Mental Health Recovery: Approaches And Strategies For Nurses, An Essay.

What is mental health recovery?

Questions:

1.Discusses the meaning of recovery in mental healthcare/ mental health nursing, and identifies its principle tenets. Supports answer by referencing literature and evidence, and writes in manner consistent with academic conventions?

2.Discusses how recovery is applied in mental health nursing, and or mental healthcare in general. Supports answer by referencing literature and evidence, and writes in manner consistent with academic conventions?

3.Discusses how and why nurses develop therapeutic relationships/alliances with consumers. Supports answer by referencing literature and evidence, and writes in manner consistent with academic conventions?

4.In discussing the therapeutic relationship/alliance, the discussion is related to recovery principles. Supports answer by referencing literature and evidence, and writes in manner consistent with academic conventions?

In the views of Newman, O'Reilly, Lee, & Kennedy (2015) mental health recovery is an approach to support an individual in emphasizing their dependences regarding mental disorder. Recovery is a process designed uniquely for every individual for making positive changes in one’s life by removing the root cause of illness. There are various obstacles which leads to development of mental illness for that reason recovery approach need to be adopted explicitly by the nursing and care centres for providing guiding principle of the mental health. Recovery plan is developed by covering all the obstacles as well as elements that violate mental health. Recovery in mental health means brining the person back to its normal condition this could be achieved by making strong connections that help in faster recovery.

According to Michalak et al. (2015) it was stated that recovery can be attained by positive environment that is regulated by involving the individual in social space so that they get a positive meaning of life. Not only public environment supports recovery it also depends on personal psychological space that help in mental health recovery. The recovery process depends on the interpersonal experience and the challenges faced in regards to social context. The principals involve some personal coping techniques that make use of medication or therapies to cope up with disorder. The nurses facilitate the recovery process by medication and psychological strategies. The treatment process can be facilitated by creating a positive work environment for patients. It facilitates effective communication, which is important in identifying the illness and providing proper treatment. Other than that for sustaining the recover social regions are empowered. Recovery process helps an individual to bounce back to normal condition from negative situation. It helps in coping up with the negative factors and focusing on improving the psychological as well as physical health. Mental disorder can be reduced by enlightening the optimism and self-esteem of an individual (Le Boutillier et al 2015). In the research it was found that mental illness can be resolved by formal or informal ways. Like removing the discrimination from the society helps in building positive environment. Recovery plans are developed to build positive strength among an individual.

In the perception of Bhanbhro et al. (2016), recovery in mental health nursing supports patient to recover faster from mental disorder. Strategies designed help the patient to remove the adverse conditions like anxiety or depression. Robust recovery plans reliefs an individual by coping up from stress and other traumas. There are numerous situations which leads to depression but nurses uses resilience methods which help them to stay stable and overcoming all the shortcomings. Nurses take proper actions by identifying the social behaviour of wellbeing. Plans are deployed after knowing the mental status of an individual. Once it is identified what are the issues coping methods are used to remove the social inequality or any other stress issues in the society. As some people suffer from mental illness due to lack of social communication or the feeling of isolation is one of the reason for development of despair. Nurses have undertaken actions to tackle isolation by launching programs that promote ways to remove isolation by building strong social relations. Apart from that numerous psychological treatments like remedies are used to avoid an individual from the pain of mental illness. These plans act like a defensive article that solves the issues of mental illness and provide better opportunities to individual.

Approaches to mental health recovery

In the views of Slade et al. (2014) recovery of mental health is applied in nursing by using national agenda which is helps in developing a  mental health care system. The recovery method of mental illness involves accessing the individual by unique process. In the procedure various motivational tools as well as different recovery techniques are developed for making better decisions. This role of nurses is to outline the strategies in which causes as well as resultant outcomes are mentioned so that they can be used when needed.

According to Kornhaber, Walsh, Duff and Walker (2016), it is very important for nurse to maintain friendly relation with the patient and develop therapeutic relationships with consumers.  It is beneficial to develop therapeutic relation with customer as it improves the interaction of patient with the nurse that plays a significant role in developing the goal for attaining the health behaviour. It helps in focusing the current health status of the patient so that supportive relation is maintained. Nurse’s focuses on building therapeutic relation as it help in recognizing the patient in better way and creates an emotional attachment with the patient. The therapeutic interpersonal relations are essential in enriching the experience of the customers in the healthcare setting. It also yields more positive outcomes and fastens the healing process. In the therapeutic setting, the interpersonal relationship refers to the behaviour in which the patients attain caring, supportive and non-judgemental treatment from these healthcare professionals.

In the perspective of Kourkouta & Papathanasiou (2014) the interpersonal relationships are important in establishing relations emitting warmth and empathy. It is also essential in facilitating effective communication between the patient and the healthcare professionals. The nurses should demonstrate this behaviour to increase the patient’s quality of living and reducing the healthcare cost. This communication is intended to help the patient. Therefore, the skills required in therapeutic interpersonal communication are extensive and more than the normal interpersonal behaviour. In this interpersonal relationship, the nurses must follow the rules of confidentiality and privacy. The patients must establish an environment, where the patients are able to express themselves freely. In the communication, the nurses must be considerate about the age, religion, and the socioeconomic status of the patient.

In the views of Stein-Parbury (2013), other than that, the nurses can also create positive communication environment by following professional communication. They should set limit, if they considers that the relationship is going to violate privacy or mental well-being of the any individual. Along with it, nurses as well as the patients should follow the behaver or courtesy rules such as introducing themselves, making eye contact and saying hello or goodbye. There are several characteristics of the interpersonal communication such as active listening, shared observation, shared empathy, shared feelings and shared hope.

In the perspective of Sherko, Sotiri and Lika, (2013), the development of the therapeutic relationship or alliance is essential in the recovery process of the patients. In the recovery process, the establishment of the quality relationship between nurse-patient is essential in the healthcare setting. In the mental health care, the therapeutic interpersonal relationships are essential and fundamental to the nursing practice. These relationships are essential in the therapeutic outcomes and increasing the speed of the healing process. The interpersonal relationships are vital in the outcomes of the treatment process as it imbibes positive mind-set, which is essential in the healing process. The interpersonal relationship development requires high skills. In the healthcare setting, caring for people require strong efforts which encompasses intensified presence and establishing a connection. They nurses should also be capable of handling novel and unpredictable experiences. It is a challenging process as the nurses have to struggle with providing therapeutic care along with involuntary treatment.

Strategies for mental health nursing

The nurses can use the interpersonal relationships while offering the involuntary treatment to the patients. The regular rounds of the nurse leaders have the capacity to enhance the increase the satisfaction of the patient. There are also several other strategies such as real-time feedback and coaching time, where these relationships can be established. The healthcare organizations should implement training and development programs so that health care professionals can learn these skills.

In the views of Dziopa and Ahern (2009), the interpersonal relationships and the therapeutic treatment process are inter-dependent as the high engagement in the therapeutic process establishes positive interpersonal relationships. The nurses should have deep consideration to the cultural background for establishing therapeutic relationships. They should respect the cultural background of the patient as any unintentional behaviour can result in mental agony. However, in the current times, technology dependence, high work load and complex patient behaviour makes the development of interpersonal relationships challenging. The humour has a strong effect in the development of the interpersonal relationships as it can reduce tense circumstances. It is an effective and efficient strategy to develop interpersonal relationships. Moreover, it is important that the effective therapeutic interpersonal relationships should be geared towards the best practice and treatment of the patients. The nurses should also reflect on the knowledge and their past experience with the patients. It can reduce the cost burden and shortens the duration of stay.

References

Bhanbhro, S., Gee, M., Cook, S., Marston, L., Lean, M. and Killaspy, H., 2016. Recovery-based staff training intervention within mental health rehabilitation units: a two-stage analysis using realistic evaluation principles and framework approach. BMC psychiatry, 16(1), p.292.

Dziopa, F. and Ahern, K.J., 2009. What makes a quality therapeutic relationship in psychiatric/mental health nursing: A review of the research literature. Internet Journal of Advanced Nursing Practice, 10(1), pp.7-7.

Kornhaber, R., Walsh, K., Duff, J. and Walker, K. 2016. Enhancing adult therapeutic interpersonal relationships in the acute health care setting: an integrative review. Journal of multidisciplinary healthcare, 9, 537.

Kourkouta, L. and Papathanasiou, I. V. 2014. Communication in nursing practice. Materia socio-medica, 26(1), 65.

Le Boutillier, Clair, Agnes Chevalier, Vanessa Lawrence, Mary Leamy, Victoria J. Bird, Rob Macpherson, Julie Williams, and Mike Slade. "Staff understanding of recovery-orientated mental health practice: a systematic review and narrative synthesis." Implementation Science 10, no. 1 (2015): 87.

Michalak, E.E., Lane, K., Hole, R., Barnes, S.J., Khatri, N., Lapsley, S., Maxwell, V., Milev, R., Parikh, S.V., Berk, L. and Berk, M., 2015. Towards a better future for Canadians with bipolar disorder: principles and implementation of a community-based participatory research model. Engaged Scholar Journal: Community-Engaged Research, Teaching, and Learning, 1(1).

Newman, D., O'Reilly, P., Lee, S. H., & Kennedy, C. 2015. Mental health service users' experiences of mental health care: an integrative literature review. Journal of psychiatric and mental health nursing, 22(3), 171-182.

Sherko, E., Sotiri, E. and Lika, E., 2013. Therapeutic communication. JAHR, 4(7), pp.457-466.

Slade, M., Amering, M., Farkas, M., Hamilton, B., O'Hagan, M., Panther, G., Perkins, R., Shepherd, G., Tse, S. and Whitley, R., 2014. Uses and abuses of recovery: implementing recovery?oriented practices in mental health systems. World Psychiatry, 13(1), pp.12-20.

Stein-Parbury, J. 2013. Patient and person: Interpersonal skills in nursing. Elsevier Health Sciences.