Mutual powerlessness in client participation practices in mental health care

Broer, Tineke; Nieboer, Anna P.; Bal, Roland

doi:10.1111/j.1369-7625.2011.00748.x

Cited by 34 publications

(31 citation statements)

References 39 publications

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“…Power differentials within partnerships between consumers and service providers could lead to specific difficulties (Broer et al . ; Happell et al . ; Kidd et al .…”

Section: Introductionmentioning

confidence: 99%

Doing what we can, but knowing our place: Being an ally to promote consumer leadership in mental health

Happell

Scholz

2017

Int J Mental Health Nurs

142

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Consumer participation in all aspects of mental health services is clearly articulated as an expectation of contemporary mental health policy. Consumer leadership has been demonstrated to be beneficial to mental health services. Barriers to implementation have limited the realization of this goal. In this discursive paper, we argue that non-consumers who support consumer partnerships and leadership (known as 'allies') have an important role to play in facilitating and supporting consumers in leadership roles. Allies currently have more potential to influence resource allocation, and might be viewed more credibly by their peers than consumer leaders themselves. We call for allies to ensure their role is one of support and facilitation (doing what they can), rather than directing the content or speaking on behalf of the consumer movement (knowing their place). In the present study, we address the importance of allies for the consumer movement. It proposes some 'rules of engagement' to ensure that allies do not intentionally or otherwise encroach on consumer knowledge and expertise, so that they maintain the important position of supporting consumers and facilitating the valuing and use of consumer knowledge, expertise, and ultimately, leadership.

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“…Power differentials within partnerships between consumers and service providers could lead to specific difficulties (Broer et al . ; Happell et al . ; Kidd et al .…”

Section: Introductionmentioning

confidence: 99%

Doing what we can, but knowing our place: Being an ally to promote consumer leadership in mental health

Happell

Scholz

2017

Int J Mental Health Nurs

142

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“…Barriers to these include negative attitudes of health professionals (Dabby, Tranulis, & Kirmayer, ), and beliefs that knowledge gained from lived experience lacks the perceived rigour and objectivity of “traditional” scientific research (Boaz, Biri, & McKevitt, ; Gee, McGarty, & Banfield, ; Scholz, Bocking, & Happell, ; Veseth, Binder, Borg, & Davidson, ; Ward et al., ). The issue of power is central, with consumers placed in a disadvantaged position relative to researchers from health professional backgrounds (Broer, Nieboer, & Bal, ; Happell et al., ; Kidd, Kenny, & McKinstry, ) (hereafter referred to as “other” researchers).…”

Section: Introductionmentioning

confidence: 99%

“I don't think we've quite got there yet”: The experience of allyship for mental health consumer researchers

Happell

Scholz

Gordon

et al. 2018

Psychiatric Ment Health Nurs

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Introduction Australia and New Zealand mental health policy requires consumer participation in all aspects of mental health services. Systemic participation informs and improves the quality of mental health services. Collaboration with consumer researchers should be similarly required. Enhanced understandings of collaborations are needed. Aim To enhance understanding of the perspectives and experiences of nonconsumer researchers in working collaboratively with consumers as researchers. Method This qualitative exploratory study involved interviews with nonconsumer mental health researchers who have worked collaboratively with consumers in research. Interviews were conducted with participants from Australia and New Zealand. Results "Allyship" emerged as a major theme. This describes nonconsumer researchers playing an actively supportive role to facilitate opportunities for the development and growth of consumer research roles and activities. Seven subthemes were identified: establishing and supporting roles, corralling resources, guiding navigation of university systems, advocacy at multiple levels, aspiring to coproduction and consumer-led research, extending connections and partnerships, and desire to do better. Discussion Allyship may have an important role to play in the broader consumer research agenda and requires further consideration. Implications for practice Embedding meaningful consumer participation within mental health services requires active consumer involvement in research. Allies can play an important facilitative role.

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“…Patient‐related factors, such as patients' willingness, preferences, and perceived competence to participate, must also be considered when evaluating patient participation (Broer et al . ; Davis et al . ).…”

Section: Discussionmentioning

confidence: 99%

Patient safety on psychiatric wards: A cross‐sectional, multilevel study of factors influencing nurses' willingness to share power and responsibility with patients

Vandewalle

Malfait

Eeckloo

et al. 2017

Int J Mental Health Nurs

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The World Health Organization highlights the need for more patient participation in patient safety. In mental health care, psychiatric nurses are in a frontline position to support this evolution. The aim of the present study was to investigate the demographic and contextual factors that influence the willingness of psychiatric nurses to share power and responsibility with patients concerning patient safety. The patient participation culture tool for inpatient psychiatric wards was completed by 705 nurses employed in 173 psychiatric wards within 37 hospitals. Multilevel modelling was used to analyse the self-reported data. The acceptance of a role wherein nurses share power and responsibility with patients concerning patient safety is influenced by the nurses' sex, age, perceived competence, perceived support, and type of ward. To support nurses in fulfilling their role in patient participation, patient participation-specific basic and continuing education should be provided. Managers and supervisors should recognize and fulfil their facilitating role in patient participation by offering support to nurses. Special attention is needed for young nurses and nurses on closed psychiatric wards, because these particular groups report being less willing to accept a new role. Ward characteristics that restrict patient participation should be challenged so that these become more patient participation stimulating. More research is needed to explore the willingness and ability of psychiatric nurses to engage in collaborative safety management with patients who have specific conditions, such as suicidal ideation and emotional harm.

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Mutual powerlessness in client participation practices in mental health care

Cited by 34 publications

References 39 publications

Doing what we can, but knowing our place: Being an ally to promote consumer leadership in mental health

Doing what we can, but knowing our place: Being an ally to promote consumer leadership in mental health

“I don't think we've quite got there yet”: The experience of allyship for mental health consumer researchers

Patient safety on psychiatric wards: A cross‐sectional, multilevel study of factors influencing nurses' willingness to share power and responsibility with patients

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