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 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
Interventions to restrict access to means of suicide are correlated with reduced suicide rates
Epilepsy: emotional and psychological effects and relationship with mental illness
Epilepsy and mental health services should work together to provide coordinated care
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
Why nurses need to include workforce-related issues in adverse incident reports
A service evaluation of ward rounds in an inpatient rehabilitation service
Service users’ and staff’s experiences on the effectiveness of ward rounds
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 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
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
Including this in curricula enhances student well-being and ability to give high-quality patient care
Evaluating a leadership programme for BAME mental health nurses
What black, Asian and minority ethnic nurses thought about the programme and its aftermath