title: Challenges in acute care of people with co-morbid mental illness.
abstract: Acute secondary care settings are complex environments that offer a range of challenges for healthcare staff. These challenges can be exacerbated when patients present with a co-morbid mental illness. This article is a systematic review of the literature that has investigated the challenges imposed on health professionals working in acute secondary care settings where they care for patients who experience co-morbid physical and mental illnesses. A systematic search of the bibliographic databases was conducted and a total of 25 articles were included in this review. A number of challenges were identified including experience of fear, negative attitudes, poor mental health literacy, being positive and optimistic in providing care as a profession and environmental factors. Health professionals working in acute secondary care settings require organisational support and training in mental health care. Acute secondary care environments conducive to providing holistic care to patients experiencing mental illness co-morbidity are required.
authors: Research Assistant of Nursing Research, Faculty of Health Sciences, Australian Catholic University and St Vincent's Private Hospital, Melbourne.
authors: Jo-Ann
authors: JA
authors: Giandinoto
authors: Karen-Leigh
authors: KL
authors: Edward
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence; D015897:Comorbidity; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology* / Q000451:nursing* / Q000523:psychology; D009741:Nursing Staff, Hospital / Q000523:psychology*; D011567:Psychiatric Department, Hospital; D063127:Secondary Health Care / Q000379:methods*; D011795:Surveys and Questionnaires
keywords: Co-morbidity; Experience; Health professional; Mental illness; Nurse; Physical illness