Service User and Carer Views and Expectations of Mental Health Nurses: A Systematic Review

Moyo, Nompilo; Jones, Martin; Kushemererwa, Diana; Arefadib, Noushin; Jones, Adrian; Pantha, Sandesh; Gray, Richard

doi:10.3390/ijerph191711001

Cited by 9 publications

(3 citation statements)

References 93 publications

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“…This may promote a more collaborative approach to their care and ensure that their narrative is shared and captured in any resulting care planning. This collaborative approach, and the potential for increased understanding and compassion from mental health staff as demonstrated in this study, may facilitate a more positive therapeutic relationship between service users and their team; something which has been highlighted as critical in impacting service user experiences of mental health nursing (Moyo et al, 2022).…”

Section: Limitations and Research Implicationsmentioning

confidence: 86%

Psychological provision in acute inpatient settings: An evaluation of indirect input

Bennetts,

Southwood

2024

Psychiatric Ment Health Nurs

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Accessible SummaryWhat is known on the subject? Psychiatric hospitals have input from a range of professionals, including Clinical Psychologists. Most evidence used to guide what Clinical Psychologists do is based on their work with individuals rather than staff teams. Some evidence shows working with staff teams is important, but most of this is based on interviews rather than measuring the impact using numbers and statistics. The current study aimed to investigate the effectiveness of staff‐level interventions provided by a Psychology team within a psychiatric inpatient setting. What the paper adds to existing knowledge? Training sessions were effective at increasing staff levels of confidence and understanding in psychological approaches, and the perceived usefulness of the session to their practice. Case discussion sessions were effective at increasing staff levels of understanding a service user, compassion towards the service user, perceived opportunities for change with the service user, their perceived skills to work with the service user and their perception of the usefulness of the session to their practice. Reflective practice sessions were effective at providing a space for learning, sharing ideas and reflecting. Other interventions were highly valued by nursing staff. What are the implications for practice? Staff‐level interventions are effective and valued by mental health nursing staff and should be considered in allocation of psychology resources. Interventions improved staff psychological thinking which could positively impact service user experience. There is potential for people with lived experience to participate in these interventions, which could facilitate the therapeutic relationship and reduce restrictive practices. AbstractIntroductionThe role of Psychologists in psychiatric inpatient settings is well established and involves intervention at various levels; however, quantitative exploration of the effectiveness of staff‐level interventions is lacking.AimThe aim of the study was to examine the effectiveness of a variety of staff‐level interventions provided by a Psychology team within a psychiatric inpatient setting.MethodsThe evaluation used a mixed methods approach incorporating pre–post quantitative data and post‐intervention feedback. Additional data were collected via survey.Key FindingsResults indicated all staff‐level interventions were effective in achieving their aims and were highly valued by staff. Qualitative data supported the quantitative findings and showed tentative suggestion of a change to clinical practice.DiscussionIndirect psychology provision was found to significantly impact a range of staff attitudes and was highly valued by the staff team, supporting previous qualitative findings in psychiatric inpatient settings. Further quantitative evidence of the impact of staff‐level interventions should be sought.ImplicationsStaff‐level interventions are effective and valued by mental health nursing staff and should be considered in allocation of psychology resources. Furthermore, there is potential for people with lived experience to participate in these interventions, which could facilitate the therapeutic relationship and reduce restrictive practices, however this requires future research.

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Section: Limitations and Research Implicationsmentioning

confidence: 86%

Psychological provision in acute inpatient settings: An evaluation of indirect input

Bennetts,

Southwood

2024

Psychiatric Ment Health Nurs

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“…This study had one important limitation related to the fact that all the participants had mental health disorders only of the psychotic spectrum. Notwithstanding this limitation, it is essential to understand which factors represent a good therapeutic relationship with the nurse from the perspective of patients with mental health disorder within the psychotic spectrum so that it can be improved and targeted [ 62 , 63 ]. However, future studies should consider patients with mental health disorders of a different spectrum.…”

Section: Discussionmentioning

confidence: 99%

Perspectives of adult patients with mental health disorders on the relationship with nurses: a focus group study

Coelho,

Moreno Poyato,

Roldán Merino

et al. 2024

BMC Nurs

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Background The relationship between the nurse and the patient with mental health disorder is crucial to the recovery process. Thus, patients with mental health disorders should be active subjects in this relationship by having autonomy and self-determination. Methods This study aimed to explore the perspectives of adult patients with mental health disorders on the relationship with nurses. A qualitative, descriptive, and exploratory study was conducted in March 2023, using focus group meetings in an association to support patients with severe mental health disorders in the Northern region of Portugal. The study followed the Consolidated Criteria for Reporting Qualitative Research (COREQ). A total of 8 patients participated in the study. Two focus group meetings were conducted. The inductive method was used, and content analysis of the transcripts was performed. The QDA Miner Lite 4.0 and Microsoft Excel were used for content analysis. Results Participants considered the relationship with nurses important for their recovery and expected nurses to provide support and help, being able to identify their needs, thus personalising their care. Attitudinal and communication aspects were also considered crucial for establishing a solid, trusting, and meaningful relationship. Conclusion According to the findings nursing care is expected to focus on the patient, his/her preferences, expectations, and the uniqueness of each individual. The results of this study may be useful for the reflection and improvement of nurses in their relational and communication skills and the driving force for nursing students’ awareness of the perspective of the relationship with patients with mental health disorder and its relevance.

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“…However, they often report encountering negative attitudes and discrimination from mental health staff (61,62). Similarly, previous reports have shown that carers' views are also rarely solicited by mental health professionals or considered during decision making (11,63).…”

Section: Shortcomings In the Delivery Of Carementioning

confidence: 98%

Shortcomings of services for persons with severe and persistent mental health challenges: a qualitative study of service users and family carers

Isaacs,

Lambert,

Lawn

et al. 2024

Front. Psychiatry

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IntroductionThe opinions of service users and carers are crucial to identifying ways to innovate and implement system change. This study aims to explore the views and experiences of service users and carerson the services they have used for their mental health challenges and their suggestions for service reform.MethodsTwenty participants (15 carers and 5 service users) were interviewed for the study.ResultsEight categories emerged from the data. They were: Several gaps in the system, Barriers to accessing services, Services are not fit for purpose, Services operate in isolation, System is not person focused, Service users and carers are treated poorly, Services are overloaded and under resourced and Recommendations for service reform. Respondents reported that a persistent lack of funding and resources for mental health services was a main cause of these shortcomings. Respondents also noted that innovations were needed to re-orient services to enable continuity of care, and training of mental health professionals was needed for a better understanding of the needs of service users and their carers.DiscussionAdditional research is needed with larger and more diverse samples to further explore these findings.

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Service User and Carer Views and Expectations of Mental Health Nurses: A Systematic Review

Cited by 9 publications

References 93 publications

Psychological provision in acute inpatient settings: An evaluation of indirect input

Psychological provision in acute inpatient settings: An evaluation of indirect input

Perspectives of adult patients with mental health disorders on the relationship with nurses: a focus group study

Shortcomings of services for persons with severe and persistent mental health challenges: a qualitative study of service users and family carers

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