Person centered collaborative mental health nursing practice refers to the process of providing custom health care solutions and rehabilitation to mentally ill patients based on mutually beneficial relationships between the patient, their families and the health care providers. (IPFC, 20100).
It involves integration and coordination of a communication and health care system supported by a committed health care provider working closely with the family and friends of the patient. (Cook, 2005). In this system of nursing care, the aim is to provide quality health treatment and solutions customized to need individual patients’ needs at is his comfort. (Cook, 2005).
In addition, person centered collaborative health care as a nursing practice aims to provide emotional care to patients in order to reduce fear and anxiety. This is done mainly by attending to the patient’s uncertainties on issues such as the negative financial effects the disease may have on him and the family, or permanent physical effects like disability.
Person – centered collaborative mental health approach as the name suggests is a multi-dimensional method of nursing practice; it is heavily reliant on the collaboration of the patient, the care giver and the patients’ family for it to be successful. (IOM, 2001). This being a mutual relationship, there ae several factors that affect its success; (Greteis et. al, 1993).
Purpose of the Research
This paper details the principles guiding this nursing practice, its benefits to the mentally ill patients, their families and the society at large.
It details on how to practically apply these principles in real life situation in the nursing practice while caring for mentally ill persons. In conclusion, this paper paints a picture of how effective person – centered collaborative mental health nursing practice is in the fight against mental illnesses. Several propositions are made on how the application person centered nursing practice could further enhance the nursing field when caring for mentally ill persons.
Personal experiences and consumes stories give tangible and very valuable information that can be used in the development of person – centered mental health nursing practice. (Cook & Jonika, 2002). As opposed to statistical data, peoples’ lived experiences of a mental disorder draw attention to issues that really matter and shed light on how these issues affect real people on a personal level. Personal experiences with people who have been affected by mental illness are very instrumental in decision making. These experiences help one learn and act form a consumer based perspective thus gaining and providing a more patient centered solution in the mental health sector.
Person lived experiences give evidence that can be used to draw attention to what matters in provision of health care to mental health patients. (Cook, 2005). Evidence based experiences can help one establish the best method of treatment that a patient feels most beneficial from. Personal experiences are also crucial in informing the effects of discontinuity or continuity of specific types of care based on how accessible the care is. Research however shows very little use of person lived experiences in health policy making. Health policy makers still rely much on statistical data whose results do have as much a huge effect on mental health patients given the policies may not be objective. (Jonikas, 2003).
In Person based collaborative mental health nursing practice, family involvement is crucial, consequently as the whole family gets involved, it is best to find tailor made solution. Personal experiences therefore come in handy to assist both the care giver to be able to asses varying situation and identify similarities displayed in certain environments. This way one is able to provide each patient with the comfort he desires and in the best environment. As such, it is only prudent to get people’s experience as family that supported a loved one through mental illness because in most cases, treatment is a long term process. (Solomon, P. & Draine , J. (2001).)
A report that contrasts other existing psychiatric methods to several person based care solutions by (Cook, 2004) reveals very little evidence in person based care. In the same light, experts have concluded that more needs to be done in regards to making use of experiences from person based care in the development of patient based healthcare systems. (Solomon & Draine, 2001).
(Ii) Identify one aspect of your own nursing practice that requires some development to work collaboratively with people who have a lived experience of a mental disorder. With reference to relevant nursing literature, discuss how you could develop this aspect of your own nursing practice. In this section of the discussion you can use the first person, ‘i’, when you are discussing your own practice development; however, you must also support this section of the discussion with references to relevant literature (15 marks).
I am required as a care giver to continually learn on the job and be able to make relevant and lifesaving decisions at all times given the dynamic nature of mental illness.
Person based experiences are an excellent source of qualitative and informative data which can be very important to me in decision making. With real people’s experiences, I will be able to assess the direct effect of certain practices with real life results. This kind of data is more informative and more detailed in comparison to satisfaction surveys in which at times the responses are pre-determined thus limiting the outcome. (Luxford, 2012).
In addition, qualitative data will help me understand number trends. That way, I will be in position to explain reasons for certain responses to specific health care practices among patients. (Gubhaju et. al., 2013).
The common intuition is always to treat a mental disorder as a general issue just by looking at the symptoms displayed. However, evidence based life expertness will assist me in categorizing symptoms based n certain influencing factors and thus being able to offer tailor made solutions. (Conway, et. al., 2006).
Being able to make decisions that are informed by personal experiences from people who have lived with mental disorder will help in discouraging and eliminating some of the care practices that a patient may be receiving but whose net effect is negligible and instead focus on nursing practices that actually make a difference in the person’s wellbeing. (AHPAC, 2005).
Person lives experiences are a reliable source of qualitative data which has become increasingly useful in decision making for consumer centered mental health care. The information provided by qualitative data collected through consumer experiences is very different and way detailed as compared to that collected through satisfaction surveys which in most cases are limiting. (Luxford, 2012). Qualitative data supplements the quantitative data and gets to the underlying factors affecting the number trends presented by the surveys. (Gubhaju et. al., 2013).
In most cases, mental disorders persist because the symptoms displayed tent to be similar and thus the treatment given is mostly nonspecific. However, using person based experiences, I can be able to treat each case as unique and develop ways to manage a patient well in his specific environment.
Conclusion and Recommendation
Person based experiences in mental disorders are more often than not dismissed on the basis of lack of relevance when it comes to policy making in the health care systems. (Cook, 2005).
(Solomon & Draine, 2001), document that mental health policies are made based on statistical data which does not reflect the real situation. However, person centered collaborative metal health nursing has to be anchored on person based experiences for it to deliver workable solutions in regards to mental disorders. The practical approach, if integrated with consumer based evidence in the development of policies affecting patient’s lives will have a positive impact on patients’ lives in a way that is relatable to them. (Bate & Robert, 2006)
Bate, P. & Robert, G. (2006) Experience-Based Design: From Redesigning the System around The Patient to Co-Designing Services with the Patient (Quality and Safety in Health Care 15(307-310), p309.
Cook, J. A. (2005). Patient- Centered Consumer Directed Mental Health Services. University of Illinois, Chicago.
Cook, J.A. & Jonikas, J.A. (2002) Self-determination among Mental Health Consumers / Survivors: Using Lessons from the Past to Guide the Future. Journal of Disability Policy Studies. 13 (20) 87- 95.
Cook, J.A., Srebnik, D.S., Fitzbibbon,G. , et.al. (2004) Enhancing Self-determination Through use of Psychiatric Advance Directives in Washington State: a 24 Month Follow – up. Chicago. IL. Center on Mental Health Services Research and Polies.
Conway, et. al. (2006) Partnering with Patients and Families to Design a Patient- and Family-Centered Health Care System: A Roadmap For The Future. A Work In Progress (IFFCC and IHI)