Noticing is integral to the everyday practice of nurses; it is the pre-cursor for clinical reasoning, informing judgement and the basis of care. By noticing the nurse can pre-empt possible risks or support subtle changes towards recovery. Noticing can be the activity that stimulates action before words are exchanged, pre-empting need. In this article, the art of noticing is explored in relation to nursing practice and how the failure to notice can have serious consequences for those in care.
Aim To gain insight into nurses' suicide awareness and prevention training, their confidence in engaging in conversations about suicide, and the barriers and enablers affecting their engagement and future training in this area. Method An electronic survey was carried out with members of the Royal College of Nursing (RCN). A total of 415 RCN members responded to the survey. The survey included qualitative and quantitative questions about barriers to engaging in conversations about suicide, and nurses' suicide awareness and prevention training needs. A thematic analysis was undertaken to identify the main themes. Findings Respondents identified several barriers to engaging in conversations about suicide, including: lack of time and resources; lack of skills, training and knowledge; insufficient service provision; and stigma. A range of suicide awareness and prevention training needs were identified, such as pre and post-registration training to increase nurses' knowledge and skills, regular updates of evidence-based approaches, structured supervision and debriefs. Conclusion It is important for issues related to suicide to be addressed in all fields of nursing, and to be included in the pre-registration nurse education curriculum. Staff should be supported in developing the skills they already have and using their interactions with others to improve their confidence in undertaking conversations about suicide.
When facilitating mental health interventions, therapists typically involve clients in discussion within a room containing seating and a table. We argue that digital technologies can be leveraged to encourage physiological, multisensory experiences for users to work through their challenges. In the context of trauma in mental healthcare, where the body's involvement can play a critical role in the recovery journey, such an approach can offer potential in altering the dynamic of how interventions are delivered and received. This infers a client-led process where environment and features become inclusive to a holistic treatment pathway. We developed an intervention called The Timeline, situated in an immersive interactive virtual environment (IIVE). The iterative process was informed by interviews with 12 "Experts by Profession", as frontline mental health workers with an average engagement of 16 years. We then invited 12 "Experts by Experience", with lived understanding of a range of trauma, to trial and evaluate the system at a UK-based hospital. We report on data from participants across both studies, evidencing how The Timeline, as bespoke content, could lead to participatory choice and personalized control in the context of dig-ital therapy. Finally, we discuss how IIVEs could become a new platform towards a more integrative therapeutic delivery in mental healthcare.
CCS CONCEPTS• Applied computing Life and medical sciences; Health care information systems; • Human-centered computing Human computer interaction (HCI); Interaction paradigms; Virtual reality; Human computer interaction (HCI); Empirical studies in HCI.
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