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      Master’s level mental health nursing competencies, a prerequisite for equal health among service users in mental health care

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          ABSTRACT

          Purpose: This discussion paper aims to explore the need of a clarified definition of master’s level mental health nursing competencies in terms of knowledge, skills and attitudes in a European context. Mental health service users have, in spite of their right to equal overall health, higher rates of physical illness and are more likely to experience premature death than the general population. Implementation of a holistic concept of health comprising mental, physical and social aspects of health in mental health services has previously proved to be challenging. Methods: Master’s level mental health nursing competencies in recent literature are discussed and illuminated in terms of knowledge, skills and attitudes in order to enable the promotion of equal overall health among service users in mental health services. Results: The discussion show contents, values and utility of master’s level mental health nursing competencies in mental health services and contribute to reduced role ambiguity by distinguishing master’s level responsibilities from undergraduate nursing tasks and obligations of other professionals in mental health care. Conclusion: This discussion paper shapes implications for developments in master’s level mental health nursing education curricula.

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          Most cited references56

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          Physical illness and schizophrenia: a review of the literature.

          The lifespan of people with schizophrenia is shortened compared to the general population. We reviewed the literature on comorbid physical diseases in schizophrenia to provide a basis for initiatives to fight this unacceptable situation. We searched MEDLINE (1966 - May 2006) combining the MeSH term of schizophrenia with the 23 MeSH terms of general physical disease categories to identify relevant epidemiological studies. A total of 44 202 abstracts were screened. People with schizophrenia have higher prevalences of HIV infection and hepatitis, osteoporosis, altered pain sensitivity, sexual dysfunction, obstetric complications, cardiovascular diseases, overweight, diabetes, dental problems, and polydipsia than the general population. Rheumatoid arthritis and cancer may occur less frequently than in the general population. Eighty-six per cent of the studies came from industrialized countries limiting the generalizability of the findings. The increased frequency of physical diseases in schizophrenia might be on account of factors related to schizophrenia and its treatment, but undoubtedly also results from the unsatisfactory organization of health services, from the attitudes of medical doctors, and the social stigma ascribed to the schizophrenic patients.
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            Patient empowerment: reflections on the challenge of fostering the adoption of a new paradigm.

            Diabetes is a self-managed illness in which the decisions most affecting the health and well being of patients are made by the patients themselves. Many of these decisions involve routine activities of daily living (e.g., nutrition, physical activity). Effective diabetes care requires patients and health care professionals to collaborate in the development of self-management plans that integrate the clinical expertise of health care professionals with the concerns, priorities and resources of the patient. Collaborative diabetes care requires a new "empowerment" paradigm that involves a fundamental redefinition of roles and relationships of health care professionals and patients. The challenges of fostering the adoption of a new paradigm differ substantially from those associated with the introduction of new technology. Those challenges are discussed in this paper.
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              Serious mental illness and physical health problems: a discussion paper.

              People with serious mental illness have higher morbidity and mortality rates of chronic diseases than the general population. This discussion paper explores the complex reasons for these disparities in health, such as limitations of health services, the effects of having a serious mental illness, health behaviours and the effects of psychotropic medication. Physical health can be enhanced by improved monitoring and lifestyle interventions initiated at the start of treatment. There are opportunities for mental health nurses to play a significant role in improving both the physical and mental health of people with serious mental illness.
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                Author and article information

                Journal
                Int J Qual Stud Health Well-being
                Int J Qual Stud Health Well-being
                ZQHW
                zqhw20
                International Journal of Qualitative Studies on Health and Well-being
                Taylor & Francis
                1748-2623
                1748-2631
                2018
                01 August 2018
                : 13
                : Suppl 1 , Equal Health
                : 1502013
                Affiliations
                [a ] School of Health and Wellfare, Halmstad University , Halmstad, Sweden
                [b ] School of Nursing and Midwifery, Trinity College Dublin , Dublin, Ireland
                [c ] Health and Well-being, Turku University of Applied Science , Turku, Finland
                [d ] School of Health Sciences, Faculty of Medicine & Health Sciences, University of Nottingham , Nottingham, UK
                [e ] Advanced Nursing Practice, University of Applied Sciences HU , Utrecht, The Netherlands
                [f ] Tampere University of Applied Sciences , Tampere, Finland
                Author notes
                CONTACT Henrika Jormfeldt henrika.jormfeldt@ 123456hh.se School of Health and Welfare, Halmstad University , Box 823, SE 301 18Halmstad, Sweden
                Author information
                http://orcid.org/0000-0001-9753-0988
                http://orcid.org/0000-0002-0153-8326
                http://orcid.org/0000-0002-3403-5418
                http://orcid.org/0000-0001-7838-6802
                Article
                1502013
                10.1080/17482631.2018.1502013
                6084491
                30067476
                41bea395-f257-4a5b-9e19-f50f9f96a1df
                © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 11 July 2018
                Page count
                References: 65, Pages: 10
                Funding
                Funded by: European Commission 10.13039/501100000780
                Award ID: European Commission (2013-3403)/Life-long learning programme].
                This work was supported by the European Commission [European Commission (2013-3403)/Life-long learning programme].
                Categories
                Article for Thematic Cluster

                Health & Social care
                holistic health,“master’s level mental health nursing competencies”,mental health care,physical health

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