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'Stuck between a Rock and a Hard Place : How Mental Health Nurses Experience Psychosocial interventions in Irish Mental Health Care Settings
De Vries, Jan; Mc Cann, Edward
Traditionally, the focus for mental health service delivery in Ireland has involved a medically orientated approach. This research has taken place at a time when mental health professionals are now assumed to provide recovery-orientated care by statute as well as policy. Within a recovery practice, psychosocial interventions (PSI) are recognised and recommended internationally as they primarily focus on improving a client’s mental health and preventing relapse, thus adopting a biopsychosocial approach. This study explored trained MHNs’ experiences of using PSI in their care of persons with a mental health problem. Consistent with the goal of understanding experience, a multiple case study methodology guided the study and situated within an interpretive paradigm. Data were gathered using semi-structured interviews with 40 PSI-trained MHNs and analysed thematically. Three overarching themes emerged: PSI-trained MHNs’ understanding and use of PSI; facilitating factors supporting the use of PSI by PSI-trained MHNs and obstacles limiting the use of PSI by PSI-trained MHNs. Overall, the findings conveyed that participants were receptive toward PSI, but cited many common obstacles that curtailed their daily PSI work. Also, a supportive organisational culture where clinical leadership and clinical supervision were available alongside PSI guidelines determined if PSI were implemented.
Keyword(s): Psychosocial interventions; Mental health; Mental health nurses; Community; Inpatient; Inclusive Society; MENTAL HEALTH CARE PROFESSIONAL; Mental health nursing; Psychosocial Interventions; Mental Health/Psychosocial disability; Education; Health
Publication Date:
2020
Type: Journal article
Peer-Reviewed: Yes
Language(s): English
Institution: Trinity College Dublin
Citation(s): Smyth, S. McCann, E. and de Vries, JMA., 'Stuck between a Rock and a Hard Place : How Mental Health Nurses Experience Psychosocial interventions in Irish Mental Health Care Settings, Journal of Psychiatric and Mental Health Nursing, 2020
First Indexed: 2020-07-07 07:57:45 Last Updated: 2021-10-16 10:14:11