MENT3000: Applying Functional Behavioral Theory in Nursing

This assignment presents a functional behavioral solution to address issues within a mental health ward, focusing on high conflict levels and overuse of containment interventions. The solution emphasizes maintaining a therapeutic relationship between nurses and patients, increasing patient involvement in daily activities, and encouraging participation in recreational activities. The evaluation process includes assessing therapeutic relations, evaluating the benefits of patient involvement, and assessing replacement strategies using the ABC-FR pathway and the Safewards model. Data collection methods involve tracking improvements in depression scores, self-esteem, and skill development. The efficacy of the data is judged by the preciseness of psychological outcomes, specificity of social skill improvements, and detail regarding self-esteem enhancement. The behavioral solution's efficacy is evaluated by improvements in depression and stress levels, patient satisfaction, skill development through recreational activities, and a decrease in conflict incidents between nurses and patients. Desklib offers similar solved assignments and past papers for students.

FUNCTIONAL
BEHAVIORAL SOLUTION
Name of the student:
Name of the University:

Overview of functional behavioral solution
Maintain therapeutic relationship between
nurse and patient by inculcating positive
values, attitudes and behavior to nurses
Increase involvement of patient in daily
activities by proving task according to
patient’s strength and interest and engaging
them in meaningful activities
Encourage participation of students in
recreational and relaxation activities to
improve skills and reduce psychological
distress (Milne, 2015).

Process of evaluation of functional
behavioral solution
Assessment of therapeutic relation between nurse
and patient by review of total number of conflicts
cases between nurse and questioning patients
regarding formation of trusting relationship with
nurses (Evans, 2016).
Evaluation of benefits of patient’s involvement in
daily activities by assessment of level of distress
and aggression and scoring satisfaction with care
(Halter, 2017).
Assessment of replacement strategies by
observing improvement in social interaction of
patient and self-esteem.

Evaluation in relation to ABC-FR pathway
The evaluation of each solution according to ABC-FR
pathway can be done in the following ways:
For therapeutic relationship: Before (Patient is hurt and
angry with nurse)-Behavior (Patient spends more time
with nurse)- After (patient develops trusting relationship
with nurse)
For involvement in daily life activities: Before (Patient is
distressed and aggressive)-Behavior (patient takes part in
entertaining activities)- After (distress and aggression
level reduced)
For involvement in relaxation activities: Before (Patient is
bored)- Behavior (Patient engage in cooking session):
(boredom reduced and increase in social interaction)
(Milne, 2015)

Evaluation in relation to Safewards model’s domain
Staff team: Impact of internal structure on
outcome
Physical environment: Impact of outside
environment on outcome
Outside hospital: Impact of family on outcome
Patient community: By judging interaction
with other patient
Patient characteristics: By observing
symptoms of depression
Regulatory framework: Influence of legal
framework (Whitmore, 2017)

Data collection to demonstrate result
Improvement in depression score before and
after the intervention represented in bar
graph
Improvement in self-esteem and interest by
self-esteem checklist
Benefits of relaxation activities represented
by development of new skills in patient

Changes depression score before and after the intervention
for four patients represented in bar graph
1
2
3
4
5
0 5 10 15 20 25 30
score after intervention
score before intervention

Self esteem checklist
Self critical thinking
Difficulty making significant decisions as a result of self doubt
Avoidance of situations that are to be criticized
Difficulty making friends and maintaining relationships
Avoiding socializing

Efficacy of the data
Efficacy of the data will be judged by:
Preciseness of psychological outcomes
Specificity of improvement in social skills
Complete detail regarding improvement in
self-esteem (Halter, 2017)

Finding evidence for efficacy of the
behavioral solution
Efficacy of behavioral solution will be evaluated
by:
Looking at improvement in depression and
stress level score
Assessing patient’s experience regarding
satisfaction with care

Finding evidence for efficacy of the
behavioral solution
• Judging the impact of recreational activities
on skill development in patient
• Evaluating nurse-patient relationship by
decrease in the number of conflict incidents.

REFERENCE
Evans, E. C. (2016). Exploring the nuances of nurse-patient
interaction through concept analysis: impact on patient
satisfaction. Nursing science quarterly, 29(1), 62-70.
Halter, M. J. (2017). Varcarolis' Foundations of Psychiatric-
Mental Health Nursing-E-Book: A Clinical Approach.
Elsevier Health Sciences.
Milne, D. (2015). Training Behaviour Therapists (Psychology
Revivals): Methods, Evaluation and Implementation with
Parents, Nurses and Teachers. Routledge
Whitmore, C. (2017). Evaluation of Safewards in forensic
mental health: a response. Mental Health Practice
(2014+), 20(8), 26.