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Refocusing on physical health: community psychiatric nurses' perceptions of using enhanced health checks for people with severe mental illness

Bressington, Daniel; Mui, Jolene; Wells, Harvey; Chien, Wai Tong; Lam, Claire; White, Jacquie; Gray, Richard


Daniel Bressington

Jolene Mui

Harvey Wells

Wai Tong Chien

Claire Lam

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Dr Jacquie White
Mental Health Strategy Lead (Student Services) and Reader (Faculty of Health Sciences)

Richard Gray


In the present qualitative, descriptive study, we explored Hong Kong community psychiatric nurses’ (CPN) perceptions of using comprehensive physical health checks for service users diagnosed with severe mental illness (SMI). Research interviews were conducted with a purposive sample of 11 CPN in order to explore their perceptions about the use of the Health Improvement Profile (HIP) over a 1-year period. Interview data were analysed using inductive thematic analysis. The analysis revealed that the majority of CPN appreciated the comprehensive focus on the physical health of their clients and reported positive changes in their clinical practice. Many of them observed an increase in the motivation of their clients to improve their physical health, and also noted observable benefits in service users’ well-being. The use of the HIP also helped the CPN identify implementation barriers, and highlighted areas of the tool that required modifications to suit the local cultural and clinical context. To our knowledge, this is the first study conducted in an Asian mental health service that explores nurses’ views about using comprehensive health checks for people with SMI. The findings suggest that such approaches are viewed as being acceptable, feasible, and potentially beneficial in the community mental health setting.


Bressington, D., Mui, J., Wells, H., Chien, W. T., Lam, C., White, J., & Gray, R. (2016). Refocusing on physical health: community psychiatric nurses' perceptions of using enhanced health checks for people with severe mental illness. International Journal of Mental Health Nursing, 25(3), 214-224.

Journal Article Type Article
Acceptance Date Oct 11, 2015
Online Publication Date Feb 9, 2016
Publication Date May 24, 2016
Deposit Date Mar 3, 2016
Publicly Available Date Oct 27, 2022
Journal International journal of mental health nursing
Print ISSN 1445-8330
Electronic ISSN 1447-0349
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 25
Issue 3
Pages 214-224
Keywords Health behaviour change, Health screening, Physical health, Severe mental illness
Public URL
Publisher URL
Additional Information Authors' accepted manuscript of article published in: International journal of mental health nursing, 2016, v.25, issue 3


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