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District nurses' involvement and attitudes to mental health problems: a three-area cross-sectional study.
J Clin Nurs. 2005 Sep; 14(8):976-85.JC

Abstract

AIMS AND OBJECTIVES

The main aims of this study were to obtain information on the extent of staff contact and input with mental health problems and to determine their experience, training and attitudes to such problems.

BACKGROUND

Historical changes and policy shifts have resulted in primary care providers playing an increasing role in the care of mental health problems. Such problems are common within community settings and a major cause of suffering and disability. District nurses in particular are likely to encounter a high level of psychological co-morbidity in their patients. Information is lacking on their involvement, attitudes and specific training for this area of their work.

DESIGN AND METHODS

A cross-sectional study was conducted of the staff of district nursing services in three areas, Jersey (Channel Islands), Lewisham and Hertfordshire, using a postal questionnaire.

RESULTS

Questionnaires were sent to 331 staff; 66% responded. Community and district nurses estimated a 16% prevalence of mental health problems among their patients, most commonly dementia, depression and anxiety disorders. Staff noted participation in a wide range of psychological care activities, but identified a lack of training for this aspect of their role (three-quarter of nurses had received no such training during the past five years). They reported a willingness to develop their understanding and skills by means of educational programmes. Attitude measures revealed generally optimistic views concerning depression treatment, a rejection of deterministic attitudes about this condition and confidence in the role of district nursing staff in managing such problems.

CONCLUSIONS

The need for primary care mental health training is widely noted and based upon consistent evidence of the limited detection and treatment of these problems. This study has employed quantitative methods to clarify the extent and nature of district nursing staff involvement in this area of practice and indicates that training needs are acknowledged by community nurses from geographically distinct settings.

RELEVANCE TO CLINICAL PRACTICE

Staff are interested in developing knowledge and skills pertinent to the psychological problems of their patients and their views reveal a consensus that the most important areas for learning are recognition of mental disorders, anxiety management, crisis intervention and pharmacological treatments for depression.

Authors+Show Affiliations

MRC Clinical Research Fellow, Specialist Practitioner, Health Services Research Department, Institute of Psychiatry, London, UK. m.haddad@iop.kcl.ac.ukNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16102149

Citation

Haddad, Mark, et al. "District Nurses' Involvement and Attitudes to Mental Health Problems: a Three-area Cross-sectional Study." Journal of Clinical Nursing, vol. 14, no. 8, 2005, pp. 976-85.
Haddad M, Plummer S, Taverner A, et al. District nurses' involvement and attitudes to mental health problems: a three-area cross-sectional study. J Clin Nurs. 2005;14(8):976-85.
Haddad, M., Plummer, S., Taverner, A., Gray, R., Lee, S., Payne, F., & Knight, D. (2005). District nurses' involvement and attitudes to mental health problems: a three-area cross-sectional study. Journal of Clinical Nursing, 14(8), 976-85.
Haddad M, et al. District Nurses' Involvement and Attitudes to Mental Health Problems: a Three-area Cross-sectional Study. J Clin Nurs. 2005;14(8):976-85. PubMed PMID: 16102149.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - District nurses' involvement and attitudes to mental health problems: a three-area cross-sectional study. AU - Haddad,Mark, AU - Plummer,Susan, AU - Taverner,Ann, AU - Gray,Richard, AU - Lee,Soo, AU - Payne,Fiona, AU - Knight,Denise, PY - 2005/8/17/pubmed PY - 2005/10/26/medline PY - 2005/8/17/entrez SP - 976 EP - 85 JF - Journal of clinical nursing JO - J Clin Nurs VL - 14 IS - 8 N2 - AIMS AND OBJECTIVES: The main aims of this study were to obtain information on the extent of staff contact and input with mental health problems and to determine their experience, training and attitudes to such problems. BACKGROUND: Historical changes and policy shifts have resulted in primary care providers playing an increasing role in the care of mental health problems. Such problems are common within community settings and a major cause of suffering and disability. District nurses in particular are likely to encounter a high level of psychological co-morbidity in their patients. Information is lacking on their involvement, attitudes and specific training for this area of their work. DESIGN AND METHODS: A cross-sectional study was conducted of the staff of district nursing services in three areas, Jersey (Channel Islands), Lewisham and Hertfordshire, using a postal questionnaire. RESULTS: Questionnaires were sent to 331 staff; 66% responded. Community and district nurses estimated a 16% prevalence of mental health problems among their patients, most commonly dementia, depression and anxiety disorders. Staff noted participation in a wide range of psychological care activities, but identified a lack of training for this aspect of their role (three-quarter of nurses had received no such training during the past five years). They reported a willingness to develop their understanding and skills by means of educational programmes. Attitude measures revealed generally optimistic views concerning depression treatment, a rejection of deterministic attitudes about this condition and confidence in the role of district nursing staff in managing such problems. CONCLUSIONS: The need for primary care mental health training is widely noted and based upon consistent evidence of the limited detection and treatment of these problems. This study has employed quantitative methods to clarify the extent and nature of district nursing staff involvement in this area of practice and indicates that training needs are acknowledged by community nurses from geographically distinct settings. RELEVANCE TO CLINICAL PRACTICE: Staff are interested in developing knowledge and skills pertinent to the psychological problems of their patients and their views reveal a consensus that the most important areas for learning are recognition of mental disorders, anxiety management, crisis intervention and pharmacological treatments for depression. SN - 0962-1067 UR - https://www.unboundmedicine.com/medline/citation/16102149/District_nurses'_involvement_and_attitudes_to_mental_health_problems:_a_three_area_cross_sectional_study_ L2 - https://doi.org/10.1111/j.1365-2702.2005.01196.x DB - PRIME DP - Unbound Medicine ER -