The theory–practice gap: Well and truly alive in mental health nursing

Kellehear, Kevin.

doi:10.1111/nhs.12156

Cited by 11 publications

(10 citation statements)

References 5 publications

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“…Regarding nursing practice, MI may contribute to closing the theory‐practice gap in mental health nursing (Kellehear ) by providing a framework for developing detailed conversations about the dilemmas faced by rehabilitation nurses. There is a shift for both clinicians and patients inherent in MI spirit towards seeing patients as experts on themselves and clinicians as evoking that expertise, rather than directing the patient towards solutions.…”

Section: Implications For Practicementioning

confidence: 99%

Feasibility of training nurses in motivational interviewing to improve patient experience in mental health inpatient rehabilitation: a pilot study

Bunyan

Crowley

Smedley

et al. 2017

Psychiatric Ment Health Nurs

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Introduction There is limited research addressing the experiences of patients in inpatient rehabilitation (rehabilitation), who often spend long periods in hospital, and the nursing approaches utilized. Aim Based on evidence that motivational interviewing (MI) may improve nursing practice, this was a pilot study evaluating the feasibility of training rehabilitation nurses in MI and measuring patient experience. Method Nurses underwent training and supervision focusing on MI spirit. Quantitative and qualitative measures were taken pretraining, 2 months post-training and 8 months post-training. Expert-by-experience research assistants facilitated patients' participation in the study. Results This study showed that training rehabilitation nurses in MI was feasible and relevant to their work. Patients participated in interviews and focus groups with support and potential improvements that require further empirical investigation in patient experience were found following the MI training. Discussion This pilot study establishes the feasibility of a larger study addressing efficacy. Tentative qualitative findings question whether interactions between nurses and patients are valued in rehabilitation and support MI as a promising skill set for rehabilitation nurses. Implications for practice Bringing MI into inpatient rehabilitation provoked reflection on nursing practice. Dilemmas for nurses about balancing safety with promoting autonomy and communicating constructively with patients emerged as important.

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Section: Implications For Practicementioning

confidence: 99%

Feasibility of training nurses in motivational interviewing to improve patient experience in mental health inpatient rehabilitation: a pilot study

Bunyan

Crowley

Smedley

et al. 2017

Psychiatric Ment Health Nurs

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“…It is verified the guarantee of integral care when the nurse appropriates knowledge from other areas, especially psychoanalysis, an important reference for rescuing aspects of subjectivity. [8][9]22,[29][30] As a result, the notion that attending a client with psychic suffering is not only limited to the identification of their basic human needs. 2,25, [29][30] It creates a new perspective of care in these movements, differing from the practice traditionally exercised in hospital units, as exemplified by group actions and interventions in communities.…”

Section: • Nursing Clinical Care: Rescuing Subjectivitymentioning

confidence: 99%

“…[8][9]22,[29][30] As a result, the notion that attending a client with psychic suffering is not only limited to the identification of their basic human needs. 2,25, [29][30] It creates a new perspective of care in these movements, differing from the practice traditionally exercised in hospital units, as exemplified by group actions and interventions in communities. It is considered that the subjectivity approach raises issues in group management, body care, drug use and adherence, producing effects in several situations inherent in the Nursing work processes.…”

Section: • Nursing Clinical Care: Rescuing Subjectivitymentioning

confidence: 99%

Cuidado clínico de enfermagem em saúde mental

Silva

Oliveira

et al. 2018

Rev enferm UFPE on line.

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RESUMO Objetivo: identificar os elementos que caracterizam o cuidado clínico de Enfermagem em Saúde Mental no contexto da Reforma Psiquiátrica e da Humanização da Assistência. Método: trata-se de um estudo bibliográfico, descritivo, do tipo revisão integrativa, com busca de artigos na BVS, entre os anos de 1995 e 2017. Realizou-se a sistematização dos dados pela técnica de Análise de Conteúdo. Apresentaram-se os resultados em três categorias “Humanização da assistência e a sua relação com o cuidado de Enfermagem na Saúde Mental”; “Estratégias de cuidado no campo da Saúde Mental: incorporando as novas tecnologias” e “Cuidado clínico de Enfermagem humanizado: resgatando a subjetividade”. Resultados: identificaram-se 16 estudos de acordo com os critérios estabelecidos. Apresentaram-se as características dos artigos selecionados segundo os autores, o ano de publicação, o título do periódico, o Qualis, o fator de impacto e o nível de evidência, o local de publicação, o delineamento metodológico adotado, os objetivos e os principais resultados. Conclusão: constata-se que se devem respeitar, na Enfermagem aplicada à Saúde Mental, os preceitos da Reforma Psiquiátrica Brasileira e da Política Nacional de Humanização. Considera-se, além disso, a interdisciplinaridade como um recurso para a ampliação da clínica. Descritores: Humanização da assistência; Enfermagem; Enfermagem Psiquiátrica; Saúde Mental; Psicanálise; Serviços de Saúde Mental.ABSTRACT Objective: to identify the elements, that characterize clinical nursing care in mental health in the context of Psychiatric Reform and Humanization of Care. Method: this is a bibliographic, descriptive study, of integrative type, with search of articles in the VHL, between 1995 and 2017. The data was systematized using the Content Analysis technique. Results were presented in three categories: Humanization of Care and its implications on Nursing care in mental health; Care strategies in the field of mental health: incorporating new technologies; Humanized nursing care: rescuing subjectivity. Results: 16 studies were identified according to established criteria. The characteristics of the selected articles were presented, according to authors, year of publication; title of the periodical; QUALIS; impact factor and level of evidence; place of publication, methodological design adopted; objectives and main results. Conclusion: the precepts of the Brazilian Psychiatric Reform and the National Humanization Policy must be respected in nursing in mental health. In addition, interdisciplinarity is considered as a resource for the expansion of the clinic. Descriptors: Humanization of Assistance; Nursing; Psychiatric Nursing; Mental Health; Psychoanalysis; Mental Health Services.RESUMEN Objetivo: identificar los elementos que caracterizan el cuidado clínico de Enfermería en Salud mental en el contexto de la Reforma Psiquiátrica y Humanización de la Asistencia. Método: se trata de un estudio bibliográfico, descriptivo, tipo revisión integrativa con búsqueda de artículos en la BVS, entre los años 1995 y 2017. Se realizó la sistematización de los datos por la técnica de Análisis de contenido. Se presentaron los resultados en tres categorías: Humanización de la Asistencia y sus imbricaciones sobre el cuidado de enfermería en la salud mental; Las estrategias de cuidado en el campo de la salud mental: incorporando nuevas tecnologías; Cuidado clínico de Enfermería humanizado: rescatándose la subjetividad. Resultados: se identificaron 16 estudios de acuerdo a los criterios establecidos. Se presentaron las características de los artículos seleccionados, según autores, año de publicación; título del periódico; QUALIS; factor de impacto y nivel de evidencia; lugar de publicación, delineamiento metodológico adoptado; objetivos y principales resultados. Conclusión: se debe respetar en la enfermería en la salud mental los preceptos de la Reforma Psiquiátrica Brasileña y de la Política Nacional de Humanización. Además, se considera la interdisciplinaridad como recurso a la ampliación de la clínicaDescriptores: Humanización de la Atención; Enfermería; Enfermería Psiquiátrica; Salud Mental; Psicoanálisis; Servicios de Salud Mental.

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“…Criticism is also directed at healthcare settings for having unrealistic expectations of students or new graduates [26]. APNs starting out in practice who have not progressed through Phase 1 of role transition during graduate school may be at greater risk for disconnectedness, isolation, and prolonged disequilibrium during Phase 2 of the transition process than those who began to transition during graduate school [27]. The challenge in reducing the theorypractice gap is to prepare nurses who can meet the needs of individuals, families, communities, and the nation within resources available and educational outcomes.…”

Section: Transitioning the Theory-practice Gapmentioning

confidence: 99%

Metaphors of Interdisciplinary Collaboration to Overcome the Theory-Practice Gap when Transitioning from RN to Advanced Practice Nurses

Weaver¹

2017

IJANER

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A particularly pressing concern is how members of the nursing profession who have expanded their scope of practice from Registered Nurse to Advanced Practice roles of Nurse Practitioners (NP) and Clinical Nurse Specialists (CNS) experience their transition into the workforce. Available evidence suggests that new Advanced Practice Nurses struggle with "imposter phenomenon" (feeling not qualified for the job) and report difficulty in overcoming the theory-practice gap. To illuminate strategies for easing the passage of the role transition via interdisciplinary collaboration and support, graduate students completing a course in Theoretical Foundations of Nursing created metaphors of ferrying and gardening. These metaphors depict solution-focused approaches that reduce the anxiety and loss of selfconfidence which accompany Phase One of the transition (initial process of acquiring the skills and knowledge needed for the advanced practice role) to ensure successful transitioning into Phase Two (period of adjusting to the new role that follows program evaluation). Keywords: Advanced nursing practice, role transition, interdisciplinary collaboration, metaphorical inquiry, transition theory.It is time to speak our truth, with passion, and as a collective. It is time to renew our commitment to care, and rise to a call to action … This is our time to go boldly forward with renewed vision, inspired by foundational nursing values and with absolute conviction of our place in the world [1].

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The theory–practice gap: Well and truly alive in mental health nursing

Cited by 11 publications

References 5 publications

Feasibility of training nurses in motivational interviewing to improve patient experience in mental health inpatient rehabilitation: a pilot study

Feasibility of training nurses in motivational interviewing to improve patient experience in mental health inpatient rehabilitation: a pilot study

Cuidado clínico de enfermagem em saúde mental

Metaphors of Interdisciplinary Collaboration to Overcome the Theory-Practice Gap when Transitioning from RN to Advanced Practice Nurses

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