Abstract:
:UK national guidance has prioritized developing specialist services for first episode psychosis. Such services are in the early stages of development and a definitive treatment model has yet to be established. The aim of this study was to explore service users' experiences of a first episode intervention designed along evidence-based 'best practice' guidelines and to establish specific elements seen as effective to help inform future service planning and provision. Twelve users of a specialist first episode service participated in focus groups. These were then analyzed using Interpretative Phenomenological Analysis, a specialized form of content analysis. Key elements identified by the service users included the 'human' approach as a key to the recovery process, being involved in treatment decisions, flexibility of appointments, high nurse to patient ratio, reduction in psychotic symptoms, increased confidence and independence and the provision of daily structure. To our knowledge, this is the first systematic qualitative evaluation of users' experience of a specialist first episode treatment intervention. Our findings indicate that adherence to best practice guidelines was appreciated. Regular focus groups provide a continuous audit cycle incorporating service improvements in line with government recommendations, centrally informed by the service users' and caregivers' perspective.
journal_name
J Psychiatr Ment Health Nursjournal_title
Journal of psychiatric and mental health nursingauthors
O'Toole MS,Ohlsen RI,Taylor TM,Purvis R,Walters J,Pilowsky LSdoi
10.1111/j.1365-2850.2004.00730.xsubject
Has Abstractpub_date
2004-06-01 00:00:00pages
319-26issue
3eissn
1351-0126issn
1365-2850pii
JPM730journal_volume
11pub_type
杂志文章abstract::Since the first manifestations of HIV infection presented in the United Kingdom in the early 1980s, there has been a dramatic increase in the incidence of HIV infection and a proliferation of diseases associated with HIV infection. HIV infection is now associated with physical, psychological, mental and neurological c...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2850.1999.620101.x
更新日期:1999-04-01 00:00:00
abstract::This study presents a thematic analysis of focus group talk to examine what recovery in mental health means to service users and nurses. Data were collected from two focus groups, one group of service users and one group of nurses. The service user group (n=6) were adults with previous or recent experience of inpatien...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2011.01776.x
更新日期:2012-04-01 00:00:00
abstract::Shame is a recurrent theme in the context of sexually abused women. Sexual abuse is taboo and shameful, and so is shame. Shame affects the development of a person and relationships, and is mentally painful. It is often covert. One aim of the present study was to explore whether and how women exposed to sexual abuse du...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2006.00927.x
更新日期:2006-02-01 00:00:00
abstract::This paper reports on a small research project on multidisciplinary team-working within a medium secure forensic unit in the United Kingdom. Although multidisciplinary team working is widely accepted as an effective strategy for the delivery of healthcare services in modern society it is also recognized that interdisc...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2850.2002.00501.x
更新日期:2002-10-01 00:00:00
abstract::This paper reports a simple random survey of all identifiable schizophrenia sufferers, not in long-term residential or hospital care in one Health Board area. The survey was carried out (1) to assess service users' and carers' understanding of the illness, and (2) to assess perceptions of services by people with schiz...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.1994.tb00028.x
更新日期:1994-01-01 00:00:00
abstract::Violence in psychiatric inpatient units is a major and growing problem. Research interest has primarily focussed on patient characteristics. The role of staff factors and the antecedents of violent incidents has been neglected, despite the fact that staff factors and behaviour may be more readily amenable to change th...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2850.2002.00467.x
更新日期:2002-04-01 00:00:00
abstract::Although people with schizophrenia require medication to manage symptoms such as hearing voices, most do not take it as prescribed (they are non-adherent). We talked to psychiatrists, nurses and pharmacists about how they work with patients to help them be better at sticking with their medication. Although the profess...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/jpm.12186
更新日期:2015-04-01 00:00:00
abstract::The aim of this paper is to describe the first 2 years of operation of an electronic system for reporting medication events in psychiatry (Medi-Event system). We have carried out a descriptive analysis of all medication events (errors, near misses and adverse drug reactions) reported between 1 March 2008 and 28 Februa...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2010.01664.x
更新日期:2011-05-01 00:00:00
abstract::The term 'advocacy' has taken on a meaning beyond its legal origins and is now of importance as a concept in health and social care. Within nursing, the role of advocate has been accepted as an important one, although there are arguments against nurses taking on such a role. The majority of papers on this topic relate...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2850.2008.01315.x
更新日期:2009-03-01 00:00:00
abstract:UNLABELLED:WHAT IS KNOWN ON THE SUBJECT?: Individuals with a diagnosis of Borderline Personality Disorder (BPD) now constitute a substantial portion of the caseload for community teams. Specialized treatments for BPD often consume a large portion of available psychology resources and also involve lengthy waiting lists....
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/jpm.12315
更新日期:2016-08-01 00:00:00
abstract::Recent Australian Government policy reflects the integral nature of active consumer participation to the planning and delivery of mental health services. The effectiveness of consumer participation in improving mental health services has received some attention in the literature. Commonwealth Government funding enable...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2850.2003.00599.x
更新日期:2003-06-01 00:00:00
abstract::WHAT IS KNOWN ABOUT THE SUBJECT?: First-episode psychosis (FEP) usually occurs in adolescence, a time of great change and upheaval and the effect on the sufferer and their family can be immense The nurse's role is to alleviate this suffering, aid recovery and minimize the risk of relapse. They manage this onerous task...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/jpm.12489
更新日期:2018-09-01 00:00:00
abstract::WHAT IS KNOWN ON THE SUBJECT?: The admission of a loved one for first episode psychosis can cause considerable distress and confusion for family members. Psychoeducation can enhance family members' knowledge of the disease process and their role in supporting recovery. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE: There...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/jpm.12516
更新日期:2019-04-01 00:00:00
abstract::The aim of this mini-ethnographic study was to describe medication administration (MA) in short-time inpatient psychiatric care. MA was observed on two psychiatric wards. Field-notes were taken and interviews were conducted with 15 voluntarily admitted patients and nine nurses. The data analysis was conducted as a dia...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2003.00714.x
更新日期:2004-04-01 00:00:00
abstract:WHAT IS KNOWN ON THE SUBJECT:Person-centered care, as compared to standard approaches, is a widely accepted, evidence-based approach for managing aggressive behaviour in persons with dementia. The attitudes, beliefs and values of long-term care and mental health nursing employees are important prerequisites to implemen...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/jpm.12452
更新日期:2018-04-01 00:00:00
abstract::The issue of self-harm is not only a widespread phenomenon but also a challenging one. Nurses in particular are faced with this challenge, as they tend to be the primary professional group when working with people who self-harm within health service provision. The purpose of this paper is to offer a critical appraisal...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2850.2007.01060.x
更新日期:2007-04-01 00:00:00
abstract::This paper reports collective data analysis for the Behavioural Status Index insight and communication and social skills subscales. This is an instrument designed specifically for health care practitioners to measure behavioural and social functioning among mental health clients, in particular those in forensic care. ...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2850.2003.00651.x
更新日期:2003-10-01 00:00:00
abstract::WHAT IS KNOWN ON THE SUBJECT?: The Psychiatric/Mental Health Clinical Placement Survey preplacement, validated in English and widely used, assesses nursing student attitudes towards the mental health field. There are no validated scales in Spanish to assess students' attitudes towards mental health, nor is there evide...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/jpm.12568
更新日期:2020-04-01 00:00:00
abstract::There are currently no studies available in the literature to highlight nurses' experiences of the assertive outreach (AO) engagement process. This study aimed to understand how AO nurses experience this process and what can be learned from it. The participants were five nurses working in a rural AO service in one cou...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2004.00742.x
更新日期:2004-08-01 00:00:00
abstract::Over the 30 years of conflict, Northern Ireland escaped the worst excess of illegal drug trafficking and usage. However, the recent 'peace dividend' has brought with it an unprecedented rise in the availability and use of illicit drugs. With this, new problems and pressures have been brought to bear on the health serv...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2850.2000.00329.x
更新日期:2000-10-01 00:00:00
abstract::The article describes the management of akathisia by a mental health nurse (MHN) prescriber, working in partnership with the patient. A single-case design was used to evaluate this. It highlights three features: first, MHN can safely prescribe psychiatric medication in combination with concordance therapy. Second, the...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2006.00908.x
更新日期:2006-02-01 00:00:00
abstract::The purpose of this paper is to describe self-mutilation from the viewpoint of parents of self-mutilating Finnish adolescents. Four parents of self-mutilating adolescents were interviewed in depth. Qualitative content analysis was applied. Four main categories emerged: the phenomenon of self-mutilation, factors contri...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2007.01214.x
更新日期:2008-04-01 00:00:00
abstract::WHAT IS KNOWN ON THE SUBJECT?: Client aggression in forensic psychiatry is associated with burnout symptoms in nursing staff. It is unclear what mechanisms contribute to this relationship. The type and severity of aggression might be of importance in the association between client aggression and burnout symptoms, but ...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/jpm.12496
更新日期:2018-10-01 00:00:00
abstract::This paper tests the hypothesis that patients' stereotypical dysfunctional interpersonal communication styles would be validly measurable by the command or relationship messages experienced by psychiatric nurses while interacting with the patient in the relatively unstructured every day context of the psychiatric ward...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2005.00843.x
更新日期:2005-06-01 00:00:00
abstract::The decision to use or utilize physical intervention techniques is a contentious one. There has been much discussion on the complex legal and ethical dimensions framing the use of force. The risk of injury has also been considered in detail, but almost all of the published work has focused on restraint asphyxia, the p...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2850.2010.01670.x
更新日期:2011-03-01 00:00:00
abstract::This paper describes key components of a mental health practice development training programme, which aimed to translate into practice a deeper, more evidence-based understanding of the lived experience of service users detained under the Mental Health Act (1983/2007), using action research as the underpinning paradig...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2012.01964.x
更新日期:2013-04-01 00:00:00
abstract::This hermeneutic phenomenological study, informed by Max van Manen and Martin Heidegger, describes what it is like for four older women to live with depression. Each participant was interviewed up to three times. Interviews were semi-structured, audiotaped and transcribed verbatim. Data were analysed using van Manen's...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2009.01465.x
更新日期:2009-12-01 00:00:00
abstract::The involvement of clients in the process of developing their care and treatment package is well established. If a genuine collaboration in treatment is achieved one of the fundamental bases of this process lies with 'informed consent'. Neuroleptic medication forms the basis of relapse prevention treatment for people ...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2850.2002.00463.x
更新日期:2002-08-01 00:00:00
abstract::WHAT IS KNOWN ON THE SUBJECT?: Internalized stigma in people diagnosed with mental illness has several negative outcomes; however, it remains unclear in an Indonesian context. The human rights of people diagnosed with mental illness in Indonesia have been routinely violated because of the existing stigma against menta...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/jpm.12611
更新日期:2020-10-01 00:00:00
abstract::Venous thromboembolism (VTE) is an important safety issue in the inpatient mental health care of older people. In a survey of specialist mental health staff, knowledge of deep vein thrombosis was good. More variable awareness of the presentation and risk factors for pulmonary embolism indicates the need for training i...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/jpm.12082
更新日期:2014-05-01 00:00:00