S.TRUEMAN PhD THESIS 2016

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Jelinek et al. (2011) study, with one participant stating ‘it all comes down to resources’ (2011). 3.2.6.1.5 Need for education and training The sub-theme of needing education and training resonated most profoundly in the four articles. More than half (55.2%) of the respondents reported in Clark et al.’s (2005) study said they had received little or no mental health training and ‘results indicate[d] that respondents had not received adequate education or training regarding the management and care of patients with mental illness ‘(Clark et al., 2005). Reed and Fitzgerald (2005) reported that nurses ‘believed that their lack of knowledge and fear of saying the wrong thing resulted in people in rural communities receiving limited mental healthcare from nurses working in the general hospital’ ( Reed & Fitzgerald, 2005 ). Research demonstrated that the provision of education could be effective when it was provided in an on-going manner. Jelinek et al. ( 2011 ) reported this theme being raised by rural nurses, with one participant stating ‘we have no real training for mental health or no real understanding how to look after them’ ( 2011 ). Sombrely, Slaven and Kisely ( 2002 ) state that ‘[F]or nurses, further training and support (is) indicated’ ( 2002 ). 3.2.6.2 Theme 2: Generalist nurse’s mental health up-skilling and workshops The second category identified five sub-themes in accordance with the approach of Brunero, Jeon and Foster (2012): using the headings content/subject, frequency/length, status of trainer, pedagogy and mode of delivery and training evaluations and effectiveness.