Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-76fb5796d-r6qrq Total loading time: 0 Render date: 2024-04-28T03:18:56.772Z Has data issue: false hasContentIssue false

Chapter 18 - Education for Acute Hospital Staff

Published online by Cambridge University Press:  04 January 2024

By
Mathew Harrison  and
Max Henderson
Edited by
Rachel Thomasson ,
Elspeth Guthrie  and
Allan House
Rachel Thomasson
Affiliation:
Manchester Centre for Clinical Neurosciences
Elspeth Guthrie
Affiliation:
Leeds Institute of Health Sciences
Allan House
Affiliation:
Leeds Institute of Health Sciences
Get access

Summary

Liaison psychiatry operates across psychiatry, medical and surgical settings and, in some departments, primary care. There are a myriad of interfaces and interactions on an almost daily basis with others who potentially know little about the interesting and stimulating academic areas within it and its potential benefits to patients and staff.

The interface between mental and physical health is all too frequently one of ‘oil and water’ and perhaps one function of the liaison psychiatrist can be seen as acting as the emulsifier between these two substances. The emulsifying agent proposed here is that of education and training.

Keywords

teachingeducationcommunication skills
Type
Chapter
Information
Seminars in Consultation-Liaison Psychiatry , pp. 301 - 317
Publisher: Cambridge University Press
Print publication year: 2024

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Hatem, CJ, Searle, NS, Gunderman, R et al. The educational attributes and responsibilities of effective medical educators. Acad Med. 2011;86:474–80. https://doi.org/10.1097/ACM.0b013e31820cb28a.CrossRefGoogle ScholarPubMed
Mayou, R, Hawton, K. Psychiatric disorder in the general hospital. Br J Psychiatry. 1986;149:172–90. https://doi.org/10.1192/bjp.149.2.172.CrossRefGoogle ScholarPubMed
Mansour, H, Mueller, C, Davis, KAS et al. Severe mental illness diagnosis in English general hospitals 2006–2017: A registry linkage study. PLOS Med. 2020;17:e1003306. https://doi.org/10.1371/journal.pmed.1003306.CrossRefGoogle ScholarPubMed
Rockwood, K, Cosway, S, Stolee, P et al. Increasing the recognition of delirium in elderly patients. J Am Geriatr Soc. 1994;42:252–6. https://doi.org/10.1111/j.1532-5415.1994.tb01747.x.CrossRefGoogle ScholarPubMed
Walters, K, Raven, P, Rosenthal, J, Russell, J, Humphrey, C, Buszewicz, M. Teaching undergraduate psychiatry in primary care: The impact on student learning and attitudes. Med Educ. 2007;41:100–8. https://doi.org/10.1111/j.1365-2929.2006.02653.x.CrossRefGoogle ScholarPubMed
Hales, R, Borus, J. Teaching psychosocial issues to medical house staff: A liaison program on an oncology service. Gen Hosp Psychiatry. 1982;4:1–6.CrossRefGoogle Scholar
Lipowski, ZJ. Consultation-liaison psychiatry: An overview. Am J Psychiatry. 1974;131:623–30. https://doi.org/10.1176/ajp.131.6.623.CrossRefGoogle ScholarPubMed
Brinn, F. Patients with mental illness: General nurses’ attitudes and expectations. Nurs Stand. 2000;14:32–6.CrossRefGoogle ScholarPubMed
Brunero, S, Buus, N, West, S. Categorising patients’ mental illness by medical surgical nurses in the general hospital ward: A focus group study. Arch Psychiatr Nurs. 2017;31:614–23. https://doi.org/10.1016/j.apnu.2017.09.003.CrossRefGoogle Scholar
Howman, M, Walters, K, Rosenthal, J, Good, M, Buszewicz, M. Teaching about medically unexplained symptoms at medical schools in the United Kingdom. Med Teach. 2012;34:327–9. https://doi.org/10.3109/0142159X.2012.660219.CrossRefGoogle ScholarPubMed
Sharrock, J, Happell, B. The psychiatric consultation-liaison nurse: Thriving in a general hospital setting. Int J Ment Health Nurs. 2002;11:24–33. https://doi.org/10.1046/j.1440-0979.2002.00205.x.CrossRefGoogle Scholar
Reiter, CS, Graves, L. Nutrition therapy for eating disorders. Nutr Clin Pract. 2010;25:122–36. https://doi.org/10.1177/0884533610361606.CrossRefGoogle ScholarPubMed
Probst, M, Skjaerven, LH. Physiotherapy in Mental Health and Psychiatry E-Book: A Scientific and Clinical Based Approach. New York; 2017.Google Scholar
Sandborgh, M, Dean, E, Denison, E et al. Integration of behavioral medicine competencies into physiotherapy curriculum in an exemplary Swedish program: Rationale, process, and review. Physiother Theory Pract. 2020;36:365–77. https://doi.org/10.1080/09593985.2018.1488192.CrossRefGoogle Scholar
Alexanders, J, Anderson, A, Henderson, S. Musculoskeletal physiotherapists’ use of psychological interventions: A systematic review of therapists’ perceptions and practice. Physiotherapy. 2015;101:95–102. https://doi.org/10.1016/j.physio.2014.03.008.CrossRefGoogle ScholarPubMed
Kramer, NA, Smith, MC. Training Nursing Assistants to Care for Nursing Home Residents with Dementia. New York; 2000, pp. 227–56.Google Scholar
Burgio, LD, Allen-Burge, R, Roth, DL et al. Come talk with me: Improving communication between nursing assistants and nursing home residents during care routines. The Gerontologist. 2001;41:449–60. https://doi.org/10.1093/geront/41.4.449.CrossRefGoogle ScholarPubMed
Goldberg, SE, Whittamore, KH, Harwood, RH et al. The prevalence of mental health problems among older adults admitted as an emergency to a general hospital. Age Ageing. 2012;41:80–6. https://doi.org/10.1093/ageing/afr106.CrossRefGoogle ScholarPubMed
Gordon, JT. Emergency department junior medical staff’s knowledge, skills and confidence with psychiatric patients: A survey. The Psychiatrist. 2012;36:186–8. https://doi.org/10.1192/pb.bp.111.035188.CrossRefGoogle Scholar
Botega, NJ, Silva, SV, Reginato, DG et al. Maintained attitudinal changes in nursing personnel after a brief training on suicide prevention. Suicide Life Threat Behav. 2007;37:145–53. https://doi.org/10.1521/suli.2007.37.2.145.CrossRefGoogle ScholarPubMed
Dunn, ME, Abulu, J. Psychiatrists’ role in teaching human sexuality to other medical specialties. Acad Psychiatry. 2010;34:381–5. https://doi.org/10.1176/appi.ap.34.5.381.CrossRefGoogle ScholarPubMed
Makoul, G. The SEGUE Framework for teaching and assessing communication skills. Patient Educ Couns. 2001;45:23–34. https://doi.org/10.1016/S0738-399101.00136-7.CrossRefGoogle ScholarPubMed
Fossli Jensen, B, Gulbrandsen, P, Dahl, FA, Krupat, E, Frankel, RM, Finset, A. Effectiveness of a short course in clinical communication skills for hospital doctors: Results of a crossover randomized controlled trial ISRCTN22153332. Patient Educ Couns. 2011;84:163–9. https://doi.org/10.1016/j.pec.2010.08.028.CrossRefGoogle Scholar
Baile, WF, Blatner, A. Teaching communication skills: Using action methods to enhance role-play in problem-based learning. Simul Healthc. 2014;9:220–7. https://doi.org/10.1097/SIH.0000000000000019.CrossRefGoogle ScholarPubMed
Moorey, S, Cort, E, Kapari, M et al. A cluster randomized controlled trial of cognitive behaviour therapy for common mental disorders in patients with advanced cancer. Psychol Med. 2009;39:713–23. https://doi.org/10.1017/S0033291708004169.CrossRefGoogle ScholarPubMed
Martino, S, Zimbrean, P, Forray, A et al. Implementing motivational interviewing for substance misuse on medical inpatient units: A randomized controlled trial. J Gen Intern Med. 2019;34:2520–9. https://doi.org/10.1007/s11606-019-05257-3.CrossRefGoogle ScholarPubMed
Cushing, A, Evans, S. Training physicians at undergraduate and postgraduate levels about comorbidity. Comorbidity Ment Phys Disord. 2015;179:137.CrossRefGoogle Scholar
Yon, K, Habermann, S, Rosenthal, J et al. Improving teaching about medically unexplained symptoms for newly qualified doctors in the UK: Findings from a questionnaire survey and expert workshop. BMJ Open. 2017;7:e014720. https://doi.org/10.1136/bmjopen-2016-014720.CrossRefGoogle ScholarPubMed
Warner, A, Walters, K, Lamahewa, K, Buszewicz, M. How do hospital doctors manage patients with medically unexplained symptoms? A qualitative study of physicians. J R Soc Med. 2017;110:65–72. https://doi.org/10.1177/0141076816686348.CrossRefGoogle ScholarPubMed
Stephenson, DT, Price, JR. Medically unexplained physical symptoms in emergency medicine. Emerg Med J. 2006;23:595–600. https://doi.org/10.1136/emj.2005.032854.CrossRefGoogle ScholarPubMed
Yon, K, Nettleton, S, Walters, K, Lamahewa, K, Buszewicz, M. Junior doctors’ experiences of managing patients with medically unexplained symptoms: A qualitative study. BMJ Open. 2015;5:e009593. https://doi.org/10.1136/bmjopen-2015-009593.CrossRefGoogle ScholarPubMed
Joyce, E, Cowing, J, Lazarus, C, Smith, C, Zenzuck, V, Peters, S. Training tomorrow’s doctors to explain ‘medically unexplained’ physical symptoms: An examination of UK medical educators’ views of barriers and solutions. Patient Educ Couns. 2018;101:878–84. https://doi.org/10.1016/j.pec.2017.11.020.CrossRefGoogle ScholarPubMed
Weiland, A, Blankenstein, AH, Willems, MHA et al. Post-graduate education for medical specialists focused on patients with medically unexplained physical symptoms: Development of a communication skills training programme. Patient Educ Couns. 2013;92:355–60. https://doi.org/10.1016/j.pec.2013.06.027.CrossRefGoogle ScholarPubMed
Smith, M, O’Regan, R, Goldbeck, R. Detaining patients in the general hospital: Current practice and pitfalls. Scott Med J. 2019;64:91–6. https://doi.org/10.1177/0036933019836054.CrossRefGoogle ScholarPubMed
Richards, F, Dale, J. The Mental Health Act 1983 and incapacity: What general hospital doctors know. Psychiatr Bull. 2009;33:176–8. https://doi.org/10.1192/pb.bp.108.020537.CrossRefGoogle Scholar
McCartney, J. Consultation-liaison psychiatry and the teaching of ethics. Gen Hosp Psychiatry. 1986;8:411–14.CrossRefGoogle ScholarPubMed
Taylor, DCM, Hamdy, H. Adult learning theories: Implications for learning and teaching in medical education: AMEE Guide No. 83. Med Teach. 2013;35:e1561–72. https://doi.org/10.3109/0142159X.2013.828153.CrossRefGoogle ScholarPubMed
Mukhalalati, BA, Taylor, A. Adult learning theories in context: A quick guide for healthcare professional educators. J Med Educ Curric Dev. 2019;6:2382120519840332. https://doi.org/10.1177/2382120519840332.CrossRefGoogle ScholarPubMed
Bird, J, Cohen-Cole, S, Boker, J, Freeman, A. Teaching psychiatry to non-psychiatrists: I. The application of educational methodology. Gen Hosp Psychiatry. 1983;5:247–53.CrossRefGoogle ScholarPubMed
Kilminster, SM, Jolly, BC. Effective supervision in clinical practice settings: A literature review. Med Educ. 2000;34:827–40. https://doi.org/10.1046/j.1365-2923.2000.00758.x.CrossRefGoogle ScholarPubMed
Dawber, C. Reflective practice groups for nurses: A consultation liaison psychiatry nursing initiative. Part 2 – The evaluation. Int J Ment Health Nurs. 2013;22:241–8. https://doi.org/10.1111/j.1447-0349.2012.00841.x.Google ScholarPubMed
Johnston, J, Paley, G. Mirror mirror on the ward: Who is the unfairest of them all? Reflections on reflective practice groups in acute psychiatric settings. Psychoanal Psychother. 2013;27:170–86. https://doi.org/10.1080/02668734.2013.772535.CrossRefGoogle Scholar
Spikes, J, Gadlin, W. Ombudsman rounds revisited: A controlled study of attitudinal change in response to liaison psychiatry teaching. Gen Hosp Psychiatry. 1986;8:273–8. https://doi.org/10.1016/0163-834386.90009-5.CrossRefGoogle ScholarPubMed
Ho, PA, Girgis, C, Rustad, JK, Noorday, D, Stern, T. Advancing the mission of consultation-liaison psychiatry through innovation in teaching. Psychosomatics. 2019;60:539–48.CrossRefGoogle ScholarPubMed
Piot, M-A, Dechartres, A, Attoe, C et al. Simulation in psychiatry for medical doctors: A systematic review and meta-analysis. Med Educ. 2020;54:696–708. https://doi.org/10.1111/medu.14166.CrossRefGoogle ScholarPubMed
Vandyk, AD, Lalonde, M, Merali, S, Wright, E, Bajnok, I, Davies, B. The use of psychiatry-focused simulation in undergraduate nursing education: A systematic search and review. Int J Ment Health Nurs. 2018;27:514–35. https://doi.org/10.1111/inm.12419.CrossRefGoogle ScholarPubMed
Vestal, HS, Sowden, G, Nejad, S et al. Simulation-based training for residents in the management of acute agitation: A cluster randomized controlled trial. Acad Psychiatry. 2017;41:62–7. https://doi.org/10.1007/s40596-016-0559-2.CrossRefGoogle ScholarPubMed
Castle, D, Sanci, L, Hamilton, B, Couper, J. Teaching psychiatry to undergraduates: Peer-peer learning using a ‘GP letter’. Acad Psychiatry. 2014;38:433–7. https://doi.org/10.1007/s40596-014-0088-9.Google ScholarPubMed
Walsh, AL, Peters, ME, Saralkar, RL, Chisolm, MS. Psychiatry residents integrating social media PRISM: Using Twitter in graduate medical education. Acad Psychiatry. 2019;43:319–23. https://doi.org/10.1007/s40596-018-1017-0.CrossRefGoogle ScholarPubMed
Wiederhold, BK. Connecting through technology during the coronavirus disease 2019 pandemic: Avoiding ‘Zoom fatigue’.Cyberpsychology Behav Soc Netw. 2020;23:437–8.Google ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×