Sunday, December 8, 2019

Mental Health Nursing Practice and Delivery †MyAssignmenthelp.com

Question: Discuss about the Mental Health Nursing Practice and Delivery. Answer: Mental Health nursing practice and delivery has changed over the years in caring for people from different cultures. Handling mental health patients has now become more flexible as compared to the outdated rigid methods, which were there before. People from different cultures perceive situations and their environment differently, therefore, putting into consideration the cultural diversity of the mental health patients is essential in their recovery process and management of their conditions. The varying beliefs can also affect how patients perceive the mental health services they receive. When cultural diversity is not put into consideration during the assessment and treatment of mental health patients, it results in misdiagnosis and poor service delivery (Sharma, Meurk, Bell, Ford Gartner, 2017). This paper will look at how the mental healthnursing practice and delivery has changed over the years and how this has affected the clinical and psychosocial outcomes of people from diffe rent cultures. There used to be specific and rigid procedures involved in the care of mental health patients. These procedures were designed and based on a particular group and it failed to incorporate the views of other diverse cultures. For example, the standardized tests that were being used contained language that could only be understood by a particular group of people. The design of these tests was only appropriate for those in the western countries and some of the constructs being measured were not applicable to people from other cultural groups. The care of patients was also very strict and they were not given the chance to be part of their treatment program. Involving culturally diverse patients in treatment enables the clinician to understand aspects of the patients culture that may be contributing to their condition or that may help in recovery. However, the rigidness and strict rules of mental health services have changed over the years and it has taken into account the cultural diversi ty that exists among mental health patients (Slade, Amering, Farkas, Hamilton Whitley, 2014). To begin with, the approach used during assessment and interaction with mental health patients acknowledges the diversity of values, attitudes, and behaviors found in different cultures (Wand, White Patching, 2010). This has formed a basis for understanding the meaning of concepts within a particular culture. This approach has affected people from different cultures clinically since it enables the clinician to carry out the proper diagnosis of the patients condition from the specific information they get related to the patient's cultural beliefs and understanding of concepts. Psychosocially, it has been beneficial since the patients from diverse cultures; now feel more comfortable seeking mental health services because they feel accepted despite their diversity. It also provides an environment where the patient feels comfortable with the services they are receiving without compromising their values (Macleod, Elliott Brown, 2011). Standardized instruments are now being used in culturally sensitive ways. This is done by putting into consideration the cultural data during the interpretation of the results. Whenever it is possible, accurately translated versions are used instead. Through this, the patient can effectively participate in psychological tests that can determine their mental conditions (Robson, Haddad, Gray Gournay, 2013). The clinician is able to get better results from these tests and this means that the patient will receive effective treatment. Translated versions have helped culturally diverse patients to feel more comfortable undertaking psychological tests since they can understand the concepts clearly. The accurate data obtained from these tests are also very essential in follow-ups that enable the clinician to determine the progress the patient has made (Robson, Haddad, Gray Gournay, 2013). The involvement of the patient in the mental healthnursing practice has also been beneficial. The treatment models are now modified and diverse hence making them largely compatible with the patients expectation. Psychosocially, this ensures greater follow up and patient compliance (Isobel Edwards, 2017). When the patient feels like their values are being respected they are more likely to comply with the treatment they are undergoing since they do not have to compromise what they believe in. Clinically, it encourages the patient to be more open about any issues relating to their treatment. Since the patient feels accepted, they can disclose medication side effects so that they have a replacement in medication or alteration of their dose instead of simply deciding to skip the medication (Grundy, Walker, Meade Callaghan, 2017). In addition, non-compliance to treatment occurs when dissimilar cultures gather in a health care setting leading to a crash in expectations (Whitehead, Wilson, Carlyle Joyce, 2010). In this case, most of the healthcare providers view their clients from a different culture as a hurdle to healthcare delivery. For instance, the eastern people have different beliefs on disease causation and the probable treatment; this is followed by misconceptions and unwillingness to discuss with the healthcare providers about their health, which can lead to a negative clinical outcome. Therefore, to enhance compliance, patients should be educated about illness and the importance of seeking treatment. In addition, healthcare providers should identify factors that cause non- compliance to treatment and establishing a strong patient- nurse relationship (Kidd, Kenny McKinstry, 2015). In conclusion, the paper has discussed how mental health has changed over time and its psychosocial and clinical outcome on individuals from diverse backgrounds. In this case, it is evident that an individuals beliefs, customs, and values are mainly shaped by their cultures. Therefore, culture cannot be ignored when it comes to taking care of mental health patients. Rigid concepts in the mental health service system that was used before impaired the services that were provided to the patients from culturally diverse groups. The changes that have been made over the years to accommodate cultural diversity has greatly improved mental health andnursing practice delivery and resulted in better clinical outcomes and psychosocial well-being for the patients. It is essential to understand other peoples cultures to ensure effective provision of mental health services. References Robson, D., Haddad, M., Gray, R., Gournay, K. (2013). Mental health nursing and physical health care: A cross?sectional study of nurses' attitudes, practice, and perceived training needs for the physical health care of people with severe mental illness.International Journal of Mental Health Nursing,22(5), 409-417.doi: 10.1056/NEJMp1012121 Kidd, S., Kenny, A., McKinstry, C. (2015). The meaning of recovery in a regional mental health service: an action research study.Journal of advanced nursing,71(1), 181-192.doi.10.1111/jan.12472 Grundy, A. C., Walker, L., Meade, Callaghan, P. (2017). Evaluation of a co?delivered training package for community mental health professionals on service user?and carer?involved care planning.Journal of Psychiatric and Mental Health Nursing. 1(3) 23- 45. doi.10.1111/jpm.12378 Macleod, S. H., Elliott, L., Brown, R. (2011). What support can community mental health nurses deliver to carers of people diagnosed with schizophrenia? Findings from a review of the literature.International journal of nursing studies,48(1), 100-120. doi.10.1111/inm.2345 Sharma, R., Meurk, C., Bell, S., Ford, P., Gartner, C. (2017). Australian mental health care practitioners practices and attitudes for encouraging smoking cessation and tobacco harm reduction in smokers with severe mental illness.International Journal of Mental Health Nursing. 5(8) 1102- 1120.doi. 10.1111/inm.12314 Isobel, S., Edwards, C. (2017). Using trauma informed care as a nursing model of care in an acute inpatient mental health unit: A practice development process.International journal of mental health nursing,26(1), 88-94.doi.10.1111/inm.12236 Robson, D., Haddad, M., Gray, R., Gournay, K. (2013). Mental health nursing and physical health care: A cross?sectional study of nurses' attitudes, practice, and perceived training needs for the physical health care of people with severe mental illness.International Journal of Mental Health Nursing,22(5), 409-417.doi.10.1111/j.1447-0349.2012.00883.x Slade, M., Amering, M., Farkas, M., Hamilton, Whitley, R. (2014). Uses and abuses of recovery: implementing recovery?oriented practices in mental health systems.World Psychiatry,13(1), 12-20.doi.10.1002/wps.20084 Wand, T., White, K., Patching, J. (2010). Applying a realist (ic) framework to the evaluation of a new model of emergency department based mental health nursing practice.Nursing inquiry,17(3), 231-239.doi.10.1111/j.1440-1800.2010.00488.x Whitehead, L., Wilson, L., Carlyle, M., Joyce, P. (2010). Disorder-specific psychosocial interventions for bipolar disorderA systematic review of the evidence for mental health nursing practice.International Journal of Nursing Studies,47(7), 896-908.doi. 10.1111/j.1347-0349.2010.00883.x

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