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International Journal of Mental Health... Apr 2021Transforming to recovery-oriented care is an urgent issue in community psychiatric nursing in Japan. Because traditional psychiatry is still influential, nurses are...
Transforming to recovery-oriented care is an urgent issue in community psychiatric nursing in Japan. Because traditional psychiatry is still influential, nurses are required to possess cultural sensitivity to objectively view conflicts between values when providing recovery-oriented care. If recovery-oriented care based on cultural sensitivity is clarified, it would help nurses providing recovery-oriented care in non-recovery-oriented environments. Therefore, this study aimed to clarify recovery-oriented nursing care based on cultural sensitivity in community psychiatric nursing in Japan. A semi-structured interview with 21 community psychiatric nurses and participant observations for seven of them were performed. A qualitative description was undertaken to analyse the data. The relationships between categories were examined. The study conforms to the COREQ checklist. Through the analysis, six categories were revealed: 1. Continuously reflecting on one's own practice and the influence of the traditional mental health culture; 2. Constructing a partnership with clients to uphold their rights and responsibilities; 3. Having client-centred dialogue to help them enjoy life and grow; 4. Supporting clients' lives and strengthening their self-management; 5. Working as a team to achieve clients' wishes, which includes some risks, and 6. Maintaining a relationship between clients and the people who care for them. Category 1 was central and enclosed by categories 2, 3 and 4. Categories 5 and 6 were located outside of categories 1 to 4. The results showed cultural sensitivity enables recovery-oriented care even in non-recovery-oriented environments and include recognizing the traditional mental health culture, understanding clients' experiences and accepting other's values.
Topics: Humans; Japan; Mental Health; Nurses; Nursing Care; Psychiatric Nursing
PubMed: 33283443
DOI: 10.1111/inm.12822 -
The Journal of Nursing Education Feb 2023A standard of practice in psychiatric nursing pertains to the ability to maintain professional boundaries within a nurse-patient relationship. Nursing students are...
BACKGROUND
A standard of practice in psychiatric nursing pertains to the ability to maintain professional boundaries within a nurse-patient relationship. Nursing students are inexperienced in maintaining nurse-patient relationships and are at risk of crossing professional boundaries. Research regarding boundary instruction and available resources is needed to guide educators.
METHOD
Psychiatric nurse educators ( = 11) and psychiatric nurses ( = 9) were interviewed to determine what resources psychiatric nursing educators use to teach professional boundaries to undergraduate students. Following the interviews and preliminary analysis, eight participants also attended a focus group.
RESULTS
Participants reported resources such as textbooks were useful for defining professional boundaries. Participants also described case studies as a resource available to help operationalize boundaries in psychiatric nursing practice.
CONCLUSION
Resources should be developed to address changes in care provision and technology to include cultural competence and guidelines for the use of social media. .
Topics: Humans; Psychiatric Nursing; Students, Nursing; Nurse-Patient Relations; Social Media; Focus Groups; Education, Nursing, Baccalaureate; Teaching
PubMed: 36779904
DOI: 10.3928/01484834-20221213-05 -
Issues in Mental Health Nursing Nov 2022Mental health nursing focuses on patients' experiences, accessed through narratives developed in conversations with nursing staff. This study explored nursing staff's...
Mental health nursing focuses on patients' experiences, accessed through narratives developed in conversations with nursing staff. This study explored nursing staff's experiences of using the nursing intervention Daily Conversations in psychiatric inpatient care. We used a qualitative questionnaire and received 103 responses. Qualitative content analysis of the data resulted in three themes describing both advantages and obstacles with Daily Conversations: , To illuminate the significance of confirming acts and make nursing staff more comfortable, the intervention could benefit from being more flexible and allowing in its structure. For the intervention to succeed, nursing staff need training in conversation, thorough preparation, shared reflections on values in mental health nursing, and structures to maintain its implementation and use.
Topics: Humans; Inpatients; Mental Health Services; Nursing Staff; Psychiatric Nursing; Communication
PubMed: 36053790
DOI: 10.1080/01612840.2022.2116135 -
Journal of Psychiatric and Mental... Jun 2021WHAT IS KNOWN ON THIS SUBJECT?: A growing literature is revealing the historical roles of nurses, their work and the various treatments with which they were involved....
WHAT IS KNOWN ON THIS SUBJECT?: A growing literature is revealing the historical roles of nurses, their work and the various treatments with which they were involved. Remarkably little, however, has been written by nurses themselves about the culture in which they worked and the beliefs and values they held. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: In providing a personal account of psychiatric nurse training in the 1960s, this paper seeks to show the ways in which hospital culture and clinical practices shaped nursing identities and the attitudes of nurses towards their work. WHAT ARE IMPLICATIONS FOR PRACTICE?: This paper contributes to understanding the influence of cultural, managerial and attitudinal factors in shaping the work of mental health nurses and the quality of clinical outcomes they can achieve. ABSTRACT: For more than a century, mental hospitals were bedevilled by political disinterest, under-resourcing, patient neglect and over reliance on medication and ECT to ensure compliance. Labelling mental health problems as illnesses silenced patients while empowering doctors. In the 1960s, social revolution brought about major changes for mental health care including a reduction in hospital beds, the growth of community services, improved pharmacological and psychological interventions and the rise of patient activism. Tensions between biomedical and psychological models of mental illness arose which persists to the present day. Although historians have studied this period from different perspectives, relatively little has been written by nurses. This is a personal account of nursing in a large psychiatric hospital between 1962 and 1965.
Topics: Attitude of Health Personnel; Hospitals, Psychiatric; Humans; Mental Disorders; Nurses; Psychiatric Nursing
PubMed: 32794347
DOI: 10.1111/jpm.12681 -
Journal of Psychiatric and Mental... Sep 2019WHAT IS KNOWN ABOUT THIS SUBJECT?: Burnout is a prominent issue in psychiatric nursing and associated with significant adverse consequences for staff, service users and...
WHAT IS KNOWN ABOUT THIS SUBJECT?: Burnout is a prominent issue in psychiatric nursing and associated with significant adverse consequences for staff, service users and at an organizational level. Exploration of the extent and predictors of burnout in secure settings has received little research attention. It is not fully understood why prevalence rates of burnout in forensic settings are not elevated in comparison to other settings, despite the presence of known risk-related correlates. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: In contrast to previous research, findings suggest that clinical supervision may not be an effective, stand-alone intervention to support staff experiencing burnout. Thus, the current focus on clinical supervision to mitigate burnout may be insufficient in forensic services. The ward environment (specifically how safe staff feel, how therapeutic the ward feels and how well service users relate to one another) was found to be more important than clinical supervision in terms of burnout for forensic psychiatric nursing staff. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Policies regarding staff health and well-being should be developed with due consideration given to the association between burnout and the working environment. It should not be assumed that clinical supervision is sufficient to mitigate burnout in practice. Further research assessing all types of support and the ward environment is needed to gain a better understanding of its relationship to burnout. ABSTRACT: Introduction Despite extensive research examining burnout in psychiatric nursing staff, literature exploring key predictors of burnout in secure psychiatric settings has been relatively neglected. Research has yet to explore burnout in these settings by adopting previously identified predictors such as support or the ward environment. Aim The current study aimed to reduce this gap by exploring burnout, the perceived effectiveness of clinical supervision and ward environment. Method In 2014, nursing staff working in a medium secure forensic psychiatric unit in the United Kingdom (N = 137) provided demographic information and completed the measures assessing: Burnout, clinical supervision and the ward environment. Results Approximately 10% of nursing staff could be classed as "burnt-out". The main predictors of burnout were age and ward environment. Clinical supervision had minimal association with burnout. Discussion The current study sheds doubt on clinical supervision as a potential intervention for burnout and results appear comparable to research within other settings. The implications of the ward environment, supervision and burnout are discussed herein. Implication for Practice Interventions may need to focus on a positive ward environment (including patient cohesion, experienced safety and enhancing the therapeutic atmosphere). Organizations should support younger nursing staff as they appear particularly vulnerable to burnout.
Topics: Adult; Attitude of Health Personnel; Burnout, Professional; England; Female; Forensic Nursing; Hospitals, Psychiatric; Humans; Male; Middle Aged; Nursing Staff, Hospital; Psychiatric Nursing
PubMed: 31209980
DOI: 10.1111/jpm.12538 -
Perspectives in Psychiatric Care Oct 2022The purpose of this article is to describe Trauma and Resilience Competencies for Psychiatric Nurse Practitioners and to propose a trauma and resilience informed...
PURPOSE
The purpose of this article is to describe Trauma and Resilience Competencies for Psychiatric Nurse Practitioners and to propose a trauma and resilience informed framework for nursing practice.
CONCLUSIONS
Trauma and Resilience Competencies for Nursing Education have been developed and validated, yet to date, these have not been widely disseminated.
PRACTICE IMPLICATIONS
It is essential that all nurses have competency in trauma and resilience to provide care for their patients as well as for their own well-being. The Psychiatric Nurse Practitioner who practices from a trauma-informed framework ensures the delivery of safe, quality care for all patients.
Topics: Humans; Nurse Practitioners; Psychiatric Nursing; Quality of Health Care; Education, Nursing; Clinical Competence
PubMed: 35524460
DOI: 10.1111/ppc.13094 -
Issues in Mental Health Nursing Jun 2022Nursing students must increasingly deliver quality care to the psychiatric mental health population during their educational experiences and as graduate nurses. This... (Review)
Review
Nursing students must increasingly deliver quality care to the psychiatric mental health population during their educational experiences and as graduate nurses. This review examines experiences and adds practical knowledge on the development of teaching strategies for nursing programs, supporting nurse educators, future new nurses, and nurse leaders in psychiatric mental health nursing. Fourteen studies from the CINAHL, PsycInfo, Medline, PubMed, and Web of Science databases were included. Two themes emerged: mental health nursing modality experiences and student perspectives. Rigorous scientific studies are needed highlighting the influence and effectiveness of psychiatric-behavioral and mental health nursing clinical education.
Topics: Education, Nursing, Baccalaureate; Faculty, Nursing; Humans; Mental Health; Psychiatric Nursing; Qualitative Research; Students, Nursing
PubMed: 34874812
DOI: 10.1080/01612840.2021.2003491 -
Journal of Psychosocial Nursing and... Aug 2023The current study aimed to develop a culturally sensitive recovery-oriented nursing care model in community psychiatric nursing. Through an exploration of... (Review)
Review
The current study aimed to develop a culturally sensitive recovery-oriented nursing care model in community psychiatric nursing. Through an exploration of recovery-oriented nursing care based on cultural sensitivity, which was done in a prior study and through a literature review, an initial model with six categories was developed. Semi-structured interviews were performed with eight community psychiatric nurses who used the model for 2 months in practice. Qualitative description was used to analyze the data. Participants completed a list of care items in each category of the model to compare ease of practice. The model was further refined to three levels of culturally sensitive nursing care. The model showed the importance of reflection based on recognition of cultural influences, relinquishing the power of the profession, and cooperation that accepts diverse values. [(8), 25-33.].
Topics: Humans; Psychiatric Nursing; Nursing Care; Mental Health Services; Health Knowledge, Attitudes, Practice; Nurses; Qualitative Research
PubMed: 36479868
DOI: 10.3928/02793695-20221202-01 -
Curationis Dec 2022A national tragedy occurred between October 2015 and June 2016 when psychiatric patients with profound intellectual disabilities were transferred from psychiatric care...
BACKGROUND
A national tragedy occurred between October 2015 and June 2016 when psychiatric patients with profound intellectual disabilities were transferred from psychiatric care centres to non-governmental organisations (NGOs). The process of transferring psychiatric patients had severe consequences for psychiatric patients and psychiatric nurses.
OBJECTIVES
The study's objective was to explore and describe psychiatric nurses' experiences after the closure of Life Esidimeni psychiatric care centres.
METHOD
A qualitative, exploratory, descriptive and contextual research design was employed. Semi-structured interviews were utilised to collect data. Purposive sampling was utilised to select eight psychiatric nurses to participate in the study. Data were analysed using Tesch's thematic method of coding.
RESULTS
The analysis of data revealed the following themes: With the closure of the care centres participants experienced (1) shock, dismay and life interruption; (2) trauma related to the disintegration, of psychiatric patients' lives, their own families and work-life and (3) sense of resilience.
CONCLUSION
From the findings, it is clear that the psychiatric nurses needed support as evidenced by the challenges they experienced. The healthcare professionals in mental health and mental health nursing post-graduate students could conduct further research focusing on the experiences and the impact that the closure of Life Esidimeni psychiatric care centres have on the psychiatric nurses' mental health.Contribution: This study contributes to the body of knowledge in psychiatric nursing by highlighting the impact of hospital closure on psychiatric nurses.
Topics: Humans; Psychiatric Nursing; Qualitative Research; Health Personnel; Intellectual Disability; Nurses
PubMed: 36546507
DOI: 10.4102/curationis.v45i1.2332 -
Child and Adolescent Psychiatric... Oct 2021The unmet behavioral health treatment needs of children and adolescents have become a public health crisis in the United States, with only 20% of youths obtaining... (Review)
Review
The unmet behavioral health treatment needs of children and adolescents have become a public health crisis in the United States, with only 20% of youths obtaining assessment and intervention when indicated. Workforce shortages, including mental health professionals who can provide pharmacologic intervention within an appropriate biopsychosocial context, directly impede our ability to address this crisis. The authors examine the history, education, regulation, and practice of advanced practice psychiatric nurses and consider models of collaborative practice that can be beneficial across treatment settings in order to provide better care of vulnerable youth in ways that foster partnership rather than competition.
Topics: Adolescent; Advanced Practice Nursing; Child; Humans; Nurses; Psychiatric Nursing; Psychiatry; United States
PubMed: 34538451
DOI: 10.1016/j.chc.2021.07.005