Development Of Health Services Research Articles

Safety of SGLT2 inhibitors, DPP-4 inhibitors, and GLP-1 receptor agonists in US veterans with and without chronic kidney disease: a population-based study

We examined the real-world comparative safety of sodium-glucose cotransporter-2 inhibitors (SGLT2i) vs. other newer anti-glycemic medications (dipeptidyl peptidase-4 inhibitors [DPP4i], glucagon-like peptide-1 receptor agonists [GLP1a]) in patients with and without chronic kidney disease (CKD). Among US Veterans with diabetes receiving care from the Veterans Affairs (VA) healthcare system over 2004-19, we identified incident users of SGLT2i vs. DPP4i vs. GLP1a monotherapy. In analyses stratified by CKD status, defined by estimated glomerular filtration rate and albuminuria, we examined associations of SGLT2i vs. DPP4i vs. GLP1a use with risk of infection-related (primary outcome) and genitourinary infection hospitalizations (secondary outcome) using multivariable Cox models. Among 92,269 patients who met eligibility criteria, 52% did not have CKD, whereas 48% had CKD. In the overall and non-CKD cohorts, compared to DPP4i use, SGLT2i use was associated with lower infection-related hospitalization risk (HRs [95% CIs] 0.74 [0.67-0.81] and 0.77 [0.67, 0.88], respectively), whereas GLP1a use demonstrated comparable risk. However, in the CKD cohort SGLT2i and GLP1a use were each associated with lower risk (HRs [95% CIs] 0.70 [0.61, 0.81] and 0.91 [0.84, 0.99], respectively). Propensity score-matched analyses showed similar findings in the non-CKD and CKD cohorts. In the overall, non-CKD, and CKD cohorts, SGLT2i use was associated with lower genitourinary infection hospitalization risk whereas GLP1a use showed comparable risk vs. DPP4i use. In a national cohort of Veterans with diabetes, compared with DPP4i use, SGLT2i use was associated with lower infection-related and genitourinary infection hospitalization risk. VA Health Services Research and Development, USA.

A systematic review of evaluative instruments for the purpose of monitoring forensic patient recovery and outcomes

ABSTRACT Ideally, evidence-based patient outcomes would be collected on a 6-monthly basis, allowing accurate measurement of treatment progress. This would encourage research and subsequent development of forensic mental health services. Lack of standardised routine outcome collection within Scotland may be acting as a barrier to this. The Royal College of Psychiatrists recommends that evidence-based clinical and patient-reported data should be collected; however, no specific measures are recommended. COnsensus-based Standards for health Measurement INstruments (COSMIN) guidelines for systematic reviews of outcome measures were followed and their Risk of Bias tool used to evaluate the quality of studies. Instrument content validity, for the purposes of measuring forensic patient recovery, was analysed separately through review of articles relating to instrument development and user feedback. From four evaluative instruments selected by predefined criteria, only Structured Assessment of Protective Factors for violence risk (SAPROF) and Instrument for Forensic Treatment Evaluation (IFTE) possessed the core psychometric properties of a useful outcome measure. These two instruments can therefore be recommended for the purpose of monitoring forensic patient recovery, with SAPROF being the more feasible option. HCR-20 and HoNOS-secure were found to lack content validity for this purpose. Additional psychometric studies for SAPROF are recommended.

Analysis: Married Women-Segmented Module Meet Doctor Users With Low Interest in The Klikdokter App

The clinic's process for requesting a consultation with a doctor and receiving a queue number is inefficient. To help patients make the most of their time at the clinic, it is helpful to provide them with information on when physicians will be available to see them. A new approach to health development governance is required under Regulation No. 21 of 2020 of the Republic of Indonesia's Minister of Health, which addresses the Ministry's Strategic Plan for 2020–2024. This plan encompasses health information systems, research integration, and development, among other areas. First, Health Technology Transformation, which includes developing and integrating health data; second, Health Service Application Integration and Development; and third, Health Technology Ecosystem Development, will house the primary activities involved in health technology transformation. This study's findings suggest that consumers are mostly interested in finding hospitals in close proximity to their homes, rather than using the doctor's appointment component of the KlikDokter app. Because of this, KlikDokter has to implement a change movement that can increase the number of health facilities that operate with Klik Doctor, allowing it to reach the closest health facility. It also has to link insurance and BPJS so that health facilities may provide transaction features.

Analysis: Married Women-Segmented Module Meet Doctor Users With Low Interest in The Klikdokter App

The clinic's process for requesting a consultation with a doctor and receiving a queue number is inefficient. To help patients make the most of their time at the clinic, it is helpful to provide them with information on when physicians will be available to see them. A new approach to health development governance is required under Regulation No. 21 of 2020 of the Republic of Indonesia's Minister of Health, which addresses the Ministry's Strategic Plan for 2020–2024. This plan encompasses health information systems, research integration, and development, among other areas. First, Health Technology Transformation, which includes developing and integrating health data; second, Health Service Application Integration and Development; and third, Health Technology Ecosystem Development, will house the primary activities involved in health technology transformation. This study's findings suggest that consumers are mostly interested in finding hospitals in close proximity to their homes, rather than using the doctor's appointment component of the KlikDokter app. Because of this, KlikDokter has to implement a change movement that can increase the number of health facilities that operate with Klik Doctor, allowing it to reach the closest health facility. It also has to link insurance and BPJS so that health facilities may provide transaction features.

A Scoping Review of Digital-Based Intervention for Reducing Risk of Suicide Among Adults.

Suicide is a serious public health problem, especially among adults. Risk factors for suicide include the presence of mental health disorders, history of previous suicide attempts; substance or alcohol use and lack of social support. The impact of suicide risk includes psychological loss, as well as the trauma and emotional stress that can be felt by the families and communities left behind. Digital interventions have emerged as a promising alternative for suicide risk prevention. Previous research has focused on the findings of various designs, which did not provide clear intervention information to inform the implementation of the intervention. This study aims to describe a digital intervention to reduce the risk of suicidal behavior in adults. The design used in this study was a scoping review. The authors conducted a literature search from the Scopus, PubMed, and CINAHL databases. Inclusion criteria in this study were articles discussing digital interventions aimed at preventing suicide risk in adult populations, English language, full-text, RCT or quasi-experiment design, and publication period of the last 10 years (2014-2024). The major keywords used in the article search were suicide prevention, digital intervention, and adults. Data extraction used manual table and data analysis used descriptive qualitative with a content approach. The results showed that there were 9 articles that discussed digital-based interventions to reduce suicide risk in adults. The various types of digital interventions used were smartphone apps, online learning modules, and game-based interventions. These interventions offer significant potential in reducing the risk of suicidal behavior in adults. Digital interventions have an important role in reducing the risk of suicidal behavior in adults by considering aspects of suitability to individual needs and understanding digital literacy. Then, the development of mental health services and public health policies presented needs to be done with collaboration between stakeholders in suicide prevention efforts.

Effectiveness of Indigenously Developed Clinical Supervision in Therapeutic Setting

Clinical supervision is a process in which a supervisor assists the supervisee in reflecting their own clinical work in a therapeutic setting. In this regard, cultural competency is important in clinical supervision and religion plays a substantial role in culture. Therefore, the American Psychological Association has focused on religion in psychology. However, despite acceptance of the importance of religious integration into clinical practice, very few psychologists receive training, which is important for addressing the integration of religious values in therapeutic settings. Therefore, the current study was designed to assess the effectiveness of indigenously developed clinical supervision, based on the general guidelines of the development model of supervision. It was designed for an inclusive environment that respects diverse spiritual and religious perspectives. The study included 15 supervisees who received clinical supervision from trained clinical supervisors who were trained on an indigenously developed clinical supervision model. Supervisors provided regular supervision to the supervisee over a period of six months. The effectiveness of the protocol was measured by using the Clinical Skills Assessment Rating Form (CSA-RF). The CSA-RF is 32 items scale, facilitating in the measurement of the effectiveness of the protocol in the five domains of demonstrating professional therapeutic engagement, creating a secure base, formulation, facilitating mutual understanding and session structure. The results showed that the supervisee who received supervision through the indigenous clinical supervision protocol brought significant changes in their therapeutic skills (p=.001). These findings have significant implications in the development and implementation of mental health services, particularly in therapeutic settings.

Analysis of health knowledge awareness and influencing factors of permanent residents in Songshan Lake Science and Technology Industrial Park, Dongguan City

Objective: To understand the health knowledge awareness and influencing factors of permanent residents in Songshan Lake Science and Technology Industrial Park, Dongguan City, and to provide a data basis for the development of health education and public health services in the region. Methods: A multi-stage stratified sampling method was used to select 1,000 permanent residents from 13 residential areas in the region as survey subjects. Basic demographic information and health knowledge awareness were obtained through questionnaires, and statistical analysis was conducted on the data. Results: The health knowledge awareness rate of permanent residents in the region is relatively low, with the highest rate being the dangers of smoking in pregnant women, with the correct answer rate reaching 87.1%. Correct use of antibiotics, transmission routes of AIDS, salt intake standards and hypertension diagnostic standards have correct answer rates between 40% and 55%. The three knowledge points of risk factors for hypertension, diabetes and cerebrovascular disease had the lowest correct answers. Respondents with higher education levels know more health knowledge. Conclusion:The awareness rate of health knowledge is very low, which is not suitable for the current economic development and population quality. Health education and publicity should be strengthened for groups with low awareness and knowledge content.

Analisis Pengetahuan, Sikap Dan Motivasi Kepatuhan Dokter Spesialis Dengan Pengisian Rekam Medis Pasien di Instalasi Rawat Inap RS X Jakarta

Completeness in filling of medical record files by doctors will be able to facilitate other health workers in providing action or treatment to patients, and can be used as a source of data in the Medical Record section in data management and reports that will be used as useful information for hospital management in determining evaluation and development of health services. At this time at RS X based on the Quality of Medical Records, the completeness of filling in the Medical Records of inpatients for the period January –Desember 2023 is still 59%. The purpose of this study was to analyze the compliance analysis of doctors filling out patients Medical Records at the inpatient installation of RS X Jakarta in 2023.The study was conducted with a cross sectional design, using a sample of 60 specialist doctors at RS X. Data were analyzed by Chi Square. Sources of Data This research is primary data collected by the method of distributing questionnaires as a research instrument.The results of the study concluded that there was a significant relationship between age, gender, knowledge, attitudes and motivation of doctors with compliance in filling out medical records with p-value ˂ 0.05. There is no significant relationship between tenure and compliance in filling out medical records with p-value = 0.452 ˃ 0.05. The most dominant relationship in physician compliance in filling out medical records is Doctor's Knowledge and Motivation with p-value = 0.000 ˂ 0.05. Dominance of knowledge and motivation of doctors in filling out medical records. The suggestion is that the knowledge and motivation of doctors really need to be a concern and the hospital management should consider things related to improving the quality of doctors in filling out medical records. Knowledge improvement in regulatory updates, SOPs and procedures for filling out medical records is very important. The use of electronic medical records can provide great benefits for health services such as hospitals.

Exploring the foundations of a digital health information service for patients with inflammatory bowel disease: a mixed method study in Gravitate-Health

BackgroundProviding relevant digital health information of high quality may promote treatment adherence and self-management for patients with inflammatory bowel disease. The development of digital health services is optimised by considering end users’ needs.AimTo identify key aspects required for digital promotion of inflammatory bowel disease patients’ self-management by exploring their health information needs and the preferences of both patients and healthcare professionals in relation to the digital provision of inflammatory bowel disease health services.MethodsData from an audit of 1,481 electronic health record summaries from an inflammatory bowel disease help line, 17 semi-structured interviews with inflammatory bowel disease patients and 2 focus group interviews with 11 healthcare professionals were analysed.ResultsPatients primarily contacted the hospital due to concerns about symptoms, examinations and tests, and medicines. Their concerns appeared to vary according to diagnosis, gender, age and disease duration. The interviews identified two overarching themes: (1) the available health information and patients’ health information needs, and (2) whishes, thoughts and preferences for a digital solution in IBD care with relevant and individualised information.ConclusionsThe findings delineate key aspects for developing a suitable digital health information service. Patients seek information from healthcare professionals about treatment; however, in a digital solution, they want access to relevant and practical information about the disease, treatment and self-management. Both patients and healthcare professionals saw opportunities for increasing health data availability to patients. However, healthcare professionals expressed concerns about adapting, maintaining and ensuring the relevance of patient health information without increasing their workload and, thus, reducing quality of care.

Health effect of public sports services and public health services: empirical evidence from China.

There is no clear explanation for the extraordinary rebound in China's population mortality over the past decade. This paper utilizes panel data from 31 Chinese provinces from 2010 to 2020 to determine the distinct impacts of public sports services (PSS), public health services (PMS), and their interaction on population mortality. Empirical results show that public sports services significantly reduce mortality. Every unit increase in public sports services reduces mortality by about 2.3%. It is characterized by delayed realization. Public health services were surprisingly associated with a rebound in mortality. Further studies found strong health effect from interaction of public sports and health services. The effect was significantly strengthened in areas with fewer extreme temperatures or developed economy. The findings have important policy implications for the high-quality development of public sports and health services. It also emphasizes integration of sports and medicine and mitigates health risks associated with extreme temperatures.

The Collaboration of Private Hospitals with the Public Health Service: The Case of La Rioja, Spain (1986-2019).

In Spain, the public National Health Service provides care to Spaniards and other residents and is tailored for a decentralized state of autonomies. Each Autonomous Community has legislative capacity in its organization and management. We study the case of the collaboration between private hospitals and the public health service in La Rioja, an Autonomous Community of Spain located in the North of the Iberian Peninsula, due to the importance that this relationship has in health systems, in general. We applied the case study method as a methodological tool in a long-term local study. The interpretation was carried out within a national context, which allows us to understand its meaning and the historical keys to hospital development in this region. Primary sources have been reviewed (mainly reports, catalogs, and censuses of hospitals from the Ministry of Health and the Government of La Rioja) and other secondary sources, located in archives, libraries, Institute of Rioja Studies, and Department of Health. The hospital system in La Rioja was characterized by a predominance of public beds compared with private ones, although there has been a growing trend in the number of private beds from 2013 onwards due to the incorporation of health and social care convalescent hospitals (two). La Rioja has been promoting public-private collaboration (seen as a strategic alliance) and focusing on agreements in the socio-health space, particularly using the management service agreement and the concession of work formulas. The development of the public health service in La Rioja, from 1986 to 2019, has been determined by a progressive lower dependence on specialized hospitals from other health services of neighboring Autonomous Communities and by a mixed public-private hospital system.

Proposed System of Integrated Geriatric and Disability Care Services in Sri Lanka (A Concept Note)

The global landscape is witnessing a significant transformation marked by a rapid increase in the aging population, driven by epidemiological and demographic transitions. Sri Lanka, like many other countries, is experiencing a significant demographic shift with an increase of older population. Notably, Sri Lanka stands out in South Asia, with 12.3% of its population aged 60 or older, the highest proportion in the region. Similar to other countries Sri Lanka also experiencing the increasing of elderly population. Sri Lanka is not geared to cater the elderly population and their needs as well as related health conditions, hence; it is the need in the current context. Objective of this paper is to propose a service delivery framework for elderly and related health care to the Sri Lankan health system based on the current findings. Methodology used are a desk reviews and key informant interviews to gather current data on elderly care and develop the model based on these findings. The development of geriatric health services in Sri Lanka is crucial to ensure that the growing elderly population receives the care and support they need to age healthily and maintain their quality of life. By addressing the unique healthcare challenges faced by the elderly, we can enhance the overall health and well-being of the elderly population in the nation.

PERLINDUNGAN TERHADAP PERKEMBANGAN LAYANAN KESEHATAN BERBASIS KECERDASAN BUATAN (ARTIFICIAL INTELLIGENCE) DI INDONESIA

Artificial Intelligence-based (AI) Health Service is a solution to the limited number and distribution of doctors in Indonesia. However, the use of AI technology also presents several challenges. This research used a normative juridical approach to analyse protection regarding the development of AI-based technology-based health services in Indonesia. The analysis shows that challenges to utilizing AI in healthcare include bias, protection of personal data and risk of malpractice. As a system that has no moral values, doctors is expected to be wiser in operating it. To ensure the delivery of quality AI-based health services, patients, doctors, service providers and the government need to understand and carry out their respective roles collaboratively.

Spiritual and Community-Based Mental Health Services for Children with Special Needs in Islamic Boarding School

This study focuses on enhancing the care and educational support for children with special needs, particularly in rural areas where their families often lack adequate support. Recognizing the vital roles of communities and governments, the research seeks to create an inclusive education and mental health service model that incorporates spirituality and community engagement. A qualitative research method was used to achieve this, involving 19 managers and caregivers of children with special needs. Through interviews, participant observations, and three focus group discussions, data were collected using the free association technique and analyzed via thematic analysis. This analysis highlighted four key themes: the development of spiritual and community-based mental health services, the application of these approaches in service delivery, the care strategies for children with special needs, and the evaluation methods and psychological interventions rooted in indigenous psychology. The goal is to establish a mental health service model for rural settings that can be adapted for broader application in other regions.

Supporting newly qualified pharmacists in transitioning to independent practice: a qualitative analysis of the role of supervision

Abstract Introduction Newly qualified pharmacists (NQPs) face a demanding and challenging work environment during their transition to independent practice.[1,2] They also face challenges related to the changing nature of pharmacy practice, with pharmacists playing an increasingly important clinical role in patient care, which can be daunting for NQPs. Supporting NQPs during this transition period is essential for ensuring the sustainable development of health services. In 2021, Health Education England introduced the Newly Qualified Pharmacist Pathway, which included access to the Royal Pharmaceutical Society (RPS) e-Portfolio, formal learning of clinical and other skills, and access to educational supervision. The learning programmes were delivered by different providers in different settings/sectors. In hospitals, the Pathway was intended to complement existing programmes. Those in community pharmacy, general practice, community health services, health and justice, and care homes had access to a 12-month structured programme. Aim To discuss how supervision works and its contribution to supporting NQPs during their transition to independent practice. Methods Semi-structured qualitative interviews with NQPs (n=7) and supervisors (n=14). Email invitations were sent via learning providers. Participants were selected to capture NQPs and supervisors from various learning programmes and settings/sectors. Interviews were analysed thematically. Results The transition to independent practitioners meant NQPs were required to work with a high degree of autonomy in their practice. Yet, NQPs reported a lack of confidence in this. Supervisors reported that being an independent practitioner also meant that NQPs needed to be accountable for their decisions, learn to prioritise in a high-pressure environment, lead more experienced colleagues and manage a team. Supervision was an important part of the Pathway. Both NQPs and supervisors reported that supervisors provided NQPs with guidance, support, and feedback during their transition period. Supervisors added that they conducted learning needs assessments to foster a learner-centred approach that aided NQPs in expanding their skills and knowledge. They also supported NQPs in developing reflective practice as part of their professional development and progression to advanced practice. How supervision was conducted in practice varied across different settings/sectors. NQPs and hospital supervisors described that NQPs had a clinical work-based supervisor and an educational supervisor. In community pharmacies where NQPs often lacked access to support and structured learning opportunities, NQPs and supervisors claimed that remote educational supervision offered through the Pathway provided a support system for NQPs who would otherwise have been without any support structure. Conclusion Our study highlights that both NQPs and supervisors noted the importance of the support provided by educational supervisors to address learning/support needs in the early year of practice. However, the extent to which NQPs received what they needed varied widely. This support will likely become increasingly important from 2026, when pharmacists will require support as they become independent prescribers. We need to develop processes and infrastructure to ensure high-quality supervision is available to NQPs in all settings/sectors. The strength of the study lies in the in-depth interviews that provided rich and insightful data, effectively addressing the limitation posed by the relatively small number of participating NQPs.

Best practice transfer by public health nurses in Japan: actual conditions and related factors

BackgroundThe workload of public health nurses (PHNs) working for local governments has been increasing as health issues become more diverse and complicated. Even amidst the ongoing administrative and fiscal reforms, there is an urgent need to ensure how effectively and efficiently public health nurses can practice in health service development. The objective of this research was to clarify the actual conditions of best practice transfer (BPT) and its related factors.MethodsAn anonymous postal and self-administered questionnaire survey was conducted among PHNs working at 334 sites, including the local government offices and health centers across Japan, and analysed mainly through logistic regression analysis.ResultsOne hundred eighty-five of the 334 institutions (55.4%) agreed to participate, and of the 966 questionnaire forms distributed, 709 forms (73.4%) were collected, of which 702 responses (72.7%) were valid. Although less than half (43.2%) have experience in BPT in health service development, more than 80% are willing to perform going forward. Significant factors for both the group with experience in BPT and the group with willingness to perform include an organizational culture that promotes BPT, as well as multiple elements of the workplace environment and facilitating factors related to knowledge and learning. The experienced group recognised the needs for criteria to evaluate the adaptability of best practice, while the willing group, to evaluate the quality of practice.ConclusionsThrough a nationwide survey, this research elucidated for the first time the actual conditions of BPT by PHNs in Japan and related factors. The results indicated the importance of developing a system to promote BPT at the workplace level, also highlighted the importance for practitioners and experts, including researchers, to work together to develop practical guidelines to ensure evidence-based practices. Urgent actions are needed for the national and local governments to develop a system to promote BPT from diverse perspectives, building on the findings of this research.

How internet healthcare information overflow affects farmers' healthcare consumption: insights from China.

In the context of the deep coupling and synergistic development of digital villages and healthy villages, the development of China's rural society harbors a huge potential for medical and healthcare consumption. On the basis of theoretical research, a framework was constructed to analyze the influence mechanism of farmers' medical and healthcare consumption in the context of Internet medical information overflow, and empirically examines the research and analysis framework by using the 2020 China Household Tracking Survey data with the OLS model, mediation effect model, and instrumental variable method. It is found that Internet medical information spillover has a "crowding-in effect" on farmers' healthcare consumption; Medical attendance behavior, economic capital utilize the intermediary effect between Internet medical information spillover and farmers' healthcare consumption. And there is age group heterogeneity in the effect of Internet medical information spillover on farmers' healthcare consumption, The ability of rural middle-aged and old-aged groups to recognize new things such as Internet medical information needs to be improved, so the overflow of Internet medical information will induce rural middle-aged and old-aged groups to generate a certain amount of medical and health care consumption. However, the impact on healthcare consumption is not sensitive to the youth cohort group. The sinking of Internet medical resources should be accelerated in the future to promote the high-quality development of rural medical and health services, at the same time the "Internet + healthcare services" should be optimized to promote scientific and rational stratification of farmers' access to healthcare, and economic capital for farmers' access to health care should be improved in order to alleviate the burden of health care, etc.

A pilot study: Exploring suicidal ideation among non-offending adults with sexual attraction to minors, through their online forum posts

Summary An emerging field of research seeks to understand the experiences of non-offending adults who experience sexual attraction towards children. Research indicates that this largely hidden population can experience significant mental ill health and suicidal ideation, yet are reluctant to seek professional mental health support. Furthermore, mental ill health has been identified as a factor that can increase the likelihood of offending. This study, undertaken by a social work practitioner researcher, aimed to assist in understanding suicidality factors within this population, and to identify how statutory mental health services could be developed for this client group, thus contributing to child protection and suicide prevention agendas. A qualitative analysis was undertaken of data gathered from an online forum used by adults who have sexual attraction towards children, and are committed to non-offending. The data related to forum members’ experiences of suicidality, and key themes were identified through thematic analysis. Findings The study found that a pattern of suicidal ideation commonly appears to manifest and identified risk and protective factors that can influence suicidality. The benefits of peer support and the strengths and limitations of professional support were also identified. Applications The findings from this study contribute to an improved understanding of this client group for mental health practitioners. The findings also lay the foundation for further investigations, to inform the development of mental health services to facilitate improved outcomes for this client group, and for child protection.

The Application and Ethical Issues of Digital Mental Health Services

The widespread popularity of digital technology has brought about significant changes in the treatment of mental health problems. Traditional mental health services can no longer meet the needs of society for mental health, and digital mental health services are developing vigorously. Digital mental health services have shown significant advantages in rapid diagnosis, improving mental health, and improving mental service efficiency. This article outlines the development and application of mental health services so far. On the basis of describing the various uses of digital psychological intervention measures, it focuses on the ethical issues faced by the current application of digital mental health services, such as privacy and data security caused by Big data, potential ethical risks caused by digital technology, insufficient clinical verification, imperfect market regulations and professional threats to psychological workers. To ensure the rational and compliant use of digital technology in the field of mental health, this article discusses the ethical problem- solving directions of current digital mental health services from three levels: technical policies, ethical norms and systems, and social individuals, in order to promote the integration of digital technology and mental health services and improve the quality and efficiency of digital mental health services.

It takes it out of the textbook: Benefits of and barriers to expert by experience involvement in pre-registration mental health nursing education.

Nurse academics teaching mental health nursing have generally favourable views about the importance of expert by experience involvement. Nurse academics experience significant barriers in supporting the implementation of academic positions for experts by experience, particularly in obtaining funding. The experts by experience could contribute to mental health nursing education does not appear to be clearly understood by nurse academics. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Mental health services aspire to adopt a recovery-oriented approach to practice. Involving experts by experience in mental health nursing education can facilitate increased understanding and appreciation of recovery-oriented practice. Nurse academics could play an important role in supporting the implementation of experts by experience positions in nursing academia. To do so, they require an understanding of the benefits of EBE involvement in academia and the barriers that can be encountered when attempting to facilitate the implementation of such positions. Experts by experience contribute unique expertise, essential to the development of quality mental health services. Conveying this expertise through the educating the future nursing workforce in mental health is essential. INTRODUCTION: Involving service users in mental health nursing education is ad hoc and minimal, despite growing evidence of its benefits. Insights and experiences of nurse academics teaching mental health to pre-registration students have been underrepresented in the research to date. To seek insights and experiences of nurse academics involved in designing and delivering pre-registration mental health nursing education in Australian universities regarding involving service users in mental health nursing education. A descriptive qualitative study involving 19 nurse academics from 13 Australian universities, involved in pre-registration mental health nursing education. Data were analysed thematically. Participants reported minimal service user involvement. Most sought an increase and identified barriers. Data analysis resulted in five identified themes: (1) value-rich, (2) resource-poor, (3) imperfect processes, (4) 'part, but not all' and (5) unrecognised worth. Increasing meaningful involvement of service-users in mental health nursing education requires support and investment from multiple stakeholders. Nurse academics are crucial stakeholders in understanding the unique expertise service users bring. Service users being central to all aspects of mental health services requires their active participation in the education of health professionals. Nurse academics have an important role in realising this goal.