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Mallon, Sharon; Walker, Kate; Bayley, Zana and Griffiths, Chris
(2022).
DOI: https://doi.org/10.1111/jpm.12815
Abstract
Accessible Summary
What is known about the subject?
- The practices of mental health nurses in the administration of repetitive transcranial magnetic stimulation (rTMS) treatments for depression in outpatient clinic are crucial for patient outcomes
- To date, most research has focused directly on procedural aspects of treatment delivery with limited focus on the delivery of holistic care and treatment,
- There is a lack of best practice guidance based on the experiences of those involved in clinical delivery to inform and improve rTMS practices
What this paper adds to existing knowledge?
- This study provides unique insights into service and personalized non‐treatment factors associated with rTMS delivery that may reduce stress and improve the experiences of rTMS patients
- It reviews and updates understanding of the factors that contribute to the delivery of effective rTMS.
What are the implications for practice?
- The need to apply findings for the development of best practice guidance
- Factors to improve practice include (a) rTMS machine demonstrations; (b) constructive, individualized, friendly, and therapeutic conversations; (c) a relaxing, comfortable, 'homely' physical environment; (d) long term supportive management; and (e) careful engagement of nursing and support staff.