The impact of workplace culture on the accountability of mental health nurses to involve consumers in care planning: A focused ethnography.
accountable
consumer participation
mental health services
patient care planning
risk management workplace culture, recovery
Journal
Nursing & health sciences
ISSN: 1442-2018
Titre abrégé: Nurs Health Sci
Pays: Australia
ID NLM: 100891857
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
revised:
25
12
2020
received:
16
05
2020
accepted:
28
12
2020
pubmed:
4
1
2021
medline:
26
10
2021
entrez:
3
1
2021
Statut:
ppublish
Résumé
Recovery-oriented mental health practice guidelines recommend regular consumer involvement in care plans, yet in many acute settings, these are not routinely created thereby compromising accountability. This study explored the impact of workplace culture on the capacity of mental health nurses to involve consumers in care planning and consequently to work accountably. A focused ethnography was undertaken in one Australian inpatient unit involving mental health nurses and other health professionals. Data were derived from in-depth semistructured interviews with 12 nurses and 6 months of nonparticipant observation of multidisciplinary meetings and clinical handovers. Workplace culture had an impact on mental health nurses' accountability practices. A culture that prioritized reduction in length of stay resulted in less recovery-oriented care. Health professionals who paid more attention to crisis and risk management resulted in fewer opportunities for consumer-involved care planning.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
255-262Informations de copyright
© 2021 John Wiley & Sons Australia, Ltd.
Références
Australian Government, Department of Health (2010). The National Standards for Mental Health Services. Canberra. Retrieved from www.health.gov.au > Home > Education and Prevention > Mental Health > Publications.
Australian Government, Department of Health (2013). National practice standards for the mental health workforce. Canberra. Retrieved from www1.health.gov.au > main > content > wkstd13.
Bee, P., Price, O., Baker, J., & Lovell, K. (2015). Systematic synthesis and facilitators to service user led care planning. The British Journal of Psychiatry, 207, 104-114.
Clancy, L., & Happell, B. (2015). Being accountable or filling in forms: Managers and Clinicians' views about communicating risk. Perspectives in Psychiatric Care, 53, 38-46.
Cleary, M. (2003). The challenges of mental health care reform for contemporary mental health nursing practice. International Journal of Mental Health Nursing, 12, 139-147.
Cleary, M. (2004). The realities of mental health nursing in acute inpatient environments. International Journal of Mental Health Nursing, 13, 53-60.
Coffey, M., Hannigan, B., Meudell, A., Hunt, F., & Fitzsimmons, D. (2016). Study protocol: A mixed methods study to assess mental health recovery, shared decision-making and quality of life (plan 4 recovery). British Medical Journal Health Services Research, 16(1), 392.
Crawford, M., Rutter, D., Manley, C., Weaver, T., Bhui, K., Fulop, N., & Tyrer, P. (2002). Systematic review of involving patients in the planning and development of health care. British Medical Journal, 325(7375), 1263-1265.
Department of Health UK. (2011). No health without mental health: A cross-Government mental health outcomes strategy for people of all ages.
Freeman, A., McWilliams, C., MacKinnon, J., DeLuca, S., & Rappolt, S. (2009). Health professionals enactment of their accountability obligations: Doing the best they can. Social Science and Medicine, 33, 659-665.
Frow, J., & Morris, M. (2000). Cultural studies. In N. Denzin & Y. Lincoln (Eds.), Handbook of qualitative research. London, UK: Sage Publications.
Government of South Australia (2009). Mental health act 2009. In Clinician's Guide & Code of practice, Adelaide: Department of Health.
Government of South Australia, SA Health (2020). Mental Health Services Plan 2020-2025 - SA Health. Retrieved from www.sahealth.sa.gov.au > sa+health+internet > resources.
Government of South Australia, South Australian Mental Health Commission (2017). South Australian mental health strategic plan, 2017-2022. Retrieved from samentalhealthcommission.com.au > what we do.
Grundy, A., Bee, P., Meade, O., Callaghan, P., Beatty, S., Olleveant, N., & Lovell, K. (2016). Bringing meaning to user involvement in mental health care planning: A qualitative exploration of service user perspectives. Journal of Psychiatric and Mental Health Nursing, 23, 12-21.
Henderson, H., Flood, C., Leese, M., Thornicroft, G., Sutherby, K., & Szmuckler, G. (2009). Views of service users and providers on joint crisis plans. Social Psychiatry and Psychiatric Epidemiology, 44(5), 369-376.
Hercelinkskyj, G., Cruickshank, M., Brown, P., & Phillips, B. (2014). Perceptions from the front line: Professional identity in mental health nursing. International Journal of Mental Health Nursing, 23, 24-32.
Higginbottom, G., Pillay, J., & Boadu, N. (2013). Guidance on performing focused ethnographies with an emphasis on healthcare research. The Qualitative Report, 18, 1-16.
Hor, S., Williams, K., White, L., Kennedy, P., & Day, A. (2010). Multiple accountabilities in incident reporting and management. Qualitative Health Research, 20(8), 1091-1100.
Jacob, K. (2015). Recovery model of mental illness: A complementary approach to psychiatric care. Indian Journal of Psychological Medicine, 37(2), 117-119.
KPMG (2015). South Australia Health. Review of consumer flow across the mental health stepped system of care, Final report. Retrieved from www.sahealth.sa.gov.au/...health.../review+of+consumer+flow+across+th e+mental+health.
Krautscheid, L. (2014). Defining professional nursing accountability: A literature review. Journal of Professional Nursing, 30(1), 43-47.
Lambert, N. (2019). Nursing care plans in mental health. Mental Health Practice, 22(6), 33-41.
Leonenko, M., & Drach-Zahavy, A. (2016). ‘You are either out on the court, or sitting on the bench’: Understanding accountability from the perspectives of nurses and nurse managers. Journal of Advanced Nursing, 72(11), 2718-2727.
Lerner, J., & Tedlock, P. (1999). Accounting for the effects of accountability. Psychological Bulletin, 125(2), 255-275.
Manuel, J., & Crowe, M. (2014). Clinical responsibility, accountability and risk aversion in mental health nursing: A descriptive study. International Journal of Mental Health Nursing, 23, 336-343.
McAllister, M., & McCrae, N. (2017). The therapeutic role of mental health nurses in psychiatric intensive care: A mixed-methods investigation in an inner- city mental health service. Journal of Psychiatric and Mental Health Nursing, 24, 491-502.
McHugh, P., & Byrne, P. (2012). The team working challenges of care planning. Irish Journal of Psychological Medicine, 29(3), 185-189.
O'Donovan, A. (2007). Patient-centred care in acute psychiatric admission units: Reality or rhetoric? Journal of Psychiatric and Mental Health Nursing, 14, 542-548.
Omeni, E., Barnes, M., MacDonald, D., Crawford, M., & Rose, D. (2014). Service user involvement: Impact and participation: A survey pf service user and staff perspectives. BMC Health Services Research, 14, 491.
Patton, D. (2013). Strategic direction or operational confusion: Level of service user involvement in Irish acute admission unit care. Journal of Psychiatric and Mental Health Nursing, 20, 387-395.
Pazargadi, M., Moghadam, M., Khoshknab, M., Renani, H., & Molazem, Z. (2015). The patient relationship in the psychiatric unit. Issues in Mental Health Nursing, 36, 551-557.
Rashkovits, S., & Drach-Zahavy, A. (2016). The moderating role of team resources in translating nursing team's accountability into learning and performance: A cross sectional study. Journal of Advanced Nursing, 73(5), 1124-1136.
Reid, R., Escott, P., & Isobel, S. (2018). Collaboration as a process and an outcome: Consumer experiences of collaborating with nurses in care planning in an acute inpatient unit. International Journal of Mental Health Nursing, 27, 1204-1211.
Rio, J. (2019). ‘Accountability matters’. Nurses' accountability enactment for consumer involvement in care planning in one Australian inpatient unit. (PhD). Retrieved from theses.flinders.edu.au.
Roper, J., & Shapira, J. (2000). Ethnography in nursing research. Thousand Oaks, CA: Sage Publications.
Saldana, J. (2009). The coding manual for qualitative researchers. London, UK: Sage Publications.
Sorensen, E., Seebeck, E., Scherb, C., Specht, J., & Loes, J. (2009). The relationship between RN job satisfaction and accountability. Western Journal of Nursing Research, 31(7), 872-888.
Spence Laschinger, H., & Havens, D. (1997). The effect of workplace empowerment on staff nurses' occupational mental health and work effectiveness. Journal of Nursing Administration, 27(6), 42-50.
Thornicroft, G., & Tansella, M. (2005). Growing recognition of the importance of service user involvement in mental health service planning and evaluation. Epidemiology and Psychiatric Sciences, 14(1), 1-3.
Twigg, D., & McCullough, K. (2014). Nurse retention: A review of strategies to create and enhance positive practice environments in clinical settings. International Journal of Nursing Studies, 51(1), 85-92.
Walsh, J., & Boyle, J. (2009). Improving acute psychiatric hospital services according to inpatient experiences. A user-led piece of research as a means to empowerment. Issues in Mental Health Nursing, 30, 31-38.
World Health Organisation. (2001). Mental health: New understanding. New Hope, MN: World Health Report, WHO.