A systematic review of the effectiveness of in-home community nurse led interventions for the mental health of older persons
Aims and objectives. The aim was to systematically review evidence about the effectiveness of in‐home community nurse‐led interventions for older persons with, or at risk of, mental health disorders, to inform best practice nursing care with this focus. The primary review question was ‘How effectiv...
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| Veröffentlicht in: | Journal of clinical nursing 2008-06, Vol.17 (11), p.1419-1427 |
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| creator | Thompson, Penelope Lang, Lyn Annells, Merilyn |
| description | Aims and objectives. The aim was to systematically review evidence about the effectiveness of in‐home community nurse‐led interventions for older persons with, or at risk of, mental health disorders, to inform best practice nursing care with this focus. The primary review question was ‘How effective are in‐home community nurse‐led interventions for older persons with or at risk of mental health disorders for improving mental health?’ The outcome indices of interest were nursing actions to determine incidence or prevalence of mental health disorders, any change in a patient’s attitude towards their mental health condition, any change in objective measurement of mental health, or a change in diagnostic status.
Background. The rising incidence of mental health disorders in older persons is a major concern for community nurses in developed countries. Effectively facilitating improved mental health for older persons is necessary in this era of ageing populations with increased demands on health funding. Disseminating systematically reviewed evidence for in‐home community nursing that positively impacts on the mental health of older persons is crucial to ensure effective care is provided to this vulnerable patient group.
Results. This review reveals that there is evidence to support the superiority of applying validated screening tools for mental health disorders over relying on community nurses’ opinions and non‐validated tools about this matter.
Design. Systematic review.
Methods. Search of electronic databases.
Conclusion. A clear need for replication and multi‐centre trials of reviewed pertinent studies is identified.
Relevance to clinical practice. Community nurses should consider using validated screening tools for this focus. Until such time as higher quality evidence is available about other nursing interventions, the reviewers suggest that the prime nursing action should be the identification of whether older persons receiving community nursing care might have a mental health disorder and, if so, then collaborative referral is made to appropriate services. |
| doi_str_mv | 10.1111/j.1365-2702.2008.02287.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_764358279</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>70743359</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4657-11afe85905fcb512aee46eedeb6b00977481c7374e6633660e39b52b668a3ded3</originalsourceid><addsrcrecordid>eNqNkUtv1DAURi1ERYfCX0AWC1gl-BE_skEqI1pA1XQDQmJjOcmNxkMSD3bSzkj8eJzOqEhdVPXG1r3nHtn-EMKU5DStD5uccikypgjLGSE6J4xple-eocV94zlakFKyjBKpTtHLGDeEUM4Yf4FOqS40owVZoL_nOO7jCL0dXY0D3Di4xb7F4xowtC3Uo7uBAWKci27I1r4HXPu-nwY37vEwhQi4gyb1RggJHZ0fIm59uFP0qWA7vAbbjetZ4bsGAt5CiAl7hU5a20V4fdzP0I-Lz9-XX7Kr68uvy_OrrC6kUBmltgUtSiLauhKUWYBCAjRQyYqQUqlC01pxVYCUnEtJgJeVYJWU2vIGGn6G3h-82-D_TBBH07tYQ9fZAfwUjZIFF5qpMpHvHieJKjgXM_j2AbjxUxjSKwzjIt2KMZEgfYDq4GMM0JptcL0Ne0OJmYM0GzPnZea8zBykuQvS7NLom6N_qnpo_g8ek0vAxwNw6zrYP1lsvl0vV_MxCbKDwKX4d_cCG34bmT5TmJ-rSyNWS3pBfjHzif8DG928PQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>235009225</pqid></control><display><type>article</type><title>A systematic review of the effectiveness of in-home community nurse led interventions for the mental health of older persons</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Thompson, Penelope ; Lang, Lyn ; Annells, Merilyn</creator><creatorcontrib>Thompson, Penelope ; Lang, Lyn ; Annells, Merilyn</creatorcontrib><description>Aims and objectives. The aim was to systematically review evidence about the effectiveness of in‐home community nurse‐led interventions for older persons with, or at risk of, mental health disorders, to inform best practice nursing care with this focus. The primary review question was ‘How effective are in‐home community nurse‐led interventions for older persons with or at risk of mental health disorders for improving mental health?’ The outcome indices of interest were nursing actions to determine incidence or prevalence of mental health disorders, any change in a patient’s attitude towards their mental health condition, any change in objective measurement of mental health, or a change in diagnostic status.
Background. The rising incidence of mental health disorders in older persons is a major concern for community nurses in developed countries. Effectively facilitating improved mental health for older persons is necessary in this era of ageing populations with increased demands on health funding. Disseminating systematically reviewed evidence for in‐home community nursing that positively impacts on the mental health of older persons is crucial to ensure effective care is provided to this vulnerable patient group.
Results. This review reveals that there is evidence to support the superiority of applying validated screening tools for mental health disorders over relying on community nurses’ opinions and non‐validated tools about this matter.
Design. Systematic review.
Methods. Search of electronic databases.
Conclusion. A clear need for replication and multi‐centre trials of reviewed pertinent studies is identified.
Relevance to clinical practice. Community nurses should consider using validated screening tools for this focus. Until such time as higher quality evidence is available about other nursing interventions, the reviewers suggest that the prime nursing action should be the identification of whether older persons receiving community nursing care might have a mental health disorder and, if so, then collaborative referral is made to appropriate services.</description><identifier>ISSN: 0962-1067</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/j.1365-2702.2008.02287.x</identifier><identifier>PMID: 18482140</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Aged ; Attitude to Health ; Benchmarking ; Community health care ; Community Health Nursing - organization & administration ; Community Mental Health Services - organization & administration ; community nursing ; Effectiveness ; Evidence-Based Medicine ; Geriatric Assessment ; Health Services for the Aged - organization & administration ; Health Services Needs and Demand ; Home Care Services - organization & administration ; Home health care ; Humans ; Incidence ; Mass Screening ; Medical treatment ; mental disorder ; Mental disorders ; Mental Disorders - diagnosis ; Mental Disorders - epidemiology ; Mental Disorders - prevention & control ; Mental Disorders - psychology ; Mental Health ; Nurse's Role ; Nursing ; Nursing Assessment ; Nursing Evaluation Research ; Older people ; Outcome Assessment (Health Care) ; Prevalence ; Referral and Consultation ; Research Design ; systematic review</subject><ispartof>Journal of clinical nursing, 2008-06, Vol.17 (11), p.1419-1427</ispartof><rights>2008 The Authors. Journal compilation © 2008 Blackwell Publishing Ltd</rights><rights>Copyright Blackwell Publishing Ltd. Jun 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4657-11afe85905fcb512aee46eedeb6b00977481c7374e6633660e39b52b668a3ded3</citedby><cites>FETCH-LOGICAL-c4657-11afe85905fcb512aee46eedeb6b00977481c7374e6633660e39b52b668a3ded3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2702.2008.02287.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2702.2008.02287.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18482140$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thompson, Penelope</creatorcontrib><creatorcontrib>Lang, Lyn</creatorcontrib><creatorcontrib>Annells, Merilyn</creatorcontrib><title>A systematic review of the effectiveness of in-home community nurse led interventions for the mental health of older persons</title><title>Journal of clinical nursing</title><addtitle>J Clin Nurs</addtitle><description>Aims and objectives. The aim was to systematically review evidence about the effectiveness of in‐home community nurse‐led interventions for older persons with, or at risk of, mental health disorders, to inform best practice nursing care with this focus. The primary review question was ‘How effective are in‐home community nurse‐led interventions for older persons with or at risk of mental health disorders for improving mental health?’ The outcome indices of interest were nursing actions to determine incidence or prevalence of mental health disorders, any change in a patient’s attitude towards their mental health condition, any change in objective measurement of mental health, or a change in diagnostic status.
Background. The rising incidence of mental health disorders in older persons is a major concern for community nurses in developed countries. Effectively facilitating improved mental health for older persons is necessary in this era of ageing populations with increased demands on health funding. Disseminating systematically reviewed evidence for in‐home community nursing that positively impacts on the mental health of older persons is crucial to ensure effective care is provided to this vulnerable patient group.
Results. This review reveals that there is evidence to support the superiority of applying validated screening tools for mental health disorders over relying on community nurses’ opinions and non‐validated tools about this matter.
Design. Systematic review.
Methods. Search of electronic databases.
Conclusion. A clear need for replication and multi‐centre trials of reviewed pertinent studies is identified.
Relevance to clinical practice. Community nurses should consider using validated screening tools for this focus. Until such time as higher quality evidence is available about other nursing interventions, the reviewers suggest that the prime nursing action should be the identification of whether older persons receiving community nursing care might have a mental health disorder and, if so, then collaborative referral is made to appropriate services.</description><subject>Aged</subject><subject>Attitude to Health</subject><subject>Benchmarking</subject><subject>Community health care</subject><subject>Community Health Nursing - organization & administration</subject><subject>Community Mental Health Services - organization & administration</subject><subject>community nursing</subject><subject>Effectiveness</subject><subject>Evidence-Based Medicine</subject><subject>Geriatric Assessment</subject><subject>Health Services for the Aged - organization & administration</subject><subject>Health Services Needs and Demand</subject><subject>Home Care Services - organization & administration</subject><subject>Home health care</subject><subject>Humans</subject><subject>Incidence</subject><subject>Mass Screening</subject><subject>Medical treatment</subject><subject>mental disorder</subject><subject>Mental disorders</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - prevention & control</subject><subject>Mental Disorders - psychology</subject><subject>Mental Health</subject><subject>Nurse's Role</subject><subject>Nursing</subject><subject>Nursing Assessment</subject><subject>Nursing Evaluation Research</subject><subject>Older people</subject><subject>Outcome Assessment (Health Care)</subject><subject>Prevalence</subject><subject>Referral and Consultation</subject><subject>Research Design</subject><subject>systematic review</subject><issn>0962-1067</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUtv1DAURi1ERYfCX0AWC1gl-BE_skEqI1pA1XQDQmJjOcmNxkMSD3bSzkj8eJzOqEhdVPXG1r3nHtn-EMKU5DStD5uccikypgjLGSE6J4xple-eocV94zlakFKyjBKpTtHLGDeEUM4Yf4FOqS40owVZoL_nOO7jCL0dXY0D3Di4xb7F4xowtC3Uo7uBAWKci27I1r4HXPu-nwY37vEwhQi4gyb1RggJHZ0fIm59uFP0qWA7vAbbjetZ4bsGAt5CiAl7hU5a20V4fdzP0I-Lz9-XX7Kr68uvy_OrrC6kUBmltgUtSiLauhKUWYBCAjRQyYqQUqlC01pxVYCUnEtJgJeVYJWU2vIGGn6G3h-82-D_TBBH07tYQ9fZAfwUjZIFF5qpMpHvHieJKjgXM_j2AbjxUxjSKwzjIt2KMZEgfYDq4GMM0JptcL0Ne0OJmYM0GzPnZea8zBykuQvS7NLom6N_qnpo_g8ek0vAxwNw6zrYP1lsvl0vV_MxCbKDwKX4d_cCG34bmT5TmJ-rSyNWS3pBfjHzif8DG928PQ</recordid><startdate>200806</startdate><enddate>200806</enddate><creator>Thompson, Penelope</creator><creator>Lang, Lyn</creator><creator>Annells, Merilyn</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>200806</creationdate><title>A systematic review of the effectiveness of in-home community nurse led interventions for the mental health of older persons</title><author>Thompson, Penelope ; Lang, Lyn ; Annells, Merilyn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4657-11afe85905fcb512aee46eedeb6b00977481c7374e6633660e39b52b668a3ded3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Attitude to Health</topic><topic>Benchmarking</topic><topic>Community health care</topic><topic>Community Health Nursing - organization & administration</topic><topic>Community Mental Health Services - organization & administration</topic><topic>community nursing</topic><topic>Effectiveness</topic><topic>Evidence-Based Medicine</topic><topic>Geriatric Assessment</topic><topic>Health Services for the Aged - organization & administration</topic><topic>Health Services Needs and Demand</topic><topic>Home Care Services - organization & administration</topic><topic>Home health care</topic><topic>Humans</topic><topic>Incidence</topic><topic>Mass Screening</topic><topic>Medical treatment</topic><topic>mental disorder</topic><topic>Mental disorders</topic><topic>Mental Disorders - diagnosis</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental Disorders - prevention & control</topic><topic>Mental Disorders - psychology</topic><topic>Mental Health</topic><topic>Nurse's Role</topic><topic>Nursing</topic><topic>Nursing Assessment</topic><topic>Nursing Evaluation Research</topic><topic>Older people</topic><topic>Outcome Assessment (Health Care)</topic><topic>Prevalence</topic><topic>Referral and Consultation</topic><topic>Research Design</topic><topic>systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thompson, Penelope</creatorcontrib><creatorcontrib>Lang, Lyn</creatorcontrib><creatorcontrib>Annells, Merilyn</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thompson, Penelope</au><au>Lang, Lyn</au><au>Annells, Merilyn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A systematic review of the effectiveness of in-home community nurse led interventions for the mental health of older persons</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2008-06</date><risdate>2008</risdate><volume>17</volume><issue>11</issue><spage>1419</spage><epage>1427</epage><pages>1419-1427</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>Aims and objectives. The aim was to systematically review evidence about the effectiveness of in‐home community nurse‐led interventions for older persons with, or at risk of, mental health disorders, to inform best practice nursing care with this focus. The primary review question was ‘How effective are in‐home community nurse‐led interventions for older persons with or at risk of mental health disorders for improving mental health?’ The outcome indices of interest were nursing actions to determine incidence or prevalence of mental health disorders, any change in a patient’s attitude towards their mental health condition, any change in objective measurement of mental health, or a change in diagnostic status.
Background. The rising incidence of mental health disorders in older persons is a major concern for community nurses in developed countries. Effectively facilitating improved mental health for older persons is necessary in this era of ageing populations with increased demands on health funding. Disseminating systematically reviewed evidence for in‐home community nursing that positively impacts on the mental health of older persons is crucial to ensure effective care is provided to this vulnerable patient group.
Results. This review reveals that there is evidence to support the superiority of applying validated screening tools for mental health disorders over relying on community nurses’ opinions and non‐validated tools about this matter.
Design. Systematic review.
Methods. Search of electronic databases.
Conclusion. A clear need for replication and multi‐centre trials of reviewed pertinent studies is identified.
Relevance to clinical practice. Community nurses should consider using validated screening tools for this focus. Until such time as higher quality evidence is available about other nursing interventions, the reviewers suggest that the prime nursing action should be the identification of whether older persons receiving community nursing care might have a mental health disorder and, if so, then collaborative referral is made to appropriate services.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>18482140</pmid><doi>10.1111/j.1365-2702.2008.02287.x</doi><tpages>9</tpages></addata></record> |
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| ispartof | Journal of clinical nursing, 2008-06, Vol.17 (11), p.1419-1427 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged Attitude to Health Benchmarking Community health care Community Health Nursing - organization & administration Community Mental Health Services - organization & administration community nursing Effectiveness Evidence-Based Medicine Geriatric Assessment Health Services for the Aged - organization & administration Health Services Needs and Demand Home Care Services - organization & administration Home health care Humans Incidence Mass Screening Medical treatment mental disorder Mental disorders Mental Disorders - diagnosis Mental Disorders - epidemiology Mental Disorders - prevention & control Mental Disorders - psychology Mental Health Nurse's Role Nursing Nursing Assessment Nursing Evaluation Research Older people Outcome Assessment (Health Care) Prevalence Referral and Consultation Research Design systematic review |
| title | A systematic review of the effectiveness of in-home community nurse led interventions for the mental health of older persons |
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