In the current environment, the health system is under massive strain due to various factorial complexities, which includes patient expectation, aging workforce, shortage of health providers, heightened community as well as poor communication. Mental health services are contended to these factors, where additional challenges of client disempowerment within the medical dominated structure. In this case, the collaborative nursing practice is strong attribute to enhance the response-coordination, which can improve the health outcomes at all levels. In both clinical and non-clinical practice, collaborative practice can be defined while various professionals provide comprehensive services to the patient. Person centred approaches of care plan can be effectively aligned through the support of this collaborative care. Percent centred care planning offers preliminary evidence regarding the positive health outcome, which is related with the therapeutic relationship. The current essay will enlighten the evidence based nursing literature on the people, who have experienced mental disorder. The experience-based practice will be reflected to resolve the performance issues based on the existing intervention method, as mentioned in the previous literature.
a Evidence based practices are considered as the systematic use of existing attributes to deal wityh the clinical decision of the patient care. The collaborative practice and person centred care can be facilities using evidence-based practices. In various, psychiatric/Mental health nursing, use of evidence practices is evident. As commented by Valentine et al., (2015), PMHN has been affected by the haphazard trial and the old tradition. In the current environment, several challenges have been occurred in evidence-based practices globally. In this case, barriers can be categorised into four major characteristics such as organisational factor, nature of evidence and characteristics of nurses. In the healthcare setting, the nurses often face difficulties to deal with the evidence-based practices (Newlin et al., 2015).
Due to lack of proper leadership attributes and culture, often nurses cannot facilities required interevention plan and the clinical governance process. In this case, evidence practices need to be fostered through taking support of existing clinical action. The case study of M can be taken into consideration, which has been published in the report of Nottingham community housing association. As per the case, the M is a 32-year-old man, who has been admitted to the service due to mental health issues. He was diagnosed with the schizophrenia and he has also issue of substance misuse. The health problems and substance misuse has lead him in most risky condition (ncha.org.uk, 2018). In order to diagnose him, the community has undertaken a risk assessment and joint need for ensuring that the all risk areas have been met and applied as per the required contingency plan. The nurses have taken proper initiative to control the drug intake habit of Mr M. The care team has also taken support of families of Mr M to resolve his mental issues. Team has taken proper clinical decision through identifying the patient’s personal need on the supportive care. The team has maintained collaborative practice on the decision making task, which is prioritised on person centred attributes. In the nursing practices, the healthcare professionals have to assume an autonomous position as therapeutic agents (Alzayyat, 2014.).
However, Palinkas et al., (2015) commented that, mental illness are often viewed as negative and harsh by the public due to various stereotypes and myth. In many cases, those people are regarded as unpredictable, dangerous and prone to violence. Such stigmas often reflected on the nursing practice, while the nurses are facing issues to deal with the patient centric need and the other attributes. The nurses often face difficulties to take proper clinical decision, while the patient become violent and cannot express their suitability to the undertaken decision. In the general community, the nursing students are not properly immune to the stigma, which are associated with the mental illness (Agreli et al., 2016). Fear and lack of education is the primary barrier to facilitate evidence based nursing practice in the practical field. As per the student’s comment, many people have not any idea that mental problems are a type of health disorder.
Therefore, own perception regarding the mental healthcare practices often the barrier to get positive clinical outcome. Therefore, breaking of stigmatisation is the primary issues to facilitate positive care approach. Awareness is required here to take stronger initiative on the clinical assessment. Therefore, evidence based practice is important here to mitigate the barrier on the healthcare assessment (Newby et al., 2015). Through researching suitable journal and training, the issue of nursing practice can be mitigated. In case of Mr. M it has been visualise that he was living with his girlfriend but the relationship gradually broken down. Therefore, the stress is also a significant factor, which leads to concern of excessive substance use. In the distressed condition, the healthcare practitioners have applied collaborative practice to focus on the specific need of the client, where risk assessment also prioritised. Through proper support, the client cannot face desperate and get a suitable environment to clarify his needs (Broadbent et al., 2015). Through focusing these needs the client can also take proper initiative to control on his behaviour, which lead to severe heal issues. The healthcare team also facilitated his staying in touch with his girlfriend. Therefore, it is clear that prioritisation of patient need is a significant approach to treat mentally ill patients like Mr M. The evidence-based practice can provide proper rationale and guideline to the healthcare practitioner to deal with the mentally ill patients.
b In the mid February 2018, I have worked as a trainee nurse in the Carer Victoria. This organisation primarily provides supports and effective care to the mentally ill patients. The bereavement care also provided here. During the session, the Registered nurse (RN) has given me duty to take care of Mrs. Sesci Savyell, who is 45 years old married women. She has two children and the relationship between them is not good over last 5 years. They are quarrelling with each other and now they are living separately rather than their own home. Sesci has tried to resolve the issue between the relations of two brothers.
However, still she cannot successful to resolve such family issues. In the last year, she had lost her husband and such sudden death of him was massive trauma for Sesci. Due to such trauma and additional issues in the family, the patient is suffering from mental health issues. She often showing violent behaviour and throwing things to the caregivers. As a result, clinical staffs are also become argumentative and violent to treat her. Due to such factors, the required positive health outcome cannot be achieved. Registered nurse has asked me to give her support during the time of medication and the other clinical assessment. During the study, I have gathered specific knowledge regarding the nursing intervention and rationale, which are required for the mental patients. However, previously no I have no knowledge regarding the mental patient in practical health setting, like the other peoples I also affected by the stigmatisation regarding the mental patients. Therefore, I have fear to manage the need of the mental patients. During the first session, I have met her and talked to her regarding her status. However, when the Registered nurse has come to her for the evening check up, she has thrown plates to her. The registered nurse become so angry and forcefully tied her in the bed and conducted the check-up task.
I have observed that the patient is constantly crying during the treatment process and looking at me for seeking some help. However, I was so much frightened after this session and asked the registered nurse to remove me from her duty of care. This was the worst experience in the Carer Victoria and I always feel guilty about my doings during that time. I have not paid attention to Sesci, while she had looked at me for some help. Now, I know that she wants to share her feelings to me regarding the issues but I have not taken attention to her. As a result, I have not followed the principles of Patient centred care. On that time, I should take proper initiative to understand her personal feeling regarding the care attributes. In the previous evidence base cases, I have seen that they have taken proper collaborative risk assessment approach to meeting the personal need of Mr M. On the other hand, I have not addressed the issues of Sesci, which is not required practice as per the nursing code. I have to resolve such issues in the next session of practice. I have to take care of physical and emotional need of the patient. I have to talk with my team and the Registered nurse to facilitate the collaborative practice. I have to understand the importance of evidence based practices and apply it after proper training from mentors and other authorities. On the next session, I will address the patient issues through applying the risk assessment and other responsibilities. I will also improve my communication and interpersonal skill to deal with the client issues.
healthcare companies uk, health minister uk coronavirus, dh gsi gov uk, medi care uk, gb uk healthcare, april uk health insurance reviews, uk healthcare companies, healthcare uk ltd, international healthcare jobs,heakth care, helf care, healthcare goverment, uk health site, government and health care, april health care, partner healthcare jobs, how many health care providers in us, healthcaare, organisations in health care