15 people present: Students, preceptors, nurse educators, researchers, Peoples Academy (lived experience), practitioners and consultant Psychiatrist,
Individuals identified themselves and offered one thing people wouldn’t know about them.
Tony Butterworth outlined the purpose of the event.
First of eight round tables across country
Series of twitter based conversations, now taking round table discussions across country. Aiming for a report in place by end of calendar year.
No other profession would allow others to tell the profession what should be doing.
Aim is to identify and create work streams with recommendations to continue to raise profile further
Senior people in mh asking what can be done, to inform the future of working effectively as a mh nurse?
Working with independent charity, FONS.
Some asking why doing this? Provides an independent voice.
MHN as a graduate profession therefore want to be involved and influential in managing our future and how to best contribute to nations health and policy agenda
Speaking to other disciplines, recognise need for MH nurses, but not aware how best to employ them . Want to be able to say these are the skills, this is what we can do, and this is where we fit in.
3 social media events #wemhnurses, blog site.
Thematically analysing this
Key issues: five themes informed todays activities
Aim of today, speak openly, critically and discuss what MHN is and how to strengthen skills.
Who looks after the interests of the MH Nursing? RCN president summit meeting, to look at how this can be achieved with greater emphasis. Any specific MHN association has all now gone
Use of group identifying the top five statements (with five spots each per page)
1; What we already know about what mental health nurses do?
1. Re-emphasising the notion of mental health nursing being a vocation
2: Enablement: cannot measure like Psych and Psychiatry, but skill to enable others
Being human, is part of this
Giving of self , (giving away of gifts) not just science and measurement,
3: Concentrate on cause rather than just treat or work with symptoms, see the person as a whole person. Working with their whole network. Empowering and enabling others
4: Interventions: interpersonal, biological, therapeutic, assessment, social, care co-ordination, medications, advocacy,
Look at resources such as:
Marian Jenner’s narration in RCN resource, Keep it in mind..
Ben Thomas’s chapter : What is Mental Health Nursing – as Sensitive attachment of other. An emotional anchor.
2: What would you like mental health nurses do differently?
1: Like to know more about understanding people’s physical wellbeing better.
2: Engagement with people who use service s – continuing emphasis on those who are our partners, bottom up change/activism
3: Looking after ourselves and each other – through clinical supervision
4: Nurses shy about speaking up – contribution is often not well articulated to others
Take to other round tables – speaking out for clients I know what is right..
Thorn course, talking to people properly… not happening in acute settings
5: Nursing language –
Evolution, revolution in terms of what is and what needs to be
Students enthusiasm, being eroded, by current regimes..
3: What are the new things we should be doing?
1: Clinical academic careers- lack of pathways to match requirements of people wanting to remain clinical and do research or management etc
Need to revisit and emphasise this as important.
2: Like to challenge current practices, why are we doing it this way
3: More CPD opportunities – life long learning and professional development
Eg Thorn programme and how it informed contemporary practice
4: Education of mental health nurses
1: Placements – are we sending students to the right places? Placements that inform a students development – rather than slotting, mentors also need more attention and help as burnt out.
2: Placement based assessment – need to link closer to what learning
3: Whole team involved in teaching – working in a learning organisation: take to Directors of Nursing/Council of Dean
5: Employment of MHN
1: Bring back nurse development units, practice development units
2: Opportunity for providing reflective practice – in workplace
Reflective practice – supervision
3: National funding – for roles working outside public sector organisations
4: Rotational posts – so that people don’t stagnate and burnout
6: Professional identity
1: Connecting far afield: transition between students and qualifying – when students felt aware of national agenda, when working then become isolated and inward looking. Wanting to be worldly wise – as students are able to access and read widely, when take up employment become localised
2: Celebrating MH achievements – writing up what goes well etc
3: Stronger MH voice at RCN
4: Being proud advocates; for the profession
Do we see ourselves in MHN aligned with who we look after, or are we slipping to medical/psychiatry dominance again??Ministers disappointed recovery approach is not more embedded?
Any other issues?
• Want this work to go somewhere – lack of leadership in MHN
• Role modelling – wellbeing side of things – nurse consultant leads on health prevention (smoking cessation) – new roles are out there – how they come about I don’t know
• For us to stay well, nurses need to stay well
• Always nice to sit with different people, be able to have honest conversations – very important
• Running a trust based clinical supervision project, so needed in practice
• Really useful to have time to listen to those with more experience and reflect on own early career
• Made me proud to be a mental health nurse
1: Start to identify some workstreams
• POLITICAL Working with the RCN
• EDUCATIONAL Taking feedback to nurse educations (Son of Thorn)
• CLINICAL-PLACEMENTS : employers – and educators working together with social care and CCG/GPs etc.. other disciplines/ judicial system etc.
• ARTICULATING MENTAL HEALTH NURSING PRACTICE EXPERTISE: how to read the room/risk –the giving our gifts away/lacking a voice, 14 steps /safe wards/ starwards
Top ranked statements are:
Challenge current practices- asking why? (13)
General mental health rotation across whole organisation (11)
Connecting with wider colleagues from further afield (11)
Stronger MH voice at the RCN (10)
Celebrating MHN achievements how can we do better at this? (10)
How do we see ourselves, who, what do we identify with? (8)
More CPD opportunities (8)
More CPPD opportunities, training in psychological techniques and models for supervision (8)
Looking after ourselves and each other (8)
Define therapeutic language and engagement with service users as co-partners (8)
Reflective practice: action learning sets (7)
Whole team teaching (7)
Value of placements – length and variety (7)
Placement based assessments, bridge theory with practice (7)
A job not a vocation (7)
Are we sending students to the right placements? (6)
Nurse lecturers spending more time in practice (6)
Training psychological techniques and models for supervision (6)
Concentrate on cause not just symptoms (6)
Family work, Thorn Course, Psychosocial interventions (6)
MHNs in every GP practice across the country (6)
Clear development pathways and updated knowledge (5)
Mental health nurses in schools (5)
MH nurses in GP practices and schools (5)
Being human – more human (5)
Putting our knowledge through our clients (5)
Power of observation – able to read a room, able to recognise rick, able to communicate (4)
Being advocates for the profession being proud of what we do (4)
I haven’t been taught to be confident to stand up for myself (4)
Opportunity to create clinical excellence (4)
Quality of students needs to be improved (4)
Assessment skills, mental health, physical, social needs (4)
I know the patient – ask my opinion (4)
Participate more in design of services environment, education (3)
Working far more in primary care (3)
Linking with other services and professionals (3)
Much more emphasis as recovery approach (3)
Partnership working with service users, teaching, role modelling, and co-regulating (3)
Custodial, authoritarian, dictatorial? (3)
Open and honest conversations in the workplace (3)
People staying in same job too long, lack of wider experience (3)
Spend most of our time with clients, so are responsible clinicians (3)
Open and honest conversations in the workplace (3)
How to tackle institutionalisation (3)
Pride in our profession – sharing what we love about our careers (3)
Needs to stay as a graduate profession (3)
Political awareness and activism (3)
Reflective space and regular updates (3)