Staff nurse perceptions of the impact of mentalization-based therapy skills training when working with borderline personality disorder in acute mental health: a qualitative study.
MetadataShow full item record
WARRENDER, D., 2015. Staff nurse perceptions of the impact of mentalization-based therapy skills training when working with borderline personality disorder in acute mental health: a qualitative study. Journal of Psychiatric and Mental Health Nursing, Vol 22 (8), pp 623-633.
People diagnosed with borderline personality disorder (BPD) are highly prevalent in acute mental health wards, with staff nurses identifying a challenge in working with people who can be significantly distressed. This has contributed to a negative stereotype verging on stigmatization. Mentalization-based therapy (MBT) is a psychological therapy which has been shown to be of benefit to people with a diagnosis of BPD, yet it has been utilized and evaluated only in partial hospitalization and outpatient settings. Despite this, most people diagnosed with BPD will continue to be treated in generic inpatient settings such as acute mental health. Mentalization-based therapy skills training (MBT-S) is a new and cost-effective 2-day workshop aiming to provide generalist practitioners with MBT skills for use in generic settings. This study aimed to capture staff perceptions of the impact of MBT-S on their practice when working with people with a diagnosis of BPD in acute mental health. Through two focus groups, this study assessed the perceptions of nine staff nurses. An interpretive phenomenological approach was utilized in data analysis. Participants found the approach easy to grasp, improving of consistency between staff and flexible in its use in planned or ‘off the cuff’ discussions. MBT-S promoted empathy and humane responses to self-harm, impacted on participants ability to tolerate risk and went some way to turning the negative perception of BPD through changing the notion of patients as ‘deliberately difficult’. Staff felt empowered and more confident in working with people with a diagnosis of BPD. The positive implication for practice was the ease in which the approach was adopted and participants perception of MBT-S as an empowering skill set which also contributed to attitudinal change. In acute mental health environments, which may not have the resources to provide long-term structured treatments to patients, MBT-S could be viewed as ideal as participants applauded its flexibility. The promotion of empathy also sees a move away from iatrogenic damage caused by unhelpful responses to self-harm. In the context of wider research, this study shows that staff nurses find the MBT-S skill set valuable in the generic inpatient setting of acute mental health.
Permalink for this recordhttp://hdl.handle.net/10059/1419
Collections in which this item appears
Showing items related by title, author, creator and subject.
Newman, Daniel; O'Reilly, Pauline; Lee, Siew Hwa; Kennedy, Catriona (Wiley http://dx.doi.org/10.1111/jpm.12202, 2015-02-24)NEWMAN, D., O'REILLY, P., LEE, S.H. and KENNEDY, C. 2015. Mental health service users' experiences of mental health care: an integrative literature review. Journal of psychiatric and mental health nursing [online], 22(3), pages 171-182. Available from: http://dx.doi.org/10.1111/jpm.12202The aim of this integrative literature review was to identify mental health service users' experiences of services. The rationale for this review was based on the growing emphasis and requirements for health services to ...
The experiences of older adults with a diagnosed functional mental illness, and their carers' / families' and healthcare professionals' experiences in relation to mental health service delivery. [Protocol]. Wells, Julia; Kennedy, Catriona; Bain, Heather; Lee, Siew Hwa (PROSPERO http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42017080576, 2017-11-17)WELLS, J., KENNEDY, C., BAIN, H. and LEE, S.H. 2017. The experiences of older adults with a diagnosed functional mental illness, and their carers' / families' and healthcare professionals' experiences in relation to mental health service delivery. Protocol. PROSPERO [online], CRD42017080576. Available from http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42017080576The aim of this review is to synthesise the evidence related to the experiences of older adults with a diagnosed functional mental illness, their carers' / families' and professionals' experiences in relation to mental ...
Black, white and grey: investigating the pathways and inerface between police, those in mental health distress and emergency health services. Heyman, Inga (Scottish Institute for Policing Research http://www.sipr.ac.uk/downloads/SIPR_Annual_Report_15.pdf, 2016-04-01)HEYMAN, I. 2016. Black, white and grey: investigating the pathways and interface between police, those in mental health distress and emergency health services. In the Scottish institute for policing research annual report 2015 [online]. Dundee: Scottish Institute for Policing Research, pages 38-39. Available from: http://www.sipr.ac.uk/downloads/SIPR_Annual_Report_15.pdfPeople who experience mental health distress (PWEMHD) often come to the attention of police through direct contact when help seeking or through concern by others in the community. Frequently officers are required to seek ...