Factors affecting knowledge of recovery‐oriented practice amongst mental health nursing and medical staff working on acute mental health inpatient units

Hardy, Jonathan; Parker, Stephen; Hughes, Ian; Anand, Muthur

doi:10.1111/inm.13032

Cited by 6 publications

(13 citation statements)

References 64 publications

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“…This theme relates to the process of professional identity formation over time. Clinical psychologists understand that their professional identities as continuously changing and being renegotiated (1,2,3,4,5,6,7,9,11,12,13,14,16,19,20,22,23). Possibly for this reason, multiple studies featured RQs pertaining directly to personal and professional development (2,3,5,10,12,14,16,21).…”

Section: Theme 3: Changes In Professional Identity Over Timementioning

confidence: 99%

“…Numerous studies indicated the training and early career period is a critical stage in the process of professional identity formation and that this simultaneously comprises a period of rapid growth (2,3,6,8,9,12,16,24) and destabilisation of sense of self (4,5,6,8,9,10,12,16,21,23). This destabilisation was associated with feelings of threat, distrust, isolation and vulnerability (12,21,22) and a sense of needing to relinquish a sense of who one is (21).…”

Section: Theme 3: Changes In Professional Identity Over Timementioning

confidence: 99%

“…Recommendations for training courses to focus more explicitly on personal aspects of the self and master identities were common (2,4,5,10,12,15,20,21,22,23). Trainees often felt supported to integrate personal and professional identities in the context of supervision, mentoring or reflective practice (2,3,5,6,10,15,16,17,20,22,23), although the potential for supervision to impinge on this process was also described (15,23).…”

Section: Theme 3: Changes In Professional Identity Over Timementioning

confidence: 99%

“…Further, professional identities have a critical impact on political, social and health care advances and reforms 2 . Internationally, within health care services (including mental health care), there has been widespread criticism of paternalistic models of care and privileging biomedical views of recovery 3–5 . In this vein, current mental health system reforms demand person‐centred clinical care that promotes personal recovery: a radical shift in the way mental health services are delivered requiring an equally radical shift by mental health care professionals 5 .…”

Section: Introductionmentioning

confidence: 99%

“…2 Internationally, within health care services (including mental health care), there has been widespread criticism of paternalistic models of care and privileging biomedical views of recovery. [3][4][5] In this vein, current mental health system reforms demand person-centred clinical care that promotes personal recovery: a radical shift in the way mental health services are delivered requiring an equally radical shift by mental health care professionals. 5 However, health care professionals develop their identities through socialisation processes within institutional parameters 6 :…”

Section: Introductionmentioning

confidence: 99%

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The development of professional identity in clinical psychologists: A scoping review

et al. 2023

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Introduction: Our professional identity refers to our sense of who we are and how we should behave as professionals. Professional identities are developed through socialisation processes: Established ways of knowing and doing are acquired and reproduced. The professional identities of health care professionals have implications for the realisation of health care reforms that require new ways of being and doing from clinicians. Tension and frustration can arise when professional identities are incongruent with reform directions. More knowledge is required about the professional identities of mental health care professionals-including clinical psychologists-so that they can be supported to develop professional identities that align with health care system reforms. Method: We undertook a scoping review of existing literature aiming to (i) identify the relevant literature; (ii) review the literature quality; (iii) thematically summarise the literature findings; (iv) consult with clinical psychologists; and (v) identify recommendations for research, training and practice. Results: A systematic database search (PsycINFO, CINAHL, Scopus and Web of Science) identified 24 relevant published articles and dissertations. Quantitative studies were excluded due to their markedly different research focus. Included studies were independently reviewed and findings summarised. Findings were organised around three themes: 'integration of personal and professional identities', 'intersectionality' and 'changes in professional identity over time'. Research quality issues were identified. The trustworthiness of the findings was corroborated in consultation with clinical psychologists. Discussion: Clinical psychologists recognise their professional identities as being interrelated with their personal identities and changing over time. They recognised professional identity as important yet inadequately considered in the profession. The research area is emerging yet remains undertheorised and requires improved research methodologies. Future theoretically informed research is required to build up a credible research base to better understand the development of clinical

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Section: Theme 3: Changes In Professional Identity Over Timementioning

confidence: 99%

Section: Theme 3: Changes In Professional Identity Over Timementioning

confidence: 99%

Section: Theme 3: Changes In Professional Identity Over Timementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The development of professional identity in clinical psychologists: A scoping review

et al. 2023

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Mental Health Nurses Overcoming Adversity: A Discursive Review

Cleary,

West,

Hungerford

2023

Issues in Mental Health Nursing

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Our Wished‐for Responses: Recommendations for Creating a Lived and Embodied Sense of Safety During Mental Health Crisis

Roennfeldt,

Hamilton,

Hill

et al. 2024

Health Expectations

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BackgroundMedical interventions have a place in crisis support; however, narrow biomedical and risk‐driven responses negatively impact people seeking crisis care. With increasing shifts towards involving people with lived experience (service users) in designing services, foregrounding people's desired responses is critical. Accordingly, the aim of the study was to explore the wished‐for crisis responses from the perspective of people who have experienced crisis and accessed crisis care.MethodUsing a hermeneutical phenomenological approach, in‐depth interviews were conducted to determine the desired crisis responses of 31 people who self‐reported experiencing mental health crises and accessed crisis services at ED, phone lines and/or crisis alternatives.ResultsThe findings identified wished‐for responses that gave a felt and embodied sense of their own safety influenced by a human‐to‐human response, emotional holding, a place of safety and choice within holistic care. For such responses to be possible, participants identified organising principles, including recognising crisis as meaningful and part of our shared human experience, understanding risk as fluid and a whole‐of‐community responsibility for responding to crises.ConclusionThis paper proposes how insights from people who have experienced crises can be translated into more beneficial crisis care.Patient or Consumer ContributionMost authors are in identified lived experience roles. The first author engaged with participants during the recruitment and interviews and was explicit regarding their lived experience. Service users were involved as advisors, providing input throughout the study.

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Factors affecting knowledge of recovery‐oriented practice amongst mental health nursing and medical staff working on acute mental health inpatient units

Cited by 6 publications

References 64 publications

The development of professional identity in clinical psychologists: A scoping review

The development of professional identity in clinical psychologists: A scoping review

Mental Health Nurses Overcoming Adversity: A Discursive Review

Our Wished‐for Responses: Recommendations for Creating a Lived and Embodied Sense of Safety During Mental Health Crisis

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