Mental health placements in a general health setting: no substitute for the real thing!

Happell, Brenda; Platania‐Phung, Chris

doi:10.1111/j.1365-2702.2011.04016.x

Cited by 24 publications

(19 citation statements)

References 40 publications

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“…In contrast to the research in mental health settings showing that clinical placements generally improve students' attitudes towards people with mental health issues and people who specialise in this area (Happell & Gaskin, 2013), Happell and Platania-Phung (2012) found only minor changes in preparedness for providing care to people with mental health issues, attitudes towards people with mental illness and mental health nursing, and interest in mental health nursing of students undertaking placements in non-mental health settings. These findings strongly suggest that mental health placements need to occur in mental health settings.…”

Section: Location and Structure Of Clinical Placementsmentioning

confidence: 70%

“…Some research has recently been undertaken on the premise that, given the significant prevalence of mental health issues in the general population, mental health clinical placements could be undertaken in non-mental health settings (Happell & Platania-Phung, 2012). In contrast to the research in mental health settings showing that clinical placements generally improve students' attitudes towards people with mental health issues and people who specialise in this area (Happell & Gaskin, 2013), Happell and Platania-Phung (2012) found only minor changes in preparedness for providing care to people with mental health issues, attitudes towards people with mental illness and mental health nursing, and interest in mental health nursing of students undertaking placements in non-mental health settings.…”

Section: Location and Structure Of Clinical Placementsmentioning

confidence: 99%

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Clinical Placements in Mental Health: A Literature Review

Happell

Gaskin

Byrne

et al. 2014

Issues in Mental Health Nursing

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Gaining experience in clinical mental health settings is central to the education of health practitioners. To facilitate the ongoing development of knowledge and practice in this area, we performed a review of the literature on clinical placements in mental health settings. Searches in Academic Search Complete, CINAHL, Medline and PsycINFO databases returned 244 records, of which 36 met the selection criteria for this review. Five additional papers were obtained through scanning the reference lists of those papers included from the initial search. The evidence suggests that clinical placements may have multiple benefits (e.g. improving students' skills, knowledge, attitudes towards people with mental health issues and confidence, as well as reducing their fears and anxieties about working in mental health). The location and structure of placements may affect outcomes, with mental health placements in non-mental health settings appearing to have minimal impact on key outcomes. The availability of clinical placements in mental health settings varies considerably among education providers, with some students completing their training without undertaking such structured clinical experiences. Students have generally reported that their placements in mental health settings have been positive and valuable experiences, but have raised concerns about the amount of support they received from education providers and healthcare staff. Several strategies have been shown to enhance clinical placement experiences (e.g. providing students with adequate preparation in the classroom, implementing learning contracts and providing clinical supervision). Educators and healthcare staff need to work together for the betterment of student learning and the healthcare professions.

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Section: Location and Structure Of Clinical Placementsmentioning

confidence: 70%

Section: Location and Structure Of Clinical Placementsmentioning

confidence: 99%

Clinical Placements in Mental Health: A Literature Review

Happell

Gaskin

Byrne

et al. 2014

Issues in Mental Health Nursing

Self Cite

View full text Add to dashboard Cite

show abstract

“…The limited literature suggests that, when compared to experience in mental health settings, mental health placements taken in general health care settings do not influence the development of more positive attitudes to people with mental illness and mental health nursing (Happell & Platania-Phung, 2012). It also belies the philosophy of holism that presumably underpins nursing practice (Povlsen & Borup, 2011).…”

Section: Discussionmentioning

confidence: 98%

The Views of Heads of Schools of Nursing about Mental Health Nursing Content in Undergraduate Programs

Happell

McAllister

2014

Issues in Mental Health Nursing

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Criticisms about the mental health nursing content of Bachelor of Nursing programs have been common since the introduction of comprehensive nursing education in Australia. Most criticism has come from the mental health nursing sector and the views of key stakeholders have not been systematically reported. Heads of Schools of Nursing have considerable influence over the content of nursing programs, and their perspectives must be part of ongoing discussions about the educational preparation of nurses. This article reports the findings of a qualitative exploratory study, involving in-depth interviews with Heads of Schools of Nursing from Queensland, Australia. Thematic data analysis revealed two main themes: Realising the Goal? and Influencing Factors. Overall, participants did not believe current programs were preparing graduates for beginning level practice in mental health settings. In particular, participants believed that the quality of mental health content was influenced by the overcrowded curriculum, the availability of quality clinical placements, the strength of the mental health team, and the degree of consumer focus. The findings suggest the current model of nursing education in Australia does not provide an adequate foundation for mental health nursing practice and alternative approaches should be pursued as a matter of urgency.

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“…, Abbey et al . , Happel & Platania‐Phung and a recent review by Happel & Gaskin ). Graduate nurses contend that they are more likely to apply for work in settings where they had positive experiences during undergraduate clinical placements (Courtney et al .…”

Section: Introductionmentioning

confidence: 97%

Nursing students' perceptions of their clinical learning environment in placements outside traditional hospital settings

Bjørk

Berntsen

Brynildsen

et al. 2014

Journal of Clinical Nursing

161

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Aims and objectivesTo explore students' opinions of the learning environment during clinical placement in settings outside traditional hospital settings.BackgroundClinical placement experiences may influence positively on nursing students attitudes towards the clinical setting in question. Most studies exploring the quality of clinical placements have targeted students' experience in hospital settings. The number of studies exploring students' experiences of the learning environment in healthcare settings outside of the hospital venue does not match the growing importance of such settings in the delivery of health care, nor the growing number of nurses needed in these venues.DesignA survey design was used.MethodThe Clinical Learning Environment Inventory was administered to two cohorts of undergraduate nursing students (n = 184) after clinical placement in mental health care, home care and nursing home care.ResultsNursing students' overall contentment with the learning environment was quite similar across all three placement areas. Students in mental health care had significantly higher scores on the subscale individualisation, and older students had significantly higher scores on the total scale. Compared with other studies where the Clinical Learning Environment Inventory has been used, the students' total scores in this study are similar or higher than scores in studies including students from hospital settings.ConclusionResults from this study negate the negative views on clinical placements outside the hospital setting, especially those related to placements in nursing homes and mental healthcare settings.Relevance to clinical practiceStudents' experience of the learning environment during placements in mental health care, home care and nursing homes indicates the relevance of clinical education in settings outside the hospital setting.

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Mental health placements in a general health setting: no substitute for the real thing!

Abstract: Clinical placements in mental health are essential preparation for undergraduate students to maximise improvement in attitudes to the care of people diagnosed with a mental illness and to mental health nursing.

Cited by 24 publications

References 40 publications

Clinical Placements in Mental Health: A Literature Review

Clinical Placements in Mental Health: A Literature Review

The Views of Heads of Schools of Nursing about Mental Health Nursing Content in Undergraduate Programs

Nursing students' perceptions of their clinical learning environment in placements outside traditional hospital settings

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