Factors influencing clinical decision making used by mental health nurses to provide provisional diagnosis: A scoping review

Loading...
Thumbnail Image
File version

Accepted Manuscript (AM)

Author(s)
Campbell, K
Massey, D
Broadbent, M
Clarke, KA
Griffith University Author(s)
Primary Supervisor
Other Supervisors
Editor(s)
Date
2019
Size
File type(s)
Location
License
Abstract

Medical 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.

Journal Title

International Journal of Mental Health Nursing

Conference Title
Book Title
Edition
Volume

28

Issue

2

Thesis Type
Degree Program
School
Publisher link
Patent number
Funder(s)
Grant identifier(s)
Rights Statement
Rights Statement

© 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)

Item Access Status
Note
Access the data
Related item(s)
Subject

Nursing

Health services and systems

Public health

Psychology

Persistent link to this record
Citation
Collections