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Cited by 10Nursing Roles and PracticesPsychiatric care and mental health servicesMental Health Treatment and Access

Advanced practice nurses led clinic in a psychiatric hospital: An outcome evaluation in Singapore

Xu, Changqing, Xie, Huiting, Zhou, Zhenyu, Govindasamy, Arumugum, Mao, Rui, Chan, Yiong Huak·2020·Archives of Psychiatric Nursing
DOI 10.1016/j.apnu.2020.03.003
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Abstract

Background Ageing population and rising patients' expectations, coupled with the shortage of physicians and the increasing pressure to contain health care costs, have resulted in rapid growth of advanced practice nurses (APNs), and the gradual shift of care from physicians to them. Though it was reported that APNs can provide safe, effective and quality care for patients, the evidence in mental health is lacking both locally and internationally. Objectives This study evaluated the effectiveness of mental health APN-led clinic through examining the participants' clinical outcomes, satisfaction and perceived recovery. Methods Pre-post test study design was used, whereby 100 participants were surveyed by questionnaires, in addition to retrospective review of participants' medical records. Comparison was made from data obtained two years prior to and two years after participant's first consultation with APNs. Results Participants had their psychiatric symptoms well-controlled (M = 24.71, SD = 1.18). There was no significant difference in readmissions (p = 0.320) and the emergency room visits (p = 0.320) over two years before and two years after participants' first consultation with APNs. However, there was a significant difference in default rates (p = 0.020). Participants seen by APNs had better attendance for their appointments than those seen by doctors. Participants reported being satisfied with APNs (M = 121.07, SD = 10.82), had good adherence to medications (M = 7.26, SD =…

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  • Commitment to treatment is a behavioral strategy explicitly oriented toward mental illness management.

    “Commitment to treatment is a behavioral strategy explicitly oriented toward mental illness management [36,38,45,48,62,77].”

    From Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis (2023) · cites this paper as [45]

  • Therapeutic adherence is described as a fluid process that reinforces collaborative approaches between the patient and the clinician and improves the relationship with professionals, affecting satisfaction with treatment.

    “Some articles described therapeutic adherence as a fluid process that reinforces the collaborative approaches between the patient and the clinician [38,56,76] and improves the relationship with professionals [46], affecting satisfaction with treatment [34,45,62,77,78].”

    From Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis (2023) · cites this paper as [45]

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Authors
Xu, C., Xie, H., Zhou, Z., Govindasamy, A., Mao, R., & Chan, Y. H.
Affiliations
  • Institute of Mental Health (SG)
  • The University of Queensland (AU)
  • National University of Singapore (SG)
Corresponding author
Xie, Huiting
ORCID
Venue
Archives of Psychiatric Nursing
Publisher
Elsevier BV
Published
2020-06
Volume
34
Issue
3
Pages
129-133
ISSN
0883-9417 (ISSN-L)
DOI
10.1016/j.apnu.2020.03.003
OpenAlex
W3011107578
Cited by
10
References
20
Citations by year
2025: 2 · 2024: 1 · 2023: 4 · 2022: 1 · 2021: 2
FWCI
1.82
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Archives of Psychiatric Nursing (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
advanced practice nurses, psychiatric hospitals, mental health services, clinical outcomes, patient satisfaction, medication adherence, perceived recovery, general self-efficacy, hospital readmission, emergency department visits, appointment attendance
MeSH terms
Female, Hospitals, Psychiatric, Humans, Male, Middle Aged, Psychiatric Nursing, Surveys and Questionnaires, Retrospective Studies, Singapore, Outcome Assessment, Health Care, Nurse's Role, Advanced Practice Nursing

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