Meeting the needs of patients with severe personality disorders

Storey, Les; Dale, Colin

doi:10.7748/mhp.1.5.20.s11

Cited by 2 publications

(2 citation statements)

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“…However, in focusing on nursing care over the past two decades we can note that the nursing literature can be located under a number of broad headings (1) issues and problems; (2) application of therapeutic interventions; (3) effectiveness of nursing interventions; (4) control and management; and (5) overall modelling. First, there are a few reports that deal with the issues and problems relating to the conflicts underpinning nursing care for those with a MI and those with PD (Tennant & Hughes 1997, Storey & Dale 1998, Flood 1999, Mason et al. 2008a,b).…”

Section: Literature Reviewmentioning

confidence: 99%

“…(3) effectiveness of nursing interventions; (4) control and management; and (5) overall modelling. First, there are a few reports that deal with the issues and problems relating to the conflicts underpinning nursing care for those with a MI and those with PD (Tennant & Hughes 1997, Storey & Dale 1998, Flood 1999, Mason et al 2008a. A common theme in these articles relate to the difficulties of behavioural manifestations, risk assessment and the limitations of effective interventions.…”

Section: Tensions Between Nursing Care and Labelsmentioning

confidence: 99%

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Forensic nurses' perceptions of labels of mental illness and personality disorder: clinical versus management issues

Mason¹,

Hall

Caulfied

et al. 2010

Journal of Psychiatric and Mental Health Nursing

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Anecdotally, forensic psychiatric nurses generally have a more negative perception of people diagnosed with a personality disorder and this negativity is focused more towards managing the behaviours rather than on treatment efficacy and clinical outcomes. This study reports on research carried out across the High, Medium and Low secure psychiatric services in the UK. One thousand two hundred questionnaires were distributed with a response rate of 34.6%. The results indicated a statistically significant difference across High (z = 9.69; P < or = 0.01), Medium (z = 11.06; P < or = 0.01) and Low (z= 9.57; P= 0.01) security with a focus on the management of people with a personality disorder using the Wilcoxon paired samples test. There was also a statistically significant difference in relation to a more clinical/treatment focus for those with a diagnosis of mental illness in Medium (z = 9.69; P < or = 0.01) and Low (z = 9.57; P < or = 0.01) security but not in the High security services. Finally, the results showed significant differences between High, Medium and Low security on each of the four scales of Personality Disorder Clinical-Personality Disorder Management and Mental Illness Clinical-Mental Illness Management. This raises issues of stigma, prejudice and discrimination and suggests a refocus on skills development, acquisition and application for those with a label of personality disorder.

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Section: Literature Reviewmentioning

confidence: 99%

Section: Tensions Between Nursing Care and Labelsmentioning

confidence: 99%

Forensic nurses' perceptions of labels of mental illness and personality disorder: clinical versus management issues

Mason¹,

Hall

Caulfied

et al. 2010

Journal of Psychiatric and Mental Health Nursing

View full text Add to dashboard Cite

show abstract

The use of clinical supervision in secure environments

Storey

Minto²

2000

Br J Nurs

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It is probably still fair to say that clinical supervision is not widely implemented throughout the nursing profession. Indeed, Butterworth (1998) has implied that the notion that clinical supervision is widespread in mental health nursing is an assumption. This article draws upon the findings of two recent studies that examine the availability and acceptance of clinical supervision in forensic mental health settings. The findings indicate that there is a low level of acceptance of clinical supervision both within the prison service and also in forensic settings. Following an exposition of the findings, this article will discuss some of the practical difficulties encountered in the systematic implementation of clinical supervision across this professional group who work within conditions that test their professional resilience.

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Meeting the needs of patients with severe personality disorders

Cited by 2 publications

References 0 publications

Forensic nurses' perceptions of labels of mental illness and personality disorder: clinical versus management issues

Forensic nurses' perceptions of labels of mental illness and personality disorder: clinical versus management issues

The use of clinical supervision in secure environments

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