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MHN 3 (6 – Skills/signature behaviours of a nurse (nurses should be human,…
MHN 3
6 – Skills/signature behaviours of a nurse
nurses should be human
must see people as people
acknowledge client history
nurses as tools
listening to client’s perspective
putting self in client’s shoes
nursing skill –talking not telling
Acknowledge SU resilience
instillation of hope
utilising techniques (skills of nursing)
Engaging with su
keeping hold of principles
seeing people as a whole
incorporating rec principles into work
tolerant of other view points
helping others to help themselves (empowering)
maintains awareness of self and others
consistency in practice
adapting to the s.u
do what you say you will/reliability
putting self in su shoes
8 – Recovery is…
recovery is back to where you need to be
recovery not defined by profs
recovery is being de-institutionalised
recovery as a return to usual functioning
recovery is defined by the SU
recovery must be realistic
recovery is about aspirations
recovery is a fruitful life
rec possible with continued severity
recovery needs sustaining
recovery applies to everyone
rec is back to how you were before
rec is a process
rec is not being utilised
5 – Challenges to recovery
skills learned but not applied
challenge of workload
Prevalence of medication
drugs and alc barrier to recovery
dealing with dependency
time pressure in job
lack of kindness in some nurses
non-compliance of meds is a challenge to rec
11 – The professional view of recovery
prof vs client view on recovery
some profs have narrow views
recovery is subjective not objective
recovery is wellbeing and general functioning
psychiatrists have an illness driven view
nurses views of recovery differ
psychologists focus on behaviour
rec principles apply to profs
15 – ??
medication side-effects are observable
the slippery slope to services
predictive patterns lead to hospital
medical model language
the impact of institutionilisation
illness leads to bizarre behaviour
illness leads to bizarre behaviour
7 – Things needed for/facilitating recovery
capacity in su
reduction of stress before recovery
acceptance needed for recovery
capacity to change facilitates rec
support networks important for rec
10 – drawing upon personal experience
rec principles can be internalised
self feels small when unwell
life stands still when ill
own experience helps in understanding su perspective
lack of control = hopelessness
putting self in su shoes
13 – Nursing as a career
nursing enjoyable
Desire to help others
interested in human behaviour
nursing training in holland
psychodynamically influenced training
nurses have multiple roles
9 – Framing mental health problems
distress not illness
bi-polar not a permanent state
Episodes are bumps in the road
state of crisis not illness
people relapse
14 – Boundaries
told to keep boundaries (us-them)
engagement (55 – merge?)
nurses should be on same level as SU
detached vs engaged
the line of intervention
The changing position of recovery
recovery related to economic climate
recovery concept comes and goes
recovery concept used to be stronger
recovery has become a quick fix (the rec quick fix)
Understanding recovery
recovery understanding from reading
recovery understanding from taking su perspective
recovery understanding from experience
recovery in later training
Risk and Responsibility
Recovery comes with responsibility
assessing risk
services take away responsibility
12 – Views of service users
people come with stories
seeing client as a whole
people relapse
Power
expressed and unexpressed power
the line of intervention