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Crowe, M., & O'Malley, J. Community mental health: who cares?.
Abstract: The interdepartmental Center for Postgraduate Studies is newly established within the University of Otago and intends to develop a research profile which is responsive to the health care of the community ad can provide a rigorous basis for teaching and postgraduate research. This study aims to determine:* the characteristics and needs of those people with a serious mental disorder who are cared for by community mental health nurses.* the characteristics of the community mental health nurse's role.* the environmental, political issues and policies which impact on the needs of patients and the role of the community mental health nurse.This is timely research given public concerns about mental health services, lack of integration in social and health policy and the impact of the Health Reforms on care delivery (National Health Committee, 1998; Howden-Chapman, 1998) but limited empirical data or systematic investigation of the issues from a service user, on the needs of users of community health services and their families, and the role of the community health nurse in meeting these needs
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Crowe, M., O'Malley, J., & Bigwood, S. (2002). Nursing mental health consumers in the community. Kai Tiaki: Nursing New Zealand, 8(8), 14–15.
Abstract: The purpose of this research was to describe the characteristics of community mental health nursing care in the community. Twenty six nurses were enrolled in a study consisting of semi-structured interviews about the nature of their care. Responses were analysed to identify categories of skills. These were characterised as: establishing connectedness; promoting individual and family resilience, promoting citizenship; and addressing structural issues. Responses from the nurses are used to illustrate these categories.
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Crowe, M., O'Malley, J., & Gordon, S. (2001). Meeting the needs of consumers in the community: A working partnership in mental health in New Zealand. Journal of Advanced Nursing, 35(1), 88–96.
Abstract: The aim of this study was to evaluate whether the services that community mental health nurses provide are meeting the needs of consumers in the community. This was a joint project between nurses and consumers. It was a service-specific descriptive research project utilising qualitative methods of data collection and analysis that provides a model for working in partnership. The results of this research identify collaboration in planning care and sharing information as two areas of concern but generally the consumers were very satisfied with the care provided by community mental health nurses. The analysis of the data suggests that consumers value nursing care because nurses provide support in their own home; they help consumers develop strategies for coping with their illness and their life; they provide practical assistance when it is required; they are vigilant about any deterioration or improvement; and they are available and accessible. The results of this study have demonstrated that nurses will remain critical to the success of community-based care because of their ability and willingness to be flexible to the demands of their own organisation and the users of services.
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O'Malley, J. (2001). Critical social analysis of acute institutionally based mental health nursing following an action research project. Ph.D. thesis, , .
Abstract: This study using action research involving twelve registered nurses worked toward improving nursing care in an acute mental health in-patient service. Following focus groups with consumers, families, nurses, doctors, and allied health professionals, the action research group developed projects over eighteen months to improve continuity and consistency of nursing care. There was a subsequent restructuring of nursing service to better define leadership, accountability and to strengthen care delivery. The second half of the thesis involves a critical social analysis of the research data and produces a theory of mental health nursing which, the author suggests, has wide application in practice.
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