TY - JOUR KW - Attitude of Health Personnel KW - Avoidance Learning KW - Clinical Competence KW - Cooperative Behavior KW - Empathy KW - Fear KW - Hospitals, General KW - Hospitals, Rural KW - Humans KW - Mental Disorders/nursing/psychology KW - Negativism KW - Nurse's Role/psychology KW - Nurse-Patient Relations KW - Nursing Methodology Research KW - Nursing Staff, Hospital/education/organization & administration/psychology KW - Occupational Health KW - Prejudice KW - Psychiatric Nursing/education/organization & administration KW - Qualitative Research KW - Questionnaires KW - Security Measures KW - Self Efficacy KW - Social Support KW - Time Management KW - Victoria AU - F. Reed AU - L. Fitzgerald A1 - AB - Mainstreaming of mental health care and the prevalence of mental illness have increased the requirement for care by nurses in the general hospital setting. In rural Australia, mental health services are limited and nurses have less access to support and education. Little is known about how these factors influence attitudes and the care of people with mental illness in rural hospitals. A qualitative descriptive study was used to investigate nurses' attitudes to caring for people with mental illness, the issues that impact on their ability to provide care, and the effect of education, experience, and support. In 2003, 10 nurses from two wards in a rural hospital were interviewed. Participants from one ward had education and support from mental health nurses. Attitudes were found to be inextricably linked to issues that influence nurses' ability to provide care. Dislike was apparent from nurses who suggested it was not their role. Others identified fear, causing avoidance. Conversely, those receiving support and education described increased comfort, with some nurses expressing enthusiasm for mental health care, seeing it as integral to nursing. The priority of physical care, time constraints, environmental unsuitability, rurality, and the lack of skill, knowledge, and mental health services reduced safety and effective care. A limited ability to help was reported, despite support for Mental Health Strategy goals. Positive experience promoted through education and support was required for nurses to improve care and attitudes. Notably, collaboration with mental health nurses was identified as helping nurses overcome fear and increase competence in caring for people with mental illness. BT - International journal of mental health nursing C5 - Education & Workforce CP - 4 CY - Australia DO - 10.1111/j.1440-0979.2005.00389.x IS - 4 JF - International journal of mental health nursing N2 - Mainstreaming of mental health care and the prevalence of mental illness have increased the requirement for care by nurses in the general hospital setting. In rural Australia, mental health services are limited and nurses have less access to support and education. Little is known about how these factors influence attitudes and the care of people with mental illness in rural hospitals. A qualitative descriptive study was used to investigate nurses' attitudes to caring for people with mental illness, the issues that impact on their ability to provide care, and the effect of education, experience, and support. In 2003, 10 nurses from two wards in a rural hospital were interviewed. Participants from one ward had education and support from mental health nurses. Attitudes were found to be inextricably linked to issues that influence nurses' ability to provide care. Dislike was apparent from nurses who suggested it was not their role. Others identified fear, causing avoidance. Conversely, those receiving support and education described increased comfort, with some nurses expressing enthusiasm for mental health care, seeing it as integral to nursing. The priority of physical care, time constraints, environmental unsuitability, rurality, and the lack of skill, knowledge, and mental health services reduced safety and effective care. A limited ability to help was reported, despite support for Mental Health Strategy goals. Positive experience promoted through education and support was required for nurses to improve care and attitudes. Notably, collaboration with mental health nurses was identified as helping nurses overcome fear and increase competence in caring for people with mental illness. PP - Australia PY - 2005 SN - 1445-8330; 1445-8330 SP - 249 EP - 257 EP - T1 - The mixed attitudes of nurse's to caring for people with mental illness in a rural general hospital T2 - International journal of mental health nursing TI - The mixed attitudes of nurse's to caring for people with mental illness in a rural general hospital U1 - Education & Workforce U2 - 16296992 U3 - 10.1111/j.1440-0979.2005.00389.x VL - 14 VO - 1445-8330; 1445-8330 Y1 - 2005 ER -