Nurses' experiences when conducting the mental state examination (MSE): A scoping review

被引:0
作者
Volcevska, Spasija [1 ,5 ]
Luck, Lauretta [1 ,2 ,3 ]
Elmir, Rakime [1 ,2 ]
Dickens, Geoffrey [4 ]
Murphy, Gillian [1 ,2 ]
机构
[1] Western Sydney Univ, Sch Nursing & Midwifery, Sydney, NSW, Australia
[2] Western Sydney Univ, Translat Hlth Res Inst THRI, Sydney, NSW, Australia
[3] Nepean Blue Mt Local Hlth Dist, Sydney, NSW, Australia
[4] Northumbria Univ, Dept Nursing Midwifery & Hlth, Newcastle Upon Tyne, England
[5] Western Sydney Univ, Sch Nursing & Midwifery, Locked Bag 1797, Sydney, NSW 2751, Australia
关键词
mental health nurses; mental state assessment; mental state examination; MSE; nursing; HEALTH NURSING ASSESSMENT; CARE; DOCUMENTATION; COMPETENCES; PSYCHIATRY; CLINICIAN; WORKING; QUALITY; NEEDS;
D O I
10.1111/inm.13237
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The Mental State Examination (MSE) is an assessment framework used to facilitate the collection of subjective and objective data about a person's current mental state. There is a lack of understanding of nurses' experiences when conducting the MSE. The aim of this scoping review is to identify, examine and summarize the available literature relating to nurses' experiences when conducting the MSE. A scoping review was conducted using Arksey and O'Malley (2005) framework to review, examine and synthesize the available literature on nurses' experiences with the MSE. A PRISMA flow diagram was used to describe the systematic literature search. Six databases (APA PsycInfo, CINAHL, MEDLINE, PubMed, ProQuest, and Scopus) were searched including reference lists of eligible sources. Google Scholar, Trove and Proquest Dissertation and Thesis were searched for grey literature. Twelve articles included in this scoping review considered nurses experiences when conducting the MSE. The principles of thematic analysis were used to synthesize the studies. Three distinct themes were identified from the literature: (i) Nurses' role and the MSE, (ii) Nurses' competence and knowledge when conducting the MSE, and (iii) Nurses' confidence when conducting the MSE. The results of this scoping review identified the MSE as a component of the mental health nursing role and a core competency of mental health telephone triage services. The MSE was used by nurses in the Emergency department (ED), acute in-patient and community mental health settings, including mental health telephone triage services. Nurses working in EDs and acute in-patient mental health settings experienced a lack of confidence and competence, including a knowledge deficit in conducting the MSE in comparison to nurses working in community mental health settings. Community mental health nurses identified the importance of conducting an MSE higher than acute in-patient mental health nurses. This review identified the need for evidence-based research related to the MSE and its application in nursing practice. Evidence-based research will inform the development of MSE guidelines and policies, thus, enhance mental health nursing practice related to the MSE, including improving and strengthening consumer-nurse therapeutic alliance in acute in-patient mental health settings.
引用
收藏
页码:224 / 240
页数:17
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