Impact of a nurse practitioner role on metabolic monitoring completion and referrals for consumers admitted to the intensive care area of an acute inpatient psychiatric unit

Journal article


Brown, Trudy, McKenna, Brian and Furness, Trentham. (2017). Impact of a nurse practitioner role on metabolic monitoring completion and referrals for consumers admitted to the intensive care area of an acute inpatient psychiatric unit. International Journal of Mental Health Nursing. 27, pp. 341 - 348. https://doi.org/10.1111/inm.12327
AuthorsBrown, Trudy, McKenna, Brian and Furness, Trentham
Abstract

Mental illness increases a person’s risk of physical health issues, including cardiovascular disease, leading to premature morbidity and mortality. Screening for cardiovascular disease through metabolic monitoring is recommended to aid in early detection. The aim of the present study was to ascertain whether consumers admitted to an inpatient mental health unit receive routine metabolic monitoring, and to explore the contribution of a nurse practitioner to metabolic monitoring and the actioning of abnormal results. The present study used a retrospective mirror image cohort method to look at clinical consumer files for two separate 6-month periods before and after a nurse practitioner role commenced. Metabolic monitoring variables were computed as completion frequencies and percentages. Univariate analyses were computed to describe differences among metabolic monitoring variables. A total of 497 consumers were admitted to the mental health inpatient unit’s intensive care area across the two 6-month data-collection periods. Prior to the nurse practitioner role, only 2% of consumers had their body mass index (BMI) risk calculated; less than 1% had their waist circumference measured, and no abnormal results were referred to a general practitioner (GP). After the nurse practitioner role commenced, BMI risk was calculated for 67% of consumers, waist circumference recorded for 68%, and referrals for abnormal results were forwarded to 37 consumers’ GPs. A nurse practitioner on the inpatient mental health unit has allowed for a considerable increase in the metabolic screening of admitted consumers resulting in a number of referrals being forwarded to consumers’ GPs to be acted upon.

Year2017
JournalInternational Journal of Mental Health Nursing
Journal citation27, pp. 341 - 348
PublisherBlackwell Publishing
ISSN1445-8330
Digital Object Identifier (DOI)https://doi.org/10.1111/inm.12327
Scopus EID2-s2.0-85015266097
Page range341 - 348
Research GroupSchool of Nursing, Midwifery and Paramedicine
Publisher's version
File Access Level
Controlled
Place of publicationAustralia
EditorsK. Usher
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McKenna, Brian. (2011). Mental health and addiction services in the criminal justice system: Where do we sit? International Journal of Mental Health Nursing. 20(2), pp. 75 - 76. https://doi.org/10.1111/j.1447-0349.2010.00738.x
In search of a national approach to professional supervision for mental health and addiction nurses : The New Zealand experience
McKenna, Brian, Thom, Katey, Howard, Fiona and Williams, Val. (2010). In search of a national approach to professional supervision for mental health and addiction nurses : The New Zealand experience. Contemporary Nurse: Health care across the lifespan. 34(2), pp. 267 - 276. https://doi.org/10.5172/conu.2010.34.2.267
Efficacy of a whole-body vibration intervention on functional performance of community-dwelling older adults
Furness, Trentham, Maschette, Wayne, Lorenzen, Christian, Naughton, Geraldine and Williams, Morgan. (2010). Efficacy of a whole-body vibration intervention on functional performance of community-dwelling older adults. Journal of Alternative & Complementary Medicine. 16(7), pp. 795 - 797. https://doi.org/10.1089/acm.2009.0366
Duly authorized officers' practices under mental health law in New Zealand: Are nurses meeting the requirements of the law?: Feature article
McKenna, Brian, Thom, Katey, O'Brien, Anthony John, Crene, Sally and Simpson, A.. (2009). Duly authorized officers' practices under mental health law in New Zealand: Are nurses meeting the requirements of the law?: Feature article. International Journal of Mental Health Nursing. 18(4), pp. 231 - 238. https://doi.org/10.1111/j.1447-0349.2009.00619.x
Community treatment orders and competence to consent
Milne, Duncan, O'Brien, Anthony John and McKenna, Brian. (2009). Community treatment orders and competence to consent. Australasian Psychiatry. 17(4), pp. 273 - 278. https://doi.org/10.1080/10398560902721572
Compulsory community mental health treatment: Literature review
O'Brien, Anthony John, McKenna, Brian and Kydd, Robert R.. (2009). Compulsory community mental health treatment: Literature review. International Journal of Nursing Studies. 46(9), pp. 1245 - 1255. https://doi.org/10.1016/j.ijnurstu.2009.02.006
Judging nursing practice: Implications of habeas corpus rulings for mental health nurses in New Zealand
Thom, Katey, O'Brien, Anthony John and McKenna, Brian. (2008). Judging nursing practice: Implications of habeas corpus rulings for mental health nurses in New Zealand. Psychiatry, Psychology and Law. 15(1), pp. 131 - 139. https://doi.org/10.1080/13218710701879558
Return to nursing programmes: Justifications for a mental health specific course
McKenna, Brian, Thom, Katey and O'Brien, Anthony John. (2008). Return to nursing programmes: Justifications for a mental health specific course. International Journal of Nursing Education Scholarship. 5(1), pp. 1 - 16. https://doi.org/10.2202/1548-923X.1618
The unintended impact of the therapeutic intentions of the New Zealand Mental Health Review Tribunal? Therapeutic jurisprudence perspectives
Diesfeld, Kate and McKenna, Brian. (2007). The unintended impact of the therapeutic intentions of the New Zealand Mental Health Review Tribunal? Therapeutic jurisprudence perspectives. Journal of Law and Medicine. 14(4), pp. 566 - 574.
Concerns about the use of TASERs on people with mental illness in New Zealand
O'Brien, Anthony John and McKenna, Brian. (2007). Concerns about the use of TASERs on people with mental illness in New Zealand. Journal of Forensic Nursing. 3(2), pp. 89 - 92. https://doi.org/10.1097/01263942-200706000-00008
Outcome of patients rehabilitated through a New Zealand Forensic Psychiatry Service: A 7.5 year retrospective study
Simpson, Sandy, Simpson, A., Jones, Roland Morgan, Evans, Ceri G. and McKenna, Brian. (2006). Outcome of patients rehabilitated through a New Zealand Forensic Psychiatry Service: A 7.5 year retrospective study. Behavioral Sciences and the Law. 24(6), pp. 833 - 843. https://doi.org/10.1002/bsl.740
Mentally abnormal homicide in New Zealand as defined by legal and clinical criteria: A national study
Simpson, A., Skipworth, Jeremy J., McKenna, Brian, Moskowitz, Andrew K. and Barry-Walsh, Justin B.. (2006). Mentally abnormal homicide in New Zealand as defined by legal and clinical criteria: A national study. Australian and New Zealand Journal of Psychiatry. 40(9), pp. 804 - 809. https://doi.org/10.1111/j.1440-1614.2006.01887.x
The therapeutic intent of the New Zealand Mental Health Review Tribunal
Diesfeld, Kate and McKenna, Brian. (2006). The therapeutic intent of the New Zealand Mental Health Review Tribunal. Psychiatry, Psychology and Law. 13(1), pp. 100 - 109. https://doi.org/10.1375/pplt.13.1.100
Best practice management strategies for mental health nurses during the clinical application of civil commitment: an overview
McKenna, Brian, Simpson, A. and Cloverdale, John H.. (2006). Best practice management strategies for mental health nurses during the clinical application of civil commitment: an overview. Contemporary Nurse. 21(1), pp. 62 - 70. https://doi.org/10.5172/conu.2006.21.1.62
Registered nurses as responsible clinicians under the New Zealand Mental Health (Compulsory Assessment and Treatment) Act 1992
McKenna, Brian, O'Brien, Anthony John, Dal Din, Toni and Thom, Kate. (2006). Registered nurses as responsible clinicians under the New Zealand Mental Health (Compulsory Assessment and Treatment) Act 1992. International Journal of Mental Health Nursing. 15(2), pp. 128 - 134. https://doi.org/10.1111/j.1447-0349.2006.00412.x
The role of mental illness in homicide-suicide in New Zealand, 1991 - 2000
Moskowitz, Andrew K., Simpson, A., McKenna, Brian, Skipworth, Jeremy J. and Barry-Walsh, Justin B.. (2006). The role of mental illness in homicide-suicide in New Zealand, 1991 - 2000. Journal of Forensic Psychiatry and Psychology. 17(3), pp. 417 - 430. https://doi.org/10.1080/14789940600761410
Outpatient commitment and coercion in New Zealand: A matched comparison study
McKenna, Brian, Simpson, A. and Cloverdale, John H.. (2006). Outpatient commitment and coercion in New Zealand: A matched comparison study. International Journal of Law and Psychiatry. 29(2), pp. 145 - 158. https://doi.org/10.1016/j.ijlp.2004.07.004
Gambling and problem gambling among recently sentenced women in New Zealand prisons
Abbott, Max W. and McKenna, Brian. (2005). Gambling and problem gambling among recently sentenced women in New Zealand prisons. Journal of Gambling Studies. 21(4), pp. 559 - 581. https://doi.org/10.1007/s10899-005-5563-5
Gambling and problem gambling among recently sentenced male prisoners in four New Zealand prisons
Abbott, Max W., McKenna, Brian and Giles, Lynne C.. (2005). Gambling and problem gambling among recently sentenced male prisoners in four New Zealand prisons. Journal of Gambling Studies. 21(4), pp. 537 - 558. https://doi.org/10.1007/s10899-005-5562-6
New nurses face endemic violence
McKenna, Brian, Poole, Suzette J., Smith, Naumai A. and Cloverdale, John H.. (2004). New nurses face endemic violence. Kai Tiaki: Nursing New Zealand. 10(5), pp. 12 - 14.
Homicide and mental illness in New Zealand, 1970-2000
Simpson, A., McKenna, Brian, Moskowitz, Andrew K., Skipworth, Jeremy J., Barry-Walsh, Justin B. and Simpson, Sandy. (2004). Homicide and mental illness in New Zealand, 1970-2000. British Journal of Psychiatry. 185(NOV), pp. 394 - 398. https://doi.org/10.1192/bjp.185.5.394
Patients' perceptions of coercion on admission to forensic psychiatric hospital: A comparison study
McKenna, Brian, Simpson, A. and Cloverdale, John H.. (2003). Patients' perceptions of coercion on admission to forensic psychiatric hospital: A comparison study. International Journal of Law and Psychiatry. 26(4), pp. 355 - 372. https://doi.org/10.1016/S0160-2527(03)00046-3
Horizontal violence: Experiences of Registered Nurses in their first year of practice
McKenna, Brian, Smith, Naumai A., Poole, Suzette J. and Cloverdale, John H.. (2003). Horizontal violence: Experiences of Registered Nurses in their first year of practice. Journal of Advanced Nursing. 42(1), pp. 90 - 96. https://doi.org/10.1046/j.1365-2648.2003.02583.x
Advanced 'prescribing' of nurses' emergency holding powers under New Zealand mental health legislation
Farrow, Tony L., McKenna, Brian and O'Brien, Anthony John. (2002). Advanced 'prescribing' of nurses' emergency holding powers under New Zealand mental health legislation. International Journal of Mental Health Nursing. 11(3), pp. 164 - 169.
Initiating committal proceedings 'just in case' with voluntary patients: a critique of nursing practice
Farrow, Tony L., McKenna, Brian and O'Brien, Anthony John. (2002). Initiating committal proceedings 'just in case' with voluntary patients: a critique of nursing practice. Nursing Praxis in New Zealand. 18(2), pp. 15 - 23.
Risk assessment of violence to others: time for action
McKenna, Brian. (2002). Risk assessment of violence to others: time for action. Nursing Praxis in New Zealand. 18(1), pp. 36 - 43.
An analysis of procedural justice during psychiatric hospital admission
McKenna, Brian, Simpson, A., Cloverdale, John H. and Laidlaw, Tannis M.. (2001). An analysis of procedural justice during psychiatric hospital admission. International Journal of Law and Psychiatry. 24(6), pp. 573 - 581. https://doi.org/10.1016/S0160-2527(00)00069-8
Debating forensic mental health nursing
McKenna, Brian and Poole, Suzette J.. (2001). Debating forensic mental health nursing. Kai Tiaki: Nursing New Zealand. 7(6), pp. 18 - 20.
What is the role of procedural justice in civil commitment?
McKenna, Brian, Simpson, A. and Cloverdale, John H.. (2000). What is the role of procedural justice in civil commitment? Australian and New Zealand Journal of Psychiatry. 34(4), pp. 671 - 676. https://doi.org/10.1046/j.1440-1614.2000.00744.x
Implications for training of violent acts by patients against psychiatry registrars
Gale, Christopher K., Simpson, A., McKenna, Brian and Cloverdale, John H.. (2000). Implications for training of violent acts by patients against psychiatry registrars. Australasian Psychiatry. 8(4), pp. 345 - 348. https://doi.org/10.1046/j.1440-1665.2000.00289.x
Patient perception of coercion on admission to acute psychiatric services: The New Zealand experience
McKenna, Brian, Simpson, A. and Laidlaw, Tannis M.. (1999). Patient perception of coercion on admission to acute psychiatric services: The New Zealand experience. International Journal of Law and Psychiatry. 22(2), pp. 143 - 153. https://doi.org/10.1016/S0160-2527(98)00039-9
To tell or not to tell?
McKenna, Brian. (1997). To tell or not to tell? Kai Tiaki: Nursing New Zealand. 3(4), pp. 28 - 29.