Treatment of Institutional Neurosis

Barton, Russell

doi:10.1016/b978-1-4832-1363-7.50011-3

Cited by 65 publications

(33 citation statements)

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“…It has been reported that personally frightening experiences of being with users experiencing mental distress can lead to nurses using defensive distancing strategies, such as staying in the ward office, resulting in nurses limiting their time spent engaging with users (Menzies-Lyth 1970). The occupational culture of mental health nursing, where patients have often been regarded as 'other' (Goffman 1961, Barton 1966, Deacon & Fairhurst 2008, can heavily influence students' perceptions of users. Students highlight the frequency with which they are expected to conform to various cultures in practice settings (Edwards 1995) and the ethics of educating students in issues which may conflict with current practice ethos must be considered.…”

Section: Discussionmentioning

confidence: 99%

Service user involvement in pre‐registration mental health nurse education classroom settings: a review of the literature

Terry

2012

Psychiatric Ment Health Nurs

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Service user involvement in pre-registration nurse education is now a requirement, yet little is known about how students engage with users in the classroom, how such initiatives are being evaluated, how service users are prepared themselves to teach students, or the potential influence on clinical practice. The aim of this literature review was to bring together published articles on service user involvement in classroom settings in pre-registration mental health nurse education programmes, including their evaluations. A comprehensive review of the literature was carried out via computer search engines and the Internet, as well as a hand search of pertinent journals and references. This produced eight papers that fitted the inclusion criteria, comprising four empirical studies and four review articles, which were then reviewed using a seven-item checklist. The articles revealed a range of teaching and learning strategies had been employed, ranging from exposure to users' personal stories, to students being required to demonstrate awareness of user perspectives in case study presentations, with others involving eLearning and assessment skills initiatives. This review concludes that further longitudinal research is needed to establish the influence of user involvement in the classroom over time.

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Section: Discussionmentioning

confidence: 99%

Service user involvement in pre‐registration mental health nurse education classroom settings: a review of the literature

Terry

2012

Psychiatric Ment Health Nurs

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“…It may contribute to institutional neurosis (Barton, 1959) and is arguably contrary to Articles 1, 5 and 9 of the Universal Declaration of Human Rights (United Nations, 1973) and Article 3 of the European Convention on Human Rights (Council of Europe, 1950). More recently, Article 9.1 of the Council of Europe Committee of Ministers recommendations to member states concerning the protection of the human rights and dignity of persons with mental disorder (Council of Europe, 2004), states that the environment and living conditions of persons with a mental disorder should be equitable, in so far as is possible, with those of persons with similar age, gender and culture in the community, a recommendation which is not fully adhered to by the use of night attire in this context.…”

Section: Discussionmentioning

confidence: 99%

Daytime night attire as a therapeutic intervention in an acute adult psychiatric in-patient unit

Langan

McDonald

2008

Psychiatr. bull.

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Aims and MethodDressing in-patients in night attire during daytime is currently practised in many in-patient psychiatric units, despite the lack of evidence to support its benefit in reducing absconding or self-harm. Using a triangulation design, we investigated the prevalence of, attitudes towards and associations of this practice in an acute psychiatric in-patient setting in the Republic of Ireland.ResultsCase-note review revealed a high prevalence of this practice (57%) and its significant association with involuntary admission. Nursing staff believed that using night attire was effective at reducing absconding and self-harm, and that only voluntary patients should retain the right to choose their clothes. Most patients interviewed were uncomfortable in night clothes and indicated that they should be entitled to choose what to wear.Clinical ImplicationsNight attire is regularly used for risk-management, despite lack of evidence supporting its efficacy and negative attitudes towards it in many patients. This practice and the reasons for its implementation deserve medical documentation.

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“…The exploratory study was carried out on the nursing care practised on a 20-bed psychiatric rehabilitation/ continuing-care ward (Armitage 1986), which later became one of the research wards for the main study. Data collected in this initial study showed that the 'batch treatment' of long-stay psychiatric patients in 'back wards' had continued almost unchanged since the work of Goffman (1961) and Barton (1959) 30 years previously. However, these data also revealed the following facts: evaluation of this package of changes.…”

Section: Exploratory Studymentioning

confidence: 96%

Primary nursing and the role of the nurse preceptor in changing long‐term mental health care: an evaluation

Armitage

Champney-Smith

Andrews³

1991

Journal of Advanced Nursing

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The main aims of this action research study were to implement primary nursing in two long-term psychiatric rehabilitation/continuing-care wards and to investigate the effects of the intervention of the quality of nursing care provision. This evaluation took the form of a quasi-experimental time series analysis. A package of measures together with a number of peripheral indicators was used before primary nursing was introduced on each ward and again after primary nursing had become established. The results showed that the implementation of primary nursing led to nurses being more accountable for care, resident who were seen to be more self-sufficient and independent and wards which had an improved environment for care and rehabilitation.

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Treatment of Institutional Neurosis

Cited by 65 publications

References 0 publications

Service user involvement in pre‐registration mental health nurse education classroom settings: a review of the literature

Service user involvement in pre‐registration mental health nurse education classroom settings: a review of the literature

Daytime night attire as a therapeutic intervention in an acute adult psychiatric in-patient unit

Primary nursing and the role of the nurse preceptor in changing long‐term mental health care: an evaluation

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