Terence McCann - Academia.edu (original) (raw)

Papers by Terence McCann

PubMed search strategy. Sample search strategy (for PubMed database). (DOC 51Â kb)

PRISMA 2009 Checklist. PRISMA checklist for reporting of systematic review. (DOC 65Â kb)

Characteristics of included studies. Description of eligible/retained studies. (DOC 378Â kb)

Issues in Mental Health Nursing, 2021

While families have a central role supporting relatives with alcohol and other drug (AOD) misuse,... more While families have a central role supporting relatives with alcohol and other drug (AOD) misuse, this can undermine their own well-being and hopefulness. The aims of this study were to assess the effect of supporting a relative with AOD misuse on affected family members’ (AFMs) psychological and physical well-being and hope for the future about their relative, and to identify factors associated with AFMs’ well-being and hope. A cross-sectional survey design with 90 AFMs. Over three-quarters of AFMs had not received any assistance from AOD services recently, nearly 80% experienced adverse effects on their physical health and ability to socialise with relatives and friends, and just over 50% reported detrimental effects on their paid employment. AFMs living with their relative with AOD misuse experienced more harmful stress than those who were not residing with their relative. Intimate partner AFMs experienced more mild-to-moderate physical and psychological ill health than non-partn...

Journal of psychiatric and mental health nursing, 2003

We have removed the category 'missing' from Tables 2 and 3. In fact, there was no missing data fo... more We have removed the category 'missing' from Tables 2 and 3. In fact, there was no missing data for these questions. We have left the 'Don't know' category as we feel this provides useful information.

International Journal of Environmental Research and Public Health, 2021

Mental-health-related presentations account for a considerable proportion of the paramedic’s work... more Mental-health-related presentations account for a considerable proportion of the paramedic’s workload in prehospital care. This cross-sectional study aimed to examine the perceived confidence and preparedness of paramedics in Australian metropolitan and rural areas to manage mental-health-related presentations. Overall, 1140 paramedics were surveyed. Pearson chi-square and Fisher exact tests were used to compare categorical variables by sex and location of practice; continuous variables were compared using the non-parametric Mann–Whitney and Kruskal–Wallis tests. Perceived confidence and preparedness were each modelled in multivariable ordinal regressions. Female paramedics were younger with higher qualifications but were less experienced than their male counterparts. Compared to paramedics working in metropolitan regions, those working in rural and regional areas were generally older with fewer qualifications and were significantly less confident and less prepared to manage mental ...

Journal of Mental Health, 2020

Background: Low levels of mental health literacy about depression in the community impact negativ... more Background: Low levels of mental health literacy about depression in the community impact negatively on attitudes towards people with the disorder and their help-seeking. Aims: The aim of this study was to assess the effectiveness of a problem-solving, Story-bridge mental health literacy programme, in improving community leaders' knowledge about helpful interventions for, and recognition of, depression. Methods: A cluster randomised controlled trial involving 140 assembly members, intervention (n ¼ 70) and control (n ¼ 70) groups. The intervention group received a three-hour mental health literacy programme. The control group received a plain language basic brochure about mental health issues. Data were collected at baseline and 12-week follow-up. Results: The intervention group demonstrated greater improvement in knowledge about helpful interventions for, and recognition of, depression compared to the control group at follow-up; however, the differences in both measures were small and not statistically significant. Conclusion: The programme has the potential to improve participants' knowledge about helpful interventions for, and recognition of, depression. Positive outcomes have public mental health implications as they might enhance early help-seeking and contribute to better outcomes for individuals with mental health problems. Trial registration: ACTRN12617000033347. Date of registration-9 January 2017.

Scandinavian Journal of Caring Sciences, 2019

Experiences of family members supporting a relative with substance use problems: a qualitative st... more Experiences of family members supporting a relative with substance use problems: a qualitative study Background: Affected family members (AFMs) play an important role in supporting relatives with alcohol and/ or other drug (AOD) misuse. However, they frequently lack support and experience considerable challenges to their own well-being. Aim: To explore the experience of AFMs who support a close relative with AOD misuse. Method: Thirty-one AFMs were recruited through AOD helplines and through their social media accounts in the Australian state of Victoria. A semi-structured interview guide was used to inform data collection, focusing on their general experiences, impact of support-giving and support options. Interviews were audio-recorded and conducted by telephone. Results: One overarching theme and six related subthemes were abstracted from the data. The overarching theme was conceptualised as Feeling overwhelmed by, and struggling with, the experience. Subthemes were as follows: Emotionally draining and exhausting, Maintaining constant vigilance: curbing social activities, Grappling with the financial impact, Struggling to cope with harmful family dynamics, Avoiding and containing aggression and Fearfulness and hopelessness about the future. Conclusion: Affected family members experienced wide-ranging harms, which affected their emotional, social and financial well-being, safety and family dynamics, and instilled a persistent sense of fearfulness and hopelessness about the future. The findings have implications for mental health nurses and other clinicians in AOD services to identify AFMs' needs and provide them with timely, accessible and appropriate support to help sustain their important role.

Health Expectations, 2019

This is an open access article under the terms of the Creative Commons Attribution License, which... more This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

International Journal of Mental Health Nursing, 2018

Families have a crucial role supporting a relative with alcohol and/or other drug misuse, but the... more Families have a crucial role supporting a relative with alcohol and/or other drug misuse, but the role has adverse implications for family members' coping, which in turn, affects their ability and willingness to support the relative. The aim of this study was to assess the coping behaviours of affected family members of relatives with alcohol and/or other drug misuse, and to assess if there was a relationship between the level of coping and family member type and support-giving experience. A cross-sectional survey design was used and 90 respondents completed the questionnaire. Results suggest the following associations: that 'Other' family members made more frequent use of maladaptive coping strategies than intimate partners (p=0.012); family members whose role had a negative effect on their physical health made more frequent use of maladaptive coping strategies than those whose role did not have this effect (p=0.014); and family members whose role had a negative effect on their ability to socialise used maladaptive coping strategies more often than those whose role did not have this effect (p=0.003). Engaged and tolerant-inactive maladaptive coping strategies had a significantly greater adverse influence on family members' physical health and/or socialising than withdrawal coping strategies. Affected family members should be supported to use adaptive coping strategies to mitigate the detrimental effects of their support-giving role, and 2 to sustain them in this crucial support-giving role. Family and friends, mental health nurses and other clinicians in the alcohol and other drug field have an important role in supporting family members in this context.

PLOS ONE, 2018

Background Paramedics are called on frequently to provide care to patients with mental health and... more Background Paramedics are called on frequently to provide care to patients with mental health and/or and alcohol and other drug (AOD) problems, but may have mixed views about how this fits within their role. Aims To explore paramedics' experience of caring for patients with non-medical emergencyrelated mental health and/or AOD problems, understand their perceptions of their scope of practice in caring for these patients, and ascertain if their practice should be extended to incorporate education with these patients. Method A convenience sample of 73 paramedics from most Australian states and territoriesrecruited through an online survey-participated in individual audio-recorded, qualitative interviews, conducted by telephone. The interviews were part of a mixed method study comprising qualitative interviews and online survey. A Framework Method of analysis to analyse the qualitative data. Results Three themes and sub-themes were abstracted from the data about participants' experiences and, at times, opposing viewpoints about caring for patients with non-medical

Nurse Researcher, 2018

Peer review This article has been subject to external double-blind peer review and has been check... more Peer review This article has been subject to external double-blind peer review and has been checked for plagiarism using automated software

BMC health services research, Mar 15, 2018

Maternal morbidity and mortality is most prevalent in resource-poor settings such as sub-Saharan ... more Maternal morbidity and mortality is most prevalent in resource-poor settings such as sub-Saharan Africa and southern Asia. In sub-Saharan Africa, Ghana is one of the countries still facing particular challenges in reducing its maternal morbidity and mortality. Access to emergency obstetric care (EmOC) interventions has been identified as a means of improving maternal health outcomes. Assessing the range of interventions provided in health facilities is, therefore, important in determining capacity to treat obstetric emergencies. The aim of this study was to examine the availability of emergency obstetric care interventions in the Upper East Region of Ghana. A cross-sectional survey of 120 health facilities was undertaken. Status of emergency obstetric care was assessed through an interviewer administered questionnaire to directors/in-charge officers of maternity care units in selected facilities. Data were analysed using descriptive statistics. Eighty per cent of health facilities d...

International journal of nursing practice, Jan 26, 2018

The aim of this pilot randomized study was to investigate the feasibility of early motivational i... more The aim of this pilot randomized study was to investigate the feasibility of early motivational interviewing, for reducing mood after acute stroke. Depression is a frequent consequence of stroke that can adversely affect recovery. DESIGN: Pilot randomized study. Intervention group patients received 3, individual motivational interviewing sessions by nurses or social workers prior to hospital discharge. Adult patients with acute stroke during 2013 to 2014. Research assistant who collected data was blind to group assignment. Data were collected at 3 time points: baseline, 1-month, and 3-month follow-up. Outcome measures (anxiety, depression, quality of life) were analysed by descriptive statistics. Forty-eight patients were enrolled, and 79% retention was achieved at 3 months. Eight participants withdrew (16.7%), and 2 were unable to participate (death: 2.1% and new onset aphasia: 2.1%), leaving 38 participants in the final cohort (Intervention: N = 18, Control: N = 20). Anxiety, depr...

Journal of advanced nursing, Jan 23, 2018

To review and discuss authorship and author order in the context of nursing and midwifery publica... more To review and discuss authorship and author order in the context of nursing and midwifery publications and to present a set of principles to guide and justify author order. Variation in author order trends is evident across different authors, disciplines and countries. Confusion and conflict between authors give rise to important issues concerning ethics and collaboration and may delay publication. Lack of transparency in authorship practices also impedes judgements when individual contributions are used in support of employment, promotion, tenure and/or research funding applications. Discussion paper. A literature search of BioMed Central, Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE with Full Text and PubMed for original peer-reviewed papers published in English between 2007 - 2017, in the disciplines of nursing and midwifery. Much is written about authorship practices across disciplines and countries. Despite existing authorship guidelines, author or...

Journal of advanced nursing, Jan 19, 2017

The aim of this study was to review and discuss predatory open access publishing in the context o... more The aim of this study was to review and discuss predatory open access publishing in the context of nursing and midwifery and develop a set of guidelines that serve as a framework to help clinicians, educators and researchers avoid predatory publishers. Open access publishing is increasingly common across all academic disciplines. However, this publishing model is vulnerable to exploitation by predatory publishers, posing a threat to nursing and midwifery scholarship and practice. Guidelines are needed to help researchers recognize predatory journals and publishers and understand the negative consequences of publishing in them. Discussion paper. A literature search of BioMed Central, CINAHL, MEDLINE with Full Text and PubMed for terms related to predatory publishing, published in the period 2007-2017. Lack of awareness of the risks and pressure to publish in international journals, may result in nursing and midwifery researchers publishing their work in dubious open access journals. ...

Journal of Psychiatric and Mental Health Nursing, 2015

• No research has been conducted into the experience of peer support in improving adherence with ... more • No research has been conducted into the experience of peer support in improving adherence with oral antipsychotic medication for consumers with schizophrenia. • Altruism influences peers to participate in peer support. • Engagement in peer support can be challenging and rewarding for peers, and helps improve their own confidence and well-being.

Journal of Advanced Nursing, 2017

Aim: To explore the coping strategies used by affected family members of a relative with substanc... more Aim: To explore the coping strategies used by affected family members of a relative with substance misuse. Background: Families play an important role in supporting a relative with substance misuse. However, the experience often has an adverse effect on their general wellbeing, the extent of which depends largely on their coping strategies. Design: An interpretative phenomenological analysis study. Data were collected between January-December 2015. Method: Semistructured, audio-recorded qualitative interviews were conducted with 31 affected family members. Results: Three main themes and related subthemes were abstracted from the data illustrating how participants coped with their relative's substance misuse: (1) Seeking timely access to evidence-based information; (2) Enhancing personal coping strategies and (3) Accessing informal and formal support. Conclusion: Greater investment is needed in support services for affected family members, particularly in regional and rural areas. A wide range of accessible evidence-based information and informal and formal support, including telephone and online support, is needed to assist them to cope in this crucial support-giving role. Affected family members need to adopt a flexible set of coping strategies while supporting a relative with substance misuse. Family and friends, alcohol and other drug services, mental health nurses and other clinicians have a critical role providing emotional, instrumental and educational support to affected family members to enhance their adaptive coping strategies. K E Y W O R D S affected family members, alcohol and other drugs, coping strategies, nurses, nursing, qualitative research, substance misuse 1 | INTRODUCTION Affected family members (AFMs) (intimate partners, siblings, parents, children, relatives, friends) play an important role supporting relatives with substance misuse (Orford, Velleman, Natera, Templeton, & Copello, 2013; World Health Organization 2014). Substance misuse is harmful or hazardous alcohol and/or illicit drug use, including dependence (World Health Organization, n.d.). Harms are not limited to the relative, but have detrimental effects on family dynamics and

Health Promotion Practice, 2017

Aim. Receiving professional help early can reduce long-term harms associated with substance use. ... more Aim. Receiving professional help early can reduce long-term harms associated with substance use. However, little is known about the factors that influence help-seeking for substance use problems during early-mid adolescence, prior to the emergence of disorder. Given that beliefs regarding help-seeking are likely to develop early, understanding adolescent views of help-seeking during this period is likely to provide important information for prevention and intervention efforts. The current study identifies perceptions that would facilitate or prevent adolescents from seeking support for substance use problems from formal and informal help sources. Method. Thirty-four 12- to 16-year-olds from two schools in Melbourne, Victoria, Australia, were recruited. A qualitative interpretative design was used, incorporating semistructured, audio-recorded interviews. Results. Three overlapping themes that reflected barriers or enablers to help-seeking were identified: approachability, confidentia...