Nurses’ perspectives of an environment of optimum mental health: a grounded theory study

2020 ◽  
pp. 174498712096565
Author(s):  
Miriam Carole Atieno Wagoro ◽  
Sinegugu E Duma
Keyword(s):  
Mental Health ◽  
Grounded Theory ◽  
Health Services ◽  
Conceptual Model ◽  
Nursing Practice ◽  
Poor Quality ◽  
Mental Health Nursing ◽  
Mental Health Nurses ◽  
Health Nursing

Background The Government’s aspiration to make Kenya a middle-income country and achieve the United Nations' sustainable development goal 3, ‘good health and well-being’, are threatened by poor quality of mental health services. Environment and lack of a conceptual model of nursing to guide care were some of the reasons that were attributed to poor quality of mental health services. The purpose of the study was to discover and describe an appropriate conceptual model of mental health nursing practice. This paper describes the environment which is one of the metaparadigms of a conceptual model grounded on data collected from Kenyan mental health nurses. Methods A grounded theory study was conducted with 33 mental health nurses selected by purposive, open and theoretical sampling procedures. The study sites were level 5 and 6 mental health facilities across the country. Data were collected over a period of 11 months through audio-recorded in-depth interviews and field notes. Analysis was performed using Straussian Grounded Theory steps of open, axial and selective coding processes aided by NVivo version 10. Dimensions and properties of environment metaparadigm grounded on nurses’ views were discovered. The study was conducted within the dictates of the institutional and national ethics and research review boards. Results Environment evolved as an intervening condition and a supra-system for mental health nursing. A homely environment emerged as a space with properties that nurture optimum mental health contrary to a hostile environment that precipitates mental disorders and prolongs recovery. Conclusion Grounded theory methodology was useful in discovering an environment metaparadigm as the context that influences mental health while nursing practice is the central phenomenon for optimum mental health. Nurses can ensure homely environments from diverse cultures and conduct comparative studies on the recovery of patients in the two environments.

Reflection and mental health nursing. Part three: reflection on the art and science of nursing

2019 ◽  
Vol 8 (4) ◽  
pp. 173-174
Author(s):  
John Fowler
Keyword(s):  
Mental Health ◽  
Nursing Practice ◽  
Art And Science ◽  
Mental Health Nursing ◽  
Mental Health Nurses ◽  
The Third ◽  
Health Nursing

In the third part of this series on reflection for mental health nurses, John Fowler examines the analogy of mirrors and lenses in the art and science of reflective nursing practice.

scholarly journals Mental Health Nurses' Knowledge and Views on Talking Therapies in Clinical Practice

2021 ◽  
Author(s):  
◽  
Geertrui Wilhelmina Dent
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Nursing Practice ◽  
Evidence Based ◽  
Mental Health Nursing ◽  
Mental Health Nurses ◽  
Knowledge And Skills ◽  
Therapy Training ◽  
Health Nursing ◽  
Nurses Knowledge

<p>Nurses consider that their training, knowledge and skills in evidence-based talking therapy models are essential for competent mental health nursing practice. Using a qualitative descriptive research design this study explored nurses' knowledge and views on their talking therapy training and skills in practice. The study examined the use of talking therapies, or specialised interpersonal processes, embodied within the Te Ao Maramatanga: New Zealand College of Mental Health Nurses Inc (2004) Standards of Practice for Mental Health Nurses in New Zealand. A survey questionnaire was sent to 227 registered nurses from a District Health Board (DHB) Mental Health Service and a sample of eight nurses participated in a semi-structured interview. Content analysis based on the headings " knowledge views, skill acquisition and skill transfer" established the major themes from the data collection processes. The findings of this study confirmed that nurses believe their knowledge and skills in evidence-based talking therapies to be vitally important in mental health nursing practice. Nurses identified that talking therapy training courses needed to be clinically relevant and that some learning strategies were advantageous. The identification of some knowledge gaps for, nurses with limited post graduate experience, and for nurses who currently work in inpatient areas suggests that further consideration must be given to ensure that a cohesive, sustainable approach is ensured for progression of workforce development projects relevant to training in talking therapies for mental health nurses in New Zealand.</p>

scholarly journals How has Covid-19 affected mental health nurses and the delivery of mental health nursing care in the UK? Results of a mixed methods study

2020 ◽  
Author(s):  
Una Foye ◽  
Christian Dalton-Locke ◽  
Jasmine Harju-Seppanen ◽  
Rebecca Lane ◽  
Lewys Beams ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Nursing Care ◽  
Service Users ◽  
Mental Health Nursing ◽  
Mental Health Nurses ◽  
Inpatient Settings ◽  
Health Nursing ◽  
The Uk ◽  
The Impact

AbstractIntroductionWhile evidence has emerged concerning the impact of Covid-19 on the general population and the challenges facing health services, much less is known regarding how the pandemic has directly affected the delivery of mental health nursing care.AimThis paper aims to explore how Covid-19 has affected the ability of mental health nurses to deliver care in community and inpatient mental health services in the UK.MethodWe investigated staff reports regarding the impact of the Covid-19 pandemic on mental healthcare and mental health service users in the UK, using a mixed methods online survey. A total of 897 nurses across a range of inpatient and community settings participated.DiscussionKey themes within the data explore: new ways of working; remote working; risks of infection/infection control challenges; and the impact on service users. Targeted guidelines are required to support mental health nurses providing care and support during a pandemic to people in severe mental distress, often in unsuitable environments.Implications for PracticeService developments need to occur alongside tailored guidance and support for staff welfare supported by clear leadership. These findings identify areas requiring attention and investment to prepare for future crises and the consequences of the pandemic.Accessible SummaryWhat is known on the subject?During the Covid-19 pandemic there has been research considering the impact on medical healthcare professionals and the mental health needs of the general population. However, limited focus has been placed on mental health services or mental health staff providing care in the community and in hospitals. Whilst nurses make up the largest section of the mental health workforce in the UK, the impact that this pandemic has had on their work has been largely ignored.What the paper adds to existing knowledge?This paper provides a unique insight into the experiences and impact that the Covid-19 pandemic has had on mental health nurses across a range of community and inpatient settings to understand what has changed in their work and the care they can and do provide during this crisis. This includes exploring how services have changed, the move to remote working, the impact of the protective equipment crisis on nurses, and the difficult working conditions facing those in inpatient settings where there is minimal guidance provided.What are the implications for practice?By understanding the impact the pandemic has had on mental health nursing care, we can understand the gaps in guidance that exist, the challenges being faced, and the impact the crisis has had on care for mental health service users. By doing so we can plan for the ongoing nature of this pandemic as well as the aftermath that the crisis may leave for our service users and workforce alike.Relevance StatementThis paper provides insight into the impact that the Covid-19 pandemic has had on the service and care that mental health nurses are expected to and can provide. As a workforce that often requires ongoing face to face contact with service users, many in serious distress, in inpatient and community settings, it is important that we understand their experiences and the challenges and risks that face this workforce. This will enable us to ensure that future planning, guidance, support and safeguarding can take place during the ongoing and future crises.

scholarly journals Mental Health Nurses' Knowledge and Views on Talking Therapies in Clinical Practice

2021 ◽  
Author(s):  
◽  
Geertrui Wilhelmina Dent
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Nursing Practice ◽  
Evidence Based ◽  
Mental Health Nursing ◽  
Mental Health Nurses ◽  
Knowledge And Skills ◽  
Therapy Training ◽  
Health Nursing ◽  
Nurses Knowledge

<p>Nurses consider that their training, knowledge and skills in evidence-based talking therapy models are essential for competent mental health nursing practice. Using a qualitative descriptive research design this study explored nurses' knowledge and views on their talking therapy training and skills in practice. The study examined the use of talking therapies, or specialised interpersonal processes, embodied within the Te Ao Maramatanga: New Zealand College of Mental Health Nurses Inc (2004) Standards of Practice for Mental Health Nurses in New Zealand. A survey questionnaire was sent to 227 registered nurses from a District Health Board (DHB) Mental Health Service and a sample of eight nurses participated in a semi-structured interview. Content analysis based on the headings " knowledge views, skill acquisition and skill transfer" established the major themes from the data collection processes. The findings of this study confirmed that nurses believe their knowledge and skills in evidence-based talking therapies to be vitally important in mental health nursing practice. Nurses identified that talking therapy training courses needed to be clinically relevant and that some learning strategies were advantageous. The identification of some knowledge gaps for, nurses with limited post graduate experience, and for nurses who currently work in inpatient areas suggests that further consideration must be given to ensure that a cohesive, sustainable approach is ensured for progression of workforce development projects relevant to training in talking therapies for mental health nurses in New Zealand.</p>

scholarly journals Experiencing Moral Distress in Mental Health Nursing in Thailand

2021 ◽  
Vol 18 (8) ◽  
Author(s):  
Ratchaneekorn UPASEN ◽  
Weeraphol SAENGPANYA
Keyword(s):  
Mental Health ◽  
Work Performance ◽  
Moral Distress ◽  
Quality Of Healthcare ◽  
Mental Health Nursing ◽  
Mental Health Nurses ◽  
Narrative Study ◽  
Health Nursing ◽  
Depth Interviews

Mental health nurses have to confront distressing situations in caring for patients and families, in which several predicaments can lead to moral distress. This study explored moral distress experienced by mental health nurses. A qualitative narrative inquiry was used to gain a better understanding of moral distress Together with purposive sampling and snowball methods. The data were collected from 41 mental health nurses who met the inclusion criteria through in-depth interviews and then, the data were analyzed by using content analysis. This narrative study revealed that experiences from keeping the patient safe is a significant core theme among mental health nurses, involving five themes: (1) frustration in giving best work performance, (2) concerning the patient safe, (3) being stressed at work, (4) experiencing self-condemnation, and (5) sleeping difficulty. Support needed to face moral distress was also presented in this study. The stories of moral distress from this study may contribute to the understanding of health professionals concerning how it occurs and what attributes are involved. Situations leading to moral distress and support needed can shed light on the development of policy that can prevent and help relieve moral distress among mental health nurses for a greater quality of healthcare in Thailand.

Fundamentals of Mental Health Nursing

2009 ◽  
Keyword(s):  
Mental Health ◽  
Nursing Students ◽  
Nursing Practice ◽  
Care Plan ◽  
Service Users ◽  
Self Awareness ◽  
Mental Health Nursing ◽  
Diverse Range ◽  
Health Nursing ◽  
Case Based

In order to provide sound, person-centred care, mental health nursing students need a thorough understanding of theory alongside the ability to translate this knowledge into practice. It can be difficult to apply ideas from the classroom and books when learning how to work with mental health service users for the first time. That is why the theoretical aspects of this book are presented alongside realistic accounts of nursing practice. Fundamentals of Mental Health Nursing is a case-based and service user centred textbook for mental health nursing students. Designed to support students throughout their pre-registration studies, the text covers the essential knowledge required to provide high quality nursing care. Contributions from real service users and cases of fictional clients are explored in detail to provide excellent transferable skills for practice. Dedicated chapters explore fundamental nursing skills and mental health law before providing a case-based exploration of the areas and subjects that will be encountered by students in university and placement. Practice-based chapters introduce students to the needs of a diverse range of fictional clients and explain how the skills of communication, assessment, care planning and monitoring can be applied. Each chapter provides a sample care plan explaining why and how clinical decisions are made, so that students can develop their own skills and practice. The text opens with clear advice to help students succeed in their studies and concludes with a wealth of practical and thoughtful advice on becoming a professional and getting that first job. Online Resource Centre * Twenty one video clips of fictional service users demonstrate the application of theory and prepare students for real nursing practice * Quizzes, scenarios and a range of activities help students to apply their learning * Interactive glossary explains terminology and jargon * Sample CV's and self awareness exercises aid professional development

Haemorrhoid care in mental health nursing practice

2018 ◽  
Vol 7 (2) ◽  
pp. 92-96
Author(s):  
Rachel Allen ◽  
Kim Goddard ◽  
Anne Pegram
Keyword(s):  
Mental Health ◽  
Nursing Practice ◽  
Mental Health Nursing ◽  
Health Nursing
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