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Kealeboga KM, Manyedi ME, Moloko-Phiri S. Nurses' Perceptions on How Recovery-Oriented Mental Health Care Can Be Developed and Implemented. Nurs Res Pract 2023; 2023:4504420. [PMID: 37664807 PMCID: PMC10470086 DOI: 10.1155/2023/4504420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 08/05/2023] [Accepted: 08/19/2023] [Indexed: 09/05/2023] Open
Abstract
Aim This study explored how nurses working in inpatient mental health units perceived the development and implementation of a recovery-oriented mental healthcare programme (ROMHCP). Background The recovery-oriented mental healthcare approach (ROMHCA) in mental health is regarded as the future of mental health services and has been implemented in different countries worldwide. However, regarding developing and implementing the recovery approach, Africa appears to have been left behind by the rest of the continents. Design The study used a qualitative approach to describe how a recovery-oriented mental healthcare approach could be developed. Methods Thirty nurses who worked in Botswana's four inpatient mental health facilities consented and voluntarily participated in the study. Data were collected from February to mid-March 2022 through online focus group discussions and analysed using thematic analysis. The COREQ checklist was used to report the findings. Results Two main themes emerged as follows: (i) developing and implementing a recovery-oriented mental healthcare programme is possible and (ii) certain elements are required to develop and implement ROMHCP. Conclusion The participants believed that people diagnosed with mental illness could recover from the illness and suggested how it could be achieved. They also contended that the programme's success would lie mainly with multisectoral support from policymakers, facilities, hospital personnel, patients, and the community. Clinical Relevance. ROMHCP has the potential to benefit people with mental illness in the country. In addition, it would allow nurses to improve their knowledge and skills in managing mental illnesses. Patient or Public Contribution. The patients and the general public did not contribute to the study's concept, design, and outcomes. However, the nurses working in mental health facilities volunteered to participate in the study.
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Affiliation(s)
- Kebope Mongie Kealeboga
- University of Botswana, Faculty of Health Sciences, School of Nursing Science, Gaborone, Botswana
- North-West University Faculty of Health Sciences, School of Nursing Science, Mafikeng, South Africa
| | - Mofatiki Eva Manyedi
- North-West University Faculty of Health Sciences, School of Nursing Science, Mafikeng, South Africa
| | - Salaminah Moloko-Phiri
- North-West University Faculty of Health Sciences, School of Nursing Science, Mafikeng, South Africa
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Owens MD, Banta-Green CJ, Newman A, Marren R, Takushi R. Insights into a Recovery Community Center Model: Results from Qualitative Interviews with Staff and Member Facilitators from Recovery Cafe in Seattle, Washington. ALCOHOLISM TREATMENT QUARTERLY 2022. [DOI: 10.1080/07347324.2022.2088323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Mandy D. Owens
- Addictions, Drug & Alcohol Institute, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington, USA
| | - Caleb J. Banta-Green
- Addictions, Drug & Alcohol Institute, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington, USA
- Department of Health Systems & Population Health, School of Public Health
| | - Alison Newman
- Addictions, Drug & Alcohol Institute, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington, USA
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Veseth M, Svendsen TS, Nesvaag S, Moltu C, Davidson L, Bjornestad J. "And then the rest happened"- A qualitative exploration of the role that meaningful activities play in recovery processes for people with a diagnosis of substance use disorder. Subst Abus 2021; 43:260-266. [PMID: 34214010 DOI: 10.1080/08897077.2021.1941506] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Background: In this qualitative exploration, we report on a thematic analysis of the key role that engaging in meaningful activities may play in recovery processes for people with a diagnosis of substance use disorder (SUD). Methods: We conducted semi-structured, individual interviews with 30 participants and analyzed the parts of this material that were related to meaningful activities. Results: The findings are summarized through the development of three broad themes: (a) the central role of work-"The wages suck, but the job is gold"; (b) mastery and commitment-"I had to get up early, find my spot, I had to be present and fully functioning all day"; and (c) repairing the bridge to community life-"It's my job and working out that has made this possible, really, I see that now." Conclusion: We discuss these findings in relation to a recovery perspective and relevant empirical studies, highlight some important implications for research and practice, and consider the strengths and limitations of the present study.
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Affiliation(s)
- Marius Veseth
- Department of Clinical Psychology, University of Bergen, Bergen, Norway
| | | | - Sverre Nesvaag
- Centre for Alcohol and Drug Research, Stavanger University Hospital, Stavanger, Norway
| | - Christian Moltu
- Department of Psychiatry, District General Hospital of Førde, Førde, Norway.,Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Førde, Norway
| | - Larry Davidson
- Program for Recovery and Community Mental Health, Yale University, New Haven, Connecticut, USA
| | - Jone Bjornestad
- Department of Social Studies, Faculty of Social Sciences, University of Stavanger, Stavanger, Norway
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4
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Bauer GF, Roy M, Bakibinga P, Contu P, Downe S, Eriksson M, Espnes GA, Jensen BB, Juvinya Canal D, Lindström B, Mana A, Mittelmark MB, Morgan AR, Pelikan JM, Saboga-Nunes L, Sagy S, Shorey S, Vaandrager L, Vinje HF. Future directions for the concept of salutogenesis: a position article. Health Promot Int 2020; 35:187-195. [PMID: 31219568 DOI: 10.1093/heapro/daz057] [Citation(s) in RCA: 40] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Aaron Antonovsky advanced the concept of salutogenesis almost four decades ago (Antonovsky, Health, Stress and Coping. Jossey-Bass, San Francisco, CA, 1979; Unravelling the Mystery of Health. Jossey-Bass, San Francisco, CA, 1987). Salutogenesis posits that life experiences shape the sense of coherence (SOC) that helps to mobilize resources to cope with stressors and manage tension successfully (determining one's movement on the health Ease/Dis-ease continuum). Antonovsky considered the three-dimensional SOC (i.e. comprehensibility, manageability, meaningfulness) as the key answer to his question about the origin of health. The field of health promotion has adopted the concept of salutogenesis as reflected in the international Handbook of Salutogenesis (Mittelmark et al., The Handbook of Salutogenesis. Springer, New York, 2016). However, health promotion mostly builds on the more vague, general salutogenic orientation that implies the need to foster resources and capacities to promote health and wellbeing. To strengthen the knowledge base of salutogenesis, the Global Working Group on Salutogenesis (GWG-Sal) of the International Union of Health Promotion and Education produced the Handbook of Salutogenesis. During the creation of the handbook and the regular meetings of the GWG-Sal, the working group identified four key conceptual issues to be advanced: (i) the overall salutogenic model of health; (ii) the SOC concept; (iii) the design of salutogenic interventions and change processes in complex systems; (iv) the application of salutogenesis beyond health sector. For each of these areas, we first highlight Antonovsky's original contribution and then present suggestions for future development. These ideas will help guide GWG-Sal's work to strengthen salutogenesis as a theory base for health promotion.
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Affiliation(s)
- G F Bauer
- Center of Salutogenesis, Institute of Epidemiology, Biostatistics, Prevention, University of Zurich, Hirschengraben 84, 8001 Zurich, Switzerland
| | - M Roy
- Department of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, Quebec J1H 5N4, Canada
| | - P Bakibinga
- Health Challenges and Systems Research Program, African Population & Health Research Center, PO Box 10787-00100, Nairobi, Kenya
| | - P Contu
- Department of Medical Sciences and Public health, University of Cagliari, Via Università 40, Cagliari, Sardegna, Italy
| | - S Downe
- School of Community Health and Midwifery, University of Central Lancashire, Fylde Rd, Preston PR1 2HE, UK
| | - M Eriksson
- Center of Salutogenesis, University West, 461 86 Trollhättan, Sweden
| | - G A Espnes
- Center for Health Promotion Research, Norwegian University of Science and Technology, NO-7491 Trondheim, Norway
| | - B B Jensen
- Health Promotion, Steno Diabetes Center Copenhagen, Vej 6 2820 Gentofte, Denmark
| | - D Juvinya Canal
- Faculty of Nursing, University of Girona, 17004 Girona, Spain
| | - B Lindström
- Center for Health Promotion Research, Norwegian University of Science and Technology, NO-7491 Trondheim, Norway
| | - A Mana
- Peres Academic Center, Israel Martin Springer Center of Conflict Studies, Ben-Gurion University, PO Box 653 Beer-Sheva, Israel
| | - M B Mittelmark
- Department of Health Promotion and Development, University of Bergen, Christiesgt. 13, 5020 Bergen, Norway
| | - A R Morgan
- School of Health and Life Sciences, Glasgow Caledonian University, Glasgow G4 0BA, UK
| | - J M Pelikan
- Institute of Sociology, University of Vienna, A-1090 Wien, Rooseveltplatz 2, Vienna, Austria
| | - L Saboga-Nunes
- Institute of Sociology, University of Education Freiburg, Kunzenweg 21, 79117 Freiburg, Germany
| | - S Sagy
- Peres Academic Center, Israel Martin Springer Center of Conflict Studies, Ben-Gurion University, PO Box 653 Beer-Sheva, Israel
| | - S Shorey
- Alice Lee Center for Nursing Studies, Yong Lo Lin School of Medicine, 10 Medical Drive, Singapore 117597
| | - L Vaandrager
- Department of Social Sciences, Health and Society, Wageningen University, Droevendaalsesteeg 4, 6708 PB Wageningen, The Netherlands
| | - H F Vinje
- Faculty of Health and Social Sciences, Department of Health, Social and Welfare Studies, University College of Southeast Norway, PO Box 235 3603 Kongsberg, Vestfold, Norway
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Jason LA, Guerrero M, Salomon-Amend M, Lynch G, Stevens E, Light JM, Stoolmiller M, Doogan NJ. Network measures of advice-seeking and resource sharing are related to well-being in recovery homes. THE INTERNATIONAL JOURNAL OF DRUG POLICY 2020; 92:102970. [PMID: 33243599 DOI: 10.1016/j.drugpo.2020.102970] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Revised: 09/20/2020] [Accepted: 09/21/2020] [Indexed: 11/29/2022]
Abstract
BACKGROUND There is a need to better understand the extent to which social capital (reflected in social networks tapping friendship, financial support, advice/informational support) can aid recovery for those residents living in abstinence-based recovery homes. METHODS Social network characteristics of 42 recovery homes (Oxford Houses) were examined, including friendship, willingness to loan money, and advice-seeking to assess the extent to which house network patterns were related to house-level resident measures of proximal recovery outcomes of well-being (e.g. social support, self-esteem, stress) and financial health (e.g. earned wages). RESULTS We found that the density of the willingness to loan money network within a house was positively associated with house-level earned wages, social support, and self-esteem, and negatively associated with stress. Conversely, the density of house advice-seeking relationships was positively related to house-level stress. CONCLUSIONS Houses in which residents are willing to share resources with other members who may be in need showed higher rates of well-being at the house-level. Advice-seeking in itself may signal stress, as stress may motivate residents to seek advice from more peers. The implications of these findings are discussed.
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Colomer-Pérez N, Chover-Sierra E, Gea-Caballero V, Paredes-Carbonell JJ. Health Assets, Vocation and Zest for Healthcare work. A Salutogenic Approach to Active Coping among Certified Nursing Assistant Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17103586. [PMID: 32443778 PMCID: PMC7277762 DOI: 10.3390/ijerph17103586] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Revised: 05/15/2020] [Accepted: 05/18/2020] [Indexed: 12/19/2022]
Abstract
People's health assets (HA) mapping process and design dynamization strategies for it are paramount issues for health promotion. These strategies improve the health heritage of individuals and communities as both the salutogenic model of health (SMH) and health assets model (HAM) defend. Connecting and mobilizing HA and strengthens the 'sense of coherence' (SOC) are both related to enhancing stress active and effective coping strategies. This study aims to describe the HA present in a population of certified nursing assistant students (n = 921) in Spain and then to explore their relationships with the SOC, the motivation to choose healthcare studies and their academic performance. A great variety of HA were identified and mapped. Findings showed that individuals with greater motivation towards self-care and 'caring for others' as internal HA, possessed higher SOC levels and a strong vocation for healthcare work. Differences in HA were identified according to gender, age and employment situation. Consistent connections between the care-relation factor and vocational factor with interpersonal and extrapersonal HA were reported. Evidence and results substantiated the salutogenic and asset-based approach as a proper strategy to strengthen SOC, dynamize their HA map, reinforce the sense of calling and enable Certified Nurse Assistant (CNA) students to buffer against caregiving-related stress and thrive in their profession.
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Affiliation(s)
- Natura Colomer-Pérez
- Department of Nursing, University of Valencia, 46010 Valencia, Spain;
- Development and Advising in Traffic Safety (DATS) Research Group, INTRAS (Instituto de Investigación en Tráfico y Seguridad Vial), 46022 Valencia, Spain
- Correspondence:
| | - Elena Chover-Sierra
- Department of Nursing, University of Valencia, 46010 Valencia, Spain;
- Consorcio Hospital General Universitario de Valencia, Medicina Interna, 46014 Valencia, Spain
| | - Vicente Gea-Caballero
- Escuela de Enfermería La Fe, Centro adscrito Universitat de València, 46026 València, Spain;
- Grupo de Investigación GREIACC, Instituto de Investigación Sanitaria IIS La Fe, 46026 València, Spain
| | - Joan J. Paredes-Carbonell
- Centre de Salut Pública d’Alzira, Conselleria de Sanitat Universal i Salut Pública, Alzira, 46600 València, Spain;
- Fundació per al Foment de la Investigació Sanitària i Biomèdica de la Comunitat Valenciana (FISABIO), 46035 València, Spain
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Kougiali ZG, Soar K, Pytlik A, Brown J, Wozniak K, Nsumba F, Wilkins T, Oliva E, Osunsanya S, Clarke C, Casalotti S, Pendry B. Jigsaw Recovery: The Spatio-temporalities of Alcohol Abuse and Recovery in a Non-interventionist, Peer-led Service. ALCOHOLISM TREATMENT QUARTERLY 2020. [DOI: 10.1080/07347324.2019.1686960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
| | - Kirstie Soar
- School of Psychology, University of East London, London, UK
| | - Alicja Pytlik
- School of Psychology, University of East London, London, UK
| | - Jade Brown
- School of Psychology, University of East London, London, UK
| | | | - Freda Nsumba
- School of Psychology, University of East London, London, UK
| | - Tamar Wilkins
- School of Psychology, University of East London, London, UK
| | - Emma Oliva
- School of Psychology, University of East London, London, UK
| | | | | | - Stefano Casalotti
- School of Health, Sport and Bioscience, University of East London, Stratford, London, UK
| | - Barbara Pendry
- School of Health, Sport and Bioscience, University of East London, Stratford, London, UK
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Place and recovery from alcohol dependence: A journey through photovoice. Health Place 2017; 47:147-155. [DOI: 10.1016/j.healthplace.2017.08.008] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2017] [Revised: 08/17/2017] [Accepted: 08/29/2017] [Indexed: 11/17/2022]
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Situating drugs and drug use geographically: From place to space and back again. THE INTERNATIONAL JOURNAL OF DRUG POLICY 2016; 33:1-5. [DOI: 10.1016/j.drugpo.2016.06.009] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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