This article is the fourth 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. This article discusses Professor Ryan Niemiec and his work on character strengths. The practical activities provided will help the reader increase their own awareness of character strengths to develop their use and transferability within their own life.
{"title":"Positive psychology pioneers: Ryan Niemiec's power and potential to influence mental health nursing","authors":"J. Macfarlane","doi":"10.12968/bjmh.2022.0032","DOIUrl":"https://doi.org/10.12968/bjmh.2022.0032","url":null,"abstract":"This article is the fourth 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. This article discusses Professor Ryan Niemiec and his work on character strengths. The practical activities provided will help the reader increase their own awareness of character strengths 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":"2022-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121423053","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}
To date, literature may not be fully representative of the views of all children and young people experiencing mental ill health concerning their experience of attending an acute care setting with mental distress. Research highlights opinions of children and young people known to community mental health services; however, it is estimated that 65–75% of children and young people experience mental health problems are undiagnosed and untreated ( Care Quality Commission, 2018 ). The aim of this study was to compare experiences of patients presenting to emergency settings both known (group 1) and unknown (group 2) to community mental health services. A survey was distributed to children and young people experiencing mental distress. Survey responses were categorised into two patient groups: participants known to community children and adolescent mental health services and accessing support (group 1) and those not currently known or receiving support from any children and adolescent mental health services (group 2). Responses were categorised into ‘environment rating’, ‘nurse rating’ and overall ‘acute care rating’. Disparities were identified between groups 1 and 2. Group 1 had negative acute care ratings, mainly resulting from environmental factors. Both groups reported negatively when nurses spoke to parents or carers instead of the young person themselves. Further research is needed into experiences of children and young people not meeting criteria for community mental health support, as there is a data gap. Paediatric nurses must directly communicate with children and young people experiencing mental distress, rather than speaking to parents or carers.
{"title":"Assessing the experiences of care of children and young people in mental distress in acute care settings: a survey","authors":"Sophia Williams, D. Walker","doi":"10.12968/bjmh.2021.0025","DOIUrl":"https://doi.org/10.12968/bjmh.2021.0025","url":null,"abstract":"To date, literature may not be fully representative of the views of all children and young people experiencing mental ill health concerning their experience of attending an acute care setting with mental distress. Research highlights opinions of children and young people known to community mental health services; however, it is estimated that 65–75% of children and young people experience mental health problems are undiagnosed and untreated ( Care Quality Commission, 2018 ). The aim of this study was to compare experiences of patients presenting to emergency settings both known (group 1) and unknown (group 2) to community mental health services. A survey was distributed to children and young people experiencing mental distress. Survey responses were categorised into two patient groups: participants known to community children and adolescent mental health services and accessing support (group 1) and those not currently known or receiving support from any children and adolescent mental health services (group 2). Responses were categorised into ‘environment rating’, ‘nurse rating’ and overall ‘acute care rating’. Disparities were identified between groups 1 and 2. Group 1 had negative acute care ratings, mainly resulting from environmental factors. Both groups reported negatively when nurses spoke to parents or carers instead of the young person themselves. Further research is needed into experiences of children and young people not meeting criteria for community mental health support, as there is a data gap. Paediatric nurses must directly communicate with children and young people experiencing mental distress, rather than speaking to parents or carers.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131782481","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}
Clinical decision-making is an integral part of the nursing process, as well as a study requirement at Master's level for the advanced professional practice pathway. This article uses Gibbs' reflective cycle as a framework to explore a clinical decision made in practice. Through presentation of a case study of a patient with an adjustment disorder, the authors explore the process of prescribing appropriate treatment in the context of an uncertain evidence base. The authors will examine decision-making and communication theories and consider any biases, as well as ethical, organisational and professional factors that may influence the decision-making process. The individual and organisational steps needed to embed robust decision-making into practice will be discussed.
{"title":"Treatment of adjustment disorders in mental health crisis care: a reflective case study","authors":"K. Loader","doi":"10.12968/bjmh.2021.0002","DOIUrl":"https://doi.org/10.12968/bjmh.2021.0002","url":null,"abstract":"Clinical decision-making is an integral part of the nursing process, as well as a study requirement at Master's level for the advanced professional practice pathway. This article uses Gibbs' reflective cycle as a framework to explore a clinical decision made in practice. Through presentation of a case study of a patient with an adjustment disorder, the authors explore the process of prescribing appropriate treatment in the context of an uncertain evidence base. The authors will examine decision-making and communication theories and consider any biases, as well as ethical, organisational and professional factors that may influence the decision-making process. The individual and organisational steps needed to embed robust decision-making into practice will be discussed.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115430409","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 focus of this research is on burnout, resilience and its effect on safety culture. The study maintains that healthcare organisations lag behind in the race to address burnout because they focus on dealing with the already-existing condition rather than on the source. The purpose of the study was to assess burnout, resilience and the association with safety culture in mental health nurses working in mental health institutions in Jazan, Saudi Arabia. A cross-sectional survey was undertaken using convenience sampling, with 219 mental health nurses from the mental health hospital in Jazan, between June and August 2018. The results of the study showed that 45.6% of the participants experienced a high level of emotional exhaustion, 36.5% reported a high level of depersonalisation and 15.9% high personal achievement. The high level of burnout and its dimensions has a negative effect on service users' safety and resilience. This research supports the adoption of healthcare mechanisms to address the source of mental health nurses' burnout, rather than addressing the issue when it emerges.
{"title":"Exploring the relationship between burnout, resilience and safety culture for mental health nurses in Saudi Arabia","authors":"A. Hasan, N. Asmi, Anas Alsharawneh","doi":"10.12968/bjmh.2020.0012","DOIUrl":"https://doi.org/10.12968/bjmh.2020.0012","url":null,"abstract":"The focus of this research is on burnout, resilience and its effect on safety culture. The study maintains that healthcare organisations lag behind in the race to address burnout because they focus on dealing with the already-existing condition rather than on the source. The purpose of the study was to assess burnout, resilience and the association with safety culture in mental health nurses working in mental health institutions in Jazan, Saudi Arabia. A cross-sectional survey was undertaken using convenience sampling, with 219 mental health nurses from the mental health hospital in Jazan, between June and August 2018. The results of the study showed that 45.6% of the participants experienced a high level of emotional exhaustion, 36.5% reported a high level of depersonalisation and 15.9% high personal achievement. The high level of burnout and its dimensions has a negative effect on service users' safety and resilience. This research supports the adoption of healthcare mechanisms to address the source of mental health nurses' burnout, rather than addressing the issue when it emerges.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128321200","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":"The summer of discontent is set to continue","authors":"Vicki Williams","doi":"10.12968/bjmh.2022.0030","DOIUrl":"https://doi.org/10.12968/bjmh.2022.0030","url":null,"abstract":"","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125260092","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 highlights that a reconfiguration of existing services can lead to a more relevant treatment plan for patients with alcohol dependency. It focuses on how an outpatients service at a teaching hospital has been redesigned to accommodate patients who are reluctant to access mainstream services. This article demonstrates that simple changes can result in positive patient outcomes.
{"title":"Addressing the unmet need in alcohol service provision: outpatient clinics and a new model of treatment for alcohol dependency","authors":"Jeff Fernandez, Jennifer Ryan","doi":"10.12968/bjmh.2022.0027","DOIUrl":"https://doi.org/10.12968/bjmh.2022.0027","url":null,"abstract":"This article highlights that a reconfiguration of existing services can lead to a more relevant treatment plan for patients with alcohol dependency. It focuses on how an outpatients service at a teaching hospital has been redesigned to accommodate patients who are reluctant to access mainstream services. This article demonstrates that simple changes can result in positive patient outcomes.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124689262","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 third 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. Focusing on the contribution of Professor Ed Diener (1946–2021), and his work on subjective wellbeing, will help bring interest and understanding to this exciting and developing area of mental health nursing practice.
{"title":"Positive psychology pioneers: Ed Diener's power and potential to influence mental health nursing","authors":"J. Macfarlane","doi":"10.12968/bjmh.2022.0026","DOIUrl":"https://doi.org/10.12968/bjmh.2022.0026","url":null,"abstract":"This article is the third 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. Focusing on the contribution of Professor Ed Diener (1946–2021), and his work on subjective wellbeing, will help bring interest and understanding to this exciting and developing area of mental health nursing practice.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130769120","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}
Seclusion and restraint use in health care is controversial. Such practices occur more frequently in forensic mental health settings than in acute mental health settings. There is growing interest in staff factors and their influence on such practices. The aim of this review was to identify and appraise studies that explore whether nursing staff characteristics, including age, gender, ethnicity and physical stature, influenced the use of these practices in forensic mental health settings. Eight electronic databases were searched to identify research studies published between 2010–2020. The search yielded 1085 articles, three of which fulfilled the inclusion criteria. There was no significant correlation between age, gender and experience and the tendency to use seclusion and restraint. No studies examined ethnicity, physical stature, seniority or role. The results demonstrate a paucity of research on nursing staff characteristics and their influence on seclusion and restraint in this setting. Such research may inform violence prevention strategies.
{"title":"Understanding the influence of nursing staff characteristics on the use of seclusion and restraint in the adult forensic inpatient setting: a systematic literature review","authors":"L. Barr, D. Wynaden, Karen R Heslop","doi":"10.12968/bjmh.2021.0016","DOIUrl":"https://doi.org/10.12968/bjmh.2021.0016","url":null,"abstract":"Seclusion and restraint use in health care is controversial. Such practices occur more frequently in forensic mental health settings than in acute mental health settings. There is growing interest in staff factors and their influence on such practices. The aim of this review was to identify and appraise studies that explore whether nursing staff characteristics, including age, gender, ethnicity and physical stature, influenced the use of these practices in forensic mental health settings. Eight electronic databases were searched to identify research studies published between 2010–2020. The search yielded 1085 articles, three of which fulfilled the inclusion criteria. There was no significant correlation between age, gender and experience and the tendency to use seclusion and restraint. No studies examined ethnicity, physical stature, seniority or role. The results demonstrate a paucity of research on nursing staff characteristics and their influence on seclusion and restraint in this setting. Such research may inform violence prevention strategies.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115079790","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":"Book review: Village and Colony Asylums in Britain, Ireland and Germany, 1880–1914","authors":"P. Nolan","doi":"10.12968/bjmh.2022.0019","DOIUrl":"https://doi.org/10.12968/bjmh.2022.0019","url":null,"abstract":"","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132819286","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}
Anxiety is a common characteristic for people who live with an autistic spectrum condition and while studies on anxiety in this population are commonplace and case studies correlate anxiety with mental health service experience, little is known about the actual triggers of anxiety and its manifestations, particularly during the discharge process. This aim of this study was to explore how mental health inpatients with autistic spectrum conditions experienced and coped with discharge from a UK acute mental health inpatient facility. Between 2018 and 2019, audio-recorded semi-structured interviews captured the experiences of 20 adults from the east of England, who were former psychiatric inpatients with an established diagnosis of an autistic spectrum condition. Themes were identified through interpretative phenomenological data analysis, which explained participants' reflections regarding the situations and events within the acute care mental health facility that triggered their anxiety, behavioural manifestations of anxiety and responses to the discussion of discharge. Broad behavioural patterns were established that could be associated with their anxiety, such as self-harming or exhibiting aggressive and violent behaviours. The anxiety caused by the discussion of the discharge process appears to be overlooked by mental health practitioners, so attention to potentially anxiety-inducing dialogue is needed when planning discharge from acute care mental health services. The nature of patient–practitioner interactions and dialogue leading up to discharge needs to be handled with sensitivity to the unique needs of the patient so that the experience of discharge becomes less daunting. Transformative research is required to clearly understand the experiences of this vulnerable group and to act as a vehicle to enhance pre-discharge dialogue and support.
{"title":"The desire and fear of discharge from mental health units by people with autistic spectrum conditions: a phenomenological study","authors":"P. Maloret, P. Scott, Shivani Sharma","doi":"10.12968/bjmh.2021.0026","DOIUrl":"https://doi.org/10.12968/bjmh.2021.0026","url":null,"abstract":"Anxiety is a common characteristic for people who live with an autistic spectrum condition and while studies on anxiety in this population are commonplace and case studies correlate anxiety with mental health service experience, little is known about the actual triggers of anxiety and its manifestations, particularly during the discharge process. This aim of this study was to explore how mental health inpatients with autistic spectrum conditions experienced and coped with discharge from a UK acute mental health inpatient facility. Between 2018 and 2019, audio-recorded semi-structured interviews captured the experiences of 20 adults from the east of England, who were former psychiatric inpatients with an established diagnosis of an autistic spectrum condition. Themes were identified through interpretative phenomenological data analysis, which explained participants' reflections regarding the situations and events within the acute care mental health facility that triggered their anxiety, behavioural manifestations of anxiety and responses to the discussion of discharge. Broad behavioural patterns were established that could be associated with their anxiety, such as self-harming or exhibiting aggressive and violent behaviours. The anxiety caused by the discussion of the discharge process appears to be overlooked by mental health practitioners, so attention to potentially anxiety-inducing dialogue is needed when planning discharge from acute care mental health services. The nature of patient–practitioner interactions and dialogue leading up to discharge needs to be handled with sensitivity to the unique needs of the patient so that the experience of discharge becomes less daunting. Transformative research is required to clearly understand the experiences of this vulnerable group and to act as a vehicle to enhance pre-discharge dialogue and support.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126299565","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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