Changing practice using recovery-focused care in acute mental health settings to reduce aggression: A qualitative study
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This is the peer reviewed version of the following article: Lim, E. and Wynaden, D. and Heslop, K. 2019. Changing practice using recovery-focused care in acute mental health settings to reduce aggression: A qualitative study. International Journal of Mental Health Nursing. 28 (1): pp. 237-246, which has been published in final form at 10.1111/inm.12524.This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving at http://olabout.wiley.com/WileyCDA/Section/id-828039.html
Consumer aggression is common in acute mental health settings and can result in direct or vicarious psychological or physical impacts for both consumers and health professionals. Using recovery-focused care, nurses can implement a range of strategies to reduce aggression and empower consumers to self-regulate their behaviour, when faced with challenging situations, such as admission to the acute care setting. Currently, there is limited literature to direct nurses in the use of recovery-focused care and how it can be used to reduce consumer aggression. Twenty-seven mental health nurses participated in this study. The constructivist grounded theory method guided data collection and analysis to identify categories that accurately described participants’ experiences. Five categories emerged that described how nurses can implement recovery-focused care clinically to reduce the risk of consumer aggression: (i) identify the reason for the behaviour before responding; (ii) being sensitive to the consumer's trigger for aggression; (iii) focus on the consumer's strengths and support, not risks; (iv) being attentive to the consumer's needs; and (v) reconceptualize aggression as a learning opportunity. As the importance of promoting consumer recovery is now embedded in mental health policies internationally, nurses need to prioritize the application of recovery-focused care clinically. Further research to provide evidence-based outcomes supporting the use of recovery-focused care is needed.
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Using Q-methodology to explore mental health nurses’ knowledge and skills to use recovery-focused care to reduce aggression in acute mental health settingsLim, Eric ; Wynaden, Dianne ; Heslop, Karen (2020)© 2020 Australian College of Mental Health Nurses Inc. When nurses practise recovery‐focused care, they contribute positively to the consumer’s mental health recovery journey and empower the person to be actively engaged ...
Consumers’ Perceptions of Nurses Using Recovery-focused Care to Reduce Aggression in All Acute Mental Health Including Forensic Mental Health ServicesLim, Eric ; Wynaden, Dianne ; Heslop, Karen (2019)Recovery-focused care is now the preferred model of care that health professionals can utilize to support people with a mental illness to achieve their personal and clinical recovery. However, there remains a lack of ...
How mental health nurses can use recovery-focused care to reduce aggression in the acute mental health settingsLim, Eric (2022)This hybrid thesis presents a two-phase sequential exploratory mixed methods research that explored mental health nurses’ and consumers’ beliefs of how recovery-focused care can be used to reduce aggression in the acute ...