30 people present: Students, practitioners, nurse educators, service users and carers
Individuals introduced themselves and were asked to share one thing to be remembered for.
Tony Butterworth outlined the purpose of the event, 7th of 9 roundtable events. Explained that he is Chair of the Foundation of Nursing Studies, a charity, and why he is looking for and gaining views on the work of graduate mental health nurses and where the impetus and initial views came from.
Working with independent charity, FONS provides an independent voice. Tony will take all comments with him at the end of the day and write a report about the work of graduate mental health nurses.
Series of twitter based conversations have taken place, now taking round table discussions across country. It was explained what a roundtable event is. Aiming for a report in place by next year.
Need to identify what it is that mental health nurses are good at and can do, so consult with mental health workers, people who use services and other professionals and offer a chance to comment on mental health nursing and its work and suggest some new ideas. Match (or change) the work of mental health nurses and meet the demands of emerging mental health policies
MHN as a graduate profession therefore want to be involved and influential in managing our future and how to best contribute to nation’s health and policy agenda.
3 social media events – we mental health nurses, blog site.
Key issues: five themes informed today’s activities.
It was explained to the participants what came through via twitter.
Speaking to other disciplines, recognise the need for MH nurses, but not aware how best to employ them. Want to be able to say these are the skills we have, this is what we can do, and this is where we fit in. What’s mental health nursing – difficult to answer but need to do it more.
Who looks after the interests of the MH Nursing? RCN president summit meeting soon, to look at how this can be achieved with greater emphasis on ‘how can we do more for mental health nurses?’
Aim of today to give everyone to feel they have a chance to express a view and offer something to this work.
Each table has sticky notes and is asked to answer the following questions.
Use of group identifying the top five statements (with five spots each per page)
1. Things we already know about mental health nurses?
2. Something you’d like mental health nurses to do differently?
3. Some new things you would like mental health nurses to do?
Participants asked to use sticky notes to offer suggestions and then asked to rate their top five.
Things we already know about mental health nurses;
We know who they are
Communicators, people’s person, versatile, jack of all trades, compassionate and caring
Respect the diversity, selfless staff, open mindedness
Generally enter the profession with the best intentions and are compassionate practitioners and have good communication skills.
Tolerant, dedicated, sense of humour, people skills, stressed
Some things you’d like mental health nurses to do differently;
Understand that mental health is not all about illness, it’s about prevention, it’s not all about therapy and gatekeepeing so the ? of individuals.
Have more time to be people, mental health promotion and wellbeing, more visible in the community and other areas of healthcare.
Some discussion on making decisions took place.
Some new things you would like mental health nurses to do?
Outreach services, going to schools, youth groups etc and Mums groups, promotion of mental wellbeing.
More mental health first aid delivery for all nurses and all mental health nurses need to physically assess people.
Speak in sports halls, family drop in services. Working in schools and education. Political role, need to be louder in the defence of mental health care, adequate facilities to meet demand, need more joint services working together.
Need a shift to primary care with stronger emphasis on primary prevention.
Discussion of waiting times for treatment took place. Top three scores off each of the questions to be taken.
Group asked to consider and discuss the following and put thoughts on to a sticky note again for uploading on to boards;
Education of mental health nurses
Employment of mental health nurses
Short discussion of the Mental Health (Wales) Measure 2010 and its requirement, it is legislation in Wales, in relation to the role of the mental health worker.
Group then asked to rate comments in all three areas and to consider three possible ways of describing the work of registered graduate mental health nurses defined by the facilitator. Individuals asked to place a dot on the definition they like best.
• The registered mental health nurses engage in continuous therapeutic engagement and active companionship for people with a range of mental illness
• Registered mental health nurses create and sustain safe and beneficial places where people who have mental illness can receive treatment and move towards recovery
• Registered mental health nurses are graduate professionals – they are graduate practitioners who can offer evidence based therapeutic interventions, create places of positive asylum and gives help to those in distress.
Group given the option to develop their own definition too and whether there is something uniquely Welsh about any of this.
Discussion took place.
Mental health provision under primary care falls under the Measure so this adds value to the work of the mental health nurse. Also the Measure allows people discharged from secondary services to directly access services. The Measure has been subject to review and is ongoing. In some areas it has changed things in others not. A survey was conducted a few years back, positive feedback was received by those using primary care services. As the Measure is law rights to access independent mental health advocates provided.
In terms of uniqueness bilingual provision is to be celebrated, with people receiving their care and support through the medium of the language they seek. It doesn’t happen well enough everywhere but there are elements of good practice. As a country it’s something we need to be aware of, in all fields really, the importance of the individual and their family being able to be supported in their first language, that’s to be celebrated and should be done more.
Discussion on the NHS and recovery college/network which Wales already has, noted that rural area services are not as easy to access in Wales and Scotland.
Peri-natal mental healthcare – very much in the community.
Discussion on undergraduate programme led by facilitator.
43 Universities in the UK who educate mental health nurses and they’re all different.
Graduates should understand and work on safe wards, understand psycho-social interventions, I’d expect them to be about caring for people with dementia and use some of those engagement skills in a purposeful way. If you look at the curriculum you won’t find them the same in many places so undergraduate provision needs to look at itself a bit probably. Any thoughts?
Discussion – Things can sometimes come across as too much medical world, learning takes place in the clinical area – ask staff what they think students should do and know. Need for greater collaboration and more clinical staff to teach on the programme. Discussion of existing programme – revalidating March 2017, 50%/50% theory practice experience in line with the NMC Standards, in addition to field competencies and outcomes students also have generic competencies to meet. External speakers are invited to teach on the programme. Also have a requirement to embed bilingual provision into the curriculum. Need to develop voluntary organisations as nursing spoke placements more so students have greater knowledge/understanding of what other services supporting service users and their families do.
Mentorship – students spend a lot of time in practice but no provision is built into people’s time to actually provide the mentorship for that. Would make a great difference is that could be facilitated. It was mentioned that in another discipline ‘mentoring’ staff get paid a small amount of money for the role. Reference made to managing busy environments while supporting a student.
Next steps – facilitator
Start to action some of the points already raised;
What are we going to do about education and mental health nurses? Go to the NMC – no generalist approach – competencies which truly echo the work of mental health nurses.
Nurse educators need to have a standing conference of nurse educators – people who deliver curriculum need to meet together to describe and understand what’s going into those curriculum, already have volunteers for that.
Meeting to think about mental health nurses and academic careers.
Report out in January
Identify 7/8 work streams based on the discussions.
Take all this information to the RPsych – help us move this forward