CNC:MH 92446 Assessment 2: Collaborative Mental Health Nursing Report

This report delves into collaborative mental health nursing practice, emphasizing the crucial nurse-consumer relationship. It explores the necessity for mental health nurses to understand the experiences of individuals living with mental disorders, highlighting the importance of empathy, trust, and effective communication. The report analyzes the significance of therapeutic relationships, the development of essential nursing skills, and the role of communication in fostering patient well-being. It also examines the importance of nurses developing their own practice to improve collaboration and enhance patient care within the mental health setting. The report incorporates peer-reviewed literature to support its arguments and provides a comprehensive overview of the key elements contributing to successful collaborative mental health nursing.

Running head: COLLABORATIVE MENTAL HEALTH NURSING PRACTICE 1
Collaborative Mental Health Nursing Practice
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COLLABORATIVE MENTAL HEALTH NURSING PRACTICE 2
Introduction
Mental health is essential to the well-being of an individual, society and the country. It is more
than the absence of mental disorder. It comprises a state of well-being whereby a person is aware
of his or her abilities and can handle the normal stresses of life, work productively and positively
contribute to the community. Mental health problems are common throughout the world. It is
estimated that over 450 million people suffer from a behavioral or a mental problem and about
one million people commit suicide every year (Titchkosky, & Aubrecht, 2015). Nurses are the
largest group of specialists providing mental health treatment and care in both primary and
specialist health facilities. Nurses can greatly contribute to the prevention, treatment, and
promotion of mental health disorders like depression, schizophrenia, alcohol use disorder, and
bipolar disorder among others.
Collaborative nurse-consumer relationship, persons living with mental illness (consumer) and
nurse (cares) positive belief, attitude, and values towards each other and their partnership. For
the relationship to be successful, rules should be set on how each partner relates to the other, and
the decision-making process needs to be clearly defined. Lived experienced is the knowledge and
understanding acquired when you have lived through a certain condition. The term mental health
lived experience is used to describe people living with mental illness (consumers) and family,
friends or nurses supporting an individual living with mental illness (cares).
The significance of this assignment is to understand the elements needed to build effective nurse-
patient collaboration and to gain insights into nursing roles in establishing an operational nurse-
patient collaboration.
Importance of mental health nurse understanding the health care consumer's experiences
of living with the effects of a mental disorder
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The caring of mentally ill persons has been in existence since prehistorical times although it
occurred in different forms. Tribal rituals were used to treat mentally ill patients and if it was
ineffective, the affected person was abandoned (Walker, Whitener, Trupin, & Migliarini, 2015).
In the 21st century, profound knowledge of the cause and treatment of mental disorder has
improved, and the multidisciplinary approach has been adapted. The psychiatric nurse is required
to work in close relationship with fellow health practitioners, patients, their families, psychiatric
social workers, clinical psychologist, and therapist who teaches life skills. Each family forms an
integral part of a multidisciplinary team employing an extensive range of treatments.
A nurse needs to gain an understanding of the health care consumer experience of living with the
effects of mental disorder because the nurse will be mindful of his or her fears, worries and
feelings when working with the patient (Zelle, Kemp, & Bonnie, 2015). This will allow the nurse
to accept a patient’s differences and challenges with no judgment. When the nurse displays a
genuine interest and develops empathy, the patient trust will begin to develop therefore, the
patient will identify and attach themselves with those who accept them, this will reduce the
patient discomfort, anxiety, and tension (Calnan, Rowe 2014). A therapeutic relationship can be
defined as strictly professional association between a nurse and a patient that centers on the
patient ideas, needs, problems and feelings. The patient will experience positive changes when
his or her needs are addressed fully. A therapeutic collaboration is considered the foundation of
mental health care and the support for changing insight and behavior. A therapeutic relationship
is based on respect, mutual trust, being sensitive to self and others, nurturing of hope and faith,
and assisting with the gratification of the client’s spiritual, emotional, and physical needs through
skills and knowledge of a caregiver (Dixon, Holoshitz, & Nossel, 2016).
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Therapeutic relationships are fundamental in all evidence-based practices, an interactive and
sensitive relationship is based on friendliness, kindness, optimistic approach, sense of humor,
and objectiveness. Through the established trust, the nurse can relieve distress by actively
listening to concerns and improve morale in line with established outcomes, therefore
empowering the client to partake in the recovery process (Haine-Schlagel, & Walsh, 2015). The
therapeutic relationship recognizes the patient as part of the treatment and is given top priorities.
The nurses is required assist the patient to acquire new skills and experiences to enable them to
cope up with their abnormalities. The nurse will also be able to assist the patient to exploit
services convenient to them based on self-interest and needs. This will enable the patient to strike
a balance between the need for independence and dependence. The patient will continue
developing new skills, problem-solving and interpersonal skills, the nurse will be able to assess
and assist in developing and meeting new needs as they emerge. In winding-up nurse-client
collaboration, the nurse and the patient need to have a mutual understanding, thereafter, both
parties will experience some degree of independent (Orchard, Sonibare, Morse, Collins, & Al-
Hamad, 2017). . The patient can search for other source of support, problem prevention or be
integrated in illness experience program.
Personal nursing practice that develop when dealing with health care consumer who has
experienced a mental disorder.
The nurse and the client need to work in collaboration. The primary objective of the nurse is to
assist the clients manage their situation and as a result the nurse develops their caring and
nursing skills. Consistence development and demonstration of this behavior, attitude, and skills
are important in fostering an effective therapeutic relationship. I believe that the most significant
skill that a nurse can develop is communication. Communication between the nurse and the
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COLLABORATIVE MENTAL HEALTH NURSING PRACTICE 5
patient is initiated at the first contact of the two parties and is maintained throughout the
therapeutic relationship. Communication can be defined as the act of exchange or conveying of
ideas, messages, thought, information and knowledge through speech, signals, visual, behavior,
and writing. It can also be defined as a means by which a person gives to or receive from
someone information about the person’s desire, needs, perceptions, effective state and
knowledge (Wiechula, Conroy, Kitson, Marshall, Whitaker, & Rasmussen, 2016).
Communication between nurses and patients is important for quality and safe health care.
Therapeutic communication requires nurses to use communication in a way that will benefit the
client. Communication is also one of the core competencies in psychiatric care and plays a
significant role in establishing a therapeutic relationship. Through communication, the nurse will
discover why the patient seeking treatment, share opinion, expectation, and experience based on
previous experience (Crawford, Candlin, & Roger, 2017) Nurses are the first to notice variations
in a patient status therefore, they need to have a sturdy focus on communication and continuous
flow of information. It is also through communication; the nurse will develop an unpretentious
interest in the patient and show empathy. The patient will also gain trust, confidence, and respect
to the nurse, therefore, be able to open up, this will reduce anxiety and tension between them
(Calnan, Rowe 2014) The responsibility of the nurse in relation to the clients is to make sure that
communication is applicable to the patient values and understanding and also empower them.
communication between nurse and client can be boost through practice such as bedside
handovers and regarding the patient as partners and an active participant in the communication
(O'Halloran, Worrall, & Hickson, 2015). Through the improvement of communication, nurses
can be able to identify patient safety issues. The paramount goal of communication is to establish
acceptance of each other, identify problems and feelings, develop clarity about client’s
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preconceptions and expectations of the nurse and nursing (Bruton, Norton, Smyth, Ward, & Day,
2016).
Conclusion
The delivery of quality services by the nurse is a important part of nursing in a therapeutic
relationship. For the nurse to offer this service, several components of nurse-client collaboration
are important (Moyle, 2013). The main role in nurse-client collaboration involves conveying
safety, protection, and physical care through assisting in treatment, self-care and attending to the
patient care of the daily living. In the mental health setting, psychiatric nurses are bounded by
code of conduct to care and form therapeutic to their patients. The relationship depends on the
nature of illness, disorder, and continuity of care. Nurses portray themselves as being capable of
offering help and promote genuine interest and respect to the patient. The nurse possesses
knowledge and skill but they also become emotional when through interaction with the patient
(Moyle, 2013). Good communication and a trusting relationship are essential as it improves the
quality of care the patient receives. Patient empowerment was also observed in the study as it
increases self-respect and understanding which fosters patient dependency. Nurses must be
aware of the process needed to repair, foster and maintain the therapeutic collaboration. Patient
recovery process requires genuineness, trust, dignity, patient empowerment and respect.
Reference
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Bruton, J., Norton, C., Smyth, N., Ward, H. and Day, S., 2016. Nurse handover: patient and
staff experiences. British journal of nursing, 25(7), pp.386-393.
Calnan, M., & Rowe, R. E. (2004). Trust in Health Care: An Agenda for Future Research:
Discussion Paper. Nuffield Trust.
Crawford, T., Candlin, S. and Roger, P., 2017. New perspectives on understanding cultural
diversity in nurse–patient communication. Collegian, 24(1), pp.63-69.
Dixon, L.B., Holoshitz, Y. and Nossel, I., 2016. Treatment engagement of individuals
experiencing mental illness: review and update. World Psychiatry, 15(1), pp.13-20.
Haine-Schlagel, R. and Walsh, N.E., 2015. A review of parent participation engagement in
child and family mental health treatment. Clinical Child and Family Psychology
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Moyle, W. (2013). Nurse–patient relationship: A dichotomy of expectations. International
Journal of Mental Health Nursing, 12(2), 103-109.
O'Halloran, R., Worrall, L. and Hickson, L., 2015. Environmental factors that influence
communication between patients and their healthcare providers in acute hospital stroke units:
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pp.1-18.
Orchard, C.A., Sonibare, O., Morse, A., Collins, J. and Al-Hamad, A., 2017. Collaborative
Leadership, Part 2: The Role of the Nurse Leader in Interprofessional Team-Based Practice-
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Titchkosky, T. and Aubrecht, K., 2015. WHO's MIND, whose future? Mental health projects
as colonial logics. Social Identities, 21(1), pp.69-84.
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Walker, S.C., Whitener, R., Trupin, E.W. and Migliarini, N., 2015. American Indian
perspectives on evidence-based practice implementation: Results from a statewide tribal
mental health gathering. Administration and Policy in Mental Health and Mental Health
Services Research, 42(1), pp.29-39.
Wiechula, R., Conroy, T., Kitson, A.L., Marshall, R.J., Whitaker, N. and Rasmussen, P.,
2016. Umbrella review of the evidence: what factors influence the caring relationship
between a nurse and patient?. Journal of Advanced Nursing, 72(4), pp.723-734.
Zelle, H., Kemp, K. and Bonnie, R.J., 2015. Advance directives in mental health care:
evidence, challenges and promise. World Psychiatry, 14(3), p.278.
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