Deakin University
Browse

An evaluation of a mental health screening and referral pathway for community nursing care : nurses' and general practitioners' perspectives

journal contribution
posted on 2011-01-01, 00:00 authored by M Annells, Jacqueline Allen, R Nunn, L Lang, E Petrie, E Clark, A Robins
Aims and objectives. To evaluate a feasible, best practice mental health screening and referral clinical pathway for generalist community nursing care of war veterans and war widow(er)s in Australia.
Background. War veterans commonly experience mental health difficulties and do not always receive required treatment, as can also occur for war widow(er)s. Whenever opportunity arises, such as during community nursing care, it is vital to identify mental health problems in a health promotion framework.
Design. A clinical pathway was developed by literature review and consultation and then trialled and evaluated using mixed methods – quantitative and qualitative.
Methods. Community nurses who trialled the pathway completed an evaluation survey and attended focus groups. General practitioners responded to an evaluation survey.
Results. Most nurses found the pathway clear and easy to understand but not always easy to use. They emphasised the need to establish trust and rapport with clients prior to implementing the pathway. It was sometimes difficult to ensure effective referral to general practitioners for clients who screened positive for a mental health problem. When referral was accomplished, general practitioners reported adequate and useful information was provided. Some general practitioners also commented on the difficulty of achieving effective communication between general practitioners and nurses.
Conclusions. Nurses and some general practitioners found the pathway useful for their practice. They offered several suggestions for improvement by simplifying the trialled pathway and accompanying guidelines and strategies to improve communication between nurses and general practitioners. This study adds understanding of how community nurses might productively screen for mental health difficulties.
Relevance to clinical practice. The trialled pathway, which was modified and refined following the study, is an evidence-based
resource for community nurses in Australia and similar contexts to guide practise and maximise holistic care for war veterans and war widow(er)s and possibly other client groups.

History

Journal

Journal of clinical nursing

Volume

20

Issue

1-2

Pagination

214 - 226

Publisher

Wiley-Blackwell Publishing Ltd.

Location

Oxford, England

ISSN

0962-1067

eISSN

1365-2702

Language

eng

Notes

Article first published online 29 OCT 2010

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2010, Blackwell Publishing Ltd and Commonwealth of Australia

Usage metrics

    Research Publications

    Categories

    No categories selected

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC