“Stuck between a rock and a hard place”: How mental health nurses’ experience psychosocial interventions in Irish mental health care settings
Smyth, Siobhan De Vries, Jan M. A. Rossetti, Jeanette McCann, Edward
Smyth, Siobhan
De Vries, Jan M. A.
Rossetti, Jeanette
McCann, Edward
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Publication Date
2020-10-19
Type
journal article
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Citation
Smyth, Siobhan, De Vries, Jan M. A., Rossetti, Jeanette, & McCann, Edward. (2020). “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. doi:10.1111/jpm.12702
Abstract
Description : The paper will report on the interview data of trained MHNs’ experiences of using PSI within the Irish context. This observational data will be reported elsewhere (Smyth et al. 2020 – under review).
Introduction: This research is conducted when the current reform of Irish mental health governance demands clarification of key psychosocial skills (PSI) required for mental health nurses (MHNs) to embrace recovery-orientated ways of working. There is limited evidence about this important topic in Ireland and across countries.
Aim: To explore PSI-trained MHNs’ experiences of using PSI within Ireland.
Method: A multiple case study methodology was used and situated within an interpretive paradigm. Data were gathered using semi-structured interviews with 40 PSI-trained MHNs.
Findings: Three overaching themes developed from the anlaysis. These included (a) PSI-trained MHNs’ understanding and use of PSI; (b) facilitating factors supporting the use of PSI by PSI-trained MHNs; and (c) obstacles limiting the use of PSI by PSI-trained MHNs.
Discussion: MHNs recognise that regular clinical supervison is requuired to increase their confidence, along with PSI guidelines for the offering of these skills across practice settings. MHNs also need work release to attend supplementary training on PSI so that they can do their job adequately.
Implications for Practice: This study suggests that MHNs are often stuck between a rock and a hard place when delivering PSI in practice. MHNs need to be aware that this can affect client outcomes.
Publisher
Wiley
Publisher DOI
Rights
CC BY-NC-ND