If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation.The paper will then outline the implications that these challenges have for a nursing service that provides care for personality-disordered patients. These include the impact upon i) the retention of staff, ii) the recruitment of staff, iii) the patients and iii) an organisation. The paper will also suggest some potential solutions to these challenges.
Research suggests that the majority of forensic clients have significant personality difficulties. Providing quality nursing care to this client group is identified as particularly difficult. This paper outlines how schema‐focused therapy has been introduced to nursing staff working with personality disordered clients in an in‐patient setting in order to enhance their practice with this client group. A brief overview is given of Young's (1994) schema‐focused therapy model and a detailed description of how this model has been incorporated into in‐house training and used to guide nursing treatment plans and individual nursing interventions. Although this strategy has not been formally evaluated, feedback suggests that both staff and patients believe that the quality of care provided since its introduction has improved significantly.
Psychiatric nurses were given training in schema-focused therapeutic approaches. They were then applied in a forensic setting with a focus on the needs of those patients diagnosed with a 'personality disorder'. The paper discusses and reflects on the results of the approach and its relevance to the training of psychiatric nurses.
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