This article explores the role of service users' locus of control in determining the motivation, engagement and outcome in healthcare settings. The article also advocates for incorporating the concept of locus of control in the assessment, planning, implementation and evaluation of health care in the UK, particularly within sectors that cover mental health and wellbeing. It also highlights intervention tools that mental health nurses and other healthcare professionals would find useful for positive patient outcomes.
{"title":"The role of locus of control in mental health nursing and other healthcare interventions in the UK","authors":"S. Joseph, F. Keating","doi":"10.12968/bjmh.2023.0002","DOIUrl":"https://doi.org/10.12968/bjmh.2023.0002","url":null,"abstract":"This article explores the role of service users' locus of control in determining the motivation, engagement and outcome in healthcare settings. The article also advocates for incorporating the concept of locus of control in the assessment, planning, implementation and evaluation of health care in the UK, particularly within sectors that cover mental health and wellbeing. It also highlights intervention tools that mental health nurses and other healthcare professionals would find useful for positive patient outcomes.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122860004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In this editorial, Vicki Williams discusses mental health awareness week, the cost of living crisis and nursing strikes.
在这篇社论中，Vicki Williams讨论了心理健康意识周、生活成本危机和护理罢工。
{"title":"Money matters and mental health","authors":"Vicki Williams","doi":"10.12968/bjmh.2023.0014","DOIUrl":"https://doi.org/10.12968/bjmh.2023.0014","url":null,"abstract":"In this editorial, Vicki Williams discusses mental health awareness week, the cost of living crisis and nursing strikes.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114544492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
There has been no national audit of diabetes care provided in mental heath inpatient settings. This research was undertaken to reveal a snapshot of prevalence, services provided and the education delivered to both staff and patients, and in turn identify areas to improve care. West London NHS Trust participated in the pilot mental health National Inpatient Diabetes Audit. A cross-sectional review of diabetes care on 11 wards informed the provision of a safe patient-centred high-quality diabetes service. The prevalence of diabetes was 23%. Almost all care was undertaken by non-specialist staff, none of whom received regular ward-based training for diabetes. A minority of staff knew how to access emergency diabetic services, and 75% of patients did not receive any structured diabetes education. Patient satisfaction scores were high. Staff requested more opportunities to access diabetes educational resources. Diabetic care can be improved by modelling existing best practice from physical healthcare settings and by increasing diabetes education. Further data regarding evidence of safety, harms and quality is required to inform the development and commissioning of services to achieve the best diabetic care for this particularly vulnerable patient group.
{"title":"Improving diabetes care: findings from the first National Diabetes Inpatient Audit undertaken in a mental health setting","authors":"J. Bickford, D. Tracy, Michael Yousif","doi":"10.12968/bjmh.2022.0040","DOIUrl":"https://doi.org/10.12968/bjmh.2022.0040","url":null,"abstract":"There has been no national audit of diabetes care provided in mental heath inpatient settings. This research was undertaken to reveal a snapshot of prevalence, services provided and the education delivered to both staff and patients, and in turn identify areas to improve care. West London NHS Trust participated in the pilot mental health National Inpatient Diabetes Audit. A cross-sectional review of diabetes care on 11 wards informed the provision of a safe patient-centred high-quality diabetes service. The prevalence of diabetes was 23%. Almost all care was undertaken by non-specialist staff, none of whom received regular ward-based training for diabetes. A minority of staff knew how to access emergency diabetic services, and 75% of patients did not receive any structured diabetes education. Patient satisfaction scores were high. Staff requested more opportunities to access diabetes educational resources. Diabetic care can be improved by modelling existing best practice from physical healthcare settings and by increasing diabetes education. Further data regarding evidence of safety, harms and quality is required to inform the development and commissioning of services to achieve the best diabetic care for this particularly vulnerable patient group.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123887400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Forensic mental health inpatient services are required to use restrictive interventions within their care and treatment, in the interests of security and risk management of people with mental illness and a history of criminal offence. However, such restrictive practices can often hinder the patient's process of recovery as well as the mental health professional's ability to provide recovery-oriented care. As some research suggests that restrictive measures are often favoured over more therapeutic options, there is a need to understand the influence this has on rehabilitation and the available alternatives. A narrative literature review was conducted to identify the specific restrictive measures that are used within these services and suggest alternative therapeutic strategies. A variety of methods of coercive treatment were identified, leading to recommendations around areas such as training, processes and therapeutic milieu.
{"title":"Restrictive measures in forensic mental health and their role in recovery: a narrative literature review","authors":"Holly V. Scott, M. Gillespie","doi":"10.12968/bjmh.2022.0016","DOIUrl":"https://doi.org/10.12968/bjmh.2022.0016","url":null,"abstract":"Forensic mental health inpatient services are required to use restrictive interventions within their care and treatment, in the interests of security and risk management of people with mental illness and a history of criminal offence. However, such restrictive practices can often hinder the patient's process of recovery as well as the mental health professional's ability to provide recovery-oriented care. As some research suggests that restrictive measures are often favoured over more therapeutic options, there is a need to understand the influence this has on rehabilitation and the available alternatives. A narrative literature review was conducted to identify the specific restrictive measures that are used within these services and suggest alternative therapeutic strategies. A variety of methods of coercive treatment were identified, leading to recommendations around areas such as training, processes and therapeutic milieu.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121525182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The following speech was read verbatim, to open the matter for discussion on the future nurse standards, at the Royal College of Nursing Congress in Glasgow on 9 June 2022.
{"title":"‘You can't have your cake and eat it’: future nurse standards and subsequent dilution of mental health nurse education","authors":"D. Warrender","doi":"10.12968/bjmh.2023.0007","DOIUrl":"https://doi.org/10.12968/bjmh.2023.0007","url":null,"abstract":"The following speech was read verbatim, to open the matter for discussion on the future nurse standards, at the Royal College of Nursing Congress in Glasgow on 9 June 2022.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130397085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A previous article published in this journal discussed an outpatients clinic in north London to illustrate the way it can treat patients effectively to keep them engaged and benefit from treatment. That article showed that the service can avoid future hospital admissions. This article provides a 6-month update and further evidences the positive outcomes that can be achieved with an outpatients clinic, treating patients who are admitted to hospital with alcohol dependency.
{"title":"The Alcohol Liaison Service: an update","authors":"Jeff Fernandez, K. Reaburn, Jennifer Ryan","doi":"10.12968/bjmh.2023.0006","DOIUrl":"https://doi.org/10.12968/bjmh.2023.0006","url":null,"abstract":"A previous article published in this journal discussed an outpatients clinic in north London to illustrate the way it can treat patients effectively to keep them engaged and benefit from treatment. That article showed that the service can avoid future hospital admissions. This article provides a 6-month update and further evidences the positive outcomes that can be achieved with an outpatients clinic, treating patients who are admitted to hospital with alcohol dependency.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124933897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mixed messaging","authors":"Vicki Williams","doi":"10.12968/bjmh.2023.0004","DOIUrl":"https://doi.org/10.12968/bjmh.2023.0004","url":null,"abstract":"","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129135195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This is a personal reflection on the experience of becoming a mental health service user, 10 years into my career as a mental health nurse. My experiences as a mental health service user caused me to re-evaluate the true value of a mental health nurse. Qualities such as compassion and advocacy are more important to service users than standardised generic interventions. This article examines the importance of hope and the therapeutic relationship, stressing the true value and impact of a mental health nurse. Finally, a brief critique of the concept of recovery is offered. It is an encouragement and motivation to mental health professionals to be the nurse that service users want and need.
{"title":"The true value of a mental health nurse: the lessons that I learned by becoming a mental health service user","authors":"J. Fisher","doi":"10.12968/bjmh.2023.0001","DOIUrl":"https://doi.org/10.12968/bjmh.2023.0001","url":null,"abstract":"This is a personal reflection on the experience of becoming a mental health service user, 10 years into my career as a mental health nurse. My experiences as a mental health service user caused me to re-evaluate the true value of a mental health nurse. Qualities such as compassion and advocacy are more important to service users than standardised generic interventions. This article examines the importance of hope and the therapeutic relationship, stressing the true value and impact of a mental health nurse. Finally, a brief critique of the concept of recovery is offered. It is an encouragement and motivation to mental health professionals to be the nurse that service users want and need.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132181535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Throughout the global pandemic, nurses have had to deal with increased workloads, the fear of exposure to COVID-19 on top of risking their own health and that of their families. In mental health services, the challenge of providing care for distressed service users while managing identified personal experiences has been significant. The aim of this study was to explore mental health nurses' professional experiences of working through the global pandemic and how personal circumstances may have impacted on this. The objectives were to examine the consequences of working through the pandemic to identify future support needs. This qualitative study used descriptive data from (n=161) responses received via a Qualtrics survey that was subjected to a thematic analysis. Following data analysis, four themes were identified: contamination; alienation; resilience; and existential shift. Mental health nurses continue to prove their ability to adapt and operationalise change in a high intensity environment. However, there is an impact in having to manage personal safety, fears, personal circumstances and mental health in the long term. Strong and emotionally supportive leadership and individualised support is needed to help alleviate the long-term burden on mental health nurses.
{"title":"The experiences of mental health nurses working through COVID-19: an analysis of long-term support needs","authors":"A. Farrington, M. King, G. Donohue, E. McCann","doi":"10.12968/bjmh.2021.0045","DOIUrl":"https://doi.org/10.12968/bjmh.2021.0045","url":null,"abstract":"Throughout the global pandemic, nurses have had to deal with increased workloads, the fear of exposure to COVID-19 on top of risking their own health and that of their families. In mental health services, the challenge of providing care for distressed service users while managing identified personal experiences has been significant. The aim of this study was to explore mental health nurses' professional experiences of working through the global pandemic and how personal circumstances may have impacted on this. The objectives were to examine the consequences of working through the pandemic to identify future support needs. This qualitative study used descriptive data from (n=161) responses received via a Qualtrics survey that was subjected to a thematic analysis. Following data analysis, four themes were identified: contamination; alienation; resilience; and existential shift. Mental health nurses continue to prove their ability to adapt and operationalise change in a high intensity environment. However, there is an impact in having to manage personal safety, fears, personal circumstances and mental health in the long term. Strong and emotionally supportive leadership and individualised support is needed to help alleviate the long-term burden on mental health nurses.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132490556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article is the fifth in a series that celebrates the work of positive psychologists and how their work has the power and potential to influence mental health nursing practice. In this article, the work of Kristin Neff and her work on self-compassion is discussed. The practical activities provided in the article will help the reader increase their own awareness of self-compassion to develop their use and transferability within their own life.
{"title":"Positive psychology pioneers: Kristin Neff's power and potential to influence mental health nursing","authors":"J. Macfarlane","doi":"10.12968/bjmh.2022.0036","DOIUrl":"https://doi.org/10.12968/bjmh.2022.0036","url":null,"abstract":"This article is the fifth in a series that celebrates the work of positive psychologists and how their work has the power and potential to influence mental health nursing practice. In this article, the work of Kristin Neff and her work on self-compassion is discussed. The practical activities provided in the article will help the reader increase their own awareness of self-compassion to develop their use and transferability within their own life.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131414024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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