Managing and caring for distressed and disturbed service users: the thoughts and feelings experienced by a sample of English mental health nurses

2015 ◽  
Vol 22 (5) ◽  
pp. 289-297 ◽  
Author(s):  
M. Chambers ◽  
X. Kantaris ◽  
V. Guise ◽  
M. Välimäki
Keyword(s):  
Mental Health ◽  
Service Users ◽  
Mental Health Nurses

scholarly journals Measuring therapeutic engagement in acute mental health inpatient environments: the perspectives of service users and mental health nurses

2021 ◽  
Author(s):  
Mary Chambers ◽  
Sue McAndrew ◽  
Fiona Nolan ◽  
Benjamin Thomas ◽  
Paul Watts ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Clinical Supervision ◽  
Free Text ◽  
Service Users ◽  
Mental Health Nursing ◽  
Mental Health Nurses ◽  
Therapeutic Engagement ◽  
Free Text Response ◽  
Health Nursing

Abstract Background: A key component of caring for service users (SUs) in acute mental health inpatient environments is Therapeutic Engagement (TE). To that end, the Therapeutic Engagement Questionnaire (TEQ) was developed and validated. The TEQ measures TE between SUs and registered mental health nurses (RMHNs) from the perspective of both parties and can quantify and recognise how nurses engage with SUs and monitor this activity as well as its enhancement of SU care and recovery. The aim of this study was to explore the views of SUs and RMHNs in relation to the TEQ and how it could be adopted into clinical practice within an acute inpatient environment.Methods: As part of the validation stage of the development of the TEQ, the views of 628 SUs and 543 RMHNs were collected using a qualitative approach by way of free text at the end of the questionnaire. Two questions required free text response: – ‘what do you think of the TEQ?’, and ‘how can it be utilised?’Results: Following thematic analysis, it was found that both sets of participants stated that such a tool could be utilised to improve the service, could help nurses with reflective practice, be utilised as part of clinical supervision and to aid nurses’ professional development. The nurse participants also stated that such a tool would help track SU participation and enablement in their care. Furthermore, the nurses noted that the tool would help to reinforce the core ‘caring’ value of nursing and the overall goal of recovery. The SUs added that a TE tool would recognise the work of mental health nurses and provide them with a clear opportunity to express their views in relation to nursing staff.Conclusions: Therapeutic engagement (TE) has been identified as part of the repertoire of mental health nursing and both groups of participants identified how a tool to assess this construct may be utilised in day-to-day clinical practice to the benefit of each group.

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.

Mental health nurses' and psychiatrists' views on addressing parenthood issues among service users

2018 ◽  
Vol 28 (2) ◽  
pp. 425-435 ◽  
Author(s):  
Silvia Krumm ◽  
Carmen Checchia ◽  
Reinhold Kilian ◽  
Thomas Becker
Keyword(s):  
Mental Health ◽  
Service Users ◽  
Mental Health Nurses
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