A time for change?
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Clinical Competence↗
Biomedical subjects
M Hazelton
Publications and source records attributed to M Hazelton.
The Tasmanian children's project: the needs of children with a parent/carer with a mental illness.
This paper presents some of the key findings and recommendations of the report The Tasmanian Children's Project (TCP): The Needs of Children with a Parent/Carer with a Mental Illness, October, 1999. The TCP, a collaborative venture between the University of Tasmania's School of Nursing and the Mental Health Services - South, Tasmania (Department of Health and Human Services), is the first study in Tasmania to formally examine the needs of children where the parent/carer has a mental illness. The study is a modified replication and extension of the 1993/94 Victorian Children's Project. Extension aspects of the TCP included interviews with children (in addition to parents and service providers), the inclusion of data on both maternal and paternal mental illness and a broad definition of mental illness (beyond psychotic illness and major affective disorder). The report highlights the need to provide a range of programs that encourage the development of personal competency among children, parents, and other family members and those that emphasize interagency collaboration. Implications of this research for mental health nursing education and practice are also addressed.
Adolescent↗
Scoping mental health nursing education.
In late 1999 the National Mental Health Working Group of the Australian Health Ministers Advisory Council commissioned the Australian and New Zealand College of Mental Health Nurses to undertake a scoping study of mental health nursing. A final report will be submitted to the National Mental Health Working Group in February 2000. The purpose of this article is to draw attention to some of the systemic problems that confront the education of mental health nurses in Australia. Shortcomings in the preparation of undergraduate students of nursing for commencing practice in mental health nursing are described and comments are given on issues affecting the quality of postgraduate mental health nursing education.
Australia↗
Scoping the Australian mental health nursing workforce.
This is the second of four articles on the Scoping Study of the Australian mental health nursing workforce conducted on behalf of the Australian and New Zealand College of Mental Health Nurses (ANZCMHN) for the Australian Health Ministers Advisory Council (AHMAC) National Working Group on Mental Health (NWGMH). Its purpose is to focus on overlooked issues in planning the mental health nursing workforce. Whereas it is acknowledged that there are problems in the supply of mental health nurses, it is argued that equal attention needs to be given to addressing the working conditions and rewards of mental health nurses.
Australia↗
Architecture signifying social control: the restoration of asylumdom in mental health care?
Prior to the era of community care, the asylum has been an architectural manifestation of the power of psychiatry and the State. Asylumdom was a period in which custodial warehouses were used by the State to store sections of the population considered to be 'unreasonable'. There are signs, however, of a re-birth of asylumdom in both the UK and Australia. For example, there is a projected growth in the number of 'secure units' in the community, and a growing concern with issues of security and risk management in mental health care. Furthermore, new technologies for containment and surveillance are being installed in acute inpatient psychiatric units. Once again the asylum will symbolize emphatically the authority of the State (and its agencies of social control), and re-emphasize the exclusion of 'unreason' from the 'reasonable' society.
Architecture↗
Scoping practice issues in the Australian mental health nursing workforce.
This is the third of four articles on the scoping study of the Australian mental health nursing workforce conducted on behalf of the Australian and New Zealand College of Mental Health Nurses (ANZCMHN) for the Australian Health Ministers Advisory Council (AHMAC) National Working Group on Mental Health (NWGMH). Its purpose is to focus on factors that significantly affect mental health nursing practice. The issues of advanced practice, regulation of nursing, accreditation, credentialing and demarcation with other disciplines are addressed.
Australia↗
Scoping the prospects of Australian mental health nursing.
In March 2000 the Australian & New Zealand College of Mental Health Nurses submitted the final report on the National Scoping Study of Mental Health Nursing in Australia to the Mental Health Branch of the Department of Health and Aged Care. In this final article, in a series of four, the authors present an overview of the future prospects of mental health nursing in Australia.
Attitude of Health Personnel↗
Psychiatric personnel, risk management and the new institutionalism.
This article reports the findings of a series of ethnographic research interviews conducted with psychiatric personnel in one region of Tasmania between 1995 and 1997. These interviews formed part of a more wide-ranging project examining changes in the regulatory practices of psychiatric personnel in the light of the professional, media and policy discourses that inform them, especially in relation to the impact of social justice reforms spelt out in recent Australian mental health policy. In discussing the nature of psychiatric work the personnel interviewed returned repeatedly to the themes of safety and risk management. The study presents an analysis of discourses deployed around these themes and argues that concerns over safety and risk are central to the emergence of a new institutionalism in acute in-patient psychiatric services.
Anthropology, Cultural↗
Best practice and questions of security.
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Benchmarking↗
Reporting mental health: a discourse analysis of mental health-related news in two Australian newspapers.
This article reports the findings of an analysis of mental health-related news items in two Australian newspapers-one with a national readership, the other being more regionally orientated-over 1 year. The study employs both descriptive and interpretative methods in analyzing how messages about mental health and illness, mental health policy, psychiatry, mental health nursing and other mental health-related topics, are constructed and conveyed in the print media. Which stories are carried both nationally and regionally? How are these framed? Which points of view get canvassed? Which social and political interests are ignored or under-represented?
Attitude to Health↗
Mental health: deinstitutionalization and the problem of citizenship.
This article considers how the issue of citizenship rights for people with serious mental problems and disorders has been constructed in recent Australian mental health policy discourse. In the first section of the paper a form of discourse analysis is employed to analyse the preferred meanings and representations that this discourse assigns to the issue of citizenship and human rights for people with serious mental health problems and disorders. The second section of the paper compares this official discourse on citizenship and mental health to other variants such as those found in medical-psychiatric discourse and in the discourse of the mental health movement(s). The paper concludes with comments regarding current prospects for extending citizenship rights to people who use mental health services.
Australia↗
Assessing comprehensive nursing performance: the Objective Structural Clinical Assessment (OSCA). Part 1--Development of the assessment strategy.
Nursing courses in Australia are preparing graduates for comprehensive practice within Universities. The evaluation of safe and effective comprehensive nursing performance requires the consideration of a much broader range of practice competencies than has previously been the case. In particular there is a need to explore integrated assessment approaches that closely resemble the realities of the health care setting. Part 1 of this paper provides an overview of the Objective Structured Clinical Assessment (OSCA) which it is suggested is an effective way of assessing student comprehensive nursing performance. Some theoretical considerations in OSCA development are discussed and then an outline of the processes involved in designing and implementing an OSCA provided. Part 2 describes an evaluation project supported by the NSW Nurses' Registration Board. The aim of the study was to determine the validity and reliability of the use of the OSCA as an integrated assessment tool as a measurement of the extent to which a student nurse can plan and deliver safe and effective comprehensive nursing care.
Australia↗
Assessing comprehensive nursing performance: the objective structured clinical assessment (OSCA). Part 2--Report of the evaluation project.
Part 1 of this paper described the development of an assessment strategy used to measure the clinical performance of student nurses undertaking preparation for practice within the tertiary education sector. The challenge of developing an appropriate technique in assessment to accommodate a comprehensive nursing register was described. Features of the design and implementation were also provided. Part 2 describes an evaluation project developed by the staff and supported by a research grant from the New South Wales (NSW) Nurses Registration Board. The aim of the study was to determine the validity and reliability of the Objective Structured Clinical Assessment (OSCA) technique. The research design incorporated the use of triangulated data: student questionnaires, judgments made by a panel of experts and an analysis of the statistical correlation between the students' results in the OSCA and results in other areas of assessment.
Clinical Competence↗