Nurse Therapists in Psychiatry: Developments, Controversies and Implications

Bird, Julian; Marks, Isaac; Lindley, Peter

doi:10.1192/bjp.135.4.321

Cited by 21 publications

(8 citation statements)

References 8 publications

(1 reference statement)

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“…The first publication appearing in Medline on the case management topic dates back to the year 1878 and refers to the management of a patient with cerebral empyema [4]. When narrowing the search to the field of nursing, we find an article from 1979 that covers the management of psychiatric patients through nurse case managers [5], followed by another study from 1984 on the area of geriatrics [6]. The search for systematic reviews brings back a study from 1983 which provides case management as a strategy for an intervention on childhood diarrhoea [7].…”

Section: Introductionmentioning

confidence: 99%

Impact of the Case Management Model through Community Liaison Nurses

Clíments

Gómez

et al. 2019

IJERPH

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The objective of the present study is to assess the model’s impact on patients and their families in terms of outcomes and the efficiency results for the health system in Tenerife, Canary Islands, selecting a period of eight years from the time interval 2002–2018. The employed indicators were collected on a monthly basis. They referred to home care and its impact on clinical outcomes and on the use of resources. The comparison between the indicators’ tendencies with and without the liaison nurse model was done with the F-test by Snedecor. All these tests are bilateral, with a level of significance of p < 0.05. In those areas with community liaison nurse (CLN), improvements have been found in indicators that describe: (1) the management of the clinical status of patients, (2) the efficiency of the use of resources, and (3) the quality and compliance with the process that also includes home visits and social risk detection and management. It can be said that in the basic areas of primary health care where the work of the CLN develops there are improvements in the management of the patients’ clinical condition as well as in the quality and efficiency of care.

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Section: Introductionmentioning

confidence: 99%

Impact of the Case Management Model through Community Liaison Nurses

Clíments

Gómez

et al. 2019

IJERPH

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“…The context of interest here is that of contemporary Western nursing, and behaviourism has long been valued within this profession (Bird et al, 1979;Gournay et al, 2000;Mandell & Mandell, 1963;Marks, 1985;Marks et al, 1975). So particularly for nursing and other professions which draw upon behaviourism, the model proposed here for mindful practice and structured reflection may help to 318 M. Aldridge clarify where mindfulness could further benefit professional practice.…”

Section: Resultsmentioning

confidence: 99%

“…The contribution of behaviourism to contemporary Western nursing has long been recognised (Bird, Marks, & Lindley, 1979;Gournay, Denford, Parr, & Newell, 2000;Mandell & Mandell, 1963;Marks, 1985;Marks, Hallam, Philpott, & Connolly, 1975) and a modern behavioural definition of mindful practice, grounded in testable theory (Fletcher & Hayes, 2005), could prove beneficial in contemporary secular nursing. Unlike other mindfulness-based treatment approaches such as Dialectical Behaviour Therapy (DBT; Linehan et al, 1991;Linehan, Heard, & Armstrong, 1993) and Mindfulness-Based Cognitive Therapy (MBCT; Segal et al, 2002) which have a basis in adaptations of Buddhist teachings (Gilpin, 2006;Welch, Rizvi, & Dimidjian, 2006), ACT is not based on a conscious link with Buddhism (Hayes, 2002), but upon Relational Frame Theory (RFT; Hayes, Barnes-Holmes, & Roche, 2001).…”

Section: A Behavioural Scientific Model Of Mindful Practicementioning

confidence: 99%

Modelling mindful practice

Aldridge

2015

Reflective Practice

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Mindfulness practice by clinicians may benefit therapeutic relationships and improve treatment results. This paper aims to present a behavioural scientific model of mindful practice for nursing. It demonstrates how this model works through the example of a nursing student's structured reflection. The model, which proposes specific reflective cues, may help nurses and other professionals to clarify where greater mindfulness could benefit their own work. The question of the extent to which and in what ways this mode of learning to be mindful in professional practice is useful, warrants further investigation.

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“…The mean age of the total sample was 34 9 years (range 17-77 years) and the mean duration of the problem was 1119 years (range 1-52 years). Bird et al (1979) argue that patients who present for treatment have often sought help before, but it has not been successfully realized. This may explain the surprisingly high average duration of problem.…”

Section: The Samplementioning

confidence: 99%

“…Selection for nurse therapy courses is rigorous. All potential trainees must have as a minimum (Bird et al 1979). Applicants at interview must demonstrate *a desire to work in behavioural therapy, initiative capability of working increasingly independently with adult neurotic patients and an ability to earn the respect of colleagues in health care professions'.…”

Section: Introductionmentioning

confidence: 99%

Nurse therapist trainee variability: the implications for selection and training

Brooker

Wiggins²

1983

Journal of Advanced Nursing

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This paper examines some of the data obtained from the Joint Board of Clinical Nursing Studies Course Number 650, which ran at the Bethlem Royal and Maudsley Hospitals, London, 1978–1979. During this particular training programme, eight nurse therapist trainees treated a total of 251 patients assessed as suitable for behaviour therapy. Data were collected from patients by trainees on four separate occasions; before treatment, after treatment, and at follow‐up intervals of 1 and 6 months. It was suggested that therapists would vary systematically in terms of the assessment scores used to measure outcome. This was explored using analysis of variance techniques, where several treatment outcome measures were used as dependent variables. The analyses, which were undertaken using SPSS and GLIM computer packages, clearly demonstrated therapist variability. The results are discussed within the theoretical framework of Sudman & Brabum's (1974) interviewing model and O'Muircheartaigh & Wiggins' (1981) consideration of response errors. The implications for the selection and training of nurse therapists are presented. The final conclusion of the paper is that, although the patient's clinical outcome may be related to therapist allocation, the eight trainees allowed themselves to ‘open’ their activities to this evaluative approach – which in turn demonstrates their professionalism.

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Nurse Therapists in Psychiatry: Developments, Controversies and Implications

Cited by 21 publications

References 8 publications

Impact of the Case Management Model through Community Liaison Nurses

Impact of the Case Management Model through Community Liaison Nurses

Modelling mindful practice

Nurse therapist trainee variability: the implications for selection and training

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