
Total pages 14
Publisher Wiley-Blackwell Publishing
Place of publication Hoboken, N.J.
Publication date 2011-08
ISSN 1545-102X
1741-6787
Keyword(s) clinical pathways
mixed methods
implementation trial
evidence-based practice
mental health screening
community nursing
collaborative KT
Summary Rationale: This study is an exemplar of mixed method evaluation research for development of a clinical pathway.

Aim:
To develop and evaluate an evidence-based, feasible mental health screening and referral clinical pathway for Department of Veterans’ Affairs-funded community nursing care of war veterans and war widows in the Australian context.

Methods:
Mixed methods were applied to formulate and clinically evaluate an appropriate pathway. The pathway was applied at urban and rural sites for the nursing care of 97 war veteran and war widow clients. Evaluative data were collected from clients, their informal carers, community nurses, and general practitioners. Chart auditing and pre-post measures were undertaken. Collaboration occurred with an interdisciplinary design team.

Results:
The final modified six-page pathway includes use of validated screening tools (Kessler Psychological Distress Scale [K10]) and Alcohol Use Disorder Identification Test, appropriate referral information, directions for support and health-promoting education, and evidence-based guidelines. Implications for Practice: The clinical pathway is a useful, tested, evidence-based guide for generalist community nurses to identify and suitably respond to common mental healthcare needs of war veterans and war widows. The pathway provides outcomes acceptable to clients and their carers, nurses and doctors.

Conclusions:
This study provides an evaluated clinical pathway for generalist community nurses to screen for mental health difficulties, make appropriate referrals as required and to support war veteran and war widow clients. However, the study also shows how research can be used to develop and evaluate
practical, evidence-based clinical pathways.
Language eng
DOI 10.1111/j.1741-6787.2011.00226.x
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 920209 Mental Health Services
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2011, Commonwealth of Australia
Persistent URL http://hdl.handle.net/10536/DRO/DU:30040142

Document type: Journal Article
Collections: School of Nursing and Midwifery
Higher Education Research Group
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Created: Tue, 15 Nov 2011, 12:08:22 EST by Jane Moschetti

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