Psychology and Mental Health Nursing

283 Pages·1993·30.974 MB·English

by  Derek Milne (auth.)

Psychology and
mental health
nurstnq
Psychology Applied to Nursing series
Titles in the series
Psychology and Mental Health Nursing Derek Milne
Psychology of Nursing Care NeilNiven andJillRobinson
Psychology and Nursing Children JoDouglas
Psychology and
mental health
nursz•ng
Derek Milne
Regional Tutor in Clinical Psychology,
Northumberland District Psychology Service and
the University ofNewcastle upon Tyne
Series Editor:Professor Dave Muller
Consultant: Erica Joslyn
M
BP5 THE BRITISH
PSYCHOLOGICAL
BOOKS SOCIETY
MACMILLAN
©Derek Milne 1993
Allrights reserved. Noreproduction, copy or transmission of
this publication may be made without written permission.
No paragraph of this publication may be reproduced, copied
or transmitted save with written permission or in accordance
with the provisions of the Copyright, Designs and Patents
Act 1988, or under the terms ofany licence permitting
limited copying issued by the Copyright Licensing Agency,
90 Tottenham Court Road, London WIP 9HE.
Any person who does any unauthorised act in relation to
this publication may be liable to criminal prosecution and
civilclaims for damages.
First published 1993 by
BPSBooks (The British Psychological Society),
S1. Andrews House, 48 Princess Road East, Leicester LE17DR
in association with
THEMACMILLAN PRESSLTD
Houndmills, Basingstoke, Hampshire RG212XS
and London
Companies and representatives
throughout the world
ISBN 978-0-333-57768-4 ISBN 978-1-349-22666-5 (eBook)
DOI 10.1007/978-1-349-22666-5
A catalogue record for this book isavailable
from the British Library
Whilst every effort has been made to ensure the accuracy of
the contents ofthis publication, the publishers and author
expressly disclaim responsibility in law for negligence or any
other cause ofaction whatsoever.
In memory and recognition ofmy twin Dennis Milne,
who loved tocommunicate his
enthusiasm abouthisownsubject
Contents
List of exercises viii
Series Editor's Foreword ix
Foreword Philip J. Barker xi
Acknowledgements xiv
Preface xv
Section One Setting the scene
1 Introduction 3
2 The context of mental health nursing 15
Section Two Assessment
3 The assessment process 49
4 Methods of assessment 81
Section Three Planning
5 Planning tasks 109
6 Planning options 128
Section Four Implementation
7 Direct work 155
8 Indirect work 176
Section Five Evaluation
9 Introduction to evaluation 203
10 Evaluating indirect work 238
Section Six Conclusion
11 Themes and implications 259
Index 275
vii
List of exercises
2.1 Roles in multidisciplinary teams 16
2.2 A social support exercise 25
2.3 An exercise on environmental factors 35
3.1 An exercise in objectivity 51
3.2 A counselling exercise 68
4.1 Judging an assessment instrument 98
5.1 A stress-coping-strain analysis 117
5.2 Setting training goals 123
6.1 Therapy types 139
7.1 Implementing a care plan 161
8.1 Active listening 184
8.2 The use of adjectives 185
8.3 Communication 186
9.1 Categorising journals as research or evaluation focused 204
9.2 Assessing goals in care plans 215
9.3 Charting a care plan evaluation 226
10.1 Observing social support 245
viii
Series Editor's Foreword
This book series is designed for the nursing profession and those
responsible for teaching nurses on both pre- and post-registration
programmes of study. The linking of the nursing curriculum with
higher education and the implementation ofProject 2000 has led to a
radical revision of nurse education. Many nurses on pre-registration
courseswillbestudyingat degreelevelandwillbegainingan academic
qualification as well as entry to the nursing Register. These forward
looking and exciting changes have led to the need to develop new
reading material for nurses to progress both academically and
professionally.
This is equally true for those nurses post-registration who are
committed to enhancing their qualifications base. The expansion in
higher education has led to a wide range of part-time degree courses
for nurses as well as the linking of post-registration courses such as
health visiting and district nursing with higher level academic
qualifications. The introduction by the English National Board for
Nursing, Midwifery and Health Visiting of the Higher Award for
experienced professionals is an important step to facilitate continuing
professional developmentfor the nursing profession. This, in turn, has
led to the need to bring together nursing and those disciplines akin to
professional practice.
It has long been recognized that the study of psychology in applied
contextsisofmajorimportancebothin learningtobecomeanurseand
in moving towards becoming a reflective practitioner. Psychology as
the scientific study of human behaviour provides a methodology
through which individuals can evaluate the effectiveness of the
provisionofcarewithin hospitalsand the community. Psychologyand
nursing are both characterized by adopting a scientific and hence an
empirical approach to the collection of information and using it to
make informeddecisions. The importanceofresearch within the fields
ofpsychologyand nursing has led to psychologistsand nurses working
together both in terms of curriculum design and in carrying out
research to help provide high standards of patient care.
Allthe books in the series are characterized by the emphasis placed
onthe critical examination ofresearch evidence. Each volume aims to
review current practice from a psychological perspective in the light of
current research being undertaken by nurses as well as other
ix
x Series Editor'sForeword
professionals. The authors, in bringing together this information, all
seek to offer recommendations to inform nursing practice not in a
prescriptiveway butin away in whichnurses themselvescan evaluate
their practice. Allthe texts are ideal for students studying psychology
and nursing for the first time and are written at the appropriate level
for inclusion on reading lists for students studying at diploma and
degree level. Atthesametime, theapplied research natureof the texts
makes them invaluable as a source to support nurses gaining further
qualifications as part of their professional development.
The textsare contemporary, derivedfrom a strongresearchbase and
written by authors with considerable experience of teaching nurses
and working with them professionally. I hope that you enjoy this
volume in the series and are attracted to the related texts which, taken
together, provide nurses with a resource base from which to study
psychology as applied to nursing.
Professor Dave Muller
SuffolkCollege, Ipswich 24September1992