Abstract:Current mental health policy documents highlight the need for mental health nurses to become increasingly involved in the delivery of evidence-based psychological interventions. However, substantial evidence exists indicating that there is a paucity of training to adequately equip nurses to deliver these interventions and, even when training is available, there are barriers to their implementation into routine clinical practice. This paper reports on the personal reflections and experiences of a group of four … Show more
“…Only a few nurses acknowledged beforehand the difficulties in carrying out the SAM, particularly with respect to motivating the patients with severe depression. This is in line with the findings from the study of Paley Shapiro, Myers, Patrick, and Reid (), where the nurses were surprised and frustrated with respect to their experience that what seemed simple during the training period proved to be complex in actual clinical practice. Puentes () argues that a clear understanding of the psychotherapeutic approach and the skill level of the practitioner will enhance the treatment outcomes.…”
Given the complexity of the implementation process, careful supervision and monitoring, with the active participation of management and the multidisciplinary team, are necessary.
“…Only a few nurses acknowledged beforehand the difficulties in carrying out the SAM, particularly with respect to motivating the patients with severe depression. This is in line with the findings from the study of Paley Shapiro, Myers, Patrick, and Reid (), where the nurses were surprised and frustrated with respect to their experience that what seemed simple during the training period proved to be complex in actual clinical practice. Puentes () argues that a clear understanding of the psychotherapeutic approach and the skill level of the practitioner will enhance the treatment outcomes.…”
Given the complexity of the implementation process, careful supervision and monitoring, with the active participation of management and the multidisciplinary team, are necessary.
“…For details of the training process, see Paley et al . (,b). At the time of the study, two of the nurses were working as community psychiatric nurses and the other two were working in a psychotherapy service.…”
This study examined client perception of the therapeutic impact of two models of therapy delivered by mental health nurses and clinical psychologists respectively - psychodynamic interpersonal therapy (PIT) and cognitive behavioural therapy (CBT). A non-equivalent groups design was used in order to benchmark results against Llewelyn et al.: one group received PIT and the other received CBT. This design was utilized principally because the research was conducted across two practice settings where randomization was not feasible. We used two intact groups in practice research settings that received the therapies as reported in Llewelyn et al. Sixty-one clients receiving CBT or PIT in practice research settings completed a Helpful Aspects of Therapy form after each session in order to measure client perceptions of helpful and hindering events in therapy. Only two out of the 13 impacts were rated as significantly different. PIT clients reported higher levels of 'awareness' than CBT clients, whereas CBT clients reported higher levels of problem solution than PIT clients. The results replicate Llewelyn et al.'s findings in that clients experienced theoretically different models of therapy as broadly similar in their therapeutic impact. We argue that this provides some support for the influence of 'common' rather than 'specific' factors in psychotherapy effectiveness in mental health nursing.
Cette étude de cas avait pour objectif l’exploration des effets d’une psychothérapie psychodynamique interpersonnelle sur les symptômes dépressifs d’une participante (nom fictif : Clara) atteinte d’un trouble neurocognitif dû à la maladie d’Alzheimer (TNMA). Les outils de mesure utilisés ont inclus la Dementia Mood Assessment Scale (DMAS) et la Cornell Scale for Depression in Dementia (CSDD). L’utilisation d’une mesure continue de la détresse a permis d’apprécier la présence de changements significatifs tout au long de l’intervention. Le modèle de psychothérapie adopté a fait l’objet d’un approfondissement sur le plan de ses fondements théoriques reliés à la pratique. Le contenu des échanges a été analysé en fonction de différents outils et objectifs associés à ce modèle. Une amélioration significative a été rapportée par Clara à la CSDD et la mesure est poursuivie. Une baisse significative à la DMAS et à la CSDD a été notée par le proche aidant. En conclusion les résultats semblent appuyer la pertinence clinique et scientifique du modèle de psychothérapie proposé.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.