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92446 Complex Nursing Care Mental Health
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92446 Complex Nursing Care Mental Health
0 Download9 Pages / 2,101 Words
Course Code: 92446
University: University Of Technology Sydney
MyAssignmentHelp.com is not sponsored or endorsed by this college or university
Country: Australia
Questions:
This assignment develops your understanding of the contribution of lived experiences of a mental disorder for collaborative, person-centred mental health nursing practice.
Task:
Referring to evidence-based nursing literature and literature by people who have experiences of living with the effects of a mental disorder, you are required to:
(i) Discuss how an understanding of peoples’ lived experiences of a mental disorder can contribute to the development of person-centred mental health nursing practice.
(ii) Reflect on your own nursing practice and identify one aspect that requires some development for you to work collaboratively with people who have a lived experience of a mental disorder. You could develop this aspect of your own nursing practice.
Answers:
Introduction
Health care provision has evolved over the years from the application of conventional paternalistic approach of ‘nurse knows best’ to an approach of patient-centred care. under the conventional paternalistic approach, health practitioners prescribed and instructed treatments with restricted or limited inputs from families and patientsry.Systematic investigations and research of the independent experiences of mental health as well as distress and of being vital, representing a significant tool for coming up with the cooperative attention to the foundation of information as well as inspiring health care providers to listen wisely to people’s voices with mental health issues (Alharbi, Carlstrom, Ekman, Jarneborn and Olsson, 2014) Even though the usual view of the severe mental health issues in the healthcare settings can still be that of a long-lasting disease leading to unavoidably poor result, it should be noted that recovery is probable and the realms of normal life is the setting for complete mental recovery. It is through this background that individuals come up with measures on how to prudently contain their challenges by themselves or through the aid of other people. In this view, empirical research of lived experiences has generally gathered concrete as well in-depth data concerning the recovery process in daily life setting that normally help steer health care practices to a person-centred approach. Nevertheless, an important issue to comprehend concerning recovery is an individual’s exclusive experience is the initial theme for all actions.
The process of collaboration starts with attempting to comprehend an individual’s experiences and how such experiences impacts the daily life from his or her point of view. More emphasis and focus on regulations and policies concerning to involvement of users, rights of individuals living with disabilities and human rights has contributed to the demand for an array of knowledge base in services of mental health. The concept of person-centredness and recovery has resulted to such phenomenon and has led to known ideas in mental health service. The ideas are famous in certified plan documents in numerous nations as well as in the World Health Organization’s People-Centred Health Care; A Policy Framework. The article recognizes an array of weaknesses as well as gaps in the present systems of healthcare which require attention, that is, they are required to move above the conventional systems of offering healthcare as well as of evaluating performance of health systems, giving much attention to collaborative healthcare services (Gondek, et al 2017).
The main of objective of this paper is to debate on the developments of person-centred mental health care and how using people’s lived experiences of a mental disorder do contribute to the development of person centred mental in nursing practices. The paper will also identify an aspect of my own nursing practice which requires developments to work collaboratively with individuals who have lived experiences of mental disorder.
How People’s Lived Experiences of a Mental Disorder Contribute to the Development of Parson-Centred Mental Health Nursing Practice?
Person-centred care is progressively considered as a vital factor of quality care as well as a distinguishing characteristic of mental recovery. According to Morgan and Yoder (2012), in the mental care, person-centredness entails delivering as well as delivering a all-inclusive respect as well as approach to the people and their exceptional needs and experiences. Therefore, person-centred care is considered as a concerted process between an individual looking for help and the health expert in numerous settings. For instance, a research was conducted by Mogan and Yoder (2012) on the idea analysis of person-centred care and they discovered that the defining features of person-centred as; individualized, empowering, holistic and respectful. Moreover, in the healthcare environment, a person-centred environment include a commitment and vision, organizational behaviors and attituded and shared governance. People’s lived experiences of a mental disorder normally aids in the person-centred care (Van der Meer, et al 2018). People’s lived experience is described as the knowledge as well as the comprehension one gets when he or she has lived through something. In this paper, I have described people with mental health lived experience as individuals having mental illness and are referred to as consumers and friends or family supporting an individual having with mental illness mostly known as carers.
It should be noted that individuals living with mental issues as well as their support/families promote and enhance person-centred healthcare approaches toward both mental and physical health including allied supports, social services and housing. I believe that there is significant benefit for consumers in coming up with a personalized service response entailing respectful as well as reflective listening resulting to enhanced understanding and empathy of individuals experiencing mental health issues and accompanying emotional distress. Person-centred care needs a holistic approach that involves every stakeholder in the provision of care for individuals with mental health issues (Chenoweth, et al 2018). It should be noted that most families and friends of individuals of mental health normally complain that their rights to be engaged in care for their loved ones is limited. Nevertheless, families and friends represent a basic and key support system to mental healthcare. They normally give health practitioners first-hand experience with both intra and interpersonal relationships. It should be noted that when communication with the individual is limited, these experiences normally remain an integral development feature in mental health care (World Health Organization, 2010).
People with severe and serious mental health issues have wide experience in managing their daily lives, coping with various symptoms, undergoing numerous treatment forms as well as dealing with stigma. Such individuals are well placed to offer advice to other individuals who may be going through similar problems and issues (Shipton & Lashewicz, 2017). Most individuals that healthcare givers speak toon numerous occasions usually are eager to provide suggestions, drawing conclusively from their own experience (Cooper, et al 2018). Overwhelmingly, such individuals want to reassure other people, telling them that most things that they are undergoing will get over and things will eventually get better. They normally provide hope and assure mental disorder patients to have persistence and perseverance. Fundamental areas that peoples lived experience offer to other patients include taking care of oneself, seeking aid, relationships with mental health and health professional as well as maintaining social relationships and participation. In looking for oneself, most of the individuals having lived experience of mental disorder suggested how to accept or manage illness or symptoms, taking preventing approaches in order to avoid becoming ill as well seeking medical help early.
An aspect in my own nursing practice that requires development in order to effectively promote lived experience of mental disorder
Individuals with lived experience have been enhancing and promoting the idea of recovery for more than ten decades and have had a deep collective and internal comprehension of what recovery entails and how it feels like (Kogstad, Ekeland and Hummelvoll, 2014). Since 1960s, people with lived experience have come up with movements which has contributed importantly to the push concerning a recovery-oriented mental health system (World Health Organization, 2007). There are very many numerous policy interventions going on in numerous nations like the United States of America, United Kingdom, Canada and Australia (Kadri, et al 2018). Even though important development has happened, currently, Australia has a less enhanced and developed lived experience or peer workforce than in some other countries. For instance, in the united states of America, certified lived experience specialists are currently available in some states as a subsidized service by the government through Medicaid. Peer work in the USA is viewed by the government an important part in terms of recovery for mental health patients.
In my own nursing experience, I would promote research and education in the lived experience sector in order to improve their service delivery to the patients as well as to other medical practitioners. Research has recognized issues of significance to services and healthcare institutions, thus funding bodies often differ to those of individuals accessing mental healthcare services (Byrne, 2015). it should be noted that researchers of lived experience ensure the correct and relevant questions are asked and priorities of individuals accessing services are importantly addressed. Participation of lived experience is gradually increasing within higher settings of education. For instance, in the 33 Australian universities, 76% entailed some lived experience involvement in nursing education. Nevertheless, the rate of involvement especially input into the curriculum was considered to be highly variable (Australian Commission on safety and quality in healthcare, 2010). This shows that most of the mental health nursing education have not embraced research and development so as to support lived experience department. My suggestion to my department would be to create a department of lived experience whereby professional individuals can be incorporated into the department. I would write a proposal entailing my idea of supporting the department financially in order to have enough funds required in conducting further research on the prerequisite of lived experience. I would also promote further education to the current practitioners on the significance of lived experience.
Conclusion
Person-centered care has emerged as one of the best approaches in handling mental health patients as well as initiating a timely and long-lasting recovery (The Health Foundation, 2016). Incorporating people with lived experience has been as vital in the process of person-centred care (Borg & Davidson, 2008). therefore, individuals with lived experience should be highly trained and further research performed to improve on the quality of health care in Australia.
References
Alharbi, T., S., J., Carlstrom, E., Ekman, I., Jarneborn, A. and Olsson. L., E. (2014). Experiences of person centred care-patients’ perceptions; qualitative study. BMC Nurs v13; 2014. 2014 Oct 8. doi: 10.1186/1472-6955-13-28
Australian Commission on safety and quality in healthcare. (2010). Patient-centred Care; improving quality and safety by focusing care on patients and consumers. https://www.safetyandquality.gov.au/wp-content/uploads/2012/01/PCCC-DiscussPaper.pdf
Borg, M., & Davidson, L 2008, The nature of recovery as lived in everyday experience. Journal of Mental Health, 17(2),
Byrne, L. (2015). A grounded theory study of lived experience mental health practitioners within the wider workforce. PDF
Chenoweth, L, Jessop, T, Harrison, F, Cations, M, Cook, J & Brodaty, H 2018, ‘Critical Contextual Elements in Facilitating and Achieving Success with a Person-Centred Care Intervention to Support Antipsychotic Deprescribing for Older People in Long-Term Care’, BioMed Research International, pp. 1–12,
Cooper, C, Marston, L, Barber, J, Livingston, D, Rapaport, P, Higgs, P & Livingston, G 2018, ‘Do care homes deliver person-centred care? A cross-sectional survey of staff-reported abusive and positive behaviours towards residents from the MARQUE (Managing Agitation and Raising Quality of Life) English national care home survey’, PLoS ONE, vol. 13, no. 3, pp. 1–13,
Gask, L. and Coventry, P 2012, Person-centred mental health care: the challenge of implementation. Epidemiology and Psychiatric Sciences. Vol. 21. No. 2. pp 139-144.
Gondek, D, Edbrooke, CJ, Velikonja, T, Chapman, L, Saunders, F, Hayes, D & Wolpert, M 2017, ‘Facilitators and Barriers to Person-centred Care in Child and Young People Mental Health Services: A Systematic Review’, Clinical Psychology & Psychotherapy, vol. 24, no. 4, pp. 870–886,
Goulding, A, Allerby, K, Ali, L, Gremyr, A & Waern, M 2018, ‘Study protocol design and evaluation of a hospital-based multi-professional educational intervention: Person-Centred Psychosis Care (PCPC)’, BMC Psychiatry, vol. 18, no. 1, p. N.PAG,
Kadri, A, Rapaport, P, Livingston, G, Cooper, C, Robertson, S & Higgs, P 2018, ‘Care workers, the unacknowledged persons in person-centred care: A secondary qualitative analysis of UK care home staff interviews’, PLoS ONE, vol. 13, no. 7, pp. 1–20,
Kogstad, R., Ekeland, T. and Hummelvoll, J. K 2014, The knowledge concealed in users’ narratives: valuing clients’ experiences as coherent knowledge in their own right. Advances in Psychiatry. Vol. 2014. Article ID 786138.
Morgan, S. and Yoder, L. (2012) A concept analysis of person-centered care. Journal of Holistic Nursing. Vol. 30. No. 1. pp 6-15.
Shipton, L & Lashewicz, BM 2017, ‘Quality Group Home Care for Adults with Developmental Disabilities and/or Mental Health Disorders: Yearning for Understanding, Security and Freedom’, Journal of Applied Research in Intellectual Disabilities, vol. 30, no. 5, pp. 946–957,
The Health Foundation. (2016). Person-Centred care made simple; what everyone knows about person-centred care. https://www.health.org.uk/sites/health/files/PersonCentredCareMadeSimple.pdf
Van der Meer, L, Nieboer, AP, Finkenflügel, H & Cramm, JM 2018, ‘The importance of person?centred care and co?creation of care for the well?being and job satisfaction of professionals working with people with intellectual disabilities’, Scandinavian Journal of Caring Sciences, vol. 32, no. 1, pp. 76–81
World Health Organization, 2007, People-centred Health Care – A Policy Framework. Manila, Philippines: WHO.
World Health Organization, 2010, User empowerment in mental health: A statement by the WHO regional office for Europe, World Health Organization: Copenhagen: Denmark.
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