Anthony Welch

Reflecting on holistic nursing: the contribution of an academic with lived experience of mental health service use.

The educational preparation of registered nurses is presumed to reflect a holistic approach with emphasis on the bio-psycho-social model of care. The broader literature suggests this goal is not always realised. The aim of this study is to present the views, experiences, and perceptions of undergraduate nursing students who were taught by an academic with a lived experience of mental health service use. In particular, we wanted to look at the expected impact of this approach to learning on their nursing practice. A qualitative, exploratory approach was used, involving in-depth individual interviews with 12 undergraduate nursing students completing the course, “Recovery for Mental Health Nursing Practice,” as part of a major in mental health nursing in a university in Queensland, Australia. Students were asked to reflect upon and discuss their experiences of being taught by a person with lived experience of mental health service use. Data were analysed following Colaizzis steps to identify the main themes. The three main themes were (1) Recovery—Bringing Holistic Nursing to Life; (2) Influencing Practice; and (3) Gaining Self-Awareness through Course Assessment: Challenge and Opportunity. These themes suggest an appreciation for holistic nursing and an increased capacity for reflective understanding. The responses from participants suggest the Recovery course had a significant impact on their attitudes to nursing and that their nursing practice would be positively enhanced as a consequence.

Clinical placements in mental health: a literature review

Gaining experience in clinical mental health settings is central to the education of health practitioners. To facilitate the ongoing development of knowledge and practice in this area, we performed a review of the literature on clinical placements in mental health settings. Searches in Academic Search Complete, CINAHL, Medline and PsycINFO databases returned 244 records, of which 36 met the selection criteria for this review. Five additional papers were obtained through scanning the reference lists of those papers included from the initial search. The evidence suggests that clinical placements may have multiple benefits (e.g. improving students’ skills, knowledge, attitudes towards people with mental health issues and confidence, as well as reducing their fears and anxieties about working in mental health). The location and structure of placements may affect outcomes, with mental health placements in non-mental health settings appearing to have minimal impact on key outcomes. The availability of clinical placements in mental health settings varies considerably among education providers, with some students completing their training without undertaking such structured clinical experiences. Students have generally reported that their placements in mental health settings have been positive and valuable experiences, but have raised concerns about the amount of support they received from education providers and healthcare staff. Several strategies have been shown to enhance clinical placement experiences (e.g. providing students with adequate preparation in the classroom, implementing learning contracts and providing clinical supervision). Educators and healthcare staff need to work together for the betterment of student learning and the healthcare professions.

The 5-As framework for including sexual concerns in mental health nursing practice.

Available evidence informs us that sexual health concerns of consumers are commonly avoided within mental health services. This paper describes the findings of a qualitative exploratory research project. This research was conducted in three stages, all involving in-depth interviews with 14 nurses working in a mental health setting. Stage 1 involved an exploration of participants’ views about including sexual concerns in their practice and included an educational intervention designed to encourage sexual inclusivity in practice. Stage 2 involved follow up interviews 4–6 weeks later to discuss the effectiveness of the intervention and whether practice change had resulted. Stage 3 was conducted two years later with the aim of determining the extent to which practice changes had been sustained. The themes emerging throughout the research emphasised five main stages in the nurses’ experience: avoidance; awareness; applying; approval; and acknowledgement. Avoidance of the topic was commonly noted in the early stages of the research. The education program led to awareness raising of sexual concerns and approval towards the importance of this area to which lead to applying it to practice. This ultimately resulted in acknowledgement of the need for sexual concerns to become part of mental health nursing practice. These five stages are represented in the Five As for including sexual concerns in mental health nursing practice, the framework developed by the first author.

Social media used as a health intervention in adolescent health: A systematic review of the literature

Objective Adolescents are known to be high users of social media, and social media is beginning to be used in health care. The primary objective of this review was to determine the current state of play on the use of social media as a health intervention in addressing the health of adolescents. Methods Six databases were searched: CINAHL, Medline, Scopus, ProQuest, Psych Info and Science Direct, from 2000–2013. The review process followed PRISMA guidelines with quality assessments of the selected articles undertaken. Results Three studies used social media as a health intervention in adolescent health. Facebook was the social media of choice. The way this social media tool was incorporated as the intervention varied. None of the social media interventions had a significant or sustained impact on the primary outcomes of the studies reviewed. Measures of social media process were limited and lacked meaning. Conclusions The selected papers provided insight into the beginning phase of using social media as a health intervention to address adolescent health. The review highlights three important areas for consideration when undertaking research on the use of social media as a health intervention for adolescents: the newness of using social media as a health intervention, the importance of the use of rigorous methodological processes when using social media as a health intervention, and the need to develop further knowledge on adolescents’ use of social media, in particular their hidden world of social media.

The Phenomena of Auditory Hallucination as Described by Indonesian People Living With Schizophrenia

This study was a phenomenological inquiry of the experience of auditory hallucinations as described by 13 Indonesian people diagnosed with schizophrenia. The interviewees included 6 men and 7 women and they were aged between 19 and 56 years. Four themes emerged from this study: feeling more like a robot than a human being; voices of contradiction--a point of confusion; tattered relationships and family disarray; and normalizing the presence of voices as part of everyday life. The findings of this study have the potential to contribute to new understandings of how people live with and manage auditory hallucinations and so enhance client-centered nursing care.

The Lived Experiences of Single Taiwanese Mothers Being Resilient After Divorce

The lived experiences of being resilient as described by 13 single Taiwanese mothers after divorce was the focus of this study. A descriptive phenomenological approach to inquiry was the theoretical framework underpinning the study. Information was gathered through two in-depth face-to-face digitally recorded interviews with each participant. Each of the participants had suffered from depression. For the analysis of the participants’ transcripts of interview the authors used Colaizzi’s method. Four themes emerged from the analysis process: having faith in God, bending with the ebb and flow of daily life, finding strength in the support and friendship of others, and new found freedom and hope for the future. Findings of this study have the potential to enhance understanding of the mental health needs of single mothers and their children in the provision of holistic health care delivery.

Using Colaizzi’s method of data analysis to explore the experiences of nurse academics teaching on satellite campuses

BACKGROUND Phenomenology is a useful methodological approach in qualitative nursing research. It enables researchers to put aside their perceptions of a phenomenon and give meaning to a participants experiences. Exploring the experiences of others enables previously unavailable insights to be discovered. AIM To delineate the implementation of Colaizzis ( 1978 ) method of data analysis in descriptive phenomenological nursing research. DISCUSSION The use of Colaizzis method of data analysis enabled new knowledge to be revealed and provided insights into the experiences of nurse academics teaching on satellite campuses. Local adaptation of the nursing curriculum and additional unnoticed responsibilities had not been identified previously and warrant further research. CONCLUSION Colaizzis ( 1978 ) method of data analysis is rigorous and robust, and therefore a qualitative method that ensures the credibility and reliability of its results. It allows researchers to reveal emergent themes and their interwoven relationships. Researchers using a descriptive phenomenological approach should consider using this method as a clear and logical process through which the fundamental structure of an experience can be explored. IMPLICATIONS FOR RESEARCH Colaizzis phenomenological methodology can be used reliably to understand peoples experiences. This may prove beneficial in the development of therapeutic policy and the provision of patient-centred care.

Developing a Systematic Literature Review on the Use of Social Media as a Health Intervention in Adolescent Health: A Case Study

A systematic literature review provides the basis for identifying consistency in research processes, quality of research methodology, current knowledge, and gaps in knowledge. This information is important as it provides researchers with guidance on a particular area of knowledge, including what worked well, what did not work well, and the direction that future research may take. A systematic review is different to other forms of literature reviews, and this difference is reflected in the method. The following case study looks at the process undertaken when systematically reviewing the literature on “the use of social media as a health intervention in adolescent health.” In particular, the case study highlights the importance of clearly identifying the topic under review, the use of a tested or proven tool to assess the literature, and the dissemination of the findings, that is, writing up the review so that others may understand and if required replicate the study. The case study provides an opportunity to reflect on the processes of a systematic literature review with examples to demonstrate that process.

Nursing is for men: a descriptive phenomenological study

Background: The reasons men come into nursing is because of career stability, career progression and financial security. Aim: The aim of this study was to explore the lived-experience of a group of male nursing students as to the attraction of nursing as a career choice. Method: A descriptive phenomenological approach using Colaizzis seven step data analysis within the phenomenological empirical framework was used. Findings: The central theme developed from the transcripts was Nursing is for Men. Seven sub-themes were identified from the significant statements which included: Nursing is for me; wanting a new career; the jobs in the bag; striving to succeed; Men together; Family approval and Mate-ship realigned. Conclusion: The men in this study found the decision to become a nurse and undertake their nursing education challenging. Moreover, it was reconciling with family, friends and work colleagues that many felt was the biggest obstacle.

Single mothering as experienced by Burundian refugees in Australia: a qualitative inquiry

BackgroundRefugee mothers have fled from their homeland to escape persecutions with their children only to find other threats to their well-being in the new country. Building on previous research, it is known that being a new immigrant is challenging and requires adaptation. The adaptation process, known as acculturation, may not be successful leading to psychological distress. It is also known that a generation gap can occur when children acculturate faster than their parents. What was lacking was understanding about the experiences of single refugee mothers.MethodsInterpretative phenomenological study was undertaken to explore the lived experiences of eight Burundian refugee single mothers in Australia. Data were collected by in-depth interviews. Each interviews were transcribed and analyzed using thematic analysis.ResultsFindings revealed three themes. First theme ‘Traditional mothering practices of Burundian culture’ illustrated mothering strategies as practiced prior to their arrival in Australia including mothering with sufficient social support, strong position of parents, and regular use of physical disciplining. Second theme ‘Challenges identified after arrival to new country’ revealed that mothers felt their children acculturated faster than themselves which led to intergenerational gap. This has also led participants to live in a continuous dilemma, experiencing inner conflicts and struggles associated with their mothering practices, especially when mothers had arrived with a lack of knowledge relating to acceptable mothering practices in a new culture. Final theme, ‘Reforming family life in Australia’ highlighted the decisions made by single refugee mothers which is to embrace both new and original cultures, leading to successful acculturation. However, lack of appropriate knowledge of acceptable mothering practices led to involvement of legal authorities who threatening to remove children from the mother’s care. This has led mothers feeling change of power from ‘mother to child, ‘to child to mother’, raises concerns for family wellbeing.ConclusionsA need for parenting information when entering a new country including education about any legal obligations for parents such as a Child Protection Act will assist successful acculturation. As nurses are likely to encounter refugee single mothers, they are well placed to provide support and education to new refugee single mothers.