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RESEARCH PROJECT ROLE OF NURSES IN MANAGING MENTAL HEALTH PROBLEMS OF OLDER PATIENTS IN NHS UK
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Added on 2019-12-03
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RESEARCH PROJECT ROLE OF NURSES IN MANAGING MENTAL HEALTH PROBLEMS OF OLDER PATIENTS IN NHS UK TABLE OF CONTENTS CHAPTER 1 - INTRODUCTION AND BACKGROUND 4 Task 1 formulating research specification4 CHAPTER 2- DETAILED LITERATURE REVIEW6 CHAPTER 3 - METHODOLOGY8 Task 2 implementing research project 9 CHAPTER 4- RESULTS OF RESEARCH 21 Task 3 evaluating research outcomes21 CHAPTER 5- CONCLUSION AND RECOMMENDATIONS 27 Task 4 presenting the research outcomes 29
RESEARCH PROJECT ROLE OF NURSES IN MANAGING MENTAL HEALTH PROBLEMS OF OLDER PATIENTS IN NHS UK
Added on 2019-12-03
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RESEARCH PROJECTROLE OF NURSES IN MANAGING MENTALHEALTH PROBLEMS OF OLDER PATIENTS INNHS UK
TABLE OF CONTENTSCHAPTER 1 - INTRODUCTION AND BACKGROUND............................................................4Task 1 formulating research specification...................................................................................4CHAPTER 2- DETAILED LITERATURE REVIEW....................................................................6CHAPTER 3 - METHODOLOGY..................................................................................................8Task 2 implementing research project.........................................................................................9CHAPTER 4- RESULTS OF RESEARCH..................................................................................21Task 3 evaluating research outcomes........................................................................................21CHAPTER 5- CONCLUSION AND RECOMMENDATIONS...................................................27Task 4 presenting the research outcomes..................................................................................29CHAPTER 6- REVIEW OF METHODOLOGY..........................................................................29CHAPTER 7- PERSONAL REFLECTIONS...............................................................................31CONCLUSION..............................................................................................................................32REFERENCES..............................................................................................................................33
EXECUTIVE SUMMARYCaring treatment and quality services lies at the heart of the nurse’s role and functions. Itplays significant role in assessing the goals and objectives that were formulated for the sake ofpatients and service users. The current research report is about the role of nurses in managingmental health problems of older patients in NHS. The importance of their role has been assessedwith respect to their roles, duties, responsibilities and challenges that come through their way inorder to achieve the organizational outcome. The whole research report focuses on nurses whoare providing their care and services at NHS, UK. The topic has been chosen by researcher because role of nurses in managing the mentalhealth of old age people is very crucial in their recovery and quick care. But, still effectiveoutcomes of the role of nurses with respect to increasing mental patients who are older in age arenot discovered yet by other researcher. Along with this research also identifies differentchallenges that are attained by nurses as a part of their role in health care units. For attaining all these objectives researcher has followed a specific and appropriateresearch methodology. In which study has used exploratory research has been used. Forobtaining useful information research has followed effective primary and secondary datacollection method. Literature view of various historical studies provided a clear insight relevantto the subject. In order to attain whole objectives researcher has exercised probability samplingmethod for selecting sample from NHS. Along with this study has focused on qualitativeresearch techniques for analysing collected information.
CHAPTER 1 - INTRODUCTION AND BACKGROUNDCare of elderly people has been considered as the best when concern and treatment areprovided at their own homes. Ageing has been identified as the sure aspect which leads todevelop various problems with it. It is same with the elderly people who encountered healthstatus which demand intensive management. From the time patient is admitted to the hospital, tillthe subsequent discharge always remains a challenge. In that case, delivering package of qualitycare and treatment always remain a critical aspect (Anstey, 2008). Therefore, nurses playssignificant role that plays their part and parcel in looking after patients and work on deliveringthem quick care and treatment for soon recovery. In this regard, mental health problem has alsobeen encountered. It develops from number of various health issues which are majorly affectingthe health conditions of elderly people (Valente, 2005). In similar regards, there is need to findout the various roles and responsibilities of nurses in managing mental health problems of elderlypeople. The report has been prepared with the intention to assess the roles that are part of nursingcare and treatment. The given research study is on understanding the role of nurses in managingmental health problems of older patients in NHS UK. Research Project has been covered in foursections. First section covers the Proposal which depict the outline of research to be undertaken.Second section is prepared by formulating research specification and using agreed procedures.Evaluation of research is made in section three. Lastly, section four consists of outcome of wholestudy undertaken. Task 1 formulating research specificationa) Identify and clarity the factors that will help you to choose an appropriate project topicThere is a presence of many factors that is likely to help in choosing any given researchtopic. The choice is dependent on how widespread is the issue which would be studied byresearcher. The widespread nature of any topic aids the researcher in choosing the topic area.The presence of sufficient literature studies done on a particular topic may also help theresearcher in making the choice (5 Important Factors to Consider When Choosing YourDissertation Research Topics, 2015). In the same manner, the interest of researcher also plays akey role towards topic selection. Having prior knowledge on the topic may assist the researchertowards providing for a quality work. In this respect, the topic that has been selected for thepresent study is on understanding the role of nurses in managing mental health problems of older
patients in NHS UK.Suitability of the topic: The selection of the topic is required to consider the factor knownas suitability. The selection of proper subject is essential to make the study suitable in theeye of readers. For the current study, the researchers must take in account the proper useof selection of factors that are actually valid for selecting topic. The rationale behindtaking this factor to show the effectiveness of selected topic has been justifiedInteresting subject: The topic should be interesting which makes the study appropriate. According to the current research study, the efforts are infused to investigate the understanding of the role of nurses in managing mental health problems of older patients in NHS UK.Element for apt literature review: This is another element which proves useful in selection of research project. Adequate literature was available on the subject matter concerning the current topic of understanding the role of nurses in managing mental health problems of older patients in NHS UK.b) Purpose for your researchThe purpose behind choosing the topic is that around a fifth of population that is presentin UK is over the age of 60 years. In this regard the old people tend to suffer from mental healthissues that are normal part of ageing (Mental health problems with the elderly, 2015). Thestudies have further found that the majority of elderly do not have mental illness but a minorityof them suffers from the problem (Mental Health Statistics: Older People, 2014). The elderlymay suffer from dementia, experience emotional and psychological stress, loneliness as well asisolation or loss of a loved one (Depression in Older Adults and the Elderly, 2015). The problemis that these issues are never incorporated in the medical or health care system. The purpose ofthe study is thus to understand the role of nurses in managing mental health problems of olderpatients in NHS UK. It is only when there has been an identification of proper role to be playedby nursing staff then proper job related documents are can be given by the nursing staff presentin NHS UK. Aims To understand the role of nurses in managing mental health problems of older patients in NHSUKObjectives
To assess the mental health issues suffered by older patients in NHS UK.To assess the importance of nurses in managing mental health problems of older patientsin NHS UK.To recommend strategies that can be taken by nurses for managing mental healthproblems of older patients.CHAPTER 2- DETAILED LITERATURE REVIEWc) Preliminary literature review which should include a critique of the key sources identifiedA study carried out by Hert and et.al, (2009) on old people with severe mental illnessposition concluded that patients suffering from schizophrenia, depression or bipolar disorder,have other issues in form of worse physical health and reduced life expectancy. Hence, the needis to make sure that the nurses have a key role to play in this respect. The study recommendedinitiating cooperation and carrying out a shared care by diverse healthcare professionals. Thiswill not only increase the awareness of doctors, nurses and patients about varied mental issuesbut also aid the nurses in providing proper care (Hert and et.al, 2009).A research conducted by a Brown and et.al., (2003) on older patients suffering fromdepression concluded that home care nurses face difficulty in assessing symptoms of depressionin elderly patients admitted in care homes. The research was carried out with an aim toinvestigate the ability of health care nurses to correctly identify the presence of depressivesymptoms among old people. It has been found in the research that nurses play very critical rolein treating elderly patients with major and minor depression issues. The inability of home healthnurses to correctly identify the psychiatric disorders act as a potential barrier in treating oldpatients. Thus the study recommends that employing nurses with skills and geriatric experiencecan accurately diagnose symptoms of depression mental disorders in old home care patients(Brown and et.al. 2003).The research paper done by Gask and et.al., (2012), features a conceptual care model forimproving access to mental health care patients in United Kingdom. The paper outlined theimportance of quality of care services for healthcare agencies like NHS to effectively treatpatients suffering from depression and other mental disorders. It also highlights the issues oflimited care access to patients as well as efficacy of improved interventions in healthcare models.Both the factors are critical in treating patients who suffer from severe mental disorders. Poor
interaction with health professionals such as nurses and limited access to care services act asbarriers in treating older patients. The paper also recommends improvements of care services toeffectively treat patients who are diagnosed with mental health problems (Gask and et.al., 2012).The study carried out by Katon and et. al., (2001), features the development of evidencebased healthcare approach for serving patients with chronic and mental illness. It describes theimportance of care principles that are vital for improving the care services given by theorganized health care organizations. It recommends the reorganization of roles of careprofessionals such as specialists, physicians and nurses in order to provide improved healthcareservices to patients suffering from chronic diseases such as depression, diabetes, asthma andmajor mental disorders (Katon and et. al., 2001). The study conducted by Cody, Beck and Svarstad, (2002), highlights that nursing homesneed to apply non pharmacologic interventions while treating problem behavior of care patients.The article features different internal and external factors that act as barriers to the use ofnonpharmalogical interventions. It highlights the most common cause of mental disorders inhospitalized elderly people is dementia. The article concludes that there should be effectivecommunication between physicians, nurses’ directors and monitors in order to fulfill the unmetneeds of patients seeking treatment at hospitals and nursing homes. According to the authors, theinternal and external barriers need to be overcome in order to prevent mental disorders in elderlypatients (Cody, Beck and Svarstad, 2002).According to a research article by Glover and et.al., (2014), older people with mentalconditions like dementia, delirium and depression are often hospitalized which can further causedistress and complicate their health problems. General hospitals do not to treat the old peoplewith psychiatric disorders as they fail to assess their mental health needs effectively. Theresearch concluded that hospitalized mental patients have several health care needs which needto be addressed effectively. In order to meet the mental health needs of old patients the careorganizations should restructure the medical, diagnostic and nursing facilities. The study alsoevaluated the role of nurses in assessing the care needs of old people by delivering themcomprehensive geriatric assessment. The study carried out by Cole, (2005), features that 50 percent of elderly patients who arehospitalized suffer from Delirium. It is a mental disorder that is characterized by memoryimpairment, disturbances in consciousness and rapid changes in behavior. Old patients who
suffer from delirium develop dementia at the later stage of life if not treated well. The severity ofthe condition increases with prolonged hospital stay and many other factors. The study analysesthe role of nurses in correctly screening the symptoms of delirium in the affected patient. Thestudy recommends the systematic detection of the condition at an early stage that can bebeneficial for the old patients in initiating the treatment (Cole, 2005). CHAPTER 3 - METHODOLOGYd) Chosen methodology with justification Research design: Exploratory research design has been chosen for the study as there is adearth of literature on this topic. Moreover, the issue is yet to be explored by theresearchers in terms of understanding the role of nurses with respect to handing olderpatients suffering from mental problems (Kelly and Lesh, 2012). Secondary data collection: The data collection will be done by secondary literature. Here,newspaper articles, online reference, books as well as journal articles on role of nurses inmanaging mental health problems of older patients will be referred. The choice isjustified as secondary collection will assist in judging the importance of nurses as well asvaried kinds of mental problems faced by older patients. Primary data collection: Survey session will be carried out on senior management whowork with elder patients in NHS. Week, in this regard, open and close ended question setwill be sent to them. Questions will be asked with respect mental health problems facedby older patients as well as what role nurses can play in older patient management withrespect to mental health issues. The selection has been justified so as to assist inanalyzing the views of senior management with respect to nurse role in treating olderpatients suffering from mental issues. Sample technique will be convenience sampling soas to ensure towards convenient accessibility and proximity to the researcher.Data analysis: Thematic analysis will be used for the study where there would beidentification of themes (Pittenger, 2003). The selected technique has been justified dueto secondary nature of study topic. e) Develop an action plan Activity1stweek2ndWeek3rdWeek4thWeek5thWeek6thWeek7thWeek8thWeek9thWeek10thWeek11thWeek12thWeek
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