Intensive Care Registered Nurses knowledge, attitudes and perspectives of caring for patients with mental health conditions: A scoping review

Article


Wilson, Claire, Kilgour, Catherine and Delaney, Lori J.. 2025. "Intensive Care Registered Nurses knowledge, attitudes and perspectives of caring for patients with mental health conditions: A scoping review." Nurse Education Today. 147. https://doi.org/10.1016/j.nedt.2024.106557
Article Title

Intensive Care Registered Nurses knowledge, attitudes and perspectives of caring for patients with mental health conditions: A scoping review

ERA Journal ID14140
Article CategoryArticle
AuthorsWilson, Claire, Kilgour, Catherine and Delaney, Lori J.
Journal TitleNurse Education Today
Journal Citation147
Article Number106557
Number of Pages7
Year2025
PublisherElsevier
Place of PublicationUnited Kingdom
ISSN0260-6917
1532-2793
Digital Object Identifier (DOI)https://doi.org/10.1016/j.nedt.2024.106557
Web Address (URL)https://www.sciencedirect.com/science/article/pii/S0260691724004672
Abstract

Background
Registered nurses (RNs) working in intensive care settings report challenges in supporting the physical as well as perceived additional psychological care of patients with mental health disorders (MHD).
Aim
To undertake a scoping review of RNs' knowledge, attitudes, and perspectives of caring for patients with MHD in an Intensive Care Unit (ICU).
Method
Arksey and O’Malley's 2005 scoping review methodology was used, and the quality of reporting was upheld with PRISMA-Scoping Review guidelines. A comprehensive literature search of peer-reviewed, published studies in English from 2013 to 2013 was conducted in six databases (CINAHL, PubMed, Joanna Briggs Institute, Scopus, Cochrane, and PsycINFO databases). All included studies were evaluated using Critical Appraisal Skills Program (CASP) to assess the rigor of each study.
Findings
Seven studies were included, three qualitative and four quantitative studies. Most represented the Oceania region (n = 4). Thematic analysis identified four primary themes (i) developing knowledge and skills, (ii) variable empathy for patients, (iii) perceived safety concerns for patients and staff, and (iv) the need for clinical support.
Conclusion
RNs' knowledge, attitudes, and perspectives influence the care of patients with MHD in adult intensive care. Ensuring staff are equipped technically with knowledge and skills along with clinical resources is fundamental to promoting the physical and psychological well-being of patients with MHD in the intensive care setting.

KeywordsAttitudes; Intensive care; Knowledge; Mental health; Nursing; Nursing care
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420501. Acute care
Byline AffiliationsUniversity of Queensland
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