Clinical

Our clinical nursing articles aim to inform and educate nurse practitioners and students. This is achieved through the publication of peer-reviewed, evidence-based, relevant and topical articles.

Delirium superimposed on dementia: mental health nurses’ experiences of providing care

Why you should read this article: • To understand the complexity of the needs of people with delirium superimposed on dementia • To enhance your knowledge of second-generation activity theory • To recognise the consequences of the separation of physical health and mental healthcare Background Delirium superimposed on dementia (DSD) affects the physical, mental and cognitive well-being of the person. The separation of physical health and mental health means that the care of people with DSD is at odds with the multifaceted aetiology and presentation of the condition. There is a lack of research on DSD from a mental health perspective. Aim To explore UK mental health nurses’ experiences of providing care for people with DSD. Method Individual semi-structured interviews were conducted with seven mental health nurses from one NHS trust in England. Participants’ experiences were considered through the lens of second-generation activity theory. Data were analysed using framework analysis. Findings Six themes were identified: awareness of guidance and tools; guidance or tools as ‘paper exercises’; knowing the patient; the multidisciplinary team; care burden; and mental health versus physical health. Conclusion When providing care for people with DSD, mental health nurses use their skills in knowing patients as individuals. However, this aspect of ‘knowing’ cannot be readily translated into the use of a numerical scoring tool. An integrated approach is required to support the care of people with DSD.

Exploring the role of social media use in eating disorders in adolescents: a scoping review

Exploring the role of social media in eating disorders in adolescents: a scoping review

Social media use in this age group has been shown to have both protective and adverse effects

Preventing suicide by jumping in public locations: a systematic review of interventions

Preventing suicide by jumping in public locations: a systematic review of interventions

Interventions to restrict access to means of suicide are correlated with reduced suicide rates

Epilepsy: understanding its emotional and psychological effects and its relationship with mental illness

Epilepsy: emotional and psychological effects and relationship with mental illness

Epilepsy and mental health services should work together to provide coordinated care

Exploring service users’ experience of transition from inpatient rehabilitation to community settings

Service users’ experience of transition to community settings 

An evaluation of the work of a community enhanced rehabilitation team

Changing the focus of adverse incident reporting in mental health nursing

Changing the focus of adverse incident reporting in mental health nursing

Why nurses need to include workforce-related issues in adverse incident reports

Service users’ and staff’s experiences of ward rounds in an inpatient rehabilitation service: a service evaluation

A service evaluation of ward rounds in an inpatient rehabilitation service

Service users’ and staff’s experiences on the effectiveness of ward rounds

Benefits of developing long-term relationships between trainee nursing associates and mental health experts by experience

Nursing associates: benefits of collaborations with mental health experts by experience

How long-term interactions with service users can improve confidence during training

Exploring young people’s perspectives on digital technology and mental healthcare: pilot study findings

Exploring young people’s perspectives on digital technology and mental health care

Pilot study suggests avoiding a one-size-fits-all approach to integrating digital technology in CAMHS

Deprescribing antipsychotics in adults with psychotic disorders – a literature review

Deprescribing antipsychotics in adults with psychotic disorders

The challenge for nurses is to find a balance between the autonomy of the patient and the mitigation of risk

Integrating a trauma-informed approach into preregistration nurse education

Integrating a trauma-informed approach into preregistration nurse education

Including this in curricula enhances student well-being and ability to give high-quality patient care

Outcomes of a leadership programme for black, Asian and minority ethnic mental health nurses

Evaluating a leadership programme for BAME mental health nurses

What black, Asian and minority ethnic nurses thought about the programme and its aftermath

Mental health nurse education: waking up on the edge of oblivion

A follow-up article arguing that a generic approach risks dilution of mental health nurse...

Staff well-being at a new community mental health service for young people

How nurturing optimism and creating a 'safe base' with access to training can fend...

Urban influences on the development, perpetuation and mitigation of psychosis

How individuals experiencing or recovering from psychosis engage with urban spaces to cope...

Forgiveness in mental health practice: benefits for nurses and patients

Why forgiveness is essential in therapeutic relationships – particularly after violent...

Nurses’ experiences of using the NANDA International taxonomy in mental health care

Taxonomy helps make care structured and person-centred but should be synchronised with local...
Open access

Providing seated chair massage at a forensic mental health and learning disability...

Massage for patients and staff had positive effects and is a low-risk, appropriate...

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