Dilemmas in delivering health promotion activities: findings from a qualitative study of mental health nurses in Denmark

Objective Recent studies have shown that people with mental illnesses have higher mortality and morbidity rates due to long-term conditions and lifestyle diseases. This knowledge has led to health promotion initiatives in mental health care to improve the physical health of people with mental illnes...

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Autores principales:	Anne Møller, Jane Ege Møller, Loni Ledderer
Formato:	article
Lenguaje:	EN
Publicado:	BMJ Publishing Group 2020
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/fd8c5f05531e4905bf4de8bc54225ca6
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spelling	oai:doaj.org-article:fd8c5f05531e4905bf4de8bc54225ca62021-11-19T08:30:06ZDilemmas in delivering health promotion activities: findings from a qualitative study of mental health nurses in Denmark10.1136/bmjopen-2019-0364032044-6055https://doaj.org/article/fd8c5f05531e4905bf4de8bc54225ca62020-12-01T00:00:00Zhttps://bmjopen.bmj.com/content/10/12/e036403.fullhttps://doaj.org/toc/2044-6055Objective Recent studies have shown that people with mental illnesses have higher mortality and morbidity rates due to long-term conditions and lifestyle diseases. This knowledge has led to health promotion initiatives in mental health care to improve the physical health of people with mental illness. This article explores how mental health nurses experience working with health promotion activities in mental healthcare practices.Design We adopted a qualitative research design using an interactive approach. Qualitative content analysis was used to develop the analytical framework.Participants Focus groups (n=7; n=5) were conducted with two groups of mental health nurses who attended health specialist training sessions in Denmark in the spring and fall of 2018.Results The findings showed that working with health promotion activities in mental health care created two dilemmas for the mental health nurses: (1) dilemmas related to health promotion that involved discrepancies between the health promotion activities that were offered and patients’ autonomy and wishes, and (2) system-related dilemmas stemming from working with screening for risk factors and documentation programmes. The mental health nurses developed different strategies to navigate these dilemmas, such as devising interview techniques for the screening questions and bending guidelines.Conclusions Mental health nurses found it challenging to implement health promotion activities in mental health care, although they generally found these activities meaningful. The findings show that new health promotion activities need to be adapted to nurses’ existing mental healthcare practices; however, this may require some adaptation of existing nursing practices.Anne MøllerJane Ege MøllerLoni LeddererBMJ Publishing GrouparticleMedicineRENBMJ Open, Vol 10, Iss 12 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Anne Møller Jane Ege Møller Loni Ledderer Dilemmas in delivering health promotion activities: findings from a qualitative study of mental health nurses in Denmark
description	Objective Recent studies have shown that people with mental illnesses have higher mortality and morbidity rates due to long-term conditions and lifestyle diseases. This knowledge has led to health promotion initiatives in mental health care to improve the physical health of people with mental illness. This article explores how mental health nurses experience working with health promotion activities in mental healthcare practices.Design We adopted a qualitative research design using an interactive approach. Qualitative content analysis was used to develop the analytical framework.Participants Focus groups (n=7; n=5) were conducted with two groups of mental health nurses who attended health specialist training sessions in Denmark in the spring and fall of 2018.Results The findings showed that working with health promotion activities in mental health care created two dilemmas for the mental health nurses: (1) dilemmas related to health promotion that involved discrepancies between the health promotion activities that were offered and patients’ autonomy and wishes, and (2) system-related dilemmas stemming from working with screening for risk factors and documentation programmes. The mental health nurses developed different strategies to navigate these dilemmas, such as devising interview techniques for the screening questions and bending guidelines.Conclusions Mental health nurses found it challenging to implement health promotion activities in mental health care, although they generally found these activities meaningful. The findings show that new health promotion activities need to be adapted to nurses’ existing mental healthcare practices; however, this may require some adaptation of existing nursing practices.
format	article
author	Anne Møller Jane Ege Møller Loni Ledderer
author_facet	Anne Møller Jane Ege Møller Loni Ledderer
author_sort	Anne Møller
title	Dilemmas in delivering health promotion activities: findings from a qualitative study of mental health nurses in Denmark
title_short	Dilemmas in delivering health promotion activities: findings from a qualitative study of mental health nurses in Denmark
title_full	Dilemmas in delivering health promotion activities: findings from a qualitative study of mental health nurses in Denmark
title_fullStr	Dilemmas in delivering health promotion activities: findings from a qualitative study of mental health nurses in Denmark
title_full_unstemmed	Dilemmas in delivering health promotion activities: findings from a qualitative study of mental health nurses in Denmark
title_sort	dilemmas in delivering health promotion activities: findings from a qualitative study of mental health nurses in denmark
publisher	BMJ Publishing Group
publishDate	2020
url	https://doaj.org/article/fd8c5f05531e4905bf4de8bc54225ca6
work_keys_str_mv	AT annemøller dilemmasindeliveringhealthpromotionactivitiesfindingsfromaqualitativestudyofmentalhealthnursesindenmark AT janeegemøller dilemmasindeliveringhealthpromotionactivitiesfindingsfromaqualitativestudyofmentalhealthnursesindenmark AT loniledderer dilemmasindeliveringhealthpromotionactivitiesfindingsfromaqualitativestudyofmentalhealthnursesindenmark
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Dilemmas in delivering health promotion activities: findings from a qualitative study of mental health nurses in Denmark

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