Staff attitudes towards inpatients with borderline personality disorder

Weight, Emma Jane; Kendal, Sarah

doi:10.7748/mhp2013.11.17.3.34.e827

Cited by 17 publications

(14 citation statements)

References 28 publications

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“…Numerous studies have opined that clinicians and medical staff project a negative attitude for patients with BPD, more so for patients with self-damage or suicidal attitude ( 43 – 45 ). The main reasons for negative attitude include the stigma toward BPD, patients are considered as manipulative, lack of optimism for recovery, work pressure, poor communication skills, and time restraints ( 43 , 46 ).…”

Section: Approach Toward Bpd Patientsmentioning

confidence: 99%

Patients with Borderline Personality Disorder in Emergency Departments

et al. 2017

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Borderline personality disorder (BPD) patients, when in crisis, are frequent visitors of emergency departments (EDs). When these patients exhibit symptoms such as aggressiveness, impulsivity, intense anxiety, severe depression, self-harm, and suicidal attempts or gestures, diagnosis, and treatment of the BPD becomes challenging for ED doctors. This review will, therefore, outline advice to physicians and health-care providers who face this challenging patient population in the EDs. Crisis intervention should be the first objective of clinicians when dealing with BPD in the emergency. For the patients with agitation, symptom-specific pharmacotherapy is usually recommended, while for non-agitated patients, short but intensive psychotherapy especially dialectical behavior therapy (DBT) has a positive effect. Although various psychotherapies, either alone or integrated, are preferred modes of treatment for this group of patients, the effects of psychotherapies on BPD outcomes are small to medium. Proper risk management along with developing a positive attitude and empathy toward these patients will help them in normalizing in an emergency setting after which treatment course can be decided.

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Section: Approach Toward Bpd Patientsmentioning

confidence: 99%

Patients with Borderline Personality Disorder in Emergency Departments

et al. 2017

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“…Amongst qualified staff, reluctance to ask about sexual abuse and lack of training to work with this issue has been identified (Hepworth and McGowan, 2013;Tong and Gillespie, 2011). Several authors have identified problems surrounding nurse attitudes to service users with a diagnosis of personality disorder as well as a lack of training and supervision to work therapeutically with this group (Weight and Kendal, 2013;O'Connell and Dowling, 2013;Westwood and Baker, 2010).…”

Section: Introductionmentioning

confidence: 99%

Are new mental nurses prepared for practice?

Walsh

2015

Mental Health Review Journal

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Purpose -As well as working with people who have serious mental health problems, mental health nurses have to maintain a values-based approach to their interactions with mental health service users. However, some have suggested that students and newly qualified nurses are unprepared for this role. The purpose of this paper is to explore perceptions of practising mental health nurses, third year mental health nurse students and lecturers about how well students are being prepared for practice. Design/methodology/approach -A two-phase phenomenological study within a mental health nurse training institution and with staff from a Mental Health Trust in England. The study collected questionnaire responses from 87 participants (42 third year mental health nurse students, 39 practising mental health nurses and six nurse lecturers). A Likert scale questionnaire with written feedback produced data that formed the schedule for ten subsequent focus groups with 41 participants from the above categories. Focus group data were analysed using a process of interpretive phenomenological analysis. This led to the development of three main study themes. The transition from student to registered nurse is difficult, the importance of learning from experience, violence and aggression is difficult to manage, working effectively with victims of sexual abuse or those who have a diagnosis of personality disorder is difficult. Findings -Whilst the study found some evidence to suggest the development of positive values there is a perception that newly qualified mental health nurses lack confidence in other important areas.Participants also expressed doubt about whether it was possible to prepare someone for practice completely. Another finding was that the relationship between student and the mentor is critical to the quality of practice learning. Research limitations/implications -Study limitations are that this is a small selection of participants from one particular area. The researcher attempted to ensure that this study has internal validity. However, it is possible to question the extent to which findings may apply to other areas. Therefore, this study may be most useful to others as a basis for the discussion and comparison of these issues within mental health nurse educators. Practical implications -The need to encourage proactive learning approaches in students is emphasised. Universities should facilitate the sharing of clinical learning experiences as well as developing realistic training in the management of violence and aggression. It is possible to question how well nurses are prepared to work with the physical health needs of service users. Originality/value -This paper gives information about mental health nurse preparation for practice, which will be of value to training organisations as well as to employers of newly qualified mental health nursing staff.

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“…A need to develop skills in working with BPD was also a theme evident within the literature reviewed by Westwood & Baker (2010). Despite emerging evidence toward efficacy of specific treatments (NICE, 2009), negative attitudes and skill deficits are likely to impact in a detrimental way on clinical practice, leading some advocates to call for additional training for mental health staff in both the diagnosis of BPD and also in communicating with service users with the diagnosis (Weight & Kendal 2013). Developing optimistic, trusting relationships which foster choice and autonomy are important factors (NICE 2009), and are likely to underpin the success of specific treatments offered by mental health services.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of awareness level knowledge and understanding framework personality disorder training with mental health staff: impact on attitudes and clinical practice

Ebrahim¹,

Robinson

Crooks³

et al. 2016

The Journal of Mental Health Training, Education and Practice

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Northumbria University has developed Northumbria Research Link (NRL) to enable users to access the University's research output. Copyright © and moral rights for items on NRL are retained by the individual author(s) and/or other copyright owners. Single copies of full items can be reproduced, displayed or performed, and given to third parties in any format or medium for personal research or study, educational, or not-for-profit purposes without prior permission or charge, provided the authors, title and full bibliographic details are given, as well as a hyperlink and/or URL to the original metadata page. The content must not be changed in any way. Full items must not be sold commercially in any format or medium without formal permission of the copyright holder. The full policy is available online: http://nrl.northumbria.ac.uk/policies.html This document may differ from the final, published version of the research and has been made available online in accordance with publisher policies. To read and/or cite from the published version of the research, please visit the publisher's website (a subscription may be required.) AbstractPurpose: To evaluate the impact of Knowledge and Understanding Framework (KUF) awareness level training with mental health staff in a UK NHS Mental Health Trust Design/Methodology: 181 mental health professionals completed 3 day KUF awareness level training to promote understanding and positive attitudes in working with personality disorder. Attitudes to personality disorder were evaluated using the Personality Disorder -Knowledge and Skills Questionnaire (PD-KASQ, Bolton et al, 2010) at pre and post training and at 3 and 6 months follow up. Quantitative data was analysed and descriptive statistics were obtained. Qualitative methods were also used to evaluate the integration of learning into work based practice with 5 participants.Findings: Participants reported a favourable reaction to the training. Understanding and positive emotions about working with personality disorder increased significantly posttraining (gains maintained at 3 and 6 months follow-up). Capability in working with personality disorder was increased post training and at 3, but not 6 months. Qualitative analysis suggests clinical practice was positively impacted upon 3 months following training.Research Limitations/Implications: This research suggests awareness level KUF training can have a positive impact on the attitudes, understanding and clinical practice of mental health practitioners towards people with a personality disorder. It confirms earlier research on a decrease in capability post training, and explores strategies to further develop capability with this client group. Originality/Value: Despite the promotion of KUF awareness level training by the Department of Health there is limited evaluation of the approach with mental health professionals in practice. This study reports on an evaluation of KUF training within a large mental health trust with 3 and 6 month follow up data. Qualitative evaluation 3 months aft...

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Staff attitudes towards inpatients with borderline personality disorder

Abstract: This paper discusses negative attitudes of mental health nurses towards

Cited by 17 publications

References 28 publications

Patients with Borderline Personality Disorder in Emergency Departments

Patients with Borderline Personality Disorder in Emergency Departments

Are new mental nurses prepared for practice?

Evaluation of awareness level knowledge and understanding framework personality disorder training with mental health staff: impact on attitudes and clinical practice

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