Clinical

Our clinical nursing articles aim to inform and educate nurse practitioners and students. This is achieved through the publication of peer-reviewed, evidence-based, relevant and topical articles.

‘Today We Talked’: using a collaborative approach to transform care in the psychiatric intensive care unit

‘Today We Talked’: using a collaborative approach to transform care in the psychiatric...

Why you should read this article: • To understand the experiences of people who need intensive mental healthcare • To learn about an approach to organisational change that involves collaboration with service users • To develop ideas for how you can involve service users in organisational change People who need care in a psychiatric intensive care unit (PICU) are often highly stigmatised and referred to using negative, dehumanising language, for example being described as ‘difficult’ or ‘problematic’ patients. They have also been described as ‘permanently disturbed’, which shows a lack of respect, value and hope for their recovery. This article reports on a service development project that aimed to challenge the traditional paradigm of care provided in a PICU in North Wales. The project used the ‘TODAY’ (time, ownership, diagnostics, actions, you) approach as a model for implementing organisational change, which was modified to a more inclusive ‘Today We Talked’ approach. It aimed to involve PICU service users in decision-making about aspects of their care, and to ensure that this care was individualised. Outcomes of the project included reduced use of restrictive physical interventions, reduced stigma, increased opportunities for engagement, improvements in the use of space, increased trust and higher levels of service user satisfaction.

Sleep disturbances in bereaved older people: a review of the literature

Sleep disturbances in bereaved older people: a review of the literature

Older people who have recently been bereaved are likely to experience sleep disturbances

Evaluating the effects of appointing an associate nurse consultant to a CAMHS team

Evaluating the effects of appointing an associate nurse consultant to a CAMHS team

A service evaluation of the effects of the newly developed post in County Durham

Promoting the sexual health of people living with severe mental illness

Promoting the sexual health of people living with severe mental illness

Nurses’ attitudes toward sexual health among patients with severe mental illness

Issues affecting trans* young people: considerations for mental health nurses

Support for mental health nurses to enhance awareness of the needs of trans* young people

Open access
Empowering migrants during the resettlement process: applying Peplau’s theory of interpersonal relations

Empowering migrants during the resettlement process: applying Peplau’s theory

Peplau’s theory could be used to guide and empower migrants

Recognising elderspeak and how to avoid its use with older people

Recognising elderspeak and how to avoid its use with older people

Elderspeak can be described as an over-adjustment of speech made towards older people

Enhancing physical health monitoring in people with severe mental illness: the development of a health passport

Enhancing physical health monitoring in people with severe mental illness

The development and implementation of a physical health passport

Exploring the effects of clinical simulation on nursing students’ learning and practice

Exploring the effects of clinical simulation on nursing students’ learning and practice

How simulation-based learning can increase students’ confidence before placements

Reporting and recording sexual safety incidents in inpatient mental health settings

Reporting and recording sexual safety incidents in inpatient mental health settings

A programme to improve the sexual safety of people in mental health inpatient settings

Developing the mindful nurse practitioner

Developing the mindful nurse practitioner

Evidence for, and benefits of, offering mindfulness programmes during nurse education

Stigma and help-seeking behaviours of men with depression: a literature review

Stigma and help-seeking behaviours of men with depression: a literature review

Strategies that could be used to improve men’s engagement in mental health services

Exploring the benefits of a psychoeducation session for patients with chronic...

Recognising the co-morbid mental health conditions that patients with COPD experience

Raising magistrates’ awareness of dual diagnosis and community sentencing options

Rehabilitative options as an alternative to custodial sentences for vulnerable offenders

Understanding the service user’s journey through a transitional support service

An examination of a transitional support service from custody to the community

The ‘shift reflection’ model of group reflective practice: a pilot study in an acute...

Challenges that mental health professionals commonly experience, and the support they require

Differentiating between borderline personality disorder and autism spectrum disorder

Complexities involved in diagnosing and managing people with co-morbid BPD and ASD

Three issues for mental health nurse educators preparing new preregistration programmes

Areas nurse educators need to address when developing preregistration nursing programmes

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