This article presents a critical reflection on an experience relating to sexuality from two perspectives, a mental health nursing student and a lecturer. It took place during stage 1 of a graduate entry nursing 2-year Master of Science mental health nursing programme at a UK university. Student mental health nurses in higher education who identify as lesbian, gay, bisexual or transgender can feel less safe than others, which affects performance. Lecturers can make a difference to the educational experience of student nurses who are lesbian, gay, bisexual or transgender and this can have an impact on clinical practice. The emotional impact of ‘coming out’ in the classroom can have far-reaching consequences for their mental health. The response of educational staff can have a huge impact on the ability to learn and the marks achieved. Student–lecturer relationships can have transformative consequences. Student mental health nurses make meaning from their educational experiences in the classroom and clinical practice. If they do not see themselves represented, this can affect engagement and motivation. Safe nursing practice is role modelled from lecturer to student and has implications for service user experience in clinical settings.
{"title":"Sexuality, student mental health nurse and lecturer experience in education and practice","authors":"Benjamin Milward, E. Collier","doi":"10.12968/bjmh.2021.0023","DOIUrl":"https://doi.org/10.12968/bjmh.2021.0023","url":null,"abstract":"This article presents a critical reflection on an experience relating to sexuality from two perspectives, a mental health nursing student and a lecturer. It took place during stage 1 of a graduate entry nursing 2-year Master of Science mental health nursing programme at a UK university. Student mental health nurses in higher education who identify as lesbian, gay, bisexual or transgender can feel less safe than others, which affects performance. Lecturers can make a difference to the educational experience of student nurses who are lesbian, gay, bisexual or transgender and this can have an impact on clinical practice. The emotional impact of ‘coming out’ in the classroom can have far-reaching consequences for their mental health. The response of educational staff can have a huge impact on the ability to learn and the marks achieved. Student–lecturer relationships can have transformative consequences. Student mental health nurses make meaning from their educational experiences in the classroom and clinical practice. If they do not see themselves represented, this can affect engagement and motivation. Safe nursing practice is role modelled from lecturer to student and has implications for service user experience in clinical settings.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130074998","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}
For mental health nurses, a core component of the nurse–patient relationship is compassion. Bearing witness to patients' distress may lead to the manifestation of compassion fatigue; a decrease in compassionate and empathic responses because of prolonged contact with patients with mental ill health issues. Mental health nurses, particularly those who work in areas where they are exposed to frequent crisis presentations, such as inpatient settings and crisis teams, are at risk of developing compassion fatigue, yet there remains a paucity of research into the impact on those delivering mental health care in the UK. This article highlights the importance of identifying compassion fatigue, advocates for open honest and supportive discussions without fear of reprimand, and argues that possible workplace causes should be effectively addressed by nurse leaders and organisations, not just for sake of the mental health nurse and their employers, but also to ensure positive patient outcomes.
{"title":"Compassion fatigue and mental health nursing: the final taboo?","authors":"Matshidiso L Camenzuli-Chetcuti, M. Haslam","doi":"10.12968/bjmh.2021.0027","DOIUrl":"https://doi.org/10.12968/bjmh.2021.0027","url":null,"abstract":"For mental health nurses, a core component of the nurse–patient relationship is compassion. Bearing witness to patients' distress may lead to the manifestation of compassion fatigue; a decrease in compassionate and empathic responses because of prolonged contact with patients with mental ill health issues. Mental health nurses, particularly those who work in areas where they are exposed to frequent crisis presentations, such as inpatient settings and crisis teams, are at risk of developing compassion fatigue, yet there remains a paucity of research into the impact on those delivering mental health care in the UK. This article highlights the importance of identifying compassion fatigue, advocates for open honest and supportive discussions without fear of reprimand, and argues that possible workplace causes should be effectively addressed by nurse leaders and organisations, not just for sake of the mental health nurse and their employers, but also to ensure positive patient outcomes.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122234188","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}
L. Wainwright, G. Haddock, C. Dunster-Page, K. Berry
Inpatient wards provide an opportunity to intervene with medical, psychological and social care to contain distress and prevent future relapse. However, they have been criticised for an over-reliance on medication and risk management with limited psychosocial interventions. The aim of this study was to investigate clinical trials of psychosocial interventions for inpatients to identify interventions that are effective at improving quality of life, symptoms or patient functioning. An electronic search of six databases was conducted for papers published from 1806 up until February 2017. A total of 18 randomised controlled trials was identified in which outcomes for symptoms, quality of life or functioning were reported. Overall, 15 trials showed a statistically significant result for at least one outcome. Seven categories were identified from the 18 studies, at least one in each category was found to be effective for symptoms, quality of life or functioning. The majority were effective (15 out of 18). Given that the methodological quality was generally low and number of randomised controlled trials were small, it is difficult to draw definitive conclusions. Recommendations include more and repeated trials using rigorous methods of testing and reporting.
{"title":"A systematic review of randomised controlled trials of psychosocial interventions for acute mental health inpatients","authors":"L. Wainwright, G. Haddock, C. Dunster-Page, K. Berry","doi":"10.12968/bjmh.2018.0023","DOIUrl":"https://doi.org/10.12968/bjmh.2018.0023","url":null,"abstract":"Inpatient wards provide an opportunity to intervene with medical, psychological and social care to contain distress and prevent future relapse. However, they have been criticised for an over-reliance on medication and risk management with limited psychosocial interventions. The aim of this study was to investigate clinical trials of psychosocial interventions for inpatients to identify interventions that are effective at improving quality of life, symptoms or patient functioning. An electronic search of six databases was conducted for papers published from 1806 up until February 2017. A total of 18 randomised controlled trials was identified in which outcomes for symptoms, quality of life or functioning were reported. Overall, 15 trials showed a statistically significant result for at least one outcome. Seven categories were identified from the 18 studies, at least one in each category was found to be effective for symptoms, quality of life or functioning. The majority were effective (15 out of 18). Given that the methodological quality was generally low and number of randomised controlled trials were small, it is difficult to draw definitive conclusions. Recommendations include more and repeated trials using rigorous methods of testing and reporting.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129597780","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 the eleventh article in a series that explores the meaning of positive psychology and the importance it has on the wellbeing of the mental health workforce. It focuses on positive psychology interventions that help to develop humour and considers how the uplifting effect of humour can be experienced through contemporary use in the field of mental health nursing. This article will connect theories of humour that link to wellbeing. It introduces the concept of positive psychology and its links with humour. Finally, it follows with the application of humour within the nursing context. The practical activities provided in the article will help the reader increase their own awareness of their own character strength of humour, observe the type of humour they use and consider ways to develop its use and transferability within their own lifestyle.
{"title":"Positive psychology: humour and its role within mental health nursing","authors":"J. Macfarlane","doi":"10.12968/bjmh.2021.0012","DOIUrl":"https://doi.org/10.12968/bjmh.2021.0012","url":null,"abstract":"This is the eleventh article in a series that explores the meaning of positive psychology and the importance it has on the wellbeing of the mental health workforce. It focuses on positive psychology interventions that help to develop humour and considers how the uplifting effect of humour can be experienced through contemporary use in the field of mental health nursing. This article will connect theories of humour that link to wellbeing. It introduces the concept of positive psychology and its links with humour. Finally, it follows with the application of humour within the nursing context. The practical activities provided in the article will help the reader increase their own awareness of their own character strength of humour, observe the type of humour they use and consider ways to develop its use and transferability within their own lifestyle.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127539604","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}
Men with depression often experience stigmatising attitudes from the general public, which can cause distress and affect their help-seeking behaviours. This study aims to expand the research on public stigma by exploring public attitudes towards men with depression. Five women and two men who had not experienced depression personally were recruited to this study and took part in semi-structured interviews. Thematic analysis was employed to analyse their data. The main themes that emerged concerned awareness, depression as a gendered phenomenon and the generational divide. The participants conveyed that older generations exhibit greater stigmatising attitudes, that awareness in men's experience of depression is lacking and that public stigma is intrinsically linked to societal expectations of how a man should behave. These themes highlight areas for further research, and the themes that have been identified should be taken into consideration when creating destigmatisation materials aimed at the general public.
{"title":"Exploring public attitudes towards men with depression: a thematic analysis","authors":"Sophie Elizabeth Liddell, Panoraia Andriopoulou","doi":"10.12968/bjmh.2020.0016","DOIUrl":"https://doi.org/10.12968/bjmh.2020.0016","url":null,"abstract":"Men with depression often experience stigmatising attitudes from the general public, which can cause distress and affect their help-seeking behaviours. This study aims to expand the research on public stigma by exploring public attitudes towards men with depression. Five women and two men who had not experienced depression personally were recruited to this study and took part in semi-structured interviews. Thematic analysis was employed to analyse their data. The main themes that emerged concerned awareness, depression as a gendered phenomenon and the generational divide. The participants conveyed that older generations exhibit greater stigmatising attitudes, that awareness in men's experience of depression is lacking and that public stigma is intrinsically linked to societal expectations of how a man should behave. These themes highlight areas for further research, and the themes that have been identified should be taken into consideration when creating destigmatisation materials aimed at the general public.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132009378","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":"COVID-19 and sport: unlikely advocates that are helping to reduce the stigma of mental health issues","authors":"Vicki Williams","doi":"10.12968/bjmh.2021.0029","DOIUrl":"https://doi.org/10.12968/bjmh.2021.0029","url":null,"abstract":"","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132724950","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}
Mental health nursing is becoming a more transparent discipline. Increasingly, documentaries have provided the general public with insights regarding these therapeutic ward environments. The opinions of staff working in such places is important for ensuring the accuracy of the information, and the usefulness of what is publicly aired. This study explored the social media comments of nursing staff (as the experts) who viewed the Stacey Dooley: On the Psych Ward documentary. Social media (Facebook and Twitter) were searched for comments on the documentary 3 weeks after the documentary was aired. In total, 4008 Facebook comments and 604 tweets were downloaded and assessed. Comments that did not relate to the documentary were excluded. A total of 31 Facebook comments and 54 tweets were used for analysis. Some evidence of criticism towards the presenter was found, as well as the use of an award-winning hospital as a non-representative – and unrealistic – example of psychiatric care. In general, healthcare staff felt that the documentary was useful for informing the general public, as well as students. Documentaries such as this one that capture the realities of working on mental health wards have educational merit.
{"title":"Social media reactions of nurses to the documentary Stacey Dooley: On the Psych Ward","authors":"C. Porter","doi":"10.12968/bjmh.2020.0041","DOIUrl":"https://doi.org/10.12968/bjmh.2020.0041","url":null,"abstract":"Mental health nursing is becoming a more transparent discipline. Increasingly, documentaries have provided the general public with insights regarding these therapeutic ward environments. The opinions of staff working in such places is important for ensuring the accuracy of the information, and the usefulness of what is publicly aired. This study explored the social media comments of nursing staff (as the experts) who viewed the Stacey Dooley: On the Psych Ward documentary. Social media (Facebook and Twitter) were searched for comments on the documentary 3 weeks after the documentary was aired. In total, 4008 Facebook comments and 604 tweets were downloaded and assessed. Comments that did not relate to the documentary were excluded. A total of 31 Facebook comments and 54 tweets were used for analysis. Some evidence of criticism towards the presenter was found, as well as the use of an award-winning hospital as a non-representative – and unrealistic – example of psychiatric care. In general, healthcare staff felt that the documentary was useful for informing the general public, as well as students. Documentaries such as this one that capture the realities of working on mental health wards have educational merit.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125239010","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 describes and reflects upon ethical dilemmas encountered during the data collection phase of a doctoral study exploring the experiences of mental health nurses who have been assaulted by patients in secure settings. It considers the researcher's position as an ‘insider’ and highlights the potential for this status to influence assumptions, conflicts and decisions in relation to ethical considerations. The projection of the researcher's own emotional experience onto participants is recognised to be a significant factor, emphasising the importance of reflection and reflexivity during the process. The dilemmas discussed are situated in and influenced by the context of the COVID-19 pandemic.
{"title":"Conducting research into assaults on mental health nurses during COVID-19: a reflection on a professional and ethical dilemma","authors":"Helen Ayres, O. Kozlowska, S. Schutz","doi":"10.12968/bjmh.2021.0019","DOIUrl":"https://doi.org/10.12968/bjmh.2021.0019","url":null,"abstract":"This article describes and reflects upon ethical dilemmas encountered during the data collection phase of a doctoral study exploring the experiences of mental health nurses who have been assaulted by patients in secure settings. It considers the researcher's position as an ‘insider’ and highlights the potential for this status to influence assumptions, conflicts and decisions in relation to ethical considerations. The projection of the researcher's own emotional experience onto participants is recognised to be a significant factor, emphasising the importance of reflection and reflexivity during the process. The dilemmas discussed are situated in and influenced by the context of the COVID-19 pandemic.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128901520","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}
COVID-19 is incomparable in terms of its impact and reach across the globe. Every corner of the world has been affected by this virus in one way or another. The impact of COVID-19 poses an existential and physical threat to us all. This reflective narrative discusses my own experience having caught the virus and examines the impact that living with the disease has had and continues to have on my life. Battling distressing symptoms, and having had to face this life-threatening illness, evoked fear and panic within me, despite my usual level-headed, calm and easy-going personality. I ruminated whether I would be among the statistics of those who eventually recover from the disease or those who sadly do not. Therein was my mental anguish and self-torment; and I very much doubt if I am alone in this.
{"title":"A nurse academic's lived experience with COVID-19: a reflective narrative","authors":"H. Mwebe","doi":"10.12968/BJMH.2021.0010","DOIUrl":"https://doi.org/10.12968/BJMH.2021.0010","url":null,"abstract":"COVID-19 is incomparable in terms of its impact and reach across the globe. Every corner of the world has been affected by this virus in one way or another. The impact of COVID-19 poses an existential and physical threat to us all. This reflective narrative discusses my own experience having caught the virus and examines the impact that living with the disease has had and continues to have on my life. Battling distressing symptoms, and having had to face this life-threatening illness, evoked fear and panic within me, despite my usual level-headed, calm and easy-going personality. I ruminated whether I would be among the statistics of those who eventually recover from the disease or those who sadly do not. Therein was my mental anguish and self-torment; and I very much doubt if I am alone in this.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126051034","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}
With a rising number of coronavirus deaths, concerns have been raised over farewell rituals and the grieving processes. This commentary acknowledges the therapeutic potential of mental health nursing to help with the resolution of grief trajectories in the ongoing pandemic.
{"title":"Changing rituals and practices surrounding COVID-19 related deaths: implications for mental health nursing","authors":"C. Laranjeira, A. Querido","doi":"10.12968/bjmh.2021.0004","DOIUrl":"https://doi.org/10.12968/bjmh.2021.0004","url":null,"abstract":"With a rising number of coronavirus deaths, concerns have been raised over farewell rituals and the grieving processes. This commentary acknowledges the therapeutic potential of mental health nursing to help with the resolution of grief trajectories in the ongoing pandemic.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121516281","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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