Andrea Evelyn Donaldson

Non-fatal strangulation (NFS) is a severe form of Intimate partner violence (IPV) that can result in acquired brain injuries (ABI), yet this link is frequently overlooked. Misdiagnosis and limited awareness contribute to long-term physical and mental health complications. Evidence-based protocols for identifying and managing non-fatal strangulation-acquired brain injury (NFS-ABI) are lacking, which prevents the delivery of standardised care. Long-term outcomes remain understudied. To synthesise current evidence on the neurological and psychological sequelae of (NFS- ABI), and to identify implications for clinical practice and policy. An integrative review. A comprehensive search of eight databases was conducted. Twenty-six peer-reviewed articles met the inclusion criteria, exploring IPV-NFS and its potential link to ABI, associated neurological and psychological deficits, and implications for healthcare professionals. Findings were synthesised to inform policy and improve clinical management of NFS-ABI. Evidence indicates that NFS-ABI can lead to significant cognitive, emotional, and physical impairments. However, screening and management strategies remain inconsistent. The review highlights the urgent need for validated screening tools and clinical guidelines to ensure timely identification and intervention for survivors. Healthcare professionals require training and standardised assessment tools and protocols to recognise and manage NFS-ABI effectively. Improved detection and treatment can reduce chronic morbidity and enhance outcomes for NFS-ABI survivors. This review informs policy development and clinical practice, emphasising the importance of integrating NFS-ABI screening into health care pathways. This review contains no patient or public contribution since it was examining the neurological and psychological sequelae of (NFS- ABI), and to identify implications for clinical practice.

Objective: This paper explores the complexities that impact access to mental health services in rural New Zealand. Historical, cultural, social and political factors will be examined against the philosophical positioning of Foucault and Fairclough.Study Design: This research is a single‐embedded case study design exploring participants' discourses in the context of a rural, bounded geographical area of New Zealand.Results: The results show that mental health support that addresses people's actual needs rather than the needs that governments map against ever‐changing policy is required and that an awareness of context within case study research is important.Discussion: The process of case study design is described, including building upon a rationale for selecting the case, collecting data and conducting case analysis and interpretation. This study examines factors influencing the real‐life rural context of accessing mental health support. This article demonstrates that case‐study research can be valuable for navigating context complexity and developing nuanced understandings of complex phenomena.Conclusion: The paper highlights how the multifaceted case study context is more than mapping discourses against a rural backdrop. It is necessary to consider the power dynamics that shape experiences and their impact on service creation and its consequent delivery.Implications for Research Policy and Practice: Rather than services being created that are complex and not meeting people's needs, there is a need to listen to the people who have experienced mental health distress and provide services and support in locations other than clinical settings.

Aim: To explore frontline health professionals' current understanding of non‐fatal strangulation and their need for and support for a comprehensive education and screening package to support health delivery.Design: A descriptive mixed‐method approach was chosen to analyse responses to an anonymous, online survey consisting of ten Likert scale, open‐ended and five demographic questions. 103 frontline health professionals (nurses, doctors, paramedics, midwives) participated in this study.Methods: Content analysis of the Likert scale and open‐ended questions describing the subjective experiences and perceptions of the participants was undertaken along with percentage and frequency counts of the rated Likert responses.Results: The findings identified that 51.1% of health professionals do not ask about strangulation routinely and that 59% of health professionals reported receiving no formal education or professional development on NFS to enhance their knowledge or inform clinical practice. No health professionals identified mild traumatic brain injury as a consequence or sign of strangulation, nor did they identify an understanding that 50% of people may have no visible injuries after being strangled. Health professionals also do not routinely document the different agencies referred to or involved in supporting the person who experienced NFS.Conclusion: Findings suggest that frontline health professionals lack the confidence, skills and education needed to meet medical obligations to their patients and to fulfil their duty to ‘do no harm’. Frontline health professionals would welcome a comprehensive education and screening package to guide recognition and response to non‐fatal strangulation in their clinical settings.Where and on Whom Will the Research Have an Impact?: The purpose of the study was to understand and explore health professionals' knowledge about non‐fatal strangulation so that improved education around better screening, and management of trauma‐focused care to people who have been subjected to non‐fatal strangulation could occur.No Patient or Public Contribution: This review contains no patient or public contribution since it examines health professionals' knowledge of identifying non‐fatal strangulation and the screening and assessment tools used in clinical practice.

Background: Graduate entry nursing programmes provide students with an accelerated pathway to becoming a registered nurse. Motivations for study, together with commonly shared characteristics of students enrolling in such programmes is becoming well documented, however, their experiences of studying for a professional qualification in this manner is less understood. As a means of maintaining the relevance of these fast-tracked programmes in the future, an understanding of graduate entry nursing students’ experiences of academic teaching and clinical placements is imperative. Objective: To explore the academic and clinical experiences of students enrolled in the first year of graduate entry nursing programmes in New Zealand and Australia. Methods: A qualitative case study approach was taken. Here we report the experiences of nine students enrolled in their first year of a two-year graduate entry nursing programme during 2020. Semi-structured interviews were used for data collection and analysed using Braun and Clarke’s thematic analysis. Findings: Three overarching themes were developed—affirmation, reflections on expectations and clinical experiences. Conclusion: This study highlights the experiences of first year graduate entry nursing students, with many experiencing affirmation that their altruistic career visions came to fruition. The findings indicate that these graduate-entry nursing students interviewed for this study tended to be flexible and adaptable in their approach to study as a means of meeting the challenges of the programme, all of which are key characteristics for a registered nurse; with personal growth and the development of the self, providing preparation for their second year of study.

Aim: The aim of this study was to determine how front‐line health professionals identify and manage nonfatal strangulation events.Design: Integrative review with narrative synthesis was conducted.Data Sources: A comprehensive database search was conducted in six electronic databases (CINAHL, Wed of Science, DISCOVER, SCOPUS, PubMed and Scholar) resulting in 49 potentially eligible full texts, reduced to 10 articles for inclusion after exclusion criteria were applied.Review Methods: An integrative review was undertaken in accordance with Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) Statement guidelines. Data were extracted, and a narrative synthesis using Whittemore and Knafl (2005) framework was undertaken to determine how front‐line health professionals identify and manage nonfatal strangulation events.Results: The findings identified three main themes: an overall failure by health professionals to recognize nonfatal strangulation, a failure to report the event and a failure to follow up on victims after the event. Stigma and predetermined beliefs around nonfatal strangulation, along with a lack of knowledge about signs and symptoms, were the salient features in the literature.Conclusion: Lack of training and fear of not knowing what to do next are barriers to providing care to victims of strangulation. Failure to detect, manage and support victims will continue the cycle of harm through the long‐term health effects of strangulation. Early detection and management of strangulation are essential to prevent health complications, particularly when the victims are exposed to such behaviours repeatedly.Impact: This review appears to be the first to explore how health professionals identify and manage nonfatal strangulation. It identified the significant need for education and robust and consistent screening and discharge policies to assist health providers of services where victims of nonfatal strangulation attend.No Patient or Public Contribution: This review contains no patient or public contribution since it was examining health professionals' knowledge of identifying nonfatal strangulation and the screening and assessment tools used in clinical practice.

There has been an international surge towards online, digital, and telehealth mental health services, further amplified during COVID‐19. Implementation and integration of technological innovations, including artificial intelligence (AI), have increased with the intention to improve clinical, governance, and administrative decision‐making. Mental health nurses (MHN) should consider the ramifications of these changes and reflect on their engagement with AI. It is time for mental health nurses to demonstrate leadership in the AI mental health discourse and to meaningfully advocate that safety and inclusion of end users' of mental health service interests are prioritized. To date, very little literature exists about this topic, revealing limited engagement by MHNs overall. The aim of this article is to provide an overview of AI in the mental health context and to stimulate discussion about the rapidity and trustworthiness of AI related to the MHN profession. Despite the pace of progress, and personal life experiences with AI, a lack of MHN leadership about AI exists. MHNs have a professional obligation to advocate for access and equity in health service distribution and provision, and this applies to digital and physical domains. Trustworthiness of AI supports access and equity, and for this reason, it is of concern to MHNs. MHN advocacy and leadership are required to ensure that misogynist, racist, discriminatory biases are not favoured in the development of decisional support systems and training sets that strengthens AI algorithms. The absence of MHNs in designing technological innovation is a risk related to the adequacy of the generation of services that are beneficial for vulnerable people such as tailored, precise, and streamlined mental healthcare provision. AI developers are interested to focus on person‐like solutions; however, collaborations with MHNs are required to ensure a person‐centred approach for future mental healthcare is not overlooked.

Collaborative research teams are an effective strategy to combine the knowledge and skills of like-minded researchers across tertiary education settings and international borders. Research collaborations have the potential to increase research capacity for both individuals and the team alike. The purpose of the study was to explore the experiences and perceptions of a team of seven Australasian nurse academics undertaking a longitudinal multi-site case study. We used a nominal group technique in this deductive qualitative exploratory study. The key findings from this study indicate establishing safe academic relationships is paramount to successful collaborative teams. Collaborative research teams offer opportunities to learn research processes from other members through sharing of expertise and skillsets, together with upholding a positive engagement with technology to ensure full research participation is achievable irrespective of geographical location. To conclude, in this study we have identified multi-site collaborative research teams provide an opportunity to leverage the strengths of individuals to enhance research outcomes across organisations. The synergistic effect of the team builds research blue skies thinking and capacity building through mentorship and support. The potential for positive change through mentorship and support, alongside the forged new relationships, are all key drivers of researcher wellbeing, never more important as we transition into new ways of working both now and into the future.

The review investigated the barriers and facilitators associated with assessing and engaging with mental health in a rural setting. The aim is to describe and synthesize the literature that examines the experiences of adults who access or attempt to access mental health services in rural settings. A systematic search from 2010 to 2020 was conducted using CINAHL, PsycINFO, Web of Science Core Collection, PubMed, Psychology and Behavioural Sciences Collection, Google Scholar, and Scopus. PRISMA protocols located 32 relevant papers from the overall 573 first selected. Braun and Clarke (Qualitative Research in Psychology, 3:77–101, 2006) thematic analysis methodology was applied to the data resulting in two themes: first theme identified help‐seeking with subthemes of stigma and locality of health services. The second theme was connectedness, inclusive of subthemes of support systems and personal identity. The review identified gender‐related perspectives concerning accessing mental health support, exposing the need for more research to examine the diverse social connections and support networks in rural communities. The findings suggest the need to further explore the impediments that reduce the likelihood of accessing mental health services in rural communities.