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92446 CNC: MH Collaborative Mental Health Nursing Practice Assessment 2 Answer

CNC:MH – 92446
Assessment 2: Collaborative Mental Health Nursing Practice (Weight 50%) Marking Criteria
1.Introduction (Total 10 marks)
  • Introduce the topic: collaborative mental health nursing practice with healthcare consumers who have experienced a mental disorder.
  • Define key terms.
  • Outline the purpose of the assignment.
2. Discussion (Total 30 marks)
  • Written in a manner consistent with academic convention: the writing is structured using paragraphs and complete sentences and is free of spelling and grammatical errors.
  • Refer to relevant literature, including a minimum of eight peer-reviewed journal articles and:
  1. Discuss why it is necessary for mental health nurses, when developing a collaborative nurse-consumer relationship, to gain an understanding of the health care consumer's experiences of living with the effects of a mental disorder (15 marks).
  2. Identify one aspect of your own nursing practice - a behaviour, an attitude, or a skill - that requires some development for you to work collaboratively with a health care consumer who has experienced a mental disorder.
Discuss how you could develop this aspect of your own nursing practice
(15 marks).
In part (ii) of the discussion you can use the first person, 'I', when you are discussing your own practice development; however, you must support this section of the discussion with references to relevant literature.
3.Conclusion and Referencing (Total 10 marks)
  • Summarise the major findings of the discussion and form a conclusion.
  • Adhere to the HARVARD UTS reference model for in-text references and the reference list.
Grades:
< 25 Unsatisfactory
25 - 32 Pass
33 - 37 Credit
38 - 42 Distinction
43– 50 High Distinction


Answer

Collaborative Mental Health Nursing Practice

Introduction

Nursing professionals should possess understanding about the experiences that mental health care users go through while developing collaborative relationship with them. The understanding will help health care professionals in identifying issues that they have experienced, provide adequate support to the care users, develop care plan accordingly and also conduct advocacy for care users. Effects of mental health disorder are likely to have adverse impact both on the treatment outcomes as well as may intensify the mental health issues in among clients. 

Collaborative nurse-consumer relationship is a particular form of relationship between healthcare providers and recipients that contributes to therapy in conjunction, or independent through particular formal healing techniques. 

Living with the effects of a mental disorder is a condition that affects individual’s feeling, thinking and ability to perform daily functions or to relate to others. 

 The assignment aims to demonstrate the importance of patient-nurse collaborative relationship and how that depends on nurses understanding on care users experience of living with mental health problems. The assignment further will help nursing professionals in identifying one of the key areas or skills that they feel significant for developing constructive patient-nurse collaborative relationship.

Discussion 

Majority of the people who experience mental ill health recover fully or are able to manage them if they receive early support. Many people’s experience worsens by the discrimination and stigma from society as well as from the health care service providers (Cleary, et al., 2013). Most of the studies have shown negative effect of stigma on the lives of the mentally ill people, such as delay in getting assistance from treatment, social exclusion, unemployment, poor housing and poverty.  

When developing a collaborative relationship with health care users, nurses should have adequate understanding about their experiences of living with the effects of the mental disorder. Nurse- patient therapeutic relationship is of fundamental significance to mental health care users. Research studies have demonstrated positive outcomes driving through nurse patient engagement and improved care satisfaction for the people who were detained. Additionally, nurses with an aim to develop an in depth understanding on the consumer’s perception about living with the effects of a mental disorder results in more hours spent in engagement with patient have found to have higher job satisfaction. Better work satisfaction may also result in fewer sick leaves for the nurses (Goodrich, et al., 2013). Fewer sick leaves again minimises the use of agency nurses who are unaware of the care users.  

It is established in several studies that understanding of mental health experience that care users come across or are have been going through is critical in the development and assessment of complex interventions and knowledge about behaviour and behaviour change to heighten the benefits of interventions (Unützer, et al., 2013). Collaborative or therapeutic relationship is developed on mutual trust, respect, developing hope and faith, meeting care users spiritual, physical and emotional needs through abilities and knowledge of nurses. Collaborative relationship is fostered by nurses through active listening to the care users concerns that improves their morale by referring to the established results and empowering the care users to participate in the recovery. Therefore, when nurses have adequate interest to listen to the issues of the consumer's experiences of living with the effects of a mental disorder, they have understanding about resolving the issues by empowering the care users in active engagement and improve their morale (Huffman, et al., 2014). 

Collaborative relationship ensures that care users are considered with maximum priorities that reinforces in shared decision making for adoption of appropriate medication and behavioural therapies. Nurses through collaborative approach are likely to promote social inclusion, meaningful participation and effective community-based care for consumers’ with acute mental illness so that they can select what is right for them to create the better life for what they have a right to experience. Nurses are in very important position to leave significant impact on the public and with the use of the professional position, nurses can make people aware of the role and scope of advocacy to eradicate stigma (McDaniel, et al., 2014). Hence nurses should have adequate understanding and attitude towards the mental health issues and people who are living with mental health issues before involving them in anti stigma activity. Research shows stigma is one of the major issues among health care providers preventing in effective healthcare integration and adequate mental health support (Morgan, et al., 2015). 

Discrimination and stigma towards mental ill people have adverse impact on the mental health treatment and preventative practices.  Quality of life and rehabilitation process of the mental health customers also are negatively affected by stigma. Educational activities not alone can be effective in addressing stigmatised attitude of people, the nursing staffs are included to work closely with mentally ill people regularly as communication has been found to have very effective role in eliminating stigma. Nurses further should share different needs and concerns of the mental ill customers with other related health care providers so that they care needs can be achieved accurately.  Meeting needs of the mental health care users also is likely to possess positive feelings when their health needs are met as well as nurses works for advocacy to eliminate stigma (Collins, et al., 2013). 

With understanding of health care consumer’s experience of living with stigma and it adverse impact on their quality of lives, nurses are able to develop intervention approach that empowers care users through their active participation in the care service process that uphold the needs and rights while eliminating the stigma from all possible sectors of life so that better treatment outcomes can be achieved (Muskett, 2014). Understanding of different impacts of living with mental disorder also helps nurses in developing their awareness about protecting the rights of the consumers as well as make other people aware how discrimination and stigma can have adverse impact on the mentally ill people through community programs, staff training in clinical settings, awareness campaigns for relatives and friends so that they have supportive approach towards the mentally ill people.  Therefore, understanding of consumer’ experience of effect of mental health is vital for nurses in identifying their health needs, identifying problems, plan to address those problems, and design care plan accordingly that promotes that participation while eliminating the ill effects of mental health issues. 

Cultural awareness is essential aspect to provide patient centred care. Health care user’s care, perception towards health, and wellness, acceptance of treatment and adherence are framed by their values and cultural beliefs (Clifford, et al., 2015). Hence nurses should understand, respect and prioritize mental healthcare consumers needs, preferences that are associated with their practices, beliefs and customs need to be included in the health care service provision planning. Nursing professionals should have in-depth understanding about cultural awareness in care planning and how that can be prioritised to have an improved patient centred outcome. 

To work collaborate with health care users who have experienced mental health problems, I should strengthen my knowledge about cultural beliefs, customs and practices. Healthcare settings in Australia is likely to provide treatment and care to people with different ethnic backgrounds. Providing support and developing collaborative relationship depends significantly on the knowledge and understanding of their cultural beliefs, customs and practices. Different people have different feelings, traditions and perceptions towards care provision even death. Hence prioritizing cultural differences will help me in providing patient centred care which is vital to mental health care users. Multicultural societies may pose diverse challenges in achieving health equality and keep away from any kind of discrimination, as different groups of people of different health care needs and preferences (Truong, et al., 2014). Health services for multicultural groups may experience discrimination as well as lack of accessibility owing to their linguistic and cultural barriers. To address this issue culturally competent nursing care will be the most effective when delivering to the diverse types of population in Australia. 

According to Nielsen, et al., (2014) nurses should know cultural backgrounds of their patients so that culturally competent care can be provided with application of the knowledge in practice. Needs of ethnic groups and immigrants can efficiently be met by cultural competence of nursing professionals. Additionally, ethnic minorities have higher mortality and morbidity due to chronic disease. The major reason of this higher prevalence of diseases and related mortality among ethnic minority groups are found to result from inaccessibility and discrimination in health care settings. Linguistic and cultural barriers are the two key underlying reasons behind inaccessibility and discrimination that ethnic minority groups of population face in availing health care facilities (Spencer, et al., 2015). To remove such discrimination and inequity in health care provision, cultural competence has vital role to play. Hence I should strengthen my cultural competency to build effective collaborative nurse-patient relationship. 

I believe that improved cultural competence will help me in building as well as maintaining a very strong relationship with mental health consumers. Cultural competence will help me in understanding different customs, practices and values of each and every ethnic as well as European population. Every group of population has their own beliefs, traditions and those should be respected and prioritized while providing care to the mental health customers. Not only cultural competency will facilitate them in providing improved care to the patients but care users also will have better trust, satisfaction and dependability on the care professionals who value their culture and respect their cultural uniqueness.  

To strengthen my cultural competence I will adhere to the following plan.

Cultural competence Development plan:

ObjectiveResourcesActivitiesTimeframe
Integrate cultural competency approaches and practices at workplaceOnline sources, libraries, tutor and colleaguesI will further develop my knowledge and awareness about cultural competence approaches and activities that will enable me in showing respect and encourage mental health consumer in active participation in decision making, problem sharing and develop care planning through effective collaborative nurse-patient relationship. I will browse through several available peer reviewed journals, books, websites and reports that are available on cultural competence and techniques of developing cultural awareness. I will further read different articles that are written on different practise, values and approaches of different cultures before providing any mental health support from that specific individual.6 months
Strengthening cultural awareness and practice anti discriminatory and unbiased care Cultural competence trainingCultural competence training will help me in gaining more techniques and strategies about promoting and supporting cultural uniqueness as well as respect individual differences6 months-1 year


Conclusion 

Collaborative nurse-consumer relationship and its importance in providing effective care analysed in the first section of the discussion. Nurses should have in depth understanding and knowledge about mental health consumer’s experiences of living with the effects of mental health problems for building collaborative relationship. Collaborative relationship facilitate nurses in providing need based care through active participation of the care users, listening, identifying the issues and resolving those through advocacy when necessary by the nursing professionals.  Most importantly, effective care plan can be designed through strong collaborative nurse-patient relationship that again is driven by client’s experience of living with the impacts of mental health issues. 

Following section of the discussion has identified an area that a nursing professional should strengthen to have productive collaborative relationship that is cultural awareness and competency. A development plan also has been framed to strengthen this skill as it is vital to efficacious collaborative nurse-patient relationship. 

Therefore, it can be concluded that nursing professionals should have an in-depth knowledge and awareness about cultural competency, which is likely to enable to develop collaborative nurse-patient relationship. Professionals also should have understanding about mental health care user’s experience of living with the influences of mental health issues so that effective care plan can be developed through adequate support and advocacy. 

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