The impact of a participatory intervention on the therapeutic relationship in mental health nurses: A multicentre study

2021 ◽  
Author(s):  
Antonio R. Moreno‐Poyato ◽  
Óscar Rodríguez‐Nogueira ◽  
Georgina Casanova‐Garrigos ◽  
Khadija El Abidi ◽  
Juan F. Roldán‐Merino ◽  
...  
Keyword(s):  
Mental Health ◽  
Multicentre Study ◽  
Therapeutic Relationship ◽  
Mental Health Nurses ◽  
The Impact ◽  
Participatory Intervention

scholarly journals The Impacts of Working with People Experiencing Suicidal Ideation: Mental Health Nurses Describe Their Experience

2021 ◽  
Author(s):  
◽  
Lynley Murtagh
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Mental Health Professionals ◽  
Qualitative Description ◽  
Work Place ◽  
National Guidelines ◽  
Graduate Studies ◽  
Mental Health Nurses ◽  
Suicidal Crisis ◽  
The Impact

<p>New Zealand has one of the highest suicide rates in the world and mental health nurses are the most likely professionals to assess a person presenting with suicidal ideation. Managing a suicidal crisis is acknowledged as being one of the most difficult and frightening challenges facing mental health professionals. This research aimed to have mental health nurses who work in acute mental health settings describe the impact that working with people experiencing suicidal ideation has on their personal and professional lives. This study followed the tenets of fundamental qualitative description as presented by Sandelowski (2000). Five mental health nurses participated in individual semi structured interviews. The data collected under-went systematic thematic analysis and the extracted findings were presented as a straight description. The findings from this study revealed that personal philosophies of care, the work place culture, organisational and professional expectations and their personal concepts about suicide all influenced the experiences of these participants. Mental exhaustion, tension and feelings of isolation and alienation from family and society were universal experiences. Two recommendations have been made based on the insights gained from this research. These are; tertiary institutions should offer post graduate studies on the subject of suicide as it relates to mental health nursing and national guidelines for the provision of supervision to mental health nurses need to be developed.</p>

scholarly journals The Impacts of Working with People Experiencing Suicidal Ideation: Mental Health Nurses Describe Their Experience

2021 ◽  
Author(s):  
◽  
Lynley Murtagh
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Mental Health Professionals ◽  
Qualitative Description ◽  
Work Place ◽  
National Guidelines ◽  
Graduate Studies ◽  
Mental Health Nurses ◽  
Suicidal Crisis ◽  
The Impact

<p>New Zealand has one of the highest suicide rates in the world and mental health nurses are the most likely professionals to assess a person presenting with suicidal ideation. Managing a suicidal crisis is acknowledged as being one of the most difficult and frightening challenges facing mental health professionals. This research aimed to have mental health nurses who work in acute mental health settings describe the impact that working with people experiencing suicidal ideation has on their personal and professional lives. This study followed the tenets of fundamental qualitative description as presented by Sandelowski (2000). Five mental health nurses participated in individual semi structured interviews. The data collected under-went systematic thematic analysis and the extracted findings were presented as a straight description. The findings from this study revealed that personal philosophies of care, the work place culture, organisational and professional expectations and their personal concepts about suicide all influenced the experiences of these participants. Mental exhaustion, tension and feelings of isolation and alienation from family and society were universal experiences. Two recommendations have been made based on the insights gained from this research. These are; tertiary institutions should offer post graduate studies on the subject of suicide as it relates to mental health nursing and national guidelines for the provision of supervision to mental health nurses need to be developed.</p>

scholarly journals Involving carers in risk assessment: a study of a structured dialogue between mental health nurses and carers

2019 ◽  
Vol 24 (5) ◽  
pp. 330-341 ◽  
Author(s):  
Haley Jackson ◽  
Jane Wray ◽  
Eric Gardiner ◽  
Tracy Flanagan
Keyword(s):  
Mental Health ◽  
Safety Information ◽  
Intervention Group ◽  
Service Users ◽  
Chi Square ◽  
Mental Health Nurses ◽  
Perceptions Of Risk ◽  
Post Test ◽  
The Impact ◽  
Satisfaction With Services

Background Involving carers is a key priority in mental health services. Carers report the sharing of service users’ safety information by mental health nurses is problematic and seldom takes place. Aims The impact of an intervention on consensus between nurses and carers on perceptions of risk was investigated. Methods Carer–nurse risk consensus scores were measured pre- and post-introduction of a structured dialogue (paired t-test/ANOVA). Carer experience with involvement was surveyed pre-test ( n = 60) and compared with the post-test intervention group ( n = 32) (chi-square tests of linear-by-linear association). Results Consensus and perceptions regarding type and severity of risk did not change significantly for carers or nurses after engaging in a structured dialogue. Statistically significant differences were found with carers reporting higher levels of satisfaction with services in four out of six areas surveyed. Conclusions Findings provide support for increasing carer contribution to discussions regarding risk. Further work to embed carer involvement in clinical practice is warranted.

scholarly journals Threats to epistemic agency in young people with unusual experiences and beliefs

Synthese ◽  
2021 ◽  
Author(s):  
Joseph W. Houlders ◽  
Lisa Bortolotti ◽  
Matthew R. Broome
Keyword(s):  
Mental Health ◽  
Young People ◽  
Health Services ◽  
Therapeutic Relationship ◽  
Ethical Issues ◽  
Sense Of Self ◽  
Clinical Encounter ◽  
Epistemic Agency ◽  
The Impact

AbstractA good therapeutic relationship in mental health services is a predictor of positive clinical outcomes for people who seek help for distressing experiences, such as voice hearing and paranoia. One factor that may affect the quality of the therapeutic relationship and raises further ethical issues is the impact of the clinical encounter on users’ sense of self, and in particular on their sense of agency. In the paper, we discuss some of the reasons why the sense of epistemic agency may be especially fragile in young people with unusual experiences and beliefs. We argue that it is important to identify and avoid behaviours that can undermine young people’s contributions as epistemic agents in the clinical encounter.

A Qualitative Review of What Forensic Mental Health Nurses Include in Their Documentation

2021 ◽  
pp. 084456212110180
Author(s):  
Krystle Martin ◽  
Rosemary Ricciardelli
Keyword(s):  
Mental Health ◽  
Best Practice ◽  
Critical Role ◽  
Missing Information ◽  
Nursing Documentation ◽  
Mental Health Nurses ◽  
Inaccurate Information ◽  
The Impact ◽  
Quality Of Nursing

Background Documentation of mental health care is a critical component of nursing practice. Despite being identified as playing a critical role, researchers continue to question the quality of nursing documentation and missing and/or inaccurate information. Purpose Our aim is to explore the content of nursing documentation among mental health nurses providing care to forensic inpatients. Methods Using a constructed semi-grounded emergent theme approach for data analysis, we reviewed the types of activities, subjects, and interactions described within nursing notes and identified themes of the content. Results Our results demonstrate that nursing documentation could be categorized into one of seven themes: interactions, food, activities, sleep, mental health, physical health and hygiene. These areas were not consistent with the recommendations from nursing bodies in Canada, specifically the areas of assessment, planning, implementation, and evaluation. Furthermore, missing in the nursing notes is context. Conclusions The discussion highlights the importance of nursing documentation within the context of best practice, bias, and the impact on patient care. We also discuss missing information (context, clinical relevance, and case conceptualization), and suggest that nurses are not injecting this expertise in patient notes. Clinical implications for documentation practices are presented in relation to education and reflective practice.

scholarly journals Personal and Professional Choices, Tensions, and Boundaries in the Lives of Lesbian Psychiatric Mental Health Nurses

2021 ◽  
Author(s):  
◽  
Christine Mary Miriam Walsh
Keyword(s):  
Mental Health ◽  
Therapeutic Relationship ◽  
Personal Information ◽  
Unique Contribution ◽  
Mental Health Nursing ◽  
Mental Health Nurses ◽  
Lesbian Identity ◽  
Personal Lives ◽  
Health Nursing ◽  
Therapeutic Nursing

<p>This study breaks new ground in articulating how sexual identity impacts on the therapeutic relationship between the client and the lesbian nurse in psychiatric mental health nursing. There is little consideration given in the literature or in research as to how sexuality of the nurse impacts on nursing practice. Most attitudes held by the public and nursing staff are based on the assumption that everyone is heterosexual, including nurses. Fifteen lesbian psychiatric mental health nurses from throughout New Zealand volunteered for two interviews and shared their experiences of becoming and being a lesbian psychiatric mental health nurse. The stories they told give new insights into how these nurses negotiate and position their lesbian identity in the therapeutic relationship. To work therapeutically with people in mental distress the nurse uses personal information about themselves to gain rapport with the client through appropriate selfdisclosure. Being real, honest and authentic are also key concepts in this relationship so the negotiation of reveal/conceal of the nurse’s identity is central to ongoing therapeutic engagement. One of the most significant things arising from the research is that participants areable to maintain their honesty and authenticity in the therapeutic relationship whether they self-disclose their lesbian identity or not. This is because the experiences in their personal lives have influenced how the participants ‘know themselves’ and therefore guide how they ‘use self’ in their therapeutic nursing. The concept of a ‘licensed narrative’ has also been developed during this research reflecting the negotiated understandings between the researcher and the participants. Further, the use of NVivo a qualitative software package helps to track and make transparent the research processes. These two aspects make a unique contribution to the field of narrative inquiry.</p>

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