Iain W Graham Copyright (c) 2013 All rights reserved. http://works.bepress.com/iain_graham Recent documents in Iain W Graham en-us Tue, 04 Jun 2013 21:46:29 PDT 3600 The therapeutic relationship and Mental Health Nursing: it is time to articulate what we do! http://works.bepress.com/iain_graham/86 http://works.bepress.com/iain_graham/86 Wed, 27 Feb 2013 19:16:08 PST The role of Mental Health Nursing has always been to support people living with a mental illness to strive for dignified meaningful lives. This is consistent with the modern commitment to recovery focused care. The commitment to Mental Health Nursing practice informed by the available evidence is increasingly reflected in the policy of health services and the practice of clinical nurses. This is admirable, but assumes that the evidence is available.

This opinion piece reflects on a nursing history of the development of mental health care and presents an argument that if Mental Health Nurses are to embrace evidence-based practice (there probably is not a choice) they need to be, like the other mental health professions, able to clearly describe and define the many and varied contributions they make to the health of the consumers of mental health services (consumers).

Mental Health Nursing has attempted to develop a theory of the profession under the banner of the therapeutic relationship. Because of the diversity of the way they work this grand theory becomes too unwieldy to use and attempts at an all encompassing definition are problematic.

If Mental Health Nurses are to regain recognition for the contribution they make they will need to identify the things they do. That is, not to undervalue the therapeutic relationship but rather make arguments that clearly articulate the further contributions Mental Health Nurses make within that therapeutic relationship (Happell 2011).

]]> Graeme Browne et al. Case management of young children with behaviour and mental health disorders in school http://works.bepress.com/iain_graham/85 http://works.bepress.com/iain_graham/85 Sun, 16 Sep 2012 19:21:02 PDT When young children with behaviour and mental health disorders do not receive appropriate specialised support their problems can escalate over time. Their parents find the transition to and early years of schooling stressful and difficult. This paper argues that case management can be an effective strategy for this group of children. Although there is a body of literature on the topic of case management in schools, most of it supportive of this as a strategy, the bulk of the literature consists of policy discussion and anecdotal evidence; there is very little research in the area. This is especially true of the critical area of early childhood and the transition to and early years of schooling

]]> Graeme Browne et al. The therapeutic relationship and the mental health nurse: it is time to articulate what we do! http://works.bepress.com/iain_graham/84 http://works.bepress.com/iain_graham/84 Wed, 12 Sep 2012 19:46:09 PDT Graeme Browne et al. A career in mental health - still an unlikely choice for nursing graduates: a replicated, longitudinal study http://works.bepress.com/iain_graham/83 http://works.bepress.com/iain_graham/83 Wed, 12 Sep 2012 19:46:08 PDT John Stevens et al. Models of case management for working with young children: implications for mental health nurses http://works.bepress.com/iain_graham/82 http://works.bepress.com/iain_graham/82 Thu, 06 Sep 2012 21:50:58 PDT The care of children with behavioural disorders/mental illnesses is an important and emerging role for mental health nurses. Unfortunately, there is little evidence on which to base their practice. Children, because of their rapid emotional, physical, and cognitive development, and their dependence on their families, need special consideration in their mental health care. The limited evidence available indicates that this special consideration should include a focus, not only on the child, but also on the parents and social and school networks of the child. Evidence from the adult literature indicates the most effective case management models are the ones in which the case manager offers as many services as possible, including talking therapies. This also seems to be true when working with children. Mental health nurses, because of their background and commitment to holistic care, are ideally suited to offer this type of service. However, mental health nurses have not been good at articulating what they do. This can limit the recognition of the contribution they make and their opportunities.

]]> Graeme Browne et al. Nurse practitioner preparation: is it time to move beyond masters level entry in Australia? http://works.bepress.com/iain_graham/81 http://works.bepress.com/iain_graham/81 Thu, 06 Sep 2012 21:50:57 PDT Nurse Practitioner education in Australia currently requires a post graduate qualification at masters level for endorsement by national registration bodies and entry into practice. This paper reviews the evidence and debate in America that saw the education of Nurse Practitioners advance to the doctoral level in 2004. Consideration will then be given to the similarities between the American and Australian context, in order to open the debate about whether it is timely for Australian universities to consider the need to advance Australia Nurse Practitioner education to the Doctor of Nursing Practice.

]]> Lea-Anne Tuaoi et al. Children with behavioral/mental health disorders and school mental health nurses in Australia http://works.bepress.com/iain_graham/80 http://works.bepress.com/iain_graham/80 Thu, 06 Sep 2012 21:50:56 PDT TOPIC:  This review of the literature addresses Australian school mental health nursing is an emergent field of practice.

PURPOSE:  Children with behavioral/mental health disorders present challenges to schools, teachers, and their families. They can be disruptive in class, inappropriate with their peers, and perform poorly academically. Often this group of children do not respond to the school's usual strategies to support appropriate behavior. When children with behavioral/mental health disorders do not receive specialized support based on their problems and needs, their problems can escalate over time and in adolescence their behavior may become more challenging, with increased aggression, substance use, contact with the criminal justice system, and school failure with or without dropout.

CONCLUSION:  Mental health nurses, working as case managers, could be effective in the support of children with behavioral/mental health disorders in schools. Mental health nurses, because of their professional education and clinical practice, work not only with the individual child but also with family members. They are well prepared to case manage in schools and support individual teachers and health and welfare services in their management of their clients with behavioral/mental health disorders.

]]> Graeme Browne et al. Nurse practitioners in academic nurse managed centres: a new and emergent opportunity for Australian nurses http://works.bepress.com/iain_graham/79 http://works.bepress.com/iain_graham/79 Thu, 06 Sep 2012 21:50:55 PDT Nursing traditionally has split the career paths of practice, teaching and research. This has limited utility in a healthcare world that is rapidly changing in terms of clinical practice and institutional structures. Academics to be relevant need to remain professionally engaged. Faculty practice is one way for Emergency Department Nurse Practitioner academics to do this. The recent inclusion of Nurse Practitioners as providers in the federally funded Medical Benefits Scheme and the Pharmaceutical Benefits scheme has afforded a context of do ability. The American experience of integrating Nurse Practitioner practice into academia took the form of faculty practice within an Academic Nurse Managed Centre model. The establishment of such a model was innovative, yet the majority of Academic Nurse Managed Centres experienced significant difficulties in management and self sustainability. This paper explores faculty practice in Australia and lessons learned from the international literature to ground the project of Emergency Department Nurse Practitioner faculty practice.

]]> Lea-Anne Tuaoi et al. From concept to implementation : the nurse consultant http://works.bepress.com/iain_graham/78 http://works.bepress.com/iain_graham/78 Thu, 01 Oct 2009 15:33:27 PDT Christine Partlow et al. An exploration of knowledge underpinning nursing practice: the experience of a nursing development unit : a collaborative study between Bournemouth University and West Dorset General Hospitals NHS Trust http://works.bepress.com/iain_graham/77 http://works.bepress.com/iain_graham/77 Thu, 01 Oct 2009 15:29:47 PDT Iain W. Graham et al. Identifying specialist practice as part of practice development unit development http://works.bepress.com/iain_graham/76 http://works.bepress.com/iain_graham/76 Thu, 20 Aug 2009 16:23:18 PDT Iain W. Graham et al. Identifying the staff development needs of individuals involved in nursing and midwifery education: NHSE Staff Development Project http://works.bepress.com/iain_graham/75 http://works.bepress.com/iain_graham/75 Thu, 20 Aug 2009 16:23:17 PDT B Goodman et al. What makes a good nurse? : a study conducted for WDGH NHS Trust by Bournemouth University to identify nursing practice and care within the Trust http://works.bepress.com/iain_graham/74 http://works.bepress.com/iain_graham/74 Thu, 20 Aug 2009 16:23:16 PDT Iain W. Graham et al. Professional development for nurse leadership : Salisbury Health Care NHS Trust : an evaluation of personal and professional development amongst directorate senior nurses http://works.bepress.com/iain_graham/73 http://works.bepress.com/iain_graham/73 Thu, 20 Aug 2009 16:23:14 PDT Iain W. Graham et al. An exploration of shared mentorship for newly qualified doctors and nurses http://works.bepress.com/iain_graham/72 http://works.bepress.com/iain_graham/72 Thu, 20 Aug 2009 16:23:13 PDT Clive Andrewes et al. Implementing and investigating change within a primary health care nursing team : an action research study http://works.bepress.com/iain_graham/71 http://works.bepress.com/iain_graham/71 Thu, 20 Aug 2009 16:23:11 PDT Kathleen T. Galvin et al. Perspectives on the consultant nurse role http://works.bepress.com/iain_graham/70 http://works.bepress.com/iain_graham/70 Thu, 20 Aug 2009 16:23:10 PDT Sabi Redwood et al. Therapeutic mental nursing: identifying what it is! http://works.bepress.com/iain_graham/69 http://works.bepress.com/iain_graham/69 Thu, 20 Aug 2009 16:12:14 PDT Iain W. Graham Why did the GNC for England and Wales establish a mental nurse training syllabus as introduced in the 1920s? http://works.bepress.com/iain_graham/68 http://works.bepress.com/iain_graham/68 Thu, 20 Aug 2009 16:12:13 PDT Iain W. Graham A co-operative investigation into the nature and practice of nursing to determine personal mastery and artistry http://works.bepress.com/iain_graham/67 http://works.bepress.com/iain_graham/67 Thu, 20 Aug 2009 16:12:11 PDT Iain W. Graham