Mental health nurses' views on therapeutic optimism

Cleary, Michelle; Horsfall, Jan; O’Hara-Aarons, Maureen; Hunt, Glenn E.

doi:10.1111/j.1447-0349.2011.00805.x

Cited by 19 publications

(19 citation statements)

References 41 publications

(82 reference statements)

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“…Consequently, they were able to involve consumers in their own care in ways that were therapeutically optimistic (Cleary et al . ). Lastly, it was important for nursing staff to accept the cyclical nature of mental illness. Approach to work: This involved the nurses' ability to be prepared and to deal with many stressful situations that potentially arose throughout the day.…”

Section: Resultsmentioning

confidence: 97%

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Nurses experiences of delivering care in acute inpatient mental health settings: A narrative synthesis of the literature

Wyder

Ehrlich

Crompton

et al. 2017

Int J Mental Health Nurs

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Inpatient psychiatric care requires a balance between working with consumers' priorities and goals, managing expectations of the community, legal, professional and service responsibilities. In order to improve service delivery within acute mental health units, it is important to understand the constraints and facilitating factors for good care. We conducted a systematic narrative synthesis, where findings of qualitative studies are synthesised to generate new insights. 21 articles were identified. Our results show that personal qualities, professional skills as well as environmental factors all influence the ability to provide recovery focused care. Three overarching themes which either facilitated or hindered were identified. These included: (i) Complexity of the nursing role (clinical care; practical and emotional support: advocacy and education; enforcing aspects of the Mental Health Act. and, maintaining ward safety); (ii) Constraining factors (operational barriers; change in patient characteristic; and competing understandings of care); and (iii) Facilitating factors (ward factors; nursing tools; nurse characteristics; approach to people; approach to work and ability to self-care). We suggest that the therapeutic use of self is central to the provision of recovery oriented care. However person-centred practice can be fragile and fluid and a compassionate system of support is needed to enable an understanding of context and self. It is critical to have a work environment which fosters hope and optimism and is supportive of autonomy, ensures workload balance, and is safe.

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Section: Resultsmentioning

confidence: 97%

“…A positive work environment, as well as personal attributes of staff, are integral to the delivery of optimum care (Cleary et al . ,c; Powell et al . ).…”

Section: Discussionmentioning

confidence: 99%

Nurses experiences of delivering care in acute inpatient mental health settings: A narrative synthesis of the literature

Wyder

Ehrlich

Crompton

et al. 2017

Int J Mental Health Nurs

View full text Add to dashboard Cite

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“…The responses to questions are analysed and discussed. Results from the other interview questions are reported elsewhere (Cleary et al . 2012a; 2012b).…”

Section: Methodsmentioning

confidence: 99%

Mental health nurses' perceptions of good work in an acute setting

Cleary

Horsfall

O’Hara-Aarons

et al. 2012

Int J Mental Health Nurs

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Frequently, research and conference papers explore difficult or problematic areas of practice that can inadvertently render daily nursing accomplishments invisible and create the perception of a discipline in crisis. In this qualitative study, we explore the views of registered nurses about achievements in the workplace and good nursing work in an acute inpatient mental health setting in Sydney, Australia. Mental health nurses were asked a series of questions about their experiences and understanding of what constitutes good nursing work as well as their sense of optimism about their work. A total of 40 structured face-to-face interviews were completed. Among the responses to questions about achievements and good nursing practice, five broad themes were identified: i) teamwork; (ii) interpersonal interactions with patients; (iii) providing practical and holistic support to patients; (iv) patients' mental health improvements; and (v) optimism-pessimism continuum. Findings contribute to a discussion of good nursing work in acute mental health settings, as well as self-perceptions of optimism and hopefulness, which are important contributors to positive, supportive health-care settings and patient recovery.

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“…It has been argued that this alliance overrides the delivery of care. A strong sense of optimism is a core component of a mental health nurse in helping the consumer deal with loss of hope, grief, and trauma (Cleary, Horsfall, O'Hara-Aarons, & Hunt, 2012). All the principles of Primary Health Care strongly influence a mental health nurse in practice and can provide an effective framework for the provision of consumer care.…”

Section: Ways Forwardmentioning

confidence: 99%

Primary Health Care in the Mental Health Workplace: Insights from the Australian Experience

Cleary

Dean

Webster

et al. 2014

Issues in Mental Health Nursing

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In Australia, Primary Health Care and the mental health sector have always shared a philosophy. In 1978, Primary Health Care was first put forward as a strategy to improve "health for all." Recently, the Australian Government included mental health as a national health priority, identifying six strategies consistent with a Primary Health Care approach to address the mental health of all Australians. Throughout this time, Primary Health Care has been highlighted in all models of care. However, in reality, it appears that in mental health services, mental health nurses, despite good intentions, are not delivering care in a planned or systematised way and that much needs to be done to further improve the situation for individuals accessing the health care system. Services currently focus on those identified as seriously mentally unwell; in order to really make an impact it is argued that services should be broader, offered to the population at large and, further, that the emphasis on case work at an individual level should be changed to an approach that considers prevention, maintenance, and follow-up as well as crisis intervention. This article reflects the Australian experience and offers some insights from that experience.

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Mental health nurses' views on therapeutic optimism

Cited by 19 publications

References 41 publications

Nurses experiences of delivering care in acute inpatient mental health settings: A narrative synthesis of the literature

Nurses experiences of delivering care in acute inpatient mental health settings: A narrative synthesis of the literature

Mental health nurses' perceptions of good work in an acute setting

Primary Health Care in the Mental Health Workplace: Insights from the Australian Experience

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