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dc.contributor.authorEhrlich, Carolyn
dc.contributor.authorKendall, Elizabeth
dc.contributor.authorFrey, Nicolette
dc.contributor.authorKisely, Steve
dc.contributor.authorCrowe, Elizabeth
dc.contributor.authorCrompton, David
dc.date.accessioned2017-08-11T12:30:38Z
dc.date.available2017-08-11T12:30:38Z
dc.date.issued2014
dc.date.modified2014-06-12T23:43:25Z
dc.identifier.issn1445-8330
dc.identifier.doi10.1111/inm.12050
dc.identifier.urihttp://hdl.handle.net/10072/60138
dc.description.abstractThere is compelling evidence that the physical health of people with severe mental illness is poor. Health-promotion guidelines have been recommended as a mechanism for improving the physical health of this population. However, there are significant barriers to the adoption of evidence-based guidelines in practice. The purpose of this research was to apply existing implementation theories to examine the capability of the health system to integrate physical health promotion into mental health service delivery. Data were collected within a regional city in Queensland, Australia. Fifty participants were interviewed. The core theme that emerged from the data was that of 'care boundaries' that influenced the likelihood of guidelines being implemented. Boundaries existed around the illness, care provision processes, sectors, the health-care system, and society. These multilevel boundaries, combined with participants' ways of responding to them, impacted on capability (i.e. the ability to integrate physical health promotion into existing practices). Participants who were able to identify strategies to mediate these boundaries were better positioned to engage with physical health-promotion practice. Thus, the implementation of evidence-based guidelines depended heavily on the capability of the workforce to develop and adopt boundary-mediating strategies.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley-Blackwell Publishing
dc.publisher.placeAustralia
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom243
dc.relation.ispartofpageto251
dc.relation.ispartofissue3
dc.relation.ispartofjournalInternational Journal of Mental Health Nursing
dc.relation.ispartofvolume23
dc.rights.retentionY
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchSpecialist studies in education
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode3904
dc.subject.fieldofresearchcode4203
dc.titleImproving the physical health of people with severe mental illness: Boundaries of care provision
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorKendall, Elizabeth
gro.griffith.authorCrompton, David R.


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