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Archives of Psychiatric Nursing Feb 2022The purpose of this paper is to critically analyze the Tidal Model of Mental Health Recovery. This examination consolidates the existing knowledge used in developing and... (Review)
Review
The purpose of this paper is to critically analyze the Tidal Model of Mental Health Recovery. This examination consolidates the existing knowledge used in developing and implementing this model in order to add clarity and explores how its theory relates to practice, research, and educational activities. This paper follows Chinn and Kramer's theory analysis framework, which includes the following criteria: clarity, simplicity, generalizability, importance, and accessibility. While the Tidal Model theory meets the criterion of clarity, simplicity is impeded due to the complexity of its concepts. That being said, Barker's theory is applicable across different psychiatric nursing settings because it is general and accessible. To enhance simplicity and make this a more actionable mid-range theory, an illustration is offered to demonstrate how the theory could be utilized and empiricized with a potential population of women who use substances. It is concluded that the Tidal Model appeals not only to mental health practice, but as the literature indicates, it also supports everyone who needs shelter where they feel safe at some point in their lives.
Topics: Female; Humans; Mental Health; Mental Health Recovery; Psychiatric Nursing
PubMed: 35094823
DOI: 10.1016/j.apnu.2021.10.012 -
Issues in Mental Health Nursing Nov 2019Since Nightingale implied that progress was inherent in good nursing, change has slowly but surely accelerated to a frenetic pace in health care and to a degree in... (Review)
Review
Since Nightingale implied that progress was inherent in good nursing, change has slowly but surely accelerated to a frenetic pace in health care and to a degree in nursing. However, the healthy progress and implications associated with change in the nursing profession are not as readily embraced as this pace may imply. Rather, embracing change at the core of nursing and health care is a challenge as this is a group who it is suggested are not only resistant but also adept at reinforcing the status quo. Using mental health nursing as an example this position paper addresses the concept of change management, explores the facilitators and inhibitors to explain why change is not effectively managed at times. Further, case studies provided exemplify how change in mental health nursing has occurred and demonstrate how the concept of change management effectively has been achieved. Key strategies for change management are outlined in this article, noting the need to be sensitive to the culture and specifics of that organisation, because change takes place within people rather than within the organisation itself. Part of the challenges and strategies faced in the profession are related to the movement of information and knowledge from the point of research to implementation of evidence-based best practice. Leaders, therefore, should adopt change management principles and strategies, to further drive the developments which have changed mental health nursing over a relatively short period.
Topics: Change Management; Humans; Psychiatric Nursing
PubMed: 31219727
DOI: 10.1080/01612840.2019.1609633 -
Revista Brasileira de Enfermagem 2021to know innovative pedagogical experiences developed by professors in the teaching of psychiatric nursing and mental health in undergraduate nursing courses at public...
OBJECTIVE
to know innovative pedagogical experiences developed by professors in the teaching of psychiatric nursing and mental health in undergraduate nursing courses at public universities in Rio de Janeiro State.
METHOD
based on an ethnomethodological approach, individual semi-structured interviews and document analysis were carried out according to content analysis.
RESULTS
despite the heterogeneity in the curriculum distribution of psychiatric nursing's and mental health's knowledge, the themes taught have similarities. The perceptions of innovation are mainly related to interdisciplinary practices and teaching, relational, and care technologies. Innovative teaching practices are focused on the use of active methodologies and collaborative activities.
FINAL CONSIDERATIONS
innovating teaching requires creating strategies to teach people how to care for people, valuing human uniqueness. Student participation in health services is the key to the dialogue between knowledge produced in academia and that mobilized in health services.
Topics: Brazil; Curriculum; Education, Nursing, Baccalaureate; Humans; Mental Health; Psychiatric Nursing; Students, Nursing; Teaching
PubMed: 34105696
DOI: 10.1590/0034-7167-2020-0525 -
Journal of the American Psychiatric... 2021
Topics: Humans; Morals; Psychiatric Nursing; Stress, Psychological
PubMed: 34657516
DOI: 10.1177/10783903211051998 -
Revista Brasileira de Enfermagem 2020to identify the applicability of the Phil Barker's Tidal Model in mental health nursing care. (Review)
Review
OBJECTIVES
to identify the applicability of the Phil Barker's Tidal Model in mental health nursing care.
METHODS
an integrative literature review carried out by LILACS, MEDLINE, Scopus and Web of Science. Data were collected from December 2017 to March 2018. After selecting the studies, the sample totaled 24 articles.
RESULTS
the articles are in English (91.7%), were published in nursing journals (87.5%), are reflective and/or theoretical (50%) and have level of evidence VII (79.2%). The model brings contributions to nursing science, enabling person-centered care, with an emphasis on interdisciplinary work, nurses' protagonism and the empowerment of subjects in mental suffering.
FINAL CONSIDERATIONS
the use of the Tidal Model enables changes in nurses practice working in the context of mental health. Its application by nurses who work in mental health services in Brazil is recommended.
Topics: Brazil; Humans; Mental Health Services; Models, Nursing; Nursing Care; Psychiatric Nursing
PubMed: 32236360
DOI: 10.1590/0034-7167-2018-0177 -
Issues in Mental Health Nursing Jul 2019Ethical problems have always been a feature in mental health nursing, partly due to the association with the system of traditional psychiatric care. This paper examines...
Ethical problems have always been a feature in mental health nursing, partly due to the association with the system of traditional psychiatric care. This paper examines the issue of paternalism and how it lingers from past nursing practice and can impede contemporary practice. Finally, some paths for positive engagement are examined, along with strategies to determine how paternalism could be minimised in modern mental health nursing practice.
Topics: Humans; Paternalism; Psychiatric Nursing
PubMed: 31026177
DOI: 10.1080/01612840.2019.1570405 -
Enfermeria Clinica (English Edition) 2019To analyse the distribution of advanced competences in specialist nurses and advanced practice nurses and to evaluate their association with some characteristics of...
OBJECTIVE
To analyse the distribution of advanced competences in specialist nurses and advanced practice nurses and to evaluate their association with some characteristics of their professional profile.
METHOD
Multicentre analytical cross-sectional study. Nurses who worked as advanced practice nurses and specialist nurses were included. Their level of perceived advanced competences was measured, as well as sociodemographic and professional characterization variables.
RESULTS
A total of 277 nurses participated (149 practised as advanced practice nurses and 128 as specialists), with an average of 13.88 (11.05) years as a specialist and 10.48 (5.32) years as an advanced practice nurse. In the sample, 28.8% had a master's or doctorate level qualification, 50.2% worked in Primary Care, 24.9% in hospitals and 22.7% in Mental Health. The self-perceived global level was high in the different competences, the lowest dimensions being research, evidence-based practice, quality and safety management and leadership and consulting. The advanced practice nurses obtained a higher level of competence globally and in the dimensions of leadership and consulting, interprofessional relations, care management, and health promotion. There were no differences based on experience or possession of a master's degree or doctorate. In the advanced practice nurses, the practice context did not influence competence levels, although in the specialist nurses it did, in favour of those practicing in Mental Health.
CONCLUSIONS
Specialist and advanced practice nurses have different competences that should be adequately managed for the development of advanced and specialist nursing services.
Topics: Advanced Practice Nursing; Clinical Competence; Cross-Sectional Studies; Educational Status; Female; Humans; Male; Middle Aged; Nursing Staff, Hospital; Primary Care Nursing; Psychiatric Nursing; Specialties, Nursing; Time Factors
PubMed: 31640941
DOI: 10.1016/j.enfcli.2019.10.001 -
International Journal of Mental Health... Oct 2019The aim of this study was to determine the prevalence of burnout in mental health nurses and to identify its predictors. A systematic review was conducted of studies... (Meta-Analysis)
Meta-Analysis Review
The aim of this study was to determine the prevalence of burnout in mental health nurses and to identify its predictors. A systematic review was conducted of studies published in the following databases: CINAHL, Dialnet, LILACS, ProQuest, PsycINFO, PubMed, SciELO, and Scopus. The search equation used was "Nurs * AND Burnout AND mental health". Subsequently, three fixed-effects meta-analyses were performed, one for each dimension of burnout, to calculate its prevalence and the corresponding confidence intervals. The data were analysed using StatsDirect meta-analysis software. Eleven studies were finally included (n = 11). In most cases, the literature informs about moderate levels of emotional exhaustion, depersonalization, and personal accomplishment. The studies inform that variables such as work overload, work-related stress, professional seniority, male gender, being single, and aggression at work, among other factors, contribute to burnout development. The meta-analytic prevalence estimations of burnout with a sample of n = 868 mental health nurses are 25% for high emotional exhaustion, 15% for depersonalization, and 22% for low personal accomplishment. From a workforce development and safety perspective, it is important for managers to address the emotional exhaustion and low personal accomplishment aspects of burnout reported in the workplace by mental health nurses.
Topics: Burnout, Professional; Humans; Prevalence; Psychiatric Nursing; Risk Factors
PubMed: 31132216
DOI: 10.1111/inm.12606 -
International Journal of Mental Health... Jun 2021The use of coercion in psychiatric and mental health nursing is a major challenge, which can lead to negative consequences for nurses and patients, including rupture in... (Review)
Review
The use of coercion in psychiatric and mental health nursing is a major challenge, which can lead to negative consequences for nurses and patients, including rupture in the therapeutic relationship and risk of injury and trauma. The concept of coercion is complex to define and is used in different ways throughout the nursing literature. This concept is defined broadly, referring to both formal (seclusion, restraint, and forced hospitalization), informal (persuasion, threat, and inducement), and perceived coercion, without fully addressing its evolving conceptualizations and use in nursing practice. We conducted a concept analysis of coercion using Rodgers' evolutionary method to identify its antecedents, attributes, and associated consequences. We identified five main attributes of the concept: different forms of coercion; the contexts in which coercion is exercised; nurses' justification of its use; the ethical issues raised by the presence of coercion; and power dynamics. Our conceptual analysis shows the need for more nursing research in the field of coercion to achieve a better understanding of the power dynamics and ethical issues that arise in the presence of coercion.
Topics: Coercion; Humans; Motivation; Nursing Research; Psychiatric Nursing; Restraint, Physical
PubMed: 33694266
DOI: 10.1111/inm.12855 -
Journal of the American Psychiatric... 2024The last national survey of psychiatric-mental health (PMH) nurses was conducted in 2016 and was limited to advanced practice registered nurses (APRNs). Data on the...
OBJECTIVE
The last national survey of psychiatric-mental health (PMH) nurses was conducted in 2016 and was limited to advanced practice registered nurses (APRNs). Data on the demographic and employment characteristics of the PMH workforce could inform how to optimize the PMH nursing workforce to address increasing demands for mental health services. The objective was to conduct a national survey of PMH registered nurses (RNs) and PMH-APRNs to gather data on their demographic, educational, and practice characteristics.
METHODS
An email survey was administered between October 2020 and February 2021 to all members of the American Psychiatric Nurses Association and to all PMH-APRNs certified by the American Nurses Credentialing Center. Separate surveys included 51 questions (RN) and 52 questions (APRN). Survey questions were informed by several sources including the Minimum Data Set for the Behavioral Health Workforce.
RESULTS
Surveys were completed by 4,088 PMH-RNs and 5,158 PMH-APRNs, with a combined response rate of 12.1%. Findings suggest that the workforce is aging but has increased slightly in diversity. In all, 62.4% of RNs reported a hospital as their primary employment setting, while the majority of APRNs (70.4%) practice in outpatient settings. Forty-four percent of the PMH-APRN respondents indicated that most of their patients receive federal insurance.
CONCLUSIONS
Nursing must plan for significant retirements in the PMH workforce in next 5 years. Hospital-based practice continues to dominate PMH-RN roles but might be expanded to community-based settings teaming with PMH-APRNs in outpatient sites. Increasing the diversity of the workforce should be prioritized.
Topics: Humans; Psychiatric Nursing; Surveys and Questionnaires; Female; Male; Adult; Middle Aged; United States; Advanced Practice Nursing
PubMed: 36582042
DOI: 10.1177/10783903221146190