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dc.contributor.authorCampbell, K
dc.contributor.authorMassey, D
dc.contributor.authorBroadbent, M
dc.contributor.authorClarke, KA
dc.date.accessioned2019-07-02T05:36:15Z
dc.date.available2019-07-02T05:36:15Z
dc.date.issued2019
dc.identifier.issn1445-8330
dc.identifier.doi10.1111/inm.12553
dc.identifier.urihttp://hdl.handle.net/10072/386024
dc.description.abstractMedical diagnosis has traditionally been the role of medical officers. However, mental health nurses working in crisis/emergency settings within Australia are expected to provide a provisional diagnosis postassessment of a consumer. There is limited literature and understanding how mental health nurses develop a provisional diagnosis. In this scoping review, we aimed to first identify and describe the clinical decision-making processes used by mental health nurses across a variety of clinical settings. Second, we sought to explore the factors influencing mental health nurse's diagnostic practice in a variety of settings. Literature was searched using CINAHL (EBSCOhost), PubMed, and ProQuest. Peer-reviewed literature published between 2007 and 2017 was used for this scoping review. Two major themes were identified: clinical decision making (CDM) in mental health nursing and diagnostic practice in nursing. A combination of clinician, environmental, and patient factors were found to have influenced CDM. Furthermore, mental health nurses rely heavily on tacit knowledge when making clinical decisions. Little is known about the use of diagnostic practice in mental health nursing in Australia; however, the limited literature revealed an overlap between the factors which influence CDM and diagnostic practice, respectively. Further research is needed into the use of diagnostic practice in mental health nursing to develop frameworks to assist with CDM pertaining to application of provisional diagnosis by mental health nurses working in assessment environments.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWILEY
dc.relation.ispartofpagefrom407
dc.relation.ispartofpageto424
dc.relation.ispartofissue2
dc.relation.ispartofjournalInternational Journal of Mental Health Nursing
dc.relation.ispartofvolume28
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.fieldofresearchcode52
dc.titleFactors influencing clinical decision making used by mental health nurses to provide provisional diagnosis: A scoping review
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dc.description.versionAccepted Manuscript (AM)
gro.rights.copyright© 2019 Australian College of Mental Health Nurses Inc. This is the peer reviewed version of the following article: Factors influencing clinical decision making used by mental health nurses to provide provisional diagnosis: A scoping review, International Journal of Mental Health Nursing, Volume 28, Issue 2, which has been published in final form at https://doi.org/10.1111/inm.12553. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
gro.hasfulltextFull Text
gro.griffith.authorMassey, Debbie L.


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