Dual Trained District Nurses systematic review

What was the problem: The study originated from a Yorkshire and Humber Health Education regional project looking at innovative ways to integrate mental and physical health care delivery. Community and district nurses were seconded to train as Improving Access to Psychological Therapy (IAPT) Psychological Well-being Practitioners. The project was in partnership between Sheffield Teaching Hospitals Foundation Trust and Sheffield Health and Social Care Foundation Trust.

What we did: With no reviews published to date focusing on mental health treatment interventions by district and generalist community nurses, suitable for people who are housebound. We were unable to reference a wider clinical and cost effectiveness evidence base in discussion with commissioners. We conducted a coproduced systematic review with the aim to full this gap in knowledge.

Findings: A total of 31 papers (29 studies) were reviewed. The review found that there is no one standard ‘intervention’ used by generalist community and district nurses. The papers included used a wide range of interventions aimed to have impact on a patient’s mental health delivered within their home. Whilst the range of interventions was too great to allow for a direct comparison, Interventions delivered by generalist community nurses did impact positively on depression and anxiety outcomes of home-based patients with co-existing physical health problems.  

IMPACT: The systematic review was disseminated to key stakeholders during a Stakeholder consultation and involvement workshop held in October 2017. Sixteen nurses, managers, educators, GPs and academic staff from local national health service and academic institutions, together with members of the review team, were bought together to consider the research findings, implications and recommendations for clinical practice, policy and further research.

The review is currently being written up for publication in a clinical facing peer review journal (Journal of Advance Nursing) for maximum clinical impact.