Katherine Kidd, Sandeep Singh, Alex Lord, Sanaa Kadir, Lee Bell-Jones, Alice Collins
Ward rounds are an integral aspect of care in inpatient mental health settings but there appears to be no research into service users’ and staff’s views on ward rounds in inpatient rehabilitation services. A service evaluation has explored the experiences of eight service users and nine staff members in one inpatient rehabilitation service with a view to inform service improvements. Participants had mixed experiences. Many appreciated ward rounds’ focus on goal setting and discharge planning. Staff’s positive experiences were linked with positive relationships within the multidisciplinary team (MDT). Some service users reported feelings of anxiety and powerlessness. Some staff said they lacked time to prepare for, attend and follow-up on ward rounds. Collaborative care, positive relationships between MDT members and protected time for staff could improve service users’ and staff’s experiences, and therefore the effectiveness, of ward rounds.
{"title":"Service users’ and staff’s experiences of ward rounds in an inpatient rehabilitation service: a service evaluation","authors":"Katherine Kidd, Sandeep Singh, Alex Lord, Sanaa Kadir, Lee Bell-Jones, Alice Collins","doi":"10.7748/mhp.2023.e1682","DOIUrl":"https://doi.org/10.7748/mhp.2023.e1682","url":null,"abstract":"Ward rounds are an integral aspect of care in inpatient mental health settings but there appears to be no research into service users’ and staff’s views on ward rounds in inpatient rehabilitation services. A service evaluation has explored the experiences of eight service users and nine staff members in one inpatient rehabilitation service with a view to inform service improvements. Participants had mixed experiences. Many appreciated ward rounds’ focus on goal setting and discharge planning. Staff’s positive experiences were linked with positive relationships within the multidisciplinary team (MDT). Some service users reported feelings of anxiety and powerlessness. Some staff said they lacked time to prepare for, attend and follow-up on ward rounds. Collaborative care, positive relationships between MDT members and protected time for staff could improve service users’ and staff’s experiences, and therefore the effectiveness, of ward rounds.","PeriodicalId":44868,"journal":{"name":"Journal of Mental Health Training Education and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135475900","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}
Pub Date : 2023-11-03DOI: 10.1108/jmhtep-01-2022-0003
Anna Mooney, Naomi Crafti, Jillian Broadbear
Purpose Borderline personality disorder (BPD) is a debilitating illness characterised by a pervasive pattern of emotional instability, interpersonal difficulties and impulsive behaviour in association with repeated self-injury and chronic suicidal ideation. People diagnosed with BPD also have high rates of co-occurring psychopathology, including disorders associated with disturbed impulse control, such as substance use disorder (SUD) and disordered eating behaviours. The co-occurrence of BPD and impulse control disorders contributes to the severity and complexity of clinical presentations and negatively impacts the course of treatment and recovery. This study qualitatively documents aspects of the lived experience and recovery journeys of people diagnosed with BPD and co-occurring SUD and/or disordered eating. This study aims to identify similarities with respect to themes reported at different stages of the recovery process, as well as highlight important factors that may hinder and/or foster recovery. Design/methodology/approach In-person, in-depth, semi-structured interviews were conducted with 12 specialist service consumers within a clinical setting. Ten women and two men (22–58 years; mean: 35.5 years) were recruited. Interview transcripts were analysed using thematic analysis principles. Findings As expected, participants with co-occurring disorders experienced severe forms of psychopathology. The lived experience descriptions aligned with the proposition that people with BPD engage in impulsive behaviours as a response to extreme emotional states. Key emergent themes and sub-themes relating to recovery comprised three domains: factors hindering adaptive change; factors assisting adaptive change and factors that constitute change. An inability to regulate negative affect appears to be an important underlying mechanism that links the three disorders. Practical implications This study highlights the potential shortcomings in the traditional approach of treating co-occurring disorders of BPD, SUD and eating disorders as separate diagnoses. The current findings strongly support the adoption of an integrative approach to treating complex mental health issues while concurrently emphasising social connection, support and general health and lifestyle changes. Originality/value The findings of this study contribute to the burgeoning BPD recovery literature. A feature of the current study was its use of in-depth face-to-face interviews, which provided rich, many layered, detailed and nuanced data, which is a major goal of qualitative research (Fusch and Ness, 2015). Furthermore, the interviews were conducted within a safe clinical setting with engagement facilitated by a clinically trained professional. There was also a genuine willingness among participants to share their stories in the belief that doing so would inform effective future clinical practice. Their willingness and engagement as participants may reflect their progress along the path to
{"title":"Borderline personality disorder, substance abuse and disordered eating: perceptions of treatment and recovery within community mental health","authors":"Anna Mooney, Naomi Crafti, Jillian Broadbear","doi":"10.1108/jmhtep-01-2022-0003","DOIUrl":"https://doi.org/10.1108/jmhtep-01-2022-0003","url":null,"abstract":"Purpose Borderline personality disorder (BPD) is a debilitating illness characterised by a pervasive pattern of emotional instability, interpersonal difficulties and impulsive behaviour in association with repeated self-injury and chronic suicidal ideation. People diagnosed with BPD also have high rates of co-occurring psychopathology, including disorders associated with disturbed impulse control, such as substance use disorder (SUD) and disordered eating behaviours. The co-occurrence of BPD and impulse control disorders contributes to the severity and complexity of clinical presentations and negatively impacts the course of treatment and recovery. This study qualitatively documents aspects of the lived experience and recovery journeys of people diagnosed with BPD and co-occurring SUD and/or disordered eating. This study aims to identify similarities with respect to themes reported at different stages of the recovery process, as well as highlight important factors that may hinder and/or foster recovery. Design/methodology/approach In-person, in-depth, semi-structured interviews were conducted with 12 specialist service consumers within a clinical setting. Ten women and two men (22–58 years; mean: 35.5 years) were recruited. Interview transcripts were analysed using thematic analysis principles. Findings As expected, participants with co-occurring disorders experienced severe forms of psychopathology. The lived experience descriptions aligned with the proposition that people with BPD engage in impulsive behaviours as a response to extreme emotional states. Key emergent themes and sub-themes relating to recovery comprised three domains: factors hindering adaptive change; factors assisting adaptive change and factors that constitute change. An inability to regulate negative affect appears to be an important underlying mechanism that links the three disorders. Practical implications This study highlights the potential shortcomings in the traditional approach of treating co-occurring disorders of BPD, SUD and eating disorders as separate diagnoses. The current findings strongly support the adoption of an integrative approach to treating complex mental health issues while concurrently emphasising social connection, support and general health and lifestyle changes. Originality/value The findings of this study contribute to the burgeoning BPD recovery literature. A feature of the current study was its use of in-depth face-to-face interviews, which provided rich, many layered, detailed and nuanced data, which is a major goal of qualitative research (Fusch and Ness, 2015). Furthermore, the interviews were conducted within a safe clinical setting with engagement facilitated by a clinically trained professional. There was also a genuine willingness among participants to share their stories in the belief that doing so would inform effective future clinical practice. Their willingness and engagement as participants may reflect their progress along the path to ","PeriodicalId":44868,"journal":{"name":"Journal of Mental Health Training Education and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135776653","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}
Advice for non-specialist nurses on adapting practice for people with a learning disability and autistic people
为有学习障碍和自闭症患者的非专业护士提供适应实践的建议
{"title":"Learning disability and autism: best practice tips","authors":"Allie Anderson","doi":"10.7748/mhp.26.6.10.s3","DOIUrl":"https://doi.org/10.7748/mhp.26.6.10.s3","url":null,"abstract":"Advice for non-specialist nurses on adapting practice for people with a learning disability and autistic people","PeriodicalId":44868,"journal":{"name":"Journal of Mental Health Training Education and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135934390","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}
Nurses in every setting face tensions and difficult situations involving patients, families and even colleagues. Employ these de-escalation skills to manage conflict
护士在任何情况下都面临与病人、家属甚至同事有关的紧张和困难情况。运用这些缓和冲突的技巧来管理冲突
{"title":"The de-escalation skills you need to handle conflict situations","authors":"Erin Dean","doi":"10.7748/mhp.26.6.19.s7","DOIUrl":"https://doi.org/10.7748/mhp.26.6.19.s7","url":null,"abstract":"Nurses in every setting face tensions and difficult situations involving patients, families and even colleagues. Employ these de-escalation skills to manage conflict","PeriodicalId":44868,"journal":{"name":"Journal of Mental Health Training Education and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135934568","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 treat mental health inpatients with compassion and dignity, menstrual health needs to be taken seriously and specific questions must be asked
为了以同情和尊严对待精神疾病住院患者，需要认真对待月经健康，必须提出具体问题
{"title":"How to preserve the dignity of inpatients during menstruation","authors":"Jessica Bradley","doi":"10.7748/mhp.26.6.17.s6","DOIUrl":"https://doi.org/10.7748/mhp.26.6.17.s6","url":null,"abstract":"To treat mental health inpatients with compassion and dignity, menstrual health needs to be taken seriously and specific questions must be asked","PeriodicalId":44868,"journal":{"name":"Journal of Mental Health Training Education and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135934580","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 nurses more likely than other professionals to die by suicide, support for colleagues in and outside the workplace is key to preventing deaths
护士比其他专业人士更容易自杀，因此对工作场所内外同事的支持是预防死亡的关键
{"title":"What support is there for nurses at risk of taking their own lives?","authors":"Pavan Amara","doi":"10.7748/mhp.26.6.6.s2","DOIUrl":"https://doi.org/10.7748/mhp.26.6.6.s2","url":null,"abstract":"With nurses more likely than other professionals to die by suicide, support for colleagues in and outside the workplace is key to preventing deaths","PeriodicalId":44868,"journal":{"name":"Journal of Mental Health Training Education and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135935072","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}
Critics of the NMC’s 2018 education standards say field-specific learning has been edged out by generic courses
批评NMC 2018年教育标准的人士表示，特定领域的学习已经被通用课程所取代
{"title":"Do nursing degree curricula meet students’ needs?","authors":"Nick Evans","doi":"10.7748/mhp.26.6.14.s5","DOIUrl":"https://doi.org/10.7748/mhp.26.6.14.s5","url":null,"abstract":"Critics of the NMC’s 2018 education standards say field-specific learning has been edged out by generic courses","PeriodicalId":44868,"journal":{"name":"Journal of Mental Health Training Education and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135935077","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}
It is rare to see practising nurses from black, Asian or minority ethnic backgrounds publishing articles in professional journals. In our experience most nurses who publish scholarly papers are undertaking postgraduate studies or are in research roles, and are of white heritage.
{"title":"How to share your knowledge by writing a paper for publication","authors":"","doi":"10.7748/mhp.26.6.5.s1","DOIUrl":"https://doi.org/10.7748/mhp.26.6.5.s1","url":null,"abstract":"It is rare to see practising nurses from black, Asian or minority ethnic backgrounds publishing articles in professional journals. In our experience most nurses who publish scholarly papers are undertaking postgraduate studies or are in research roles, and are of white heritage.","PeriodicalId":44868,"journal":{"name":"Journal of Mental Health Training Education and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135936140","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}
Cannabis has been legalised for medicinal use in the UK since 2018. Find out who can prescribe it and when
自2018年以来，大麻在英国已被合法化。找出谁能开这种药，什么时候开
{"title":"What you need to know about therapeutic cannabis","authors":"Allie Anderson","doi":"10.7748/mhp.26.6.12.s4","DOIUrl":"https://doi.org/10.7748/mhp.26.6.12.s4","url":null,"abstract":"Cannabis has been legalised for medicinal use in the UK since 2018. Find out who can prescribe it and when","PeriodicalId":44868,"journal":{"name":"Journal of Mental Health Training Education and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135973376","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}
Pub Date : 2023-10-27DOI: 10.1108/jmhtep-02-2023-0013
Yue Yin Soo, Yuet Yen Wong, Siew Chin Ong, Guat See Ooi
Purpose Educators play a vital role in supporting tertiary education students’ mental health, as they have frequent interactions with their students. However, information on the strategies and difficulties educators face in this area is scarce, particularly within the multi-ethnic Asian population. Therefore, this study aims to explore Malaysian educators’ roles and challenges in handling students with mental health issues. Design/methodology/approach Semi-structured interviews were conducted with a sample of 12 educators from tertiary education in Malaysia. All interviews were recorded, transcribed and analysed using thematic analysis. Findings Four themes were emerged: perceived factors contributing to mental health issues among students, educators’ strategies in supporting students’ mental health, difficulties in supporting students’ mental health and training to support students’ mental health. Originality/value To the best of the authors’ knowledge, this is the first study exploring the roles and challenges educators face in supporting tertiary education students’ mental health in Malaysia.
{"title":"Educators’ roles and challenges in supporting tertiary education students’ mental health: a qualitative study in Malaysia","authors":"Yue Yin Soo, Yuet Yen Wong, Siew Chin Ong, Guat See Ooi","doi":"10.1108/jmhtep-02-2023-0013","DOIUrl":"https://doi.org/10.1108/jmhtep-02-2023-0013","url":null,"abstract":"Purpose Educators play a vital role in supporting tertiary education students’ mental health, as they have frequent interactions with their students. However, information on the strategies and difficulties educators face in this area is scarce, particularly within the multi-ethnic Asian population. Therefore, this study aims to explore Malaysian educators’ roles and challenges in handling students with mental health issues. Design/methodology/approach Semi-structured interviews were conducted with a sample of 12 educators from tertiary education in Malaysia. All interviews were recorded, transcribed and analysed using thematic analysis. Findings Four themes were emerged: perceived factors contributing to mental health issues among students, educators’ strategies in supporting students’ mental health, difficulties in supporting students’ mental health and training to support students’ mental health. Originality/value To the best of the authors’ knowledge, this is the first study exploring the roles and challenges educators face in supporting tertiary education students’ mental health in Malaysia.","PeriodicalId":44868,"journal":{"name":"Journal of Mental Health Training Education and Practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136318805","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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