Author:
Alhamidi Sami Abdullrahman,Alyousef Seham Mansour
Abstract
Purpose
This paper aims to explore the value that care from a primary mental health care nurse (PMHCN) can bring to people with mental health (MH) problems in health-care delivery.
Design/methodology/approach
This study used a focus group of 20 PMHCNs working in primary care (PC) health settings in Saudi Arabia before using thematic content analysis to describe and explore their views and experiences of the integration of MH care into PC units. The researchers used a semi-structured interview format, which began with open-ended probes and proceeded to use of theoretical sampling based on emerging data related to their experiences and perceptions in the integration process.
Findings
Four main themes were derived from the thematic analysis of interviews: collaboration, knowledge and experience, awareness and orientation care and influential role.
Research limitations/implications
This study’s use of qualitative research methods has certain limitations, including the small sample size of 20 participants, which means that it may not be representative of all primary MH nurses in primary health-care centers in Saudi Arabia. To make the results applicable to a broader audience, the researcher sought to moderate this limitation by including participants with extensive experience in multiple settings and nurses of different ages.
Practical implications
The cost implications of the PMHCN service are not yet comprehensively understood, but it is apparent that this model is not only regarded extremely positively by MH practitioners but may also have significant benefits in terms of patient outcomes. The configuration of local services and relevant patient demographics will affect the extent to which this study’s findings are transferable. Meanwhile, further research in this area could seek to provide further evidence about the aspects of the PMHCN service model, such as secondary care referrals and waiting times, accident and emergency attendances and patient recovery rates and the impact of providing such a service on health-care practitioners as well as its cost-effectiveness.
Originality/value
This study’s findings suggest that PMHCNs believe that their care improves the quality of PC for patients in PC settings. Elements of the PC placement that professionals particularly valued include their ability to assist patients in their own community and the inclusion of volunteer stakeholders who act as preceptors. The participants expressed a need for improvement of policy related to referrals within the clinics.
Subject
Health (social science),Pshychiatric Mental Health,Psychiatry and Mental health
Reference55 articles.
1. Does mhGAP training of primary health care providers improve the identification of child-and adolescent mental, neurological or substance use disorders? Results from a randomized controlled trial in Uganda;Global Mental Health,2018
2. Mental health and stigma in Saudi Arabia: a scoping review;Mental Health Review Journal,2021
3. The experience of being a psychiatric nurse in South Africa: a qualitative systematic review;Nursing Outlook,2018
4. Al-Habeeb, A., Helmi, H. and Qureshi, N. (2016), “Mental and social health atlas: an update, ministry of health, Saudi Arabia”, 2015, doi: 10.9734/INDJ/2016/23002.
5. A primary mental health programme in eastern province, Saudi Arabia;Mental Health in Family Medicine,2013