Sustaining a culture of practice development in an acute adolescent inpatient mental health unit

Vella, Natalie; Page, Laura; Edwards, Clair; Wand, Timothy

doi:10.1111/jcap.12194

Cited by 3 publications

(4 citation statements)

References 14 publications

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“…Similarly to Winnicott's holding environment , clinicians clinicians in this study found that an environment conducive to containment was a pivotal feature of an inpatient model of care. The importance of the inpatient environment has been established in previous studies (Biering & Jensen, ; Delaney, ; Vella, Page, Edwards, & Wand, ). In the current study, clinicians focused on “consistency” and “transparency” as critical professional attributes.…”

Section: Discussionmentioning

confidence: 81%

“…The culture of any organization is crucial to how it operates and functions (Davis & Cates, ; Garcia et al, ). Studies of adolescent inpatient units have focused on the importance of culture models in improving quality of care (Hallman, O'Connor, Hasenau, & Brady, ; Slemon, Jenkins, & Bungay, ; Vella et al, ). Regan et al () reported that to create a therapeutic milieu, a philosophy of care needs to be established to guide the culture and structure of the unit.…”

Section: Discussionmentioning

confidence: 99%

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The unheard voice of the clinician: Perspectives on the key features of an adolescent inpatient model of care

Hayes

Simmons

Palmer

et al. 2019

Child Adoles Psych Nursing

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Problem Little has been reported from clinicians about the operations, interventions, and outcomes of inpatient units and how these comprise models of care in such units. The aim of this study was to explore an inpatient model of care in operation at the study site by defining key features of the model from the perspectives of clinicians. Methods Semi‐structured face to face interviews were conducted with ten clinicians working in a private inpatient unit in Melbourne, Australia. Interview data were analyzed using thematic analysis. Findings Analysis resulted in the identification of three thematic features relating to containment, engagement, and therapy. These included (a) an environment conducive to containment, (b) adolescent engagement through shared experiences, and (c) dialectical behavior therapy embedded culture. Conclusions The findings provide insights into often unheard clinician perspectives on what the key features of an adolescent inpatient model of care are. These features relate to the interventions that are currently offered on the unit and ways of working as informed by philosophies and practices. These findings should be used to improve clinical services and inform research aiming to articulate exemplary adolescent inpatient models of care. Furthermore, the findings provide guidance and practical information to commissioners, clinicians, and policy makers implementing models of care.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

The unheard voice of the clinician: Perspectives on the key features of an adolescent inpatient model of care

Hayes

Simmons

Palmer

et al. 2019

Child Adoles Psych Nursing

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“…Within child psychiatric inpatient units, patients spend many hours of their day under the care of nurses, yet many nurses do not have formal training in evidence‐based psychological approaches such as CBT (Vella et al, 2017). At present, there is limited research regarding CBT educational models specifically designed to train nurses in child psychiatric inpatient settings.…”

Section: Introductionmentioning

confidence: 99%

Cognitive‐behavioral therapy training for multidisciplinary inpatient psychiatric teams: A novel curriculum using animated simulations

Cardona

Barreto

Grodberg

et al. 2021

Child Adoles Psych Nursing

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Problem Nurses assume primary responsibility teaching children self‐management skills, yet few of them have formal training in evidence‐based treatments such as cognitive‐behavioral therapy (CBT). Methods We developed a novel CBT training curriculum specifically tailored for nurses and other child psychiatric inpatient team members. The curriculum was anchored in three components: (1) a structured manual; (2) instructional videos of common clinical scenarios using animated simulations; and (3) interactive role‐play exercises. The CBT curriculum was implemented through small group training sessions. We then conducted focus group sessions with the 20 participants to assess change in self‐reported knowledge of, and utilization of CBT skills in clinical practice. Findings The curriculum was well received by staff members, who found its content relevant and applicable to their daily inpatient work. Staff reported four main themes: (1) routine clinical care (feelings, challenges, and approaches); (2) CBT utility in practice; (3) CBT training components that facilitated learning of the discrete skills; and (4) professional development needs. Conclusions We were able to implement the curriculum within the time and staffing constraints of a clinically active inpatient setting. Future refinements of the model will include videotaped interactions between expert clinicians and simulated patients in high acuity situations.

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“…As units work toward a vision of how they expect children to be treated, there are several unit culture models to choose from; certainly, trauma informed care has become a popular organizing principle. Vella, Page, Edwards, and Wand () present their unit's adoption of Barker's Tidal Model. They explain in rich detail both the essence of the Tidal Model and how their unit implemented and sustained this philosophy of care.…”

mentioning

confidence: 99%

Special edition on inpatient treatment: A new annual tradition

Delaney

2017

Child Adoles Psych Nursing

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Sustaining a culture of practice development in an acute adolescent inpatient mental health unit

Abstract: A planned, structured, and inclusive practice development programhas transformed the nursing culture and vastly improved the care provided to adolescents presenting in acute states of distress to this mental health unit.

Cited by 3 publications

References 14 publications

The unheard voice of the clinician: Perspectives on the key features of an adolescent inpatient model of care

The unheard voice of the clinician: Perspectives on the key features of an adolescent inpatient model of care

Cognitive‐behavioral therapy training for multidisciplinary inpatient psychiatric teams: A novel curriculum using animated simulations

Special edition on inpatient treatment: A new annual tradition

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