92446 Complex Nursing Care Mental Health

92446 Complex Nursing Care Mental Health

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92446 Complex Nursing Care Mental Health

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92446 Complex Nursing Care Mental Health

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Course Code: 92446
University: University Of Technology Sydney

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Country: Australia

Questions:
This assignment develops your understanding of the contribution of lived experiences of a mental disorder for collaborative, person-centred mental health nursing practice.
Task:
Referring to evidence-based nursing literature and literature by people who have experiences of living with the effects of a mental disorder, you are required to:
(i) Discuss how an understanding of peoples’ lived experiences of a mental disorder can contribute to the development of person-centred mental health nursing practice.
(ii) Reflect on your own nursing practice and identify one aspect that requires some development for you to work collaboratively with people who have a lived experience of a mental disorder. You could develop this aspect of your own nursing practice.
Answers:

Introduction
Health care provision has evolved over the years from the application of conventional paternalistic approach of ‘nurse knows best’ to an approach of patient-centred care. under the conventional paternalistic approach, health practitioners prescribed and instructed treatments with restricted or limited inputs from families and patientsry.Systematic investigations and research of the independent experiences of mental health as well as distress and of being vital, representing a significant tool for coming up with the cooperative attention to the foundation of information as well as inspiring health care providers to listen wisely to people’s voices with mental health issues (Alharbi, Carlstrom, Ekman, Jarneborn and Olsson, 2014) Even though the usual view of the severe mental health issues in the healthcare settings can still be that of a long-lasting disease leading to unavoidably poor result, it should be noted that recovery is probable and the realms of normal life is the setting for complete mental recovery. It is through this background that individuals come up with measures on how to prudently contain their challenges by themselves or through the aid of other people. In this view, empirical research of lived experiences has generally gathered concrete as well in-depth data concerning the recovery process in daily life setting that normally help steer health care practices to a person-centred approach. Nevertheless, an important issue to comprehend concerning recovery is an individual’s exclusive experience is the initial theme for all actions.
The process of collaboration starts with attempting to comprehend an individual’s experiences and how such experiences impacts the daily life from his or her point of view. More emphasis and focus on regulations and policies concerning to involvement of users, rights of individuals living with disabilities and human rights has contributed to the demand for an array of knowledge base in services of mental health. The concept of person-centredness and recovery has resulted to such phenomenon and has led to known ideas in mental health service. The ideas are famous in certified plan documents in numerous nations as well as in the World Health Organization’s People-Centred Health Care; A Policy Framework. The article recognizes an array of weaknesses as well as gaps in the present systems of healthcare which require attention, that is, they are required to move above the conventional systems of offering healthcare as well as of evaluating performance of health systems, giving much attention to collaborative healthcare services (Gondek, et al 2017).
The main of objective of this paper is to debate on the developments of person-centred mental health care and how using people’s lived experiences of a mental disorder do contribute to the development of person centred mental in nursing practices. The paper will also identify an aspect of my own nursing practice which requires developments to work collaboratively with individuals who have lived experiences of mental disorder.
How People’s Lived Experiences of a Mental Disorder Contribute to the Development of Parson-Centred Mental Health Nursing Practice?
Person-centred care is progressively considered as a vital factor of quality care as well as a distinguishing characteristic of mental recovery. According to Morgan and Yoder (2012), in the mental care, person-centredness entails delivering as well as delivering a all-inclusive respect as well as approach to the people and their exceptional needs and experiences. Therefore, person-centred care is considered as a concerted process between an individual looking for help and the health expert in numerous settings. For instance, a research was conducted by Mogan and Yoder (2012) on the idea analysis of person-centred care and they discovered that the defining features of person-centred as; individualized, empowering, holistic and respectful. Moreover, in the healthcare environment, a person-centred environment include a commitment and vision, organizational behaviors and attituded and shared governance. People’s lived experiences of a mental disorder normally aids in the person-centred care (Van der Meer, et al 2018). People’s lived experience is described as the knowledge as well as the comprehension one gets when he or she has lived through something. In this paper, I have described people with mental health lived experience as individuals having mental illness and are referred to as consumers and friends or family supporting an individual having with mental illness mostly known as carers.
It should be noted that individuals living with mental issues as well as their support/families promote and enhance person-centred healthcare approaches toward both mental and physical health including allied supports, social services and housing. I believe that there is significant benefit for consumers in coming up with a personalized service response entailing respectful as well as reflective listening resulting to enhanced understanding and empathy of individuals experiencing mental health issues and accompanying emotional distress. Person-centred care needs a holistic approach that involves every stakeholder in the provision of care for individuals with mental health issues (Chenoweth, et al 2018). It should be noted that most families and friends of individuals of mental health normally complain that their rights to be engaged in care for their loved ones is limited. Nevertheless, families and friends represent a basic and key support system to mental healthcare. They normally give health practitioners first-hand experience with both intra and interpersonal relationships. It should be noted that when communication with the individual is limited, these experiences normally remain an integral development feature in mental health care (World Health Organization, 2010).
People with severe and serious mental health issues have wide experience in managing their daily lives, coping with various symptoms, undergoing numerous treatment forms as well as dealing with stigma. Such individuals are well placed to offer advice to other individuals who may be going through similar problems and issues (Shipton & Lashewicz, 2017). Most individuals that healthcare givers speak toon numerous occasions usually are eager to provide suggestions, drawing conclusively from their own experience (Cooper, et al 2018). Overwhelmingly, such individuals want to reassure other people, telling them that most things that they are undergoing will get over and things will eventually get better. They normally provide hope and assure mental disorder patients to have persistence and perseverance.  Fundamental areas that peoples lived experience offer to other patients include taking care of oneself, seeking aid, relationships with mental health and health professional as well as maintaining social relationships and participation. In looking for oneself, most of the individuals having lived experience of mental disorder suggested how to accept or manage illness or symptoms, taking preventing approaches in order to avoid becoming ill as well seeking medical help early. 
An aspect in my own nursing practice that requires development in order to effectively promote lived experience of mental disorder
Individuals with lived experience have been enhancing and promoting the idea of recovery for more than ten decades and have had a deep collective and internal comprehension of what recovery entails and how it feels like (Kogstad, Ekeland and Hummelvoll, 2014). Since 1960s, people with lived experience have come up with movements which has contributed importantly to the push concerning a recovery-oriented mental health system (World Health Organization, 2007). There are very many numerous policy interventions going on in numerous nations like the United States of America, United Kingdom, Canada and Australia (Kadri, et al 2018). Even though important development has happened, currently, Australia has a less enhanced and developed lived experience or peer workforce than in some other countries. For instance, in the united states of America, certified lived experience specialists are currently available in some states as a subsidized service by the government through Medicaid. Peer work in the USA is viewed by the government an important part in terms of recovery for mental health patients.
In my own nursing experience, I would promote research and education in the lived experience sector in order to improve their service delivery to the patients as well as to other medical practitioners. Research has recognized issues of significance to services and healthcare institutions, thus funding bodies often differ to those of individuals accessing mental healthcare services (Byrne, 2015). it should be noted that researchers of lived experience ensure the correct and relevant questions are asked and priorities of individuals accessing services are importantly addressed. Participation of lived experience is gradually increasing within higher settings of education. For instance, in the 33 Australian universities, 76% entailed some lived experience involvement in nursing education. Nevertheless, the rate of involvement especially input into the curriculum was considered to be highly variable (Australian Commission on safety and quality in healthcare, 2010). This shows that most of the mental health nursing education have not embraced research and development so as to support lived experience department. My suggestion to my department would be to create a department of lived experience whereby professional individuals can be incorporated into the department. I would write a proposal entailing my idea of supporting the department financially in order to have enough funds required in conducting further research on the prerequisite of lived experience. I would also promote further education to the current practitioners on the significance of lived experience.
Conclusion
Person-centered care has emerged as one of the best approaches in handling mental health patients as well as initiating a timely and long-lasting recovery (The Health Foundation, 2016). Incorporating people with lived experience has been as vital in the process of person-centred care (Borg & Davidson, 2008). therefore, individuals with lived experience should be highly trained and further research performed to improve on the quality of health care in Australia.
References
Alharbi, T., S., J., Carlstrom, E., Ekman, I., Jarneborn, A. and Olsson. L., E. (2014). Experiences of person centred care-patients’ perceptions; qualitative study. BMC Nurs v13; 2014.  2014 Oct 8. doi:  10.1186/1472-6955-13-28
Australian Commission on safety and quality in healthcare. (2010). Patient-centred Care; improving quality and safety by focusing care on patients and consumers. https://www.safetyandquality.gov.au/wp-content/uploads/2012/01/PCCC-DiscussPaper.pdf
Borg, M., & Davidson, L 2008, The nature of recovery as lived in everyday experience. Journal of Mental Health, 17(2),
Byrne, L. (2015). A grounded theory study of lived experience mental health practitioners within the wider workforce. PDF
Chenoweth, L, Jessop, T, Harrison, F, Cations, M, Cook, J & Brodaty, H 2018, ‘Critical Contextual Elements in Facilitating and Achieving Success with a Person-Centred Care Intervention to Support Antipsychotic Deprescribing for Older People in Long-Term Care’, BioMed Research International, pp. 1–12,
Cooper, C, Marston, L, Barber, J, Livingston, D, Rapaport, P, Higgs, P & Livingston, G 2018, ‘Do care homes deliver person-centred care? A cross-sectional survey of staff-reported abusive and positive behaviours towards residents from the MARQUE (Managing Agitation and Raising Quality of Life) English national care home survey’, PLoS ONE, vol. 13, no. 3, pp. 1–13,
Gask, L. and Coventry, P 2012, Person-centred mental health care: the challenge of implementation. Epidemiology and Psychiatric Sciences. Vol. 21. No. 2. pp 139-144.
Gondek, D, Edbrooke, CJ, Velikonja, T, Chapman, L, Saunders, F, Hayes, D & Wolpert, M 2017, ‘Facilitators and Barriers to Person-centred Care in Child and Young People Mental Health Services: A Systematic Review’, Clinical Psychology & Psychotherapy, vol. 24, no. 4, pp. 870–886,
Goulding, A, Allerby, K, Ali, L, Gremyr, A & Waern, M 2018, ‘Study protocol design and evaluation of a hospital-based multi-professional educational intervention: Person-Centred Psychosis Care (PCPC)’, BMC Psychiatry, vol. 18, no. 1, p. N.PAG,
Kadri, A, Rapaport, P, Livingston, G, Cooper, C, Robertson, S & Higgs, P 2018, ‘Care workers, the unacknowledged persons in person-centred care: A secondary qualitative analysis of UK care home staff interviews’, PLoS ONE, vol. 13, no. 7, pp. 1–20,
Kogstad, R., Ekeland, T. and Hummelvoll, J. K 2014, The knowledge concealed in users’ narratives: valuing clients’ experiences as coherent knowledge in their own right. Advances in Psychiatry. Vol. 2014. Article ID 786138.
Morgan, S. and Yoder, L. (2012) A concept analysis of person-centered care. Journal of Holistic Nursing. Vol. 30. No. 1. pp 6-15.
Shipton, L & Lashewicz, BM 2017, ‘Quality Group Home Care for Adults with Developmental Disabilities and/or Mental Health Disorders: Yearning for Understanding, Security and Freedom’, Journal of Applied Research in Intellectual Disabilities, vol. 30, no. 5, pp. 946–957,
The Health Foundation. (2016). Person-Centred care made simple; what everyone knows about person-centred care. https://www.health.org.uk/sites/health/files/PersonCentredCareMadeSimple.pdf
Van der Meer, L, Nieboer, AP, Finkenflügel, H & Cramm, JM 2018, ‘The importance of person?centred care and co?creation of care for the well?being and job satisfaction of professionals working with people with intellectual disabilities’, Scandinavian Journal of Caring Sciences, vol. 32, no. 1, pp. 76–81
World Health Organization, 2007, People-centred Health Care – A Policy Framework. Manila, Philippines: WHO.
World Health Organization, 2010, User empowerment in mental health: A statement by the WHO regional office for Europe, World Health Organization: Copenhagen: Denmark.

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92446 Complex Nursing Care Mental Health

92446 Complex Nursing Care Mental Health

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92446 Complex Nursing Care Mental Health

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92446 Complex Nursing Care Mental Health

0 Download7 Pages / 1,598 Words

Course Code: 92446
University: University Of Technology Sydney

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Australia

Question:

Task:
Referring to evidence-based nursing literature and literature by people who have experiences of living with the effects of a mental disorder, you are required to:

Discuss how an understanding of peoples’ lived experiences of a mental disorder can contribute to the development of person-centred mental health nursing practice.
Reflect on your own nursing practice and identify one aspect that requires some development for you to work collaboratively with people who have a lived experience of a mental disorder. With reference to relevant nursing literature, reflect on how you could develop this aspect of your own nursing practice. In this section of the discussion you can use the first person, ‘I’, when you are discussing your own practice development; however, you must also support this section of the discussion with references to relevant literature.

Answer:

Introduction:
Person-centered care means putting individuals together with their families at the center of decisions and seeing them as professionals working together with experts to acquire the best results. The term can also be referred to as patient-centered, user-centered or family-centered. Person-centered nursing practice is portrayed as care that respects individuals, values them and organizes care to meet their needs. It has been noted that individuals who have experienced mental illness can add up to the development of person-centred care. Collaborative mental health nursing practice needs the interaction between clients and nurses to maintain a relationship with the clients to ensure the care is client-centered.
1. Person-centered mental health nursing practice entails handling clients as people and not handling them according to their condition to protect their dignity and their rights respected. People with lived experience represent consumers whose experiences emulate the people presently receiving services. To change the way in which providers of a mental health care think about their clients, advancement of competencies in recovery-oriented care has been utilized in mental health systems (Australian Health Ministers’ Advisory Council, 2013). The understanding of the recovery has been boosted by involving individuals with lived experiences of a psychological disorder who provide advice to individuals who might be facing the same problem.
The individuals who have lived with the experience of mental illness are willing to give suggestions depicting from their own experiences such as poverty, depression, and distress along with resilience and recovery experiences. Moreover, they reassure those people with the problem that things will be good and they should persevere and be persistent for better results at the end. Also, they advise them to look for assistance, take care of themselves by accepting the illness and taking precautions to prevent becoming unwell and maintain social involvement (Happell, Cowin, Roper, Lakeman and Cox, 2013). Furthermore, they advise the people to create a relationship with their providers by being honest and open to the practitioners. Since they have the facts about what the patients are experiencing, then they can understand them in an emphatic manner.
The people with lived experience of mental disorder have the responsibility of educating the whole community on the issues concerning mental health and how to help the community to support the people involved in the health problem on a process of recovering rather than the route of a permanent ailment. From their experience, the experts understand what has been done to support them and what needs to be developed. In that case, they can provide a distinctive outlook on the effect of a present or a future policy along with assisting decision makers to comprehend how the change can be executed (Happell, Cowin, Roper, Lakeman and Cox, 2013).
Experts by experience have moved mental health from a medical facility to a recovery facility via contributing to personal recovery (Slade and Longden, 2015). They disprove stigma and prejudice concerning the capability of individuals with a lived experience to live independent and have a fruitful life. Because of their inherent capacity to support and comprehend people affected by the mental disorder they have the aptitude to develop person-centered psychological health nursing practices.
Peers develop concern to patients by beginning to contact with patients calmly and respectfully. In that case, they encourage clients to interact with them freely without pressure (National Mental Health Commission, 2013). This perspective gives the clients to understand that it is all about them and not peers or the staff and they feel appreciated. Furthermore, when the experts by experience listen attentively to their clients, they contribute much to the improvement of patient-centred care since their kindness and how they give feedback vindicates their patients (Department of Health and Ageing, 2009). The physical presence of the experts by experience on the confined sections allows patients to have a lot of freedom and have the accessibility to enjoy the available resources.
These experts work with either the staff or the clients, and their achievement depends on the cooperation of the clients and the team (Hungerford, Hodgson, Clancy, Monisse-Redman, Bostwick and Jones, 2015). Therefore, they consume most of their time supporting and promoting the collaboration by finding colleagues and sharing information. People with lived experience of mental disorder serve as examples to clients and the staff. For clients who are looking for ways to attain their goals, they are granted someone to listen to for their achievements (Slade, 2013). On the other hand, for staff seeking for ways to perform their tasks they are provided with an example of recovery in action by the peers and their expertise serve as examples.
2. Regarding my nursing practice, the aspect that I found with a need to be improved is competence. For a mental health nurse to work cooperatively with people who have a lived experience of mental disorder must know how to fight the fear and stress due to change of environment to deliver well (Australian College of Mental Health Nurses, 2013). A nurse may feel that he or she is being confined in prison. However, lack of competence may be as a result of stress which can be due to the workload, efficiency and confidence in the nursing responsibility or due to collaboration with other professionals. During my nursing practice, the first time I was full of anxiety and I received so many complaints and conflicts concerning the work in the psychiatric ward and the association with the patients.
As a psychiatric nurse one is confronted with various issues to cope with his or her roles. A sense of insufficiency of profession and deprivation of knowledge is demonstrated at work especially when patients have questions, and you do not know what to answer. Moreover, the presence of the inability to cope with the environment due to some limitations of unclear duties and rules and regulations which are not easily understood results to the feeling of being inadequate in the profession and weak (Meadows, Farhall, Fossey, Grigg, McDermott and Singh, 2012).
At first, communicating with patients was a challenge due to a lot of pressure at work lacking the opportunity to interact with the mental health clients. Making reports and documentation consumed much of the time hence frustrating me from perfecting. A patient with so many questions but time was insufficient to provide answers due to colossal work. As days went by I started learning how to talk to them and by assisting them, I gained a sense of satisfaction in my job. Therefore, to develop competency a nurse in practice should build experience and knowledge and therapeutic communication skills.
When nurses are in fear of the head nurse, and when they feel threatened they are scared of making mistakes since they lack enough experience and understanding to control the situation (Costello, Thomson and Jones, 2013). Consequently, when they get support and compassion from their colleagues and their head nurse, they have a sense of usefulness, and they develop communication with staff hence improving their competence at work. Furthermore, the personnel sometimes are very offensive, and they do not allow nurses in practice to engage in patient care. In that case, nurses have a feeling of mistrust since they are not given the essential roles to play in delivering nursing care hence limiting them to their responsibilities (Meadows, Farhall, Fossey, Grigg, McDermott and Singh, 2012).
Conclusions:
The person-centered and collaborative nursing practices have the same principle of respect and understanding to patients. Moreover, the person-centered method has been effective in achieving the effectiveness of operations of a healthcare facility and also satisfying the clients. However, for effective execution of the person-centered mental health practice, support is needed from the nurses, professionals, and policymakers.
Psychiatric nurses may have contrary understandings because of the new environment, colleagues, and patients and as a result, their competence is questionable to the nursing staff. Therefore, measures need to be taken to address the issue of anxiety, fear, and stress to make the psychiatric nursing attractive.
References
Australian Health Ministers’ Advisory Council. (2013), A national framework for recovery-oriented mental health services: policy and theory, Commonwealth of Australia, Canberra.
https://www.health.gov.au/internet/main/publishing.nsf/Content/B2CA4C28D59C74EBCA257C1D0004A79D/$File/recovpol.pdf
Australian College of Mental Health Nurses. (2013), Scope of practice of mental health nurses in Australia 2013, ACMHN, Canberra. Australian Institute of Health and Welfare. 2018, Mental health services in Australia:
Costello, L., Thomson, M. & Jones, K. (2013), Mental health and homelessness. Final report, Mental Health Council NSW, Sydney. Department of Health and Ageing. 2013, National practice standards for the mental health workforce. Commonwealth of Australia, Canberra.
Department of Health and Ageing. (2009), National mental health policy, Commonwealth of Australia, Canberra. https://www.health.gov.au/internet/main/publishing.nsf/Content/mental-pubs-n-pol08
Happell, B., Cowin, L., Roper, C., Lakeman, R. & Cox, L. (2013), Introducing mental health nursing: a service user-oriented approach, 2nd and Allen & Unwin, Sydney.
Hungerford, C., Hodgson, D., Clancy, R., Monisse-Redman, M., Bostwick, R. & Jones, T. (2015), Mental health care: an introduction for health professionals in Australia, Wiley, Milton.
Meadows, G., Farhall, J., Fossey, E., Grigg, M., McDermott, F. & Singh, B. (2012), Mental health in Australia: collaborative community practice, 3rd edn, Oxford University Press, Melbourne.
National Mental Health Commission. (2013), A contributing life: the 2013 national report card on mental health and suicide prevention, NMHC, Sydney.
https://www.mentalhealthcommission.gov.au/media/94321/Report_Card_2013_full.pdf
Slade, M. (2013), 100 ways to support recovery: a guide for mental health professionals, 2nd edn, Rethink Mental Illness, London. https://www.rethink.org/media/704895/100_ways_to_support_recovery_2nd_edition.pdf
policies
Slade, M. & Longden, E. (2015), the empirical evidence about mental health and recovery: how likely, how long, what helps, MI Fellowship, Victoria.

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92446 Complex Nursing Care Mental Health

92446 Complex Nursing Care Mental Health

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92446 Complex Nursing Care Mental Health

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92446 Complex Nursing Care Mental Health

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Course Code: 92446
University: University Of Technology Sydney

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Question:

Task:
Referring to evidence-based nursing literature and literature by people who have experiences of living with the effects of a mental disorder, you are required to:

Discuss how an understanding of peoples’ lived experiences of a mental disorder can contribute to the development of person-centred mental health nursing practice.
Reflect on your own nursing practice and identify one aspect that requires some development for you to work collaboratively with people who have a lived experience of a mental disorder. With reference to relevant nursing literature, reflect on how you could develop this aspect of your own nursing practice. In this section of the discussion you can use the first person, ‘I’, when you are discussing your own practice development; however, you must also support this section of the discussion with references to relevant literature.

Answer:

Introduction:
Person-centered care means putting individuals together with their families at the center of decisions and seeing them as professionals working together with experts to acquire the best results. The term can also be referred to as patient-centered, user-centered or family-centered. Person-centered nursing practice is portrayed as care that respects individuals, values them and organizes care to meet their needs. It has been noted that individuals who have experienced mental illness can add up to the development of person-centred care. Collaborative mental health nursing practice needs the interaction between clients and nurses to maintain a relationship with the clients to ensure the care is client-centered.
1. Person-centered mental health nursing practice entails handling clients as people and not handling them according to their condition to protect their dignity and their rights respected. People with lived experience represent consumers whose experiences emulate the people presently receiving services. To change the way in which providers of a mental health care think about their clients, advancement of competencies in recovery-oriented care has been utilized in mental health systems (Australian Health Ministers’ Advisory Council, 2013). The understanding of the recovery has been boosted by involving individuals with lived experiences of a psychological disorder who provide advice to individuals who might be facing the same problem.
The individuals who have lived with the experience of mental illness are willing to give suggestions depicting from their own experiences such as poverty, depression, and distress along with resilience and recovery experiences. Moreover, they reassure those people with the problem that things will be good and they should persevere and be persistent for better results at the end. Also, they advise them to look for assistance, take care of themselves by accepting the illness and taking precautions to prevent becoming unwell and maintain social involvement (Happell, Cowin, Roper, Lakeman and Cox, 2013). Furthermore, they advise the people to create a relationship with their providers by being honest and open to the practitioners. Since they have the facts about what the patients are experiencing, then they can understand them in an emphatic manner.
The people with lived experience of mental disorder have the responsibility of educating the whole community on the issues concerning mental health and how to help the community to support the people involved in the health problem on a process of recovering rather than the route of a permanent ailment. From their experience, the experts understand what has been done to support them and what needs to be developed. In that case, they can provide a distinctive outlook on the effect of a present or a future policy along with assisting decision makers to comprehend how the change can be executed (Happell, Cowin, Roper, Lakeman and Cox, 2013).
Experts by experience have moved mental health from a medical facility to a recovery facility via contributing to personal recovery (Slade and Longden, 2015). They disprove stigma and prejudice concerning the capability of individuals with a lived experience to live independent and have a fruitful life. Because of their inherent capacity to support and comprehend people affected by the mental disorder they have the aptitude to develop person-centered psychological health nursing practices.
Peers develop concern to patients by beginning to contact with patients calmly and respectfully. In that case, they encourage clients to interact with them freely without pressure (National Mental Health Commission, 2013). This perspective gives the clients to understand that it is all about them and not peers or the staff and they feel appreciated. Furthermore, when the experts by experience listen attentively to their clients, they contribute much to the improvement of patient-centred care since their kindness and how they give feedback vindicates their patients (Department of Health and Ageing, 2009). The physical presence of the experts by experience on the confined sections allows patients to have a lot of freedom and have the accessibility to enjoy the available resources.
These experts work with either the staff or the clients, and their achievement depends on the cooperation of the clients and the team (Hungerford, Hodgson, Clancy, Monisse-Redman, Bostwick and Jones, 2015). Therefore, they consume most of their time supporting and promoting the collaboration by finding colleagues and sharing information. People with lived experience of mental disorder serve as examples to clients and the staff. For clients who are looking for ways to attain their goals, they are granted someone to listen to for their achievements (Slade, 2013). On the other hand, for staff seeking for ways to perform their tasks they are provided with an example of recovery in action by the peers and their expertise serve as examples.
2. Regarding my nursing practice, the aspect that I found with a need to be improved is competence. For a mental health nurse to work cooperatively with people who have a lived experience of mental disorder must know how to fight the fear and stress due to change of environment to deliver well (Australian College of Mental Health Nurses, 2013). A nurse may feel that he or she is being confined in prison. However, lack of competence may be as a result of stress which can be due to the workload, efficiency and confidence in the nursing responsibility or due to collaboration with other professionals. During my nursing practice, the first time I was full of anxiety and I received so many complaints and conflicts concerning the work in the psychiatric ward and the association with the patients.
As a psychiatric nurse one is confronted with various issues to cope with his or her roles. A sense of insufficiency of profession and deprivation of knowledge is demonstrated at work especially when patients have questions, and you do not know what to answer. Moreover, the presence of the inability to cope with the environment due to some limitations of unclear duties and rules and regulations which are not easily understood results to the feeling of being inadequate in the profession and weak (Meadows, Farhall, Fossey, Grigg, McDermott and Singh, 2012).
At first, communicating with patients was a challenge due to a lot of pressure at work lacking the opportunity to interact with the mental health clients. Making reports and documentation consumed much of the time hence frustrating me from perfecting. A patient with so many questions but time was insufficient to provide answers due to colossal work. As days went by I started learning how to talk to them and by assisting them, I gained a sense of satisfaction in my job. Therefore, to develop competency a nurse in practice should build experience and knowledge and therapeutic communication skills.
When nurses are in fear of the head nurse, and when they feel threatened they are scared of making mistakes since they lack enough experience and understanding to control the situation (Costello, Thomson and Jones, 2013). Consequently, when they get support and compassion from their colleagues and their head nurse, they have a sense of usefulness, and they develop communication with staff hence improving their competence at work. Furthermore, the personnel sometimes are very offensive, and they do not allow nurses in practice to engage in patient care. In that case, nurses have a feeling of mistrust since they are not given the essential roles to play in delivering nursing care hence limiting them to their responsibilities (Meadows, Farhall, Fossey, Grigg, McDermott and Singh, 2012).
Conclusions:
The person-centered and collaborative nursing practices have the same principle of respect and understanding to patients. Moreover, the person-centered method has been effective in achieving the effectiveness of operations of a healthcare facility and also satisfying the clients. However, for effective execution of the person-centered mental health practice, support is needed from the nurses, professionals, and policymakers.
Psychiatric nurses may have contrary understandings because of the new environment, colleagues, and patients and as a result, their competence is questionable to the nursing staff. Therefore, measures need to be taken to address the issue of anxiety, fear, and stress to make the psychiatric nursing attractive.
References
Australian Health Ministers’ Advisory Council. (2013), A national framework for recovery-oriented mental health services: policy and theory, Commonwealth of Australia, Canberra.
https://www.health.gov.au/internet/main/publishing.nsf/Content/B2CA4C28D59C74EBCA257C1D0004A79D/$File/recovpol.pdf
Australian College of Mental Health Nurses. (2013), Scope of practice of mental health nurses in Australia 2013, ACMHN, Canberra. Australian Institute of Health and Welfare. 2018, Mental health services in Australia:
Costello, L., Thomson, M. & Jones, K. (2013), Mental health and homelessness. Final report, Mental Health Council NSW, Sydney. Department of Health and Ageing. 2013, National practice standards for the mental health workforce. Commonwealth of Australia, Canberra.
Department of Health and Ageing. (2009), National mental health policy, Commonwealth of Australia, Canberra. https://www.health.gov.au/internet/main/publishing.nsf/Content/mental-pubs-n-pol08
Happell, B., Cowin, L., Roper, C., Lakeman, R. & Cox, L. (2013), Introducing mental health nursing: a service user-oriented approach, 2nd and Allen & Unwin, Sydney.
Hungerford, C., Hodgson, D., Clancy, R., Monisse-Redman, M., Bostwick, R. & Jones, T. (2015), Mental health care: an introduction for health professionals in Australia, Wiley, Milton.
Meadows, G., Farhall, J., Fossey, E., Grigg, M., McDermott, F. & Singh, B. (2012), Mental health in Australia: collaborative community practice, 3rd edn, Oxford University Press, Melbourne.
National Mental Health Commission. (2013), A contributing life: the 2013 national report card on mental health and suicide prevention, NMHC, Sydney.
https://www.mentalhealthcommission.gov.au/media/94321/Report_Card_2013_full.pdf
Slade, M. (2013), 100 ways to support recovery: a guide for mental health professionals, 2nd edn, Rethink Mental Illness, London. https://www.rethink.org/media/704895/100_ways_to_support_recovery_2nd_edition.pdf
policies
Slade, M. & Longden, E. (2015), the empirical evidence about mental health and recovery: how likely, how long, what helps, MI Fellowship, Victoria.

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