Evidence map›Paper›PMID 39352082›Full record

ArticleJournal of advanced nursing2025

Implementation of Positive Advanced Recovery Connections in Primary and Secondary Mental Health Care-A Registered Advanced Nurse Practitioner-Led Initiative.

A Cunningham, D De La Harpe Golden, M Pink, E Truszkowska, T Byrne, C Murphy, A Strahann, C Doyle, A Kasemiire, T Frawley

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

A CunninghamCommunity Healthcare East, Bray Mental Health, Bray Primary Care Centre, Bray, Co. Wicklow, Ireland.
D De La Harpe GoldenCommunity Healthcare East, Bray Mental Health, Bray Primary Care Centre, Bray, Co. Wicklow, Ireland.
M PinkCommunity Healthcare East, Bray Mental Health, Bray Primary Care Centre, Bray, Co. Wicklow, Ireland.
E TruszkowskaCommunity Healthcare East, Bray Mental Health, Bray Primary Care Centre, Bray, Co. Wicklow, Ireland.
T ByrneCommunity Healthcare East, Bray Mental Health, Bray Primary Care Centre, Bray, Co. Wicklow, Ireland.
C MurphySchool of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, Dublin, Ireland.
A StrahannCommunity Healthcare East, Bray Mental Health, Bray Primary Care Centre, Bray, Co. Wicklow, Ireland.
C DoyleMental Health Ireland, Marina House, Dun Laoghaire, Co. Dublin, Ireland.
A KasemiireCentre for Support and Training in Analysis and Research University College Dublin, Dublin, Ireland.
T FrawleySchool of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, Dublin, Ireland.ORCID https://orcid.org/0000-0002-2108-005X

Funding

Mental Health Ireland, Kevin Plunkett Award
6 · The paper itself

Abstract

AIM(S): This study reports on the implementation of a registered advanced nurse practitioner intervention. Aims include improving access, service user outcomes and integration between primary and secondary care.

designThis paper reports the quantitative results of a mixed methods implementation study. Qualitative data are reported separately. The PARiHS framework informs the implementation process itself, with considerations for nurses and other healthcare professionals explored.

methodsThe CORE-OM 34 item rating scale was administered both pre- and post-intervention. Service user attendances in secondary care was monitored.

resultsFindings suggest that the intervention was associated with clinically significant improvements in global or generic distress, reported by service users, as evidenced by changes in the CORE-OM scores. Access to care was recorded at an average of 3.6 days. Implementation science supported effective and safe implementation with clear governance structures.

conclusionRegistered advanced nurse practice in mental health clinics which provide full episodes of care results in improved integration and may be associated with positive patient outcomes. Implementation science is taught on Irish nursing programmes and this is important if innovative services are to be embedded in the healthcare system. IMPACT: The development of a model of care for mental health Registered Advanced Nurse Practitioners at the interface of primary and secondary care settings may be merited. Positive Advanced Recovery Connections may be associated with improving mental health outcomes and bolstering integration of primary and secondary care services. The utilisation of implementation science highlights the need for collaboration with all stakeholders to overcome barriers and recognise facilitators to attain the necessary model of integrated care. PATIENT AND PUBLIC CONTRIBUTION: Peer recovery input was provided by members of the service Recovery College, with participation evident in all stages of the project. The psychosocial assessment template was also co-designed.

Indexed as

Advanced Practice NursingMental DisordersMental Health ServicesNurse PractitionersPrimary Health CareSecondary Health CareAdultAgedFemaleHumansIrelandMaleMiddle Agedadvanced practicecare pathwaysclinical guidelinesdelivery of health carenurse practitionersprimary/secondary care interfacepsychiatric nursingpsychosocial nursingresearch implementation

Identifiers

PMID39352082
PMCPMC12535371

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.