Using Q-methodology to explore mental health nurses’ knowledge and skills to use recovery-focused care to reduce aggression in acute mental health settings
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This is the peer reviewed version of the following article: Lim, E., Wynaden, D. and Heslop, K. (2020), Using Q‐methodology to explore mental health nurses’ knowledge and skills to use recovery‐focused care to reduce aggression in acute mental health settings. Int J Mental Health Nurs. which has been published in final form at 10.1111/inm.12802. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
© 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 in the management of their illness. While using recovery‐focused care is endorsed in mental health policy, many health professionals remain uncertain about its application with consumers who have a risk for aggression during their admission to an acute mental health inpatient setting. This paper reports on Australian research using Q‐methodology that examined the knowledge and skill components of recovery‐focused care that nurses use to reduce the risk for aggression. The data from forty mental health nurses revealed five factors that when implemented as part of routine practice improved the recovery outcomes for consumers with risk of aggression in the acute mental health settings. These factors were as follows: (I) acknowledge the consumers’ experience of hospitalization; (II) reassure consumers who are going through a difficult time; (III) interact to explore the impact of the consumer’s negative lived experiences; (IV) support co‐production to reduce triggers for aggression; and (V) encourage and support consumers to take ownership of their recovery journey. These findings provide nurses with a pragmatic approach to use recovery‐focused care for consumers with risk for aggression and contribute positively to the consumers’ personal recovery.
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Changing practice using recovery-focused care in acute mental health settings to reduce aggression: A qualitative studyLim, E.; Wynaden, Dianne; Heslop, Karen (2019)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 ...
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 ...
Recovery-focussed care: How it can be utilized to reduce aggression in the acute mental health settingLim, E.; Wynaden, Dianne; Heslop, K. (2017)© 2017 Australian College of Mental Health Nurses Inc. Consumer aggression is common in the acute mental health inpatient setting. Mental health nurses can utilize a range of interventions to prevent aggression or reduce ...