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Journal of Mental Health (Abingdon,... Jun 2024Personal recovery is operationalized in the CHIME framework (connectedness, hope, identity, meaning in life, and empowerment) of recovery processes. CHIME was initially...
BACKGROUND
Personal recovery is operationalized in the CHIME framework (connectedness, hope, identity, meaning in life, and empowerment) of recovery processes. CHIME was initially developed through analysis of experiences of people mainly with psychosis, but it might also be valid for investigating recovery in mood-related, autism and other diagnoses.
AIMS
To examine whether personal recovery is transdiagnostic by studying narrative experiences in several diagnostic groups.
METHODS
Thirty recovery narratives, retrieved from "Psychiatry Story Bank" (PSB) in the Netherlands, were analyzed by three coders using CHIME as a deductive framework. New codes were assigned using an inductive approach and member checks were performed after consensus was reached.
RESULTS
All five CHIME dimensions were richly reported in the narratives, independent of diagnosis. Seven new domains were identified, such as "acknowledgement by diagnosis" and "gaining self-insight". These new domains were evaluated to fit well as subdomains within the original CHIME framework. On average, 54.2% of all narrative content was classified as experienced difficulties.
CONCLUSIONS
Recovery stories from different diagnostic perspectives fit well into the CHIME framework, implying that personal recovery is a transdiagnostic concept. Difficulties should not be ignored in the context of personal recovery based on its substantial presence in the recovery narratives.
PubMed: 38945156
DOI: 10.1080/09638237.2024.2361225 -
Journal of Pediatric Nursing Jun 2024This study presents a systematic review of the obstacles to and enablers of family-centered care (FCC) implementation by nurses. FCC, which has demonstrated beneficial... (Review)
Review
PURPOSE
This study presents a systematic review of the obstacles to and enablers of family-centered care (FCC) implementation by nurses. FCC, which has demonstrated beneficial outcomes, is regarded as a crucial quality measure in certain pediatric units. However, not all nurses incorporate FCC into their practice.
DESIGN AND METHODS
A systematic review was conducted from January to June 2023, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Various medical subject heading keywords and terms were used to search electronic databases, with the aim of synthesizing and evaluating the results.
RESULTS
Twenty-three articles were identified for review. Most of these studies were carried out in Western countries. They revealed several facilitators and obstacles to FCC implementation by nurses when caring for sick children. Some of these factors are linked to the personal attributes of the nurses, while others are associated with the characteristics of the families and the healthcare system itself.
CONCLUSION
Nurses face multi-level barriers that hinder their ability to implement FCC practice. This systematic review identifies the need to leverage nurses' attributes, foster effective nurse-client relationships, and promote organizational changes.
PRACTICE IMPLICATIONS
Nurses need to comprehend and work toward altering the factors that influence the delivery of FCC. The findings of this review can be used by healthcare organization leaders and policymakers to customize interventions and allocate resources to promote FCC practice. Further research in diverse cultural contexts is needed to examine the cause-and-effect relationship concerning the influence of the identified barriers and facilitators on FCC practice. In addition, experimental studies are required to evaluate the effectiveness of evidence-based interventions on FCC practice by nurses.
PubMed: 38944912
DOI: 10.1016/j.pedn.2024.06.008 -
Soins. Psychiatrie 2024Suicide prevention is a major public health issue, both nationally and internationally. The management of suicidal patients leaving emergency departments is crucial to... (Review)
Review
Suicide prevention is a major public health issue, both nationally and internationally. The management of suicidal patients leaving emergency departments is crucial to preventing the risk of suicidal recurrence. Advanced practice nurses in psychiatry and mental health can provide real added value thanks to their specialist training, their ability to carry out a comprehensive and detailed clinical assessment, their mastery of medicinal and non-medicinal therapeutic interventions, their skills in coordinating the various players involved in the care pathway, their commitment to prevention and their skills in supporting the development of the skills of care and research teams.
Topics: Humans; Suicide Prevention; Psychiatric Nursing; Advanced Practice Nursing; France; Interdisciplinary Communication; Curriculum; Intersectoral Collaboration
PubMed: 38944539
DOI: 10.1016/j.spsy.2024.05.012 -
Soins. Psychiatrie 2024In a child psychiatry unit, where it is said that men are reassuring and women are mothering, the group experience of carers on the function of their gender in child... (Review)
Review
In a child psychiatry unit, where it is said that men are reassuring and women are mothering, the group experience of carers on the function of their gender in child care was explored. Gender is relevant to institutional care, but creates a divide. Representations focus on fear, sexuality, violence and fragility. Caregivers, ambivalent about neutralising gender, suffer from representations of what it does to children and to the institution.
Topics: Humans; Male; Female; Child; Caregivers; Adult; Child, Preschool; France; Adolescent; Mother-Child Relations; Gender Identity; Mental Disorders
PubMed: 38944538
DOI: 10.1016/j.spsy.2024.05.011 -
Soins. Psychiatrie 2024Peer health mediators are now part of the psychiatric landscape. Their work has been extended to the medico-social, social and addiction fields. The French National... (Comparative Study)
Comparative Study
Peer health mediators are now part of the psychiatric landscape. Their work has been extended to the medico-social, social and addiction fields. The French National Authority for Health advocates the integration of peers into institutions to support and encourage patients' involvement in their care. Psychiatry has been a forerunner in this deployment. Its example could be useful beyond.
Topics: Humans; France; Peer Group; Mental Disorders; Health Services Accessibility; Psychiatric Nursing
PubMed: 38944536
DOI: 10.1016/j.spsy.2024.05.009 -
Soins. Psychiatrie 2024Peer support plays an essential role in patient recovery by encouraging a supportive approach based on experiential knowledge. It helps to create individualised care...
Peer support plays an essential role in patient recovery by encouraging a supportive approach based on experiential knowledge. It helps to create individualised care centred on life projects and individual strengths. Within the teams, the knowledge of the peer health mediator and the carers is shared. This approach helps to improve care by drawing on the depth of people's experiences and feelings, and their resilience in the face of illness.
Topics: Humans; Peer Group; Social Support; Mental Disorders; Psychiatric Nursing; France
PubMed: 38944534
DOI: 10.1016/j.spsy.2024.05.007 -
Soins. Psychiatrie 2024As peer support becomes more professional, it is becoming increasingly recognised and diversified. When a mental health patient-trainer works with psychiatric carers,...
As peer support becomes more professional, it is becoming increasingly recognised and diversified. When a mental health patient-trainer works with psychiatric carers, the latter gain a better understanding of the patient's point of view. In addition, valuing their experiential knowledge can support peer helpers in their recovery. However, we mustn't forget that these are fragile people and that their past can come back to haunt them if they are not careful. Testimonial.
Topics: Humans; Caregivers; Mental Disorders; Social Support; Peer Group; Psychiatric Nursing; France
PubMed: 38944533
DOI: 10.1016/j.spsy.2024.05.006 -
Soins. Psychiatrie 2024Peer support is based on the mirror effect between the peer carer and the person being supported, which is a powerful lever for recovery. Through their work, peer...
Peer support is based on the mirror effect between the peer carer and the person being supported, which is a powerful lever for recovery. Through their work, peer helpers also hold up a mirror to "non-peer" carers. The reflection they see is a litmus test that can lead to changes in care practices, but it can also generate defensive reactions.
Topics: Humans; Peer Group; Mental Disorders; Social Support; Psychiatric Nursing; France; Caregivers; Defense Mechanisms
PubMed: 38944532
DOI: 10.1016/j.spsy.2024.05.005 -
Soins. Psychiatrie 2024The concept of peer support is now firmly established in the psychiatric landscape. While taking into account the benefits that this approach brings to patients and...
The concept of peer support is now firmly established in the psychiatric landscape. While taking into account the benefits that this approach brings to patients and teams, it is essential to consider the need to define a framework for the practice of peer support. This framework, which is essential for the development of the practice, will help to avoid overly fragile exposure, which is synonymous with difficulties for peer helpers and their teams.
Topics: Humans; Peer Group; Social Support; Mental Disorders; Psychiatric Nursing; France
PubMed: 38944531
DOI: 10.1016/j.spsy.2024.05.004 -
Soins. Psychiatrie 2024Over the last fifteen years or so in France, the deployment of peer professionals in mental health seems to have accelerated. The benefits of peer support have been...
Over the last fifteen years or so in France, the deployment of peer professionals in mental health seems to have accelerated. The benefits of peer support have been widely demonstrated. It is based on the experiential knowledge acquired by certain patients who have recovered during their course of treatment, which can be passed on by positive identification, stimulating hope and motivation. These unique skills are then complemented by more theoretical knowledge sanctioned by a diploma that legitimises the future professionals and gives them access to undisputed recognition to work alongside pre-existing systems. However, it is not always easy to integrate them into health and social teams.
Topics: Humans; Peer Group; France; Mental Disorders; Social Support; Psychiatric Nursing
PubMed: 38944530
DOI: 10.1016/j.spsy.2024.05.003