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International Journal of Mental Health... Dec 2022This perspective paper aims to present a personal viewpoint on the impact of psychiatric discourse on the principles of recovery in mental health care. Mental health...
This perspective paper aims to present a personal viewpoint on the impact of psychiatric discourse on the principles of recovery in mental health care. Mental health services espouse these principles, yet psychiatric discourse remains the dominant model. A critical analysis will examine how psychiatry maintains this dominance. The aim is to examine how psychiatric discourse constructs both the nature of mental distress and its treatment, and how it maintains its power as the dominant authority and its relationship to recovery principles. The paper concludes that psychiatric discourse is the antithesis of recovery principles and that its authority is perpetuated through co-opting a medical explanatory model, claiming expertise in the ability to predict social risk, and maintaining a tightly controlled echo chamber. A way forward involves the dismantling of the hierarchical service delivery model based on psychiatric discourse and replacing it with a more horizontal service delivery model in which the lived experience of mental distress is central. Regular audit of services needs to prioritize recovery principles. The implications for mental health nursing are considered.
Topics: Humans; Psychiatric Nursing; Mental Health Services; Mental Disorders; Psychiatry
PubMed: 36379908
DOI: 10.1111/inm.13072 -
International Journal of Mental Health... Dec 2023
Topics: Humans; Psychiatric Nursing
PubMed: 37654181
DOI: 10.1111/inm.13215 -
The Journal of Nursing Education Aug 2022The reemergence of the Black Lives Matter movement in 2020 reinforced the need for antiracist and decolonizing praxis in all areas, including nursing education, the...
BACKGROUND
The reemergence of the Black Lives Matter movement in 2020 reinforced the need for antiracist and decolonizing praxis in all areas, including nursing education, the burden for which has fallen predominantly on visible minorities. To enact the needed change within health care systems and nursing education, White nurses must recognize their privilege and become active participants in the conversations and change.
METHOD
This two-phase qualitative study explored nursing and psychiatric nursing students' experiences of racism and antiracism education at a small western Canadian university.
RESULTS
Anonymous qualitative surveys ( = 24) and structured interviews ( = 9) with nursing and psychiatric nursing students highlighted the difficulties and complexities of recognizing racism and a present lack of antiracism praxis in educational and health care settings.
CONCLUSION
Nursing educators must reevaluate structural and behavioral aspects of nursing education to support genuine antiracism praxis. .
Topics: Canada; Education, Nursing; Education, Nursing, Baccalaureate; Humans; Psychiatric Nursing; Racism; Students, Nursing
PubMed: 35944198
DOI: 10.3928/01484834-20220602-04 -
Journal of Psychosocial Nursing and... Oct 2019
Topics: Career Choice; Education, Nursing; Humans; Psychiatric Nursing; Social Stigma
PubMed: 31573657
DOI: 10.3928/02793695-20190919-01 -
Journal of Psychosocial Nursing and... Nov 2021The practice environment is a key element that influences the quality of psychiatric-mental health nursing care; however, little is known about it. For the current... (Review)
Review
The practice environment is a key element that influences the quality of psychiatric-mental health nursing care; however, little is known about it. For the current study, to explore the evidence on environmental factors influencing nursing practice in psychiatric inpatient units, a scoping review of primary research published between 2009 and 2019 was performed. PubMed, Web of Science, Scopus, and CINAHL databases were searched. Eleven articles were included. Main findings were: (a) the biomedical approach limits the development of the nursing model; (b) lack of opportunities, representation, and recognition of nurses in the organization; (c) greater support from managers for a greater perception of nurses' competence and therapeutic commitment; and (d) the need for a feeling of belonging to the team and the perception of emotional exhaustion, workload, and administrative tasks. Although psychiatric nurses have a slightly positive view of their practice environment, certain factors limit quality of care. The current review points to the need for nurses to have greater organizational support and the importance of promoting effective teamwork. Implications for mental health services include the need for support and recognition by managers, as well as the existence of a nursing model within the units. [(11), 33-40.].
Topics: Humans; Nurses; Psychiatric Nursing
PubMed: 34142913
DOI: 10.3928/02793695-20210526-01 -
Journal of Psychiatric and Mental... Apr 2022WHAT IS KNOWN ABOUT THE SUBJECT?: The evaluation of nurse care practices poses many challenges, including the identification of all the aspects of the care given. Few... (Observational Study)
Observational Study
WHAT IS KNOWN ABOUT THE SUBJECT?: The evaluation of nurse care practices poses many challenges, including the identification of all the aspects of the care given. Few studies have looked at the scope of nursing practice in psychiatry. However, the evaluation of care practices in the mental health field poses many challenges, including the identification of all aspects of care. WHAT THE DOCUMENT ADDS TO EXISTING KNOWLEDGE?: Findings demonstrated that mental health nurses do not invest in all domains of their scope of practice in the same way and the time spent with patients is low. Several factors contributed to this, including the increasing complexity of care, stagnant staffing levels, and a culture of care that continues to be influenced by the medical model. Current models of care still retain the stigma of this past, prioritizing medically delegated tasks rather than promoting a holistic approach to care. Although the professional identity of nurses is evolving and asserting itself, the paradigm shift in practice is still incomplete. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: It is essential to describe concretely what is actually expected of nurses, to help them allocate their time effectively and to identify opportunities for improvement. The field of practice of nurses is put under stress by a demanding work environment subject to many pressures and constraints. Changing practices so that nurses can use the full scope of nursing practice requires strong nursing leadership and action on education and the organization of care, particularly on clinical assessment. ABSTRACT: Introduction The evaluation of nursing care practices poses many challenges, including identifying all the aspects of the care given. However, few studies have examined the scope of nursing practice in psychiatry. Aim The aim of this study was to describe the intensity of nursing activities on a psychiatric unit based on the adaptation of Déry and D'Amour's (2017, Perspect Infirm Rev Off Ordre Infirm Qué, 14, 51) Scope of Nursing Practice Model. Method This 56-day descriptive observational study used the time and motion method to follow eight nurses. Results 500 h of observations were carried out. The greatest lengths of time were allocated to communication and coordination of care activities and to "non-healthcare" domains. Less time was devoted to activities related to clinical evaluation and therapeutic education. Discussion Findings demonstrated that MHNs do not perform all the possible functions in the domains of their scope of practice in the same way, and time spent with patients was short. Several factors contributed to this, including the fact that nurses are working in increasingly demanding care settings that keep them under constant pressure.
Topics: Delivery of Health Care; Humans; Mental Health; Psychiatric Nursing; Psychiatry; Time and Motion Studies
PubMed: 34310817
DOI: 10.1111/jpm.12790 -
Journal of the American Psychiatric... 2024
Topics: Artificial Intelligence; Humans; Publishing; Psychiatric Nursing; Periodicals as Topic
PubMed: 38616620
DOI: 10.1177/10783903241245423 -
Journal of Psychosocial Nursing and... Jul 2023Neuroscience-based nomenclature (NbN) is a classification system for psychotropic medications based on pharmacology and mode of action. Rather than the current naming...
Neuroscience-based nomenclature (NbN) is a classification system for psychotropic medications based on pharmacology and mode of action. Rather than the current naming system, which is primarily based on a single indication or its chemical structure, NbN uses current scientific knowledge that provides a pharmacological rationale for medication choice. NbN limits confusion, especially when prescribing to children, as the medications are named and described in a way that is not stigmatizing or misleading. [(7), 9-13.].
Topics: Child; Humans; Psychotropic Drugs; Mental Health Services; Psychiatric Nursing
PubMed: 37389943
DOI: 10.3928/02793695-20230607-02 -
Revista Brasileira de Enfermagem 2020to know the scientific production on psychiatric nursing and mental health teaching in relation to Brazilian nursing curriculum. (Review)
Review
OBJECTIVES
to know the scientific production on psychiatric nursing and mental health teaching in relation to Brazilian nursing curriculum.
METHODS
an Integrative Literature Review with no temporal delineation, whose data collection took place in ten Brazilian and international databases, adding to the total 35 objects of analysis.
RESULTS
a priori categories were adopted, consisting of the psychiatric nursing and mental health teaching in Brazil according to the 1923, 1949, 1962, 1972, 1994 and 2001 nursing curriculum, presented in the light of the dimensions: thought model; places of practice; methods or contents used; and profile or skills of the student.
FINAL CONSIDERATIONS
the study made it possible to observe psychiatric nursing and mental health teaching historical evolution, indicating that teaching transformations involved changes in curriculum, Psychiatric Reform and the way nursing undergraduate courses and schools take these determinants.
Topics: Brazil; Curriculum; Education, Nursing; Humans; Psychiatric Nursing
PubMed: 32159687
DOI: 10.1590/0034-7167-2018-0200 -
Revista Brasileira de Enfermagem 2020to investigate approaches to workload in psychiatric and mental health nursing in Brazilian and international production of knowledge Methods: integrative literature...
OBJECTIVE
to investigate approaches to workload in psychiatric and mental health nursing in Brazilian and international production of knowledge Methods: integrative literature review using six databases, covering January 2005 to March 2019. Articles in full in English, Spanish and Portuguese were included.
RESULTS
the sample consisted of 23 original articles classified as quantitative or emotional. The quantitative dimension was addressed in 12 articles and included: assessing patient care needs, identifying activities performed by the team, measuring time spent and developing and validating a measurement instrument. The emotional dimension included 11 articles the focus of which was on identifying stressors in the workplace, psychosocial risks and coping strategies.
CONCLUSION
strategies were found for measuring workload and assessing the impact of stressors on nursing teams.
Topics: Adaptation, Psychological; Brazil; Humans; Occupational Stress; Psychiatric Nursing; Workload; Workplace
PubMed: 32696803
DOI: 10.1590/0034-7167-2019-0620