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OPINION

Growth: reflections from a student mental health nurse

@laurengoudie, a third year mental health student nurse at the University of the West of Scotland who is doing her placements in NHS Ayrshire & Arran, gives her perspective on her time as a student nurse.

I’d suggest that emotion and learning in combination are powerful sources of meaning and direction; it creates a place for personal and professional development and growth, which has supported my understanding of recovery.

Throughout my training I have grown to understand that the phenomena ‘recovery’ requires self- awareness, drive and acceptance to operate outside the box in improving quality of care shadowed by clinical and educational governance, critical appraisal and synthesis.

A unique process

I consider the process unique - a continuum of expectations, attitudes and values, fruitful of conceptional descriptions entwined with a variety of characteristics representing one’s perception.

If I am honest, I feel recovery is a personal choice flourished on how much the individual sits on the continuum of hope, growth and change. As nurses we develop an unconscious awareness that enables us to build on using our thoughts and experiences ‘self’; the ability to enter the perceptual world of another person. That personal choice challenges our expectations on meeting the highly valued outcomes of our governing cornerstones ‘Person centred, safe and effective care’, giving us movement in implementing change.

I could argue that reflection contributes to the enablement of the flight in understanding recovery for the person. It allows us to recognise resilience, risk and vulnerability, empathises understanding, avoids bias perceptions and attitudes; symbolic interactionism (World Health Organization, 2002).

Sartre’s quote (1944) ‘Hell is other people’ may at times reflect on the impact of negative perceptions to recovery based on  beliefs and values imposing on how that person values their journey - free of existential obstacles instead a purpose and meaning in life.

Therapeutic use of self

Wherefore questionable, I comprehended the credibility of multifariousness factors, thus the values and principles to understanding recovery i.e. evaluating strengths and barriers, emotional or personal beliefs, goals in establish identity, hope and meaningful life.

Amongst this learning I discovered that the importance of expressing compassion in the therapeutic use of ‘self’ positively within the therapeutic relationship can be crucial in avoiding false hope and maintaining boundaries.

Throughout my training I have had the honour of getting to know different people and their stories, and can confidently say that not one story is the same.

I have learned that their individuality is the key to finding the right direction in enabling footsteps in finding that hope and pathway (The National Framework for Pre-registration Mental Health Nursing Programmes in Scotland, NHS Education for Scotland, 2006).

I have often reflected on my experiences and feel it is important to synthesise findings and develop own coherent understanding - a competent nurse is crucial for the recovery of mental health service users (Mental Welfare Commission for Scotland, 2003).

Personal and Professional Growth

To conclude I have learned that supporting recovery requires a cultural awareness embedded in the vision of values and trust (NHS, Scotland, 2011). Therefore, this working relationship to recovery is a very valuable process which puts an onus on promoting personal and professional  growth and understanding.

Lastly I feel a point to us all: ‘You are the most important person in your life’  (Purcell, 2009).

Lauren has recently achieved her BSc in MH Nursing.

 

References

Cottrell S (2005) Critical Thinking Skills, Developing Effective Analysis and Argument. Basingstoke: Palgrave McMillan

DeSilvia, L.(2011) Self Management. Available: http://athena/ahp/Documents/Helping%20people%20help%20themselves%20-%20evidence%20review%20(FINAL).pdf [Accessed on July 1st 2012].

Gamble, C and Brennan, G (2006) Working with serious mental health illness. A manual for clinical illness – A manual for clinical Practice. Elsevier, London 2006.

Macquarrie, J (1972) Existentialism. Philadelphia; Westminster Press

Mental Welfare Commission for Scotland, (2003) Respecting diversity [online] Available: http://www.mwcscot.org.uk/web/FILES/MWC_Diversity_NewAddress_prf2.pdf [Accessed on 3 July 2012]

Morgan, S. (2000) Clinical Risk Management: a Clinical Tool and Practitioner Manual. London: Sainsbury Centre for Mental Health.

National Institute of Clinical Excellence (2007) Drug misuse: psychosocial interventions.Available: http://www.nice.org.uk/CG51 [accessed on 30 March 2012]

NHS Ayrshire and Arran (2011) Equality and diversity. Available: httlp://athena/pages/Default.aspx [Accessed on 1 April 2012]  - NB Intranet of NHS Ayrshire & Arran

NHS Ayrshire and Arran (2008) Scheme of Establishment for Community Health. Available: http://www.isdscotland.org/isd/5352.html#staff_in_post [Accessed on 12 July 2012]

NHS Education for Scotland (2007) 10 Essential Shared Capabilities for Mental Health Nursing. Available: http://www.nes.scot.nhs.uk/mentalhealth/publications/default.asp on 14/2/2010 [Accessed on 19 July 2012]

NHS Education for Scotland (2007) The ten essential shared capabilities for mental health practice. Available: http://www.nes.scot.nhs.uk/media/5822/10escsfacilitatorstoolkit.pdf [Accessed on August 1st 2012].

NHS Education for Scotland and the Scottish Recovery Network (2008) Realising Health Practice – Learning Materials (Scotland).Availablehttp://www.nes.scot.nhs.uk/mentalhealth/publications/default.asp [Accessed on 1 April 2012]

NHS Scotland, (2010) An Evaluation of the Impact of the Dissemination of Educational Resources to Support Values-Based and Recovery-Focused Recovery Learning Materials. Available http://www.scottishrecovery.net/images/stories/downloads/nes_eval_of_10escs_and_rr_summary.pdf [Accessed on 30 July 2012]

NHS Ayrshire and Arran (2008) Promoting Health Reducing Health Inequalities..Available http://www.nhsayrshireandarran.com/uploads/5075/PHRImaster.pdf [Accessed on 27 July 2012]

NHS Scotland. (2007) Inequalities Sensitive Practice Initiative Operational Plan. Available http://www.equalitiesinhealth.org/publications/ISPI_OPPS_PLAN_.pdf[Accessed on 1 July 2012]

NHS Scotland. (2011) Trust Social Inclusion and Recovery Project Board.Available: http://www.cpft.nhs.uk/LinkClick.aspx?fileticket=TuJTC8JQCNI%3D&tabid=646&mid=1361&language=en-GB[Accessed on 3 August 2012]

Norman, I and Ryrie, I. (2004) The art and science of mental health nursing – a textbook of principles and practice. Glasgow: Bell and Rain Ltd.

Nursing and Midwifery Council (2004) Standards of Proficiency for Pre-registration Nursing Programmes. London: NMC.

Nursing and Midwifery Council (2007) Guidance for the Introduction of the Essential Skills Clusters for Pre-registration Nursing Programmes. Annexe 1 to NMC Circular 07/2007. People with Special Needs. Ross-on-Wye: PCCS Books

Nursing and Midwifery Council, (2008) The code. London: NMC

Purcell, J (2009) People Management and Performance. New York. Routledge

Repper J, Perkins R. (2003) Social Inclusion and Recovery. A Model for Mental Health Practice. London: Bailliere Tindall.

Scottish Executive Health Department (2001) Initial Guidance on shared Care Arrangements. Edinburgh: Scottish Executive.

Scottish Executive Health Department (2001) National Care standards for care homes for people with drug and alcohol misuse problems. Edinburgh: Scottish Executive.

Scottish Executive Health Department (2001) Poverty and social Inclusion in rural areas. Edinburgh: Scottish Executive.

Scottish Government Health Department ( 2011) Rights, Relationshipsand Recovery: The Report of the National Review of Mental Health Nursing in Scotland [online] Available: http://www.scotland.gov.uk/Resource/Doc/924/0097678.pdf [accessed August 1st 2012].

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