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nurse). The full manuscripts of retained articles were then screened to identify only those papers which referenced generalist nurses in an Australian rural and remote setting. This staged approach initially identified eight journal articles for inclusion in the integrative review. Two further articles were added through tracing, inspecting and analysing descendent citations of each of the eight second-stage screened articles. The culmination of the screening process harvested ten articles concerning generalist nurses in rural and remote Australia and mental health clients (see Table 2). The ten articles were appraised using the Critical Appraisal Skills Program (CASP) checklist, see Table 2 (Burls, 2009). The Preferred Reporting Items of Systematic Reviews and Meta-Analyses (PRISMA) flowchart (see Figure 3.1) diagrammatically illustrates the process and quantifies the number of articles at each stage. The flowchart is adapted from a previously designed flowchart for systematic reviews (Moher, Liberati, Tetzlaff & Altman, 2009).