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Le Lagadec D, Jackson D, West S, Cleary M. Onwards and Upwards: Tricks and Tips for the New Psychiatric-Mental Health Nursing PhD Graduate. Issues Ment Health Nurs 2024; 45:444-448. [PMID: 37699116 DOI: 10.1080/01612840.2023.2250854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/14/2023]
Affiliation(s)
- Danielle Le Lagadec
- School of Nursing, Midwifery, and Social Sciences, CQUniversity, Queensland, Australia
| | - Debra Jackson
- Susan Wakil School of Nursing, University of Sydney, NSW, Australia
| | - Sancia West
- School of Nursing, Midwifery, and Social Sciences, CQUniversity, Queensland, Australia
| | - Michelle Cleary
- School of Nursing, Midwifery, and Social Sciences, CQUniversity, Queensland, Australia
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2
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Michalec B, Gómez-Morales A, Tilburt JC, Hafferty FW. Examining Impostor Phenomenon Through the Lens of Humility: Spotlighting Conceptual (Dis)Connections. Mayo Clin Proc 2023:S0025-6196(23)00031-9. [PMID: 37125973 DOI: 10.1016/j.mayocp.2023.01.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Revised: 12/23/2022] [Accepted: 01/30/2023] [Indexed: 05/02/2023]
Abstract
Impostor phenomenon has gained increasing attention within the health care and health professions education literature. Although consistently depicted as a debilitating socioemotional experience, studies also suggest a strategic aspect to impostor phenomenon - denoting a conceptual ambiguity to impostor phenomenon that has yet to fully examined. Within this paper, we use humility as a conceptual sparring partner with impostor phenomenon to examine the similarities and differences between the concepts, as well as explore the various nuances associated with impostor phenomenon. By comparing and contrasting impostor phenomenon and humility from interdisciplinary perspectives and within the context of health professions specifically, we not only further refine their meaning and usage within the literature, but also spotlight key areas for future research.
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Affiliation(s)
- Barret Michalec
- Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA.
| | - Abigail Gómez-Morales
- Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA
| | - Jon C Tilburt
- General Internal Medicine, Biomedical Ethics Research Program, Mayo Clinic, Scottsdale, AZ, USA
| | - Frederic W Hafferty
- Division of General Internal Medicine, Program in Professional and Values, Mayo Clinic, Rochester, MN, USA
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Waldemar AK, Esbensen BA, Korsbek L, Petersen L, Arnfred S. Recovery-oriented practice: Participant observations of the interactions between patients and health professionals in mental health inpatient settings. Int J Ment Health Nurs 2019; 28:318-329. [PMID: 30151987 DOI: 10.1111/inm.12537] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/05/2018] [Indexed: 11/30/2022]
Abstract
Despite an increasing attention towards recovery orientation in the mental health services, the provision of recovery-oriented practice is challenged in the inpatient wards. Moreover, the existing research within this area is modest and we currently have limited knowledge of how recovery-oriented practice is integrated into inpatient settings. A cornerstone of recovery-oriented practice is the collaboration, patient involvement, and choices, particularly when deciding and planning treatment options. Thus, this ethnographic study aimed to explore how recovery-oriented practice is reflected in the interactions between patients and health professionals around treatment in two mental health inpatient wards in Denmark. Participant observations were conducted in two mental health inpatient wards from November 2014 to January 2015. The Recovery Self-Assessment scale inspired the observation guide and the initial data analysis. Field notes were analysed deductively and inductively using qualitative content analysis. One theme with four subthemes emerged showing that interactions were characterized by an 'as-if collaboration' where 'negotiating on limited grounds' was an important feature of interactions, in which health professionals seemed to have superiority, acting on behalf of 'competing demands'. Patients had to navigate in a field of 'inconsistent guidance and postponed decisions' and faced tendencies of 'control and condescending communication'. The results suggest that recovery oriented values such as equal collaboration, choice and patients' personal preferences are reflected rhetorically in the interactions between patients and health professionals. However, they are negotiated within organizational logics and often overruled by competing demands.
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Affiliation(s)
- Anna Kristine Waldemar
- Competence Centre for Rehabilitation and Recovery, Mental Health Centre Ballerup, Mental Health Services in the Capital Region of Denmark, Copenhagen, Denmark
| | - Bente Appel Esbensen
- Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.,Copenhagen Centre for Arthritis Research, Centre for Rheumatology and Spine Diseases VRR, Centre for Head and Orthopaedics, Rigshospitalet, Glostrup, Denmark
| | - Lisa Korsbek
- Competence Centre for Rehabilitation and Recovery, Mental Health Centre Ballerup, Mental Health Services in the Capital Region of Denmark, Copenhagen, Denmark
| | - Lone Petersen
- Competence Centre for Rehabilitation and Recovery, Mental Health Centre Ballerup, Mental Health Services in the Capital Region of Denmark, Copenhagen, Denmark
| | - Sidse Arnfred
- Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.,Psychiatry West, Psychiatric Hospital Slagelse, Region Zealand Mental Health Services, Slagelse, Denmark
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Vahidi M, Ebrahimi H, Areshtanab HN, Jafarabadi MA, Lees D, Foong A, Cleary M. Therapeutic Relationships and Safety of Care in Iranian Psychiatric Inpatient Units. Issues Ment Health Nurs 2018; 39:967-976. [PMID: 30204047 DOI: 10.1080/01612840.2018.1485795] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Enhancing therapeutic relationships between patients and staff is of central importance to improve the quality and safety of care in psychiatric inpatient units. However, there is limited evidence as to how therapeutic relationships may be enabled in this specific context. This paper presents findings of a study that explored the link between therapeutic relationships and safety in Iranian psychiatric inpatient units. In this exploratory, descriptive study, seven patients at the point of discharge and 19 staff in psychiatric inpatient units in Iran were interviewed regarding their experiences of care. The quality of staff-patient relationship in providing a safe environment was categorized into two groups of "facilitators" and "inhibitors". Facilitators of a safe environment included "supportive relationship with patients" and "improving patient capacity for self-efficacy/self-control". Inhibitors, on the other hand, included "detachment from patients" and "domination over patients", which ultimately limited safety on the ward. Findings indicate interrelated environmental, patient and staff factors mediating the potential for therapeutic relationships and quality and safety of care. Findings suggest the need for more effective preparation and support for staff working within psychiatric inpatient settings. In addition, environments more conducive to collaborative recovery-oriented practice are required to enhance therapeutic relationships and improve quality and safety of care. Both individual staff responsibility and effective leadership are required to realize change.
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Affiliation(s)
- Maryam Vahidi
- a Department of Psychiatric Nursing, Faculty of Nursing & Midwifery , Tabriz University of Medical Sciences , Tabriz , Iran
| | - Hossein Ebrahimi
- a Department of Psychiatric Nursing, Faculty of Nursing & Midwifery , Tabriz University of Medical Sciences , Tabriz , Iran
| | - Hossein Namdar Areshtanab
- a Department of Psychiatric Nursing, Faculty of Nursing & Midwifery , Tabriz University of Medical Sciences , Tabriz , Iran
| | - Mohammad Asghari Jafarabadi
- b Department of Statistics and Epidemiology, Faculty of Health sciences , Tabriz University of Medical Sciences , Tabriz , Iran
| | - David Lees
- c School of Health Sciences , University of Tasmania , Launceston , Tasmania , Australia
| | - Andrew Foong
- d School of Health Sciences , University of Tasmania , Sydney , New South Wales , Australia
| | - Michelle Cleary
- d School of Health Sciences , University of Tasmania , Sydney , New South Wales , Australia
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Raeburn T, Schmied V, Hungerford C, Cleary M. Autonomy Support and Recovery Practice at a Psychosocial Clubhouse. Perspect Psychiatr Care 2017; 53:175-182. [PMID: 26813736 DOI: 10.1111/ppc.12149] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2015] [Revised: 11/09/2015] [Accepted: 11/30/2015] [Indexed: 11/28/2022] Open
Abstract
PURPOSE To explore how recovery practices are embodied in the behavior of staff and implemented by staff and members at a psychosocial clubhouse. DESIGN AND METHODS Case study design guided 120 hr of participation observation and 18 interviews at a psychosocial clubhouse. Data were subjected to thematic analysis guided by self-determination theory. FINDINGS "Autonomy support" emerged as an overarching theme, with three subthemes: "voice cultivating," "talent scouting," and "confidence coaching." PRACTICE IMPLICATIONS Autonomy support is an important means of supporting the self-determination of clubhouse members. The findings of this study inform the ongoing development of the clubhouse involved and also provide insights for health services generally in relation to how to implement recovery-oriented practice.
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Affiliation(s)
- Toby Raeburn
- Toby Raeburn, RN, MA, nurse practitioner is a PhD candidate, School of Nursing & Midwifery, Western Sydney University, Sydney, NSW, Australia
| | - Virginia Schmied
- Virginia Schmied, RN, RM, PhD, is a Professor, School of Nursing and Midwifery, Western Sydney University, NSW, Australia
| | - Catherine Hungerford
- Catherine Hungerford, RN, NP, PhD, FACMHN, is a Professor and Head of School, School of Nursing, Midwifery, and Indigenous Health, Faculty of Science, Charles Sturt University, NSW, Australia
| | - Michelle Cleary
- Michelle Cleary, RN, PhD, is a Professor of Mental Health Nursing, Faculty of Health, University of Tasmania, Sydney, NSW, Australia
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Burmeister OK, Marks E. Rural and remote communities, technology and mental health recovery. JOURNAL OF INFORMATION COMMUNICATION & ETHICS IN SOCIETY 2016. [DOI: 10.1108/jices-10-2015-0033] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
This study aims to explore how health informatics can underpin the successful delivery of recovery-orientated healthcare, in rural and remote regions, to achieve better mental health outcomes. Recovery is an extremely social process that involves being with others and reconnecting with the world.
Design/methodology/approach
An interpretivist study involving 27 clinicians and 13 clients sought to determine how future expenditure on ehealth could improve mental health treatment and service provision in the western Murray Darling Basin of New South Wales, Australia.
Findings
Through the use of targeted ehealth strategies, it is possible to increase both the accessibility of information and the quality of service provision. In small communities, the challenges of distance, access to healthcare and the ease of isolating oneself are best overcome through a combination of technology and communal social responsibility. Technology supplements but cannot completely replace face-to-face interaction in the mental health recovery process.
Originality/value
The recovery model provides a conceptual framework for health informatics in rural and remote regions that is socially responsible. Service providers can affect better recovery for clients through infrastructure that enables timely and responsive remote access whilst driving between appointments. This could include interactive referral services, telehealth access to specialist clinicians, GPS for locating clients in remote areas and mobile coverage for counselling sessions in “real time”. Thus, the technology not only provides better connections but also adds to the responsiveness (and success) of any treatment available.
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Hungerford C, Dowling M, Doyle K. Recovery Outcome Measures: Is There a Place for Culture, Attitudes, and Faith? Perspect Psychiatr Care 2015; 51:171-9. [PMID: 24964725 DOI: 10.1111/ppc.12078] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2014] [Revised: 05/25/2014] [Accepted: 05/29/2014] [Indexed: 11/28/2022] Open
Abstract
PURPOSE Utilization of the Recovery Knowledge Inventory (RKI) and Recovery Attitudes Questionnaire (RAQ) in southeastern Australia raised questions about the RAQ, including links between attitudes, faith, and culture in supporting the recovery journey. These questions are particularly important when considered in the context of people with mental illness who live in secular multicultural societies. CONCLUSIONS This paper discusses the cultural appropriateness of the RAQ in Australian settings, and identifies the need to develop rigorous, inclusive recovery outcome measures. PRACTICE IMPLICATIONS It is important to identify what best motivates people in their recovery journey, and to find a way to harness these motivating factors to achieve the best possible outcomes.
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Affiliation(s)
- Catherine Hungerford
- Disciplines of Nursing and Midwifery, Faculty of Health, University of Canberra, Canberra, Australia
| | | | - Kerry Doyle
- Faculty of Health, University of Canberra, Canberra, Australia
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Cleary M, Hungerford C. Trauma-informed Care and the Research Literature: How Can the Mental Health Nurse Take the Lead to Support Women Who Have Survived Sexual Assault? Issues Ment Health Nurs 2015; 36:370-8. [PMID: 26090698 DOI: 10.3109/01612840.2015.1009661] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
Many women who access mental health services have been subjected to violent acts, including childhood sexual abuse and adult sexual assault, often at the hands of family members and partners. The vulnerability of these women can be further complicated when health professionals lack sensitivity to the issues involved; and the treatment received by the women is insensitive, leading to experiences of re-traumatisation. This article considers the principles of trauma-informed care and practice, as represented in the literature; and explains how mental health nurses can lead the way in multidisciplinary environments to ensure that women who have experienced violence receive the most appropriate health care, and are thereby supported to attain the best possible outcome.
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Affiliation(s)
- Michelle Cleary
- University of Western Sydney, School of Nursing and Midwifery , Sydney, New South Wales , Australia
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Cleary M, Walter G, Sayers J, Lopez V, Hungerford C. Arrogance in the workplace: implications for mental health nurses. Issues Ment Health Nurs 2015; 36:266-71. [PMID: 25988509 DOI: 10.3109/01612840.2014.955934] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Cultures of performativity may contribute to organizational and individual arrogance. Workplace organizations have individuals who at various times will display arrogance, which may manifest in behaviours, such as an exaggerated sense of self-importance, dismissiveness of others, condescending behaviors and an impatient manner. Arrogance is not a flattering label and irrespective of the reason or the position of power, in the context of organizational behaviors, may not be useful and may even be detrimental to the work environment. Thus, it is timely to reflect on the implications of arrogance in the workplace. Advocacy and empowerment can be undermined and relationships adversely impacted, including the achievement of positive consumer outcomes. This paper provides an introduction to arrogance, and then discusses arrogance to promote awareness of the potential consequences of arrogance and its constituent behaviors.
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Affiliation(s)
- Michelle Cleary
- University of Western Sydney, School of Nursing and Midwifery, Sydney, New South Wales, Australia
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Abstract
The terms "model of health care," "service model." and "nursing model of practice" are often used interchangeably in practice, policy, and research, despite differences in definitions. This article considers these terms in the context of consumer-centred recovery and its implementation into a publicly-funded health service organization in Australia. Findings of a case study analysis are used to inform the discussion, which considers the diverse models of health care employed by health professionals; together with the implications for organizations worldwide that are responsible for operationalizing recovery approaches to health care. As part of the discussion, it is suggested that the advent of recovery-oriented services, rather than recovery models of health care, presents challenges for the evaluation of the outcomes of these services. At the same time, this situation provides opportunities for mental health nurses to lead the way, by developing rigorous models of practice that support consumers who have acute, chronic, or severe mental illness on their recovery journey; and generate positive, measureable outcomes.
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Affiliation(s)
- Catherine Hungerford
- University of Canberra, Disciplines of Nursing and Midwifery, Faculty of Health , Canberra , Australia
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