Association have influence in establishing guidelines

This preview shows page 30 - 32 out of 41 pages.

Association have influence in establishing guidelines and standards of practice when the role of the mental health nurse may need to be redefined. The association asserts that physical activity and a healthy diet are the two primary interventions which mental health nurses can help teach the SMI in the community mental health clinics. However, the lack of current knowledge is a significant barrier to mental health nurses providing quality, holistic care to the SMI (Verhaeghe et al., 2013).Druss, Von Esenwein, Compton, Zhao, & Leslie (2011) conducted a two-year follow-up chart review study after 407 SMI participants were randomized into care-as-usual versus intervention of intensive care via a registered nurse acting as the medical care manager. The participants in the intervention group demonstrated improved quality of diabetic and cardiovascular care and preventative screening and improvements in quality of life scales. The health improvement conclusions of this study indicate that a well-trained mental health nurse, providing intensive diabetic screening, monitoring and education at community mental health clinics can save money ($932 per client beginning in the second year) from a health systems perspective. Regrettably, from a managerial cost perspective, the program was not financially sustainable. Budgetary concerns is an important piece to discuss regarding the role of administration in health care of the SMI and the discussions of valuing health, providing good care and deciding how much profit is necessary to justify providing the care (Druss et al., 2011). If administration and the financing bodies which govern health care reimbursement are always looking for a profit making 25
BARRIERS TO DIABETIC EDUCATIONdesign, they may not only be disappointment, but they may not fully understand the finer nuances of whatit means to live with SMI, nor might they understand the true meaning of provision of health care. Employing extra personnel may cost more in the short term, but this expense may be offset by the longer term financial savings in preventing co-morbid disease states such as diabetes in the SMI population (Ohlsen, Peacock, & Smith, 2005).Tranter, Irvine, and Collins (2012) conducted a review of the literature of assessment tools useful for the mental health nurse in promoting diabetes and physical health screening and education, including the Health Improvement Profile and the Physical Health Check. The authors noted that “policy makers may be justified in championing physical health assessment and surveillance as a central tenet of service provision” (p. 1211). In other words, clinic leaders in administration must insist and expect systematically structured physical screening and assessment tools to be the backbone of accepted best practice guidelines. The championing of these structured tools must be embraced at the clinic, state, national and institutional levels of healthcare (Tranter, Irvine, &Collins, 2012).

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture