Relevant bibliographies by topics / Mental health nursing

Academic literature on the topic 'Mental health nursing'

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Published: 4 June 2021
Last updated: 30 July 2024

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Journal articles on the topic "Mental health nursing"

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Pal Anindita Das, Seuli. "Forensic Mental Health Nursing: Redefine Professionalism." International Journal of Science and Research (IJSR) 13, no. 1 (January 5, 2024): 413–15. http://dx.doi.org/10.21275/sr24104204500.

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Shattell, Mona. "“Psychiatric/Mental Health Nursing” or “Psychiatric-Mental Health Nursing”?" Issues in Mental Health Nursing 31, no. 9 (August 2010): 614–15. http://dx.doi.org/10.3109/01612840.2010.506001.

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Horowitz, June Andrews. "Mental Health Nursing." International Journal of Environmental Research and Public Health 17, no. 9 (May 8, 2020): 3274. http://dx.doi.org/10.3390/ijerph17093274.

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McMillan, Ian. "Mental Health Nursing." Nursing Standard 12, no. 6 (October 29, 1997): 58–59. http://dx.doi.org/10.7748/ns.12.6.58.s51.

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Ward, Martin. "Mental health nursing." Nursing Standard 13, no. 32 (April 28, 1999): 59. http://dx.doi.org/10.7748/ns.13.32.59.s61.

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Ward, Martin. "Mental health nursing." Nursing Standard 13, no. 39 (June 16, 1999): 60. http://dx.doi.org/10.7748/ns.13.39.60.s54.

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Thomas, Sandra. "Mental Health Nursing." Issues in Mental Health Nursing 37, no. 8 (July 26, 2016): 621. http://dx.doi.org/10.1080/01612840.2016.1203225.

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Thomas, Sandra. "Mental Health Nursing." Issues in Mental Health Nursing 37, no. 8 (July 26, 2016): 622. http://dx.doi.org/10.1080/01612840.2016.1203226.

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Ross, Jane. "Mental Health Nursing SkillsMental Health Nursing Skills." Nursing Standard 25, no. 28 (March 16, 2011): 30. http://dx.doi.org/10.7748/ns2011.03.25.28.30.b1179.

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ELLIOTT, L., and H. MASTERS. "Mental health inequalities and mental health nursing." Journal of Psychiatric and Mental Health Nursing 16, no. 8 (October 2009): 762–71. http://dx.doi.org/10.1111/j.1365-2850.2009.01453.x.

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Dissertations / Theses on the topic "Mental health nursing"

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Hutson, Serah. "Mental health nursing competency." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ62020.pdf.

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Oates, Jennifer. "Mental health and subjective wellbeing in UK mental health nurses." Thesis, City, University of London, 2016. http://openaccess.city.ac.uk/15973/.

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This study explores the subjective wellbeing and subjective experience of mental health problems in UK mental health nurses using a mixed methods approach. It aimed to understand the relationships between mental health nurses' own mental health and their subjective wellbeing, and to explore the ways in which mental health nurses managed their own mental health and wellbeing and how they negotiated for and use their experiences both within and outside of their work. The mixed methods design had two phases. In phase one an online survey was sent to mental health nurses via their national professional bodies, the Royal College of Nursing and the Mental Health Nurses Association. The survey comprised three measures of subjective wellbeing, questions about personal and familial mental health history and questions about the impact of these experiences on mental health nursing work. 237 survey responses were included in the final statistical analysis. In the second phase 27 semi structured interviews were undertaken with a purposive sample of survey respondents who had both subjective experience of mental health problems and high subjective wellbeing. A major finding of the study was that mental health nurses critically appraised their experience of delivering and receiving mental health care from the expert perspectives of both being a nurse and having their own experience of mental ill health. Personal experience of mental illness was found to influence nursing practice in a number of ways: first, through overt disclosure and negotiation of professional boundaries; second, through the ‘use of the self as a tool’, the emotional labour of nursing; third, through the formation and development of professional nursing identity. This was in the context of a broader canvas of life experiences which participants considered to influence the development of their nursing identity, the use of self and self disclosure in their work. Mental health nurses in this study had a relatively low subjective wellbeing. Low subjective wellbeing was associated with having current mental health problems, and with having past experience of mental health problem. Personal experience of living with someone with mental health problems was associated with relatively higher subjective wellbeing. This study has implications for occupational health and human resources policy within healthcare organisations. The findings suggest that mental health nurses who present to primary care or occupational health services should be offered care and treatment commensurate with their expertise and experience. Employers’ ‘staff happiness strategies’ and occupational health promotion activities should address work life balance and what nurses could do outside of their work to be well, as well as addressing the effects that team and management changes have on staff wellbeing.
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Rice, Judy A. "Mental Health Clinicians." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/7616.

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Rice, Judy A. "Mental Health Clinicians." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/7617.

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Munro, Sara Louise. "Exploring attitudes in acute mental health nursing." Thesis, University of Manchester, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.499829.

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Methods: Study one; cross sectional survey of all acute mental health nurses working at 10 MHS Trusts (n=2130). The survey contained a validated attitude scale (ATAMH) and questions exploring a range of personal, professional and organisational variables. Study two; semi-structured interviews with acute mental health nurses and service users with experience of acute inpatient care. Results: Study One: The mean total attitude score was 172 which is positive, the maximum score available is 255. Multiple regression analysis identified seven predictors of attitudes which accounted for 21.3% of the variance in the total attitude score: pay banding; influence of psychosocial approaches; influence of involving service users; experience of working in the community; education at post graduate/higher degree level; being up to date on policy, research and practice relevant to acute mental health care; having personal and family experience of mental health problems. Study Two: 16 nursing staff from two units covering a range of pay bands and length of experience were interviewed. Ten service users with a range of acute inpatient experience were interviewed. Three overarching themes were identified: 1) Pre-determined factors influencing attitudes such as personality, reasons for doing the job, personal and family experiences of mental health problems 2) Wider contextual factors such as clinical leadership, patient stereotypes, ward culture and team values 3) Outcomes of nursing practice and the service users experience of care. Nurses who had positive attitudes made patients feel valued. Nurses with negative attitudes made patients feel like they were a pain and not deserving of care. Service users believed pre-determined factors had the greatest impact on nurses' attitudes. Nursing staff placed greater emphasis on the influence of contextual factors and underestimated the impact of attitudes on service users' experience.
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Gunn, Robin. "Mental Health Nurses' Perceptions| Making a Career Choice and Remaining in Mental Health Nursing." Thesis, William Carey University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10605386.

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Mental health nursing is a distinct specialty in the nursing profession. However, research has consistently shown the field of mental health nursing is not a popular career choice. In addition, the mental health nursing field is facing a significant shortage of nurses. Understanding what attracts and retains nurses to this nursing specialty is needed to aid in recruitment and retention and to ensure there will be enough qualified mental health nurses in the future to provide care for those needing mental health care services. The purpose of this study was to explore mental health perceptions of the career choice and identify what factors and/influences, if any, encouraged the decisions to choose mental health nursing or to remain employed in mental health nursing. A qualitative research design using a descriptive online survey and individual interviews was used to explore mental health nurses' perceptions of the career choice of mental health nursing. Findings from the survey and interviews revealed themes as to why mental health nurses chose a career in and stay in mental health nursing, what factors influenced these decisions, and the image of mental health nursing. Recommendations for future studies in mental health nursing included replicating the study with a larger sample size and a variety of mental health facilities, an analysis of the current U.S. mental health nursing workforce, and how nursing school experiences affect students' perceptions of mental health nursing.

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Simons, Lucy. "Community mental health nurses' perspectives on the treatment of people with common mental health problems." Thesis, University of Southampton, 2006. https://eprints.soton.ac.uk/57942/.

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The study was in two parts. In Part 1 the thematic content analysis of the nurses’ individual accounts of their trial experience revealed how the CMHNs’ aimed to be an agent of change in the nurse-patient encounters and how the trial setting contrasted with everyday practice. Following this, detailed micro-analysis of the narratives of nurse-patient encounters found that the nurses’ goal to be an agent of change was not always borne out when the construction of their accounts was examined. In Part 2 the thematic content analysis of group discussions about CMHN role illuminated the tensions in CMHNs’ everyday practice and their perceived role with people with CMHPs outside of the experimental setting. Overall, the treatment of people with CMHPs was exceptional in that the nurses interpreted their trial experience in the way it contrasted with their everyday practice. Further, in line with the results of the randomised controlled trial, CMHNs did not think that people with CMHPs should be treated by specialist nurses within community mental health services. The nurses suggested a range of methods in which individual, community and primary care resources could be augmented to support people with the aim of preventing referral to specialist services. The integration of the key findings from both parts of the study demonstrated how the nurses used and valued a range of types and sources of knowledge, both in their practice and when forming their views about CMHPs and service organisation. These knowledge sources were not those valued in contemporary healthcare. The dominant evidence-based practice movement champions research evidence of effectiveness above other forms of knowledge. Broadening the understanding of evidence and narrowing the claims of evidence-based practice is suggested to permit all forms of knowledge to be valued in healthcare decision-making
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Lidstone, Terri Lynn. "Boundaries and trust in community mental health nursing." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0010/MQ60083.pdf.

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Salsbury, Gail. "Transparency in mental health nursing : a critical focus." Thesis, University of Brighton, 2010. https://research.brighton.ac.uk/en/studentTheses/80fadf49-42ae-4b18-95d9-9fe156325d54.

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This study explored the ways experienced mental health nurses working within a local acute mental health NHS Foundation and Teaching Hospital Trust felt about being unobtrusively observed in their everyday clinical practice. Participants were recruited from eight local units: four Community Mental Health Teams (CMHT), one Crisis Resolution Home Treatment Team (CRHT), one inpatient ward, one in-patient rehabilitation unit and an Assertive Outreach Team (AOT).
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McKeown, Margaret Mary Olive. "Dual diagnosis : a challenge for acute mental health nursing." Thesis, University of Kent, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.420833.

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Books on the topic "Mental health nursing"

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Kirby, Stephan D., Denis A. Hart, Dennis Cross, and Gordon Mitchell, eds. Mental Health Nursing. London: Macmillan Education UK, 2004. http://dx.doi.org/10.1007/978-1-4039-9756-2.

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Jenny, Vacek, ed. Mental health nursing. 3rd ed. Upper Saddle River, N.J: Pearson Education, 2012.

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1946-, Fletcher J. Sue, and Fontaine Karen Lee 1943-, eds. Mental health nursing. 4th ed. Menlo Park, Calif: Addison-Wesley, 1999.

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ed, Pennebaker Duane F., and Abraham Ivo L. ed, eds. Mental health nursing. Philadelphia: W.B. Saunders, 1994.

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ed, Pennebaker Duane F., and Abraham Ivo L. ed, eds. Mental health nursing. Philadelphia: W.B. Saunders, 1994.

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Castro, Norma S. De. Mental health nursing. Dubuque, Iowa: Kendall/Hunt Pub. Co., 1992.

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Institute, Assessment Technologies, ed. Mental health nursing. 7th ed. [Overland Park, KS: Assessment Technologies Institute, 2007.

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Scheutz, Nancy. Mental health. Albany: Delmar Publishers, 1996.

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Eby, Linda. Mental health nursing care. Upper Saddle River, N.J: Pearson, 2005.

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Eby, Linda. Mental health: Nursing care. 2nd ed. Upper Saddle River, NJ: Pearson/Prentice Hall, 2009.

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Book chapters on the topic "Mental health nursing"

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White, Jacquie, Tim Welbourn, Michael Howe, Neil Burton, Hugh Palmer, Tracy Flanagan, Carl Slee, David Glenster, and Ian Barkley. "Mental Health Nursing." In The Nursing Companion, 287–310. London: Macmillan Education UK, 2011. http://dx.doi.org/10.1007/978-0-230-36693-0_15.

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Carpenter, David, and John Turnbull. "Mentat Health Nursing Skills." In Mental Health And Mental Handicap, 20–24. London: Macmillan Education UK, 1991. http://dx.doi.org/10.1007/978-1-349-12821-1_4.

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Cross, Dennis. "Mental Health Promotion." In Mental Health Nursing, 95–106. London: Macmillan Education UK, 2004. http://dx.doi.org/10.1007/978-1-4039-9756-2_8.

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Myers, Rachel E. "Mental Health Nursing Services." In Evidence-Based Practices in Behavioral Health, 259–77. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-40537-7_11.

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Deacon, Maureen. "Community Mental Health Nursing." In Mentorship in Community Nursing: Challenges and Opportunities, 118–24. Oxford, UK: Blackwell Science Ltd, 2008. http://dx.doi.org/10.1002/9780470690536.ch11.

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Sherring, Simon, and Adrian Rendall. "Mental health nursing perspectives." In Non-Medical Prescribing in Health Care Practice, 116–22. London: Macmillan Education UK, 2007. http://dx.doi.org/10.1007/978-0-230-20832-2_9.

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Chadwick, Ruth, and Ann Gallagher. "Nursing and Mental Health." In Ethics and Nursing Practice, 118–31. London: Macmillan Education UK, 2016. http://dx.doi.org/10.1057/978-1-349-93299-3_9.

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Alexander, Louise. "Psychiatric Mental Health Nursing." In Comprehensive Healthcare Simulation: Nursing, 85–100. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-31090-4_10.

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Hart, Denis A. "Common Mental Health Problems." In Mental Health Nursing, 79–94. London: Macmillan Education UK, 2004. http://dx.doi.org/10.1007/978-1-4039-9756-2_7.

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Cross, Dennis, and Elaine Readhead. "Developing a Competence-based ‘Exit Profile’ for Pre-registration Mental Health Nursing." In Mental Health Nursing, 3–12. London: Macmillan Education UK, 2004. http://dx.doi.org/10.1007/978-1-4039-9756-2_1.

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Conference papers on the topic "Mental health nursing"

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Banjar, Hatim Abdulaziz. "Mental Health Nursing Quality Guide lines (An introduction)." In Annual Worldwide Nursing Conference. Global Science & Technology Forum (GSTF), 2014. http://dx.doi.org/10.5176/2315-4330_wnc14.13.

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Han, Joo Hee, and Eun Kwang Yoo. "A Study on Job Stress and Mental Health of Caregiver's." In Healthcare and Nursing 2016. Science & Engineering Research Support soCiety, 2016. http://dx.doi.org/10.14257/astl.2016.128.44.

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Marthoenis. "Cultural Background, Social Support and Mental Health of College Students." In Aceh International Nursing Conference. SCITEPRESS - Science and Technology Publications, 2018. http://dx.doi.org/10.5220/0008396702210227.

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Alicia Georges, Catherine, and Kermit G. Payne. "Minding the Gap: Eliminating Mental Health Disparities in African American Communities." In Annual Worldwide Nursing Conference. Global Science & Technology Forum (GSTF), 2014. http://dx.doi.org/10.5176/2315-4330_wnc14.60.

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Alenezi, Atallah, and Abdulrahman A. Alghamdi. "Progress of Nursing Informatics for Mental Health Initiatives." In 2022 Second International Conference on Interdisciplinary Cyber Physical Systems (ICPS). IEEE, 2022. http://dx.doi.org/10.1109/icps55917.2022.00036.

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Banjar, Hatim Abdulaziz. "Patient safety and risk management in mental health." In 1st Annual Worldwide Nursing Conference (WNC 2013). Global Science and Technology Forum Pte Ltd, 2013. http://dx.doi.org/10.5176/2315-4330_wnc13.11.

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Huiting, Xie. "Supporting Mental Health Recovery with Strengths-based Approach." In 1st Annual Worldwide Nursing Conference (WNC 2013). Global Science and Technology Forum Pte Ltd, 2013. http://dx.doi.org/10.5176/2315-4330_wnc13.21.

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Wallace, Elizabeth. "A Model worth Sharing: A Community Mental Health Clinic with an award winning integrated Physical Health Program." In Annual Worldwide Nursing Conference. Global Science & Technology Forum (GSTF), 2015. http://dx.doi.org/10.5176/2315-4330_wnc15.45.

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Monteiro, Juliana, Conceição Reisinho, and Fernanda Carvalho. "Parental Education in Paediatric Oncology—Nursing Intervention Plan." In International Meeting on Literacy and Positive Mental Health. Basel Switzerland: MDPI, 2022. http://dx.doi.org/10.3390/msf2022016005.

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Jeong, Hyeon-Cheol, Yeon-hyeok Yun, Hyang-sook Kim, Mal-Soon Kang, and Mi-yang Jeon Kang. "Effects of Health promotion program using laughing on interpersonal relationship and self-esteem of mental patients." In Health Care and Nursing 2015. Science & Engineering Research Support soCiety, 2015. http://dx.doi.org/10.14257/astl.2015.88.07.

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Reports on the topic "Mental health nursing"

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Romero, Nancy Stephany Viorato, Diana Cecilia Tapia Pancardo, Graciela González Juárez, and Alba Luz Robles Mendoza. Multimodal stress interventions focused on nursing students in the new normal after the COVID-19 pandemic: Systematic review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, April 2023. http://dx.doi.org/10.37766/inplasy2023.4.0097.

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Review question / Objective: The purpose of this study is to present a synthesis of knowledge about the effects of carrying out theoretically and pedagogically supported multimodal interventions in the stress management of nursing students in the new normality, favoring their health. physical and mental, reducing the symptoms of post-traumatic stress, distress , anxiety and fears. Eligibility criteria: Studies that include in their participants Nursing undergraduate students over 18 years of age, who have had multimodal interventions for stress management, anxiety on their return to the new normality, after the COVID-19 pandemic.
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Saavedra, Lissette M., Antonio A. Morgan-Lopez, Anna C. Yaros, Alex Buben, and James V. Trudeau. Provider Resistance to Evidence-Based Practice in Schools: Why It Happens and How to Plan for It in Evaluations. RTI Press, May 2019. http://dx.doi.org/10.3768/rtipress.2019.rb.0020.1905.

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Evidence-based practice is often encouraged in most service delivery settings, yet a substantial body of research indicates that service providers often show resistance or limited adherence to such practices. Resistance to the uptake of evidence-based treatments and programs is well-documented in several fields, including nursing, dentistry, counseling, and other mental health services. This research brief discusses the reasons behind provider resistance, with a contextual focus on mental health service provision in school settings. Recommendations are to attend to resistance in the preplanning proposal stage, during early implementation training stages, and in cases in which insufficient adherence or low fidelity related to resistance leads to implementation failure. Directions for future research include not only attending to resistance but also moving toward client-centered approaches grounded in the evidence base.
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Lees-Deutsch, Liz, Rosie Kneafsey, Amanda Rodrigues Amorim Adegboye, Natasha Bayes, Shea Palmer, Aiden Chauntry, and Mariam Khan. National Evaluation of the Professional Nurse Advocate Programme in England: SUSTAIN – Supervision, Support, Advocacy for Improvement in Nursing, Mixed Methods study. Coventry University, June 2023. http://dx.doi.org/10.18552/rihw/2023/0001.

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The Professional Nurse Advocate (PNA) programme is a clinical and professional leadership programme delivered by Higher Education Institutions (HEI) which equips nurses with the skills to deliver restorative clinical supervision to colleagues in England. The programme has been gradually rolled out across England during 2021/22 with the aim of ensuring there will be PNAs in place to support colleagues in the following specialties: Critical care, Mental Health (Adult Acute & Children and Young Peoples inpatient settings) Community, Learning Disabilities (Adult), Children and Young People, Safeguarding, Health & Criminal Justice settings (HCJ), and International Nurses. In February 2022, NHSE sought an evaluation of the PNA programme. A research team from Coventry University was commissioned to undertake this work. This Executive Summary Report sets out the methods, activities, findings, and recommendations as requested by commissioners.
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Biazus-Dalcin, Camila, Louise Marryat, Sarah Gray, Andrea Mohan, Senga Robertson-Albertyn, Sreekanth Thekkumkara, Hazel Booth, et al. My data: an animated film, co-produced with people who use drugs. University of Dundee, 2023. http://dx.doi.org/10.20933/100001299.

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This video was co-produced with people on their drug use recovery journey to explore the perceptions of administrative data use for research and to share this information with the wider community. This work was led by members of the Substance Use Research Group (SURG), School of Health Sciences, University of Dundee. This project was funded by Research Data Scotland (RDS), https://www.researchdata.scot/ A film by: Craig Glencross, David Hood, Jade Renton, Maxine Thomson, Ryan Westwood, Stewart Bernard, Sarah Hulin, Robert Doig, Ashley McMaihin and everyone at Restoration Fife who shared their views and experiences. Research team and collaborators: Camila Biazus Dalcin (Co-PI) and Louise Marryat (Co-PI) Sarah Gray (Co-I) Andrea Mohan (Co-I) Senga Robertson-Albertyn (Co-I) Sreekanth Thekkumkara (Co-I) Hazel Booth (Co-I) Calum Hoggitt (Mental Health Nursing Student) Kay McMahon (Receptionist Fife Campus) Graham Ogilvie (Conference in pictures – Ogilvie Design) Andrew Low (Artist) We appreciate the collaboration and support provided by all Restoration Fife staff involved in this project. Special thanks to Jade Whyte and Vanessa Hamilton.
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McCarthy, Sean T., Aneesa Motala, Emily Lawson, and Paul G. Shekelle. Prevention in Adults of Transmission of Infection With Multidrug-Resistant Organisms. Rapid Review. Agency for Healthcare Research and Quality (AHRQ), April 2024. http://dx.doi.org/10.23970/ahrqepc_mhs4mdro.

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Objectives. This rapid review summarizes literature for patient safety practices intended to prevent and control the transmission of multidrug-resistant organisms (MDROs). Methods. We followed rapid review processes of the Agency for Healthcare Research and Quality Evidence-based Practice Center Program. We searched PubMed to identify eligible systematic reviews from 2011 to May 2023 and primary studies published from 2011 to May 2023, supplemented by targeted gray literature searches. We included literature that addressed patient safety practices intending to prevent or control transmission of MDROs which were implemented in hospitals and nursing homes and that included clinical outcomes of infection or colonization with MDROs as well as unintended consequences such as mental health effects and noninfectious adverse healthcare-associated outcomes. The protocol for the review has been registered in PROSPERO (CRD42023444973). Findings. Our search retrieved 714 citations, of which 42 articles were eligible for review. Systematic reviews, which were primarily of observational studies, included a wide variety of infection prevention and control (IPC) practices, including universal gloving, contact isolation precautions, adverse effects of patient isolation, patient and/or staff cohorting, room decontamination, patient decolonization, IPC practices specifically in nursing homes, features of organizational culture to facilitate implementation of IPC practices and the role of dedicated IPC staff. While systematic reviews were of good or fair quality, strength of evidence for the conclusions was always low or very low, due to reliance on observational studies. Decolonization strategies showed some benefit in certain populations, such as nursing home patients and patients discharging from acute care hospitalization. Universal gloving showed a small benefit in the intensive care unit. Contact isolation targeting patients colonized or infected with MDROs showed mixed effects in the literature and may be associated with mental health and noninfectious (e.g., falls and pressure ulcers) adverse effects when compared with standard precautions, though based on before/after studies in which such precautions were ceased. There was no significant evidence of benefit for patient cohorting (except possibly in outbreak settings), automated room decontamination or cleaning feedback protocols, and IPC practices in long-term settings. Infection rates may be improved when IPC practices are implemented in the context of certain logistical and staffing characteristics including a supportive organizational culture, though again strength of evidence was low. Dedicated infection prevention staff likely improve compliance with other patient safety practices, though there is little evidence of their downstream impact on rates of infection. Conclusions. Selected infection prevention and control interventions had mixed evidence for reducing healthcare-associated infection and colonization by multidrug resistant organisms. Where these practices did show benefit, they often had evidence that applied only to certain subpopulations (such as intensive care unit patients), though overall strength of evidence was low.
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Travis, Amanda, Margaret Harvey, and Michelle Rickard. Adverse Childhood Experiences and Urinary Incontinence in Elementary School Aged Children. University of Tennessee Health Science Center, October 2021. http://dx.doi.org/10.21007/con.dnp.2021.0012.

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Purpose/Background: Adverse Childhood Experiences (ACEs) have an impact on health throughout the lifespan (Filletti et al., 1999; Hughes et al., 2017). These experiences range from physical and mental abuse, substance abuse in the home, parental separation or loss, financial instability, acute illness or injury, witnessing violence in the home or community, and incarceration of family members (Hughes et al., 2017). Understanding and screening for ACEs in children with urinary incontinence can help practitioners identify psychological stress as a potentially modifiable risk factor. Methods: A 5-month chart review was performed identifying English speaking patients ages 6-11 years presenting to the outpatient urology office for an initial visit with a primary diagnosis of urinary incontinence. Charts were reviewed for documentation of individual or family risk factors for ACEs exposure, community risk factors for ACEs exposures, and records where no related documentation was included. Results: For the thirty-nine patients identified, no community risk factors were noted in the charts. Seventy-nine percent of patients had one or more individual or family risk factors documented. Implications for Nursing Practice This chart review indicates that a significant percentage of pediatric, school-aged patients presenting with urinary incontinence have exposure to ACEs. A formal assessment for ACEs at the time of initial presentation would be helpful to identify those at highest risk. References: Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, Koss MP, Marks JS. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experiences (ACE) study. Am J Prev Med. 1998;14:245–258 Hughes, K., Bellis, M.A., Hardcastle, K.A., Sethi, D., Butchart, D., Mikton, C., Jones, L., Dunne, M.P. (2017) The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis. Lancet Public Health, 2(8): e356–e366. Published online 2017 Jul 31.doi: 10.1016/S2468-2667(17)30118-4 Lai, H., Gardner, V., Vetter, J., & Andriole, G. L. (2015). Correlation between psychological stress levels and the severity of overactive bladder symptoms. BMC urology, 15, 14. doi:10.1186/s12894-015-0009-6
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Schnabel, Filipina, and Danielle Aldridge. Effectiveness of EHR-Depression Screening Among Adult Diabetics in an Urban Primary Care Clinic. University of Tennessee Health Science Center, April 2021. http://dx.doi.org/10.21007/con.dnp.2021.0003.

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Background Diabetes mellitus (DM) and depression are important comorbid conditions that can lead to more serious health outcomes. The American Diabetes Association (ADA) supports routine screening for depression as part of standard diabetes management. The PHQ2 and PHQ9 questionnaires are good diagnostic screening tools used for major depressive disorders in Type 2 diabetes mellitus (DM2). This quality improvement study aims to compare the rate of depression screening, treatment, and referral to behavioral health in adult patients with DM2 pre and post-integration of depression screening tools into the electronic health record (EHR). Methods We conducted a retrospective chart review on patients aged 18 years and above with a diagnosis of DM2 and no initial diagnosis of depression or other mental illnesses. Chart reviews included those from 2018 or prior for before integration data and 2020 to present for after integration. Sixty subjects were randomly selected from a pool of 33,695 patients in the clinic with DM2 from the year 2013-2021. Thirty of the patients were prior to the integration of depression screening tools PHQ2 and PHQ9 into the EHR, while the other half were post-integration. The study population ranged from 18-83 years old. Results All subjects (100%) were screened using PHQ2 before integration and after integration. Twenty percent of patients screened had a positive PHQ2 among subjects before integration, while 10% had a positive PHQ2 after integration. Twenty percent of patients were screened with a PHQ9 pre-integration which accounted for 100% of those subjects with a positive PHQ2. However, of the 10% of patients with a positive PHQ2 post-integration, only 6.7 % of subjects were screened, which means not all patients with a positive PHQ2 were adequately screened post-integration. Interestingly, 10% of patients were treated with antidepressants before integration, while none were treated with medications in the post-integration group. There were no referrals made to the behavior team in either group. Conclusion There is no difference between the prevalence of depression screening before or after integration of depression screening tools in the EHR. The study noted that there is a decrease in the treatment using antidepressants after integration. However, other undetermined conditions could have influenced this. Furthermore, not all patients with positive PHQ2 in the after-integration group were screened with PHQ9. The authors are unsure if the integration of the depression screens influenced this change. In both groups, there is no difference between referrals to the behavior team. Implications to Nursing Practice This quality improvement study shows that providers are good at screening their DM2 patients for depression whether the screening tools were incorporated in the EHR or not. However, future studies regarding providers, support staff, and patient convenience relating to accessibility and availability of the tool should be made. Additional issues to consider are documentation reliability, hours of work to scan documents in the chart, risk of documentation getting lost, and the use of paper that requires shredding to comply with privacy.
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