Mental health bias in physical care: An integrative review of the literature

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dc.contributor.authorHallyburton, Annen
dc.contributor.authorAllison-Jones, Lisaen
dc.date.accessioned2023-08-23T18:24:04Zen
dc.date.available2023-08-23T18:24:04Zen
dc.date.issued2023-08-01en
dc.date.updated2023-08-22T22:11:01Zen
dc.description.abstractWhat is known on the subject?: Individuals experiencing mental illness make up a significant portion of the world's population. Individuals with mental illness experience higher rates of morbidity and die on average at least a decade earlier than individuals without mental health disorders. What this paper adds to existing knowledge?: Issues of stigma, diagnostic overshadowing, premature closure, inadequate workup, fear and lack of training negatively impact the care of individuals with mental illness. Issues impacting the care of individuals experiencing mental illness cross geographic and care setting boundaries. What are the implications for practice?: Partnerships between physical and mental health practitioners are needed to thoroughly assess and accurately diagnose symptoms experienced by individuals with mental illness. Educational interventions can help prepare practitioners to care for individuals with mental illness. Nurses can better advocate for effective patient care by learning about the phenomenon of diagnostic overshadowing and calling attention to its occurrence. Abstract: Introduction Individuals with mental illness experience significantly higher overall rates of morbidity and mortality than counterparts without mental illness. Misdiagnosis of symptoms emanating from physical illnesses as psychiatric in nature presents one important cause. Aim This integrative review explores research on healthcare professionals' misattribution of physical health symptoms to patients' comorbid psychiatric issues and seeks to identify unifying themes, shared causes, and possible strategies for addressing the issue. Method This review uses Whittemore and Knafl's 2005 integrative review methodology coupled with vetted quality appraisal tools. Results Following a systematic search of allied health, medical, psychological, sociological and general literature, 24 publications employing qualitative, quantitative, mixed and synthesis research methodologies were selected. Each study was appraised according to design, and relevant data were extracted. Discussion Themes of stigmatization, diagnostic overshadowing, incomplete medical examination, insufficient training, and fears experienced by providers and patients emerged. Implications for Practice Increased partnering between physical and mental health practitioners, continuing education, and improving patient–provider communication are key to providing equitable care. Nurses play primary roles in empathizing with patients, advocating for appropriate care and educating others on the dangers of misattributing physical symptoms to psychiatric cause.en
dc.description.versionPublished versionen
dc.format.extentPages 649-662en
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1111/jpm.12911en
dc.identifier.eissn1365-2850en
dc.identifier.issn1351-0126en
dc.identifier.issue4en
dc.identifier.orcidAllison-Jones, Lisa [0000-0002-4822-3428]en
dc.identifier.pmid36740727en
dc.identifier.urihttp://hdl.handle.net/10919/116092en
dc.identifier.volume30en
dc.language.isoenen
dc.publisherWileyen
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/36740727en
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectattitude of health personnelen
dc.subjectcomorbidityen
dc.subjectdiagnostic errorsen
dc.subjectmental disordersen
dc.subjectstigmaen
dc.subject4203 Health Services and Systemsen
dc.subject4205 Nursingen
dc.subject42 Health Sciencesen
dc.subjectBrain Disordersen
dc.subjectHealth Servicesen
dc.subjectClinical Researchen
dc.subjectBehavioral and Social Scienceen
dc.subjectMental Healthen
dc.subject7.3 Management and decision makingen
dc.subject8.1 Organisation and delivery of servicesen
dc.subject8 Health and social care services researchen
dc.subject7.1 Individual care needsen
dc.subject7 Management of diseases and conditionsen
dc.subject3 Good Health and Well Beingen
dc.subject.meshHumansen
dc.subject.meshMental Healthen
dc.subject.meshMental Disordersen
dc.subject.meshComorbidityen
dc.subject.meshHealth Personnelen
dc.titleMental health bias in physical care: An integrative review of the literatureen
dc.title.serialJournal of Psychiatric and Mental Health Nursingen
dc.typeArticle - Refereeden
dc.typeBook reviewen
dc.type.dcmitypeTexten
dcterms.dateAccepted2023-02-01en
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/HSISen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/HSIS/Interprofessionalismen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/HSIS/Interprofessionalism/Secondary Appointment -Interprofessionalismen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/TEACH Membersen

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