Getting psychosocial interventions into mental health nursing practice: a survey of skill use and perceived benefits to service users

Butler, Mary Pat and Begley, Mary and Parahoo, Kader and Finn, Sophia (2014) Getting psychosocial interventions into mental health nursing practice: a survey of skill use and perceived benefits to service users. pp. 866-877. ISSN 03092402

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Aim To investigate the use of psychosocial interventions by mental health nurses following training and perceived benefits to service users. Background Psychosocial interventions are recommended to support the recovery of persons with enduring mental illness. Despite two decades of postgraduate training in psychosocial interventions internationally, implementation challenges still remain. Design A cross-sectional exploratory, descriptive survey was employed. Methods A survey was mailed to the total population of nurses ( n = 58) working in some health regions in Ireland who completed training in psychosocial interventions between 2005-2010. Data were collected between November 2011-January 2012, yielding a response rate of 64%. Descriptive and correlational statistics were used to analyse the data. Results There were statistically significant increases in the use of psychosocial interventions post training. Cognitive behavioural therapy and family interventions were the least used interventions. Assessment and outcome measures, concordance therapy and relapse prevention were preferential interventions. Perceived outcomes for service users were awareness of relapse indicators, enhanced coping skills and fewer admissions. Case load demands, lack of access to supervision and time constraints prevented implementation. Free text comments indicated a dissonance between generic nursing roles and implementation of structured psychosocial interventions in practice. Conclusions The findings indicate a requirement for nursing leadership to legitimize psychosocial interventions as core nursing work. For service users to experience this type of nursing, we propose the nomination of dedicated psychosocial intervention nurses to multidisciplinary teams. Support through guidelines, clinical supervision and audit by senior nurse managers is critical to implementation. [ABSTRACT FROM AUTHOR]; Copyright of Journal of Advanced Nursing is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Item Type: Article
Additional Information: Butler, Mary Pat 1 Begley, Mary 2 Parahoo, Kader 3 Finn, Sophia 4; Affiliation: 1: Department of Nursing and Midwifery, Health Sciences Building University of Limerick 2: Limerick Mental Health Services, St Joseph's Hospital HSE West 3: Institute of Nursing and Health Research University of Ulster 4: HSE-North Cork Mental Health Service Mental Health Resource Centre; Source Info: Apr2014, Vol. 70 Issue 4, p866; Subject Term: COGNITIVE therapy; Subject Term: CONTENT analysis (Communication); Subject Term: EMPLOYEES; Subject Term: EXPERIENCE; Subject Term: FAMILY psychotherapy; Subject Term: RESEARCH -- Methodology; Subject Term: MEDICAL care -- Evaluation; Subject Term: NURSING; Subject Term: NURSING -- Practice; Subject Term: OUTCOME assessment (Medical care); Subject Term: PATIENT compliance; Subject Term: PATIENT satisfaction; Subject Term: PERSONNEL management; Subject Term: PROBABILITY theory; Subject Term: PSYCHIATRIC nursing; Subject Term: PSYCHOTHERAPY; Subject Term: PSYCHOTHERAPY patients; Subject Term: QUESTIONNAIRES; Subject Term: RESEARCH; Subject Term: RESEARCH -- Finance; Subject Term: RISK assessment; Subject Term: SCALE analysis (Psychology); Subject Term: SOCIAL skills; Subject Term: STATISTICS; Subject Term: SURVEYS; Subject Term: VOCATIONAL guidance; Subject Term: DATA analysis; Subject Term: EDUCATIONAL attainment; Subject Term: THEMATIC analysis; Subject Term: CROSS-sectional method; Subject Term: CLINICAL supervision; Subject Term: DATA analysis -- Software; Subject Term: DESCRIPTIVE statistics; Subject Term: INFERENTIAL statistics; Subject Term: IRELAND; Author-Supplied Keyword: clinical supervision; Author-Supplied Keyword: education programmes; Author-Supplied Keyword: mental health nursing; Author-Supplied Keyword: mental illness; Author-Supplied Keyword: nurse management; Author-Supplied Keyword: psychosocial interventions; Author-Supplied Keyword: service users; NAICS/Industry Codes: 541612 Human Resources Consulting Services; NAICS/Industry Codes: 923130 Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs); NAICS/Industry Codes: 624310 Vocational Rehabilitation Services; Number of Pages: 12p; Illustrations: 1 Black and White Photograph, 1 Diagram, 4 Charts; Document Type: Article
Uncontrolled Keywords: COGNITIVE therapy; CONTENT analysis (Communication); EMPLOYEES; EXPERIENCE; FAMILY psychotherapy; RESEARCH -- Methodology; MEDICAL care -- Evaluation; NURSING; NURSING -- Practice; OUTCOME assessment (Medical care); PATIENT compliance; PATIENT satisfaction; PERSONNEL management; PROBABILITY theory; PSYCHIATRIC nursing; PSYCHOTHERAPY; PSYCHOTHERAPY patients; QUESTIONNAIRES; RESEARCH; RESEARCH -- Finance; RISK assessment; SCALE analysis (Psychology); SOCIAL skills; STATISTICS; SURVEYS; VOCATIONAL guidance; DATA analysis; EDUCATIONAL attainment; THEMATIC analysis; CROSS-sectional method; CLINICAL supervision; DATA analysis -- Software; DESCRIPTIVE statistics; INFERENTIAL statistics; IRELAND; education programmes; mental health nursing; mental illness; nurse management; psychosocial interventions; service users
Depositing User: Colin Lowry
Last Modified: 27 Nov 2015 02:35

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