Contemporary Psychiatric-Mental Health Nursing: Partnerships in Care

Lorna Moxham all

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Contemporary Psychiatric-Mental Health Nursing: Partnerships in Care

By Lorna Moxham, Michael Hazelton, Eimear Muir-Cochrane, Tim Heffernan, Carol Ren Kneisl more
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Developed for Australian nursing students, Contemporary Psychiatric Mental Health Nursing is a lived experience, contemporary, evidence-based, culturally competent, authoritative and comprehensive resource. It offers a fully integrated perspective which most importantly includes the voice of people with mental illness.

With a consumer voice was prominent in each chapter this text is designed to enhance students ability to become a therapeutic, nonjudgmental, competent and confident psychiatric/mental health nurse.

It is mapped to the NMBA Registered Nurse Standards for Practice.


About the Australian authors

Lorna Moxham RN, MHN, PHD, BHSc (UWS), DAS (NSG) (MIHE), MED (UNSW), Cert OH&S (CQU), Cert Qual Mgmt (CQU), Cert IV (Training & Assessment) (CQIT), FACMHN, FCON
Lorna Moxham is Professor of Mental Health Nursing in the Faculty of Science, Medicine and Health, and the lead for Living Well, Longer in the Global Challenges programme at the University of Wollongong, NSW, Australia. In addition, Lorna is a director of Recovery Camp— Lorna has been Head of School and Dean of Graduate Research as well as holding numerous other senior governance roles like Chair: Research Committee of Academic Board, and Chair: University Human Research Ethics Committee.

Initially qualified as a registered psychiatric nurse, Lorna continued her passion for lifelong learning, graduating from the University of Western Sydney with a Diploma of Applied Science and Bachelor of Health Science, achieving Golden Key International Honour Society status. She then graduated from the University of New South Wales with a Master’s of Education. Lorna also has two Certificates: one in Occupational Health & Safety and one in Quality Management. Additionally she has a PhD.

Lorna has held numerous senior professional and community appointments, including four at ministerial level. These include Chair: Central Queensland Health Community Council, Mental Health Review Tribunal, Regional Planning Advisory Committee and the Queensland Priority Housing Committee. Additionally, Lorna was a board director for Central Queensland Mercy Health and Aged Care, and the Australian College of Mental Health Nurses, and a member of the Executive
for the Australian and New Zealand Council of Deans of Nursing and Midwifery. She is a Fellow of the Australian College of Mental Health Nurses and also the Australian College of Nursing.

Passionate about research supervision and the important contributions HDR (higher degree research) students make to research and development, Lorna has twice been awarded a Vice Chancellor’s award for Excellence in Research Supervision from two Australian universities. She has supervised numerous students to successful completion, and been invited to examine many doctoral dissertations. Lorna is a prolific author with numerous publications, including 18 books as editor and/or co-author, 16 book chapters, over 80 journal articles and more than 100 conference presentations. Lorna considers this particular book – co-authored with people who have a lived experience – to be particularly rewarding.

Michael Hazleton RN PhD
Mike Hazelton is Professor of Mental Health Nursing in the School of Nursing and Midwifery, the University of Newcastle, Australia. He is a former Head of Nursing and Midwifery at Newcastle, and also Curtin University and the University of Tasmania, and has been involved in nurse education generally and mental health nurse education specifically for over 30 years. Mike has published over 90 articles, abstracts, books and book chapters on mental health and mental health nursing, and has undertaken consultancies for various governments in Australia. Mike is a former editor of the International Journal of Mental Health Nursing, and a current member of the Editorial Advisory Board of the Australian and New Zealand Journal of Psychiatry. He has been awarded a number of awards for his research, and is a Life Member of the Australian College of Mental Health Nurses, the highest honour awarded by that professional organisation.

Eimear Muir-Cochrane BSc (Hons), RN, RMN, Grad Dip Adult Education, MNS, PhD Credentialed MHN, Fellow ACMHN
Professor Eimear Muir-Cochrane is Chair of Nursing (Mental Health) and Chair of Senate at Flinders University, Australia, and has been involved in mental health education and research for over 30 years. Eimear has been an architect and course coordinator of mental health courses in undergraduate nursing and postgraduate mental health since 1991. She is also leader of the mental health teaching and research teams at the Faculty of Medicine, Nursing and Health Sciences, Flinders University, a position she has held since 2008. Eimear has provided leadership through Associate Editorship at three national and international journals in Great Britain, Australia and Japan.

Educational research includes the use of new technologies, mental health in education in virtual reality, mental health and culture and communication practices. Eimear has received multiple university awards and grants in Teaching Excellence and has been a awarded a Carrick citation for Excellence in Australian University Teaching, a Department of Health, South Australia Nurse Excellence Award, and won Best Paper at the National Nurse Education Conference for a paper entitled ‘The Book, the MOOC and the App!’

Eimear’s outputs include authorship of one book in its third edition, one optimised mobile device, two monographs, over 80 refereed journal articles, multiple keynote invitations to speak and present multiple national and international conference papers. Eimear’s research interests focus on the care of the acutely unwell psychiatric patient, and include examination of absconding, restraint and seclusion, with nationally and internationally funded competitive research totaling $2.8 million.

Tim Heffernan
Tim Heffernan is the Mental Health Peer Coordinator for Coordinare, the South East Sydney Primark Health Network, a role to which he brings his lived experience of bipolar 1 disorder and recovery, which began with his first episode of psychosis in 1983. Prior to this position, he worked for almost a decade as a peer support worker with Illawarra Shoalhaven Local Health District. He chaired the NSW Consumer Workers Committee from 2014 to 2017, and is a former member and chair of the Being (NSW Consumer Advisory Group) Board of Trustees. Tim is an executive member of the Illawarra Shoalhaven’s Suicide Prevention Collaborative, and has been a member of the NSW Mental Health Commission’s Community Advisory Council since its inception in 2014. He is a member of the Agency for Clinical Innovation’s Metal Health Network Executive Committee. Tim is also part of the University of Wollongong’s Recovery Camp team.

In 2013 Tim participated in Boston University’s Centre for Psychiatric Rehabilitation Global Leadership Institute, with a trauma-informed, co-designed, co-delivered alternative to traditional ‘aggression management’ training called ‘Safety for All’. He participated in the National Mental Health Commission/University of Melbourne’s Seclusion and Restraint Lived Experience Advisory Group. Tim has been a volunteer rural and regional ambassador and community presenter for the Black Dog Institute since 2007.

An experienced public speaker, Tim has presented papers and led workshops on peer work, consumer-led research and ‘mad’ poetry at mental health conferences in Sydney, Perth, Canberra, Melbourne and Auckland. He worked for over 20 years as a high-school English teacher, and has published research with the National Schools Network. He has also worked as a disability support worker.

Tim is a poet and he co-edits an online space for ‘mad’ creative writing—Verity La’s ‘Clozapine Clinic – The Frater Project’.

About the US authors

Carol Kneisl has had a variety of psychiatric/mental health nursing experiences. She has taught psychiatric/mental health nursing in diploma, baccalaureate and master’s programs that prepared clinical specialists in psychiatric/mental health nursing. She has been a staff nurse, a nurse manager, a nursing supervisor and a clinical nurse specialist, and has supervised the group therapy of clinical nurse specialists and psychiatry medical residents. She is currently an adjunct professor of psychiatric/ mental health nursing at William Carey University in New Orleans, Louisiana.

Carol is also a nurse entrepreneur. She founded Nursing Transitions, a corporation that provided continuing education for psychiatric/mental health and corrections/forensic nurses. Her company sponsored the first national nursing conference focused on AIDS. She is a national and international speaker, and consults with nurses and mental health and forensic agencies on topics such as group therapy, stress management, self-awareness issues and strategies, implementation of client rights, legal aspects, and creative clinical teaching in psychiatric/mental health nursing.

She has authored or contributed to 28 nursing textbooks and several nursing journals. She has been an associate editor of a psychiatric nursing review journal, and has served on several editorial boards.

Carol was among the first nurses in the country to develop clinical specialist certification, in conjunction with nurses from New York and New Jersey. Their work formed the basis for the national certification granted through the American Nurses Credentialing Center of the American Nurses Association.

She is a graduate of a diploma school, the Millard Fillmore Hospital School of Nursing in Buffalo, New York, from which she received the Alumna of the Century award on the occasion of the school’s 100-year anniversary. Carol has a BS in nursing from the University of Buffalo, an MS in nursing as a clinical nurse specialist in adult psychiatric/mental health nursing from the University of California at San Francisco, and has pursued graduate education in community mental health administration and interpersonal communication from the State University of New York at Buffalo.

Carol is the mother of two adult children—a daughter who is a right-brained special-effects artist, and a son who is a left-brained mathematician and the father of her two grandchildren. When she is not commuting to New Orleans, she writes and consults from her home on a Gulf of Mexico beach, in Orange Beach, Alabama.

Eileen Trigoboff is a Clinical Nurse Specialist with a specialty in adult psychiatry/mental health in a private psychotherapy practice in western New York. An important part of her practice is the national and international interdisciplinary supervision of, and consultation with, other mental health and health care professionals. Eileen is the Director of Program Evaluation at the Buffalo Psychiatric Center in Buffalo, New York, and is the Liaison for the Office of Mental Health’s Institutional Review Board. She has taught associate degree, Bachelor’s degree, and graduate-level nursing students on all aspects of the nursing process, research methodologies, statistics, psychiatric nursing, and pharmacology. Eileen is also the Research Preceptor for the Psychiatric Residency Program at the State University of New York at Buffalo School of Pharmacy Doctoral Residency Program.

Eileen earned her BSN, her MS as a Clinical Nurse Specialist in psychiatric nursing, and her Doctorate in Nursing Science (DNS) in psychiatric nursing from the State University of New York at Buffalo. She received a National Institutes of Mental Health Individual National Research Service Award Pre-Doctoral Research Fellowship for her dissertation research on medication teaching and psychopharmacology. Eileen’s research interests include cognitive behavioral nursing interventions with seriously and persistently mentally ill clients, and the safety and efficacy of neuroleptics. She is a Diplomate and Fellow in the American College of Forensic Examiners Board of Forensic Nurse Examiners, and is board certified as an Institutional Review Board Professional (CIP) and in hospital and program accreditation.

Eileen is author, co-author, and contributor to 14 books and numerous journal articles. She presents internationally on a wide variety of clinical, research and professional topics to health care, governmental and corporate organisations. She continues to be an international speaker and consultant on topics including professional issues, assessment, psychopathologies and interventions. She also serves on the editorial boards of several professional journals and is on the editorial panel for a magazine on anxiety and depression. She is active in community service venues, including clinical settings and family support groups. She also serves as a computer systems and statistical consultant, and belongs to numerous professional nursing organisations.

  • Key Terms alert you to the vocabulary used in the chapter. The page numbers indicate where the term is defined.
  • Learning Outcomes indicate what important information or skills you will have gained after studying the chapter.
  • Lived Experience reflects the ‘lived-experience’ voice of the consumer, which discusses mental health issues that health consumers have encountered.
  • Developing Cultural Competence boxes are an important link to the cultural forces that influence the experience and expression of mental disorders and pose critical thinking Questions.
  • Evidence-Based Practice boxes show how research evidence shapes the plan of care for a particular client. Critical thinking questions follow each vignette.
  • What Every Nurse Should Know boxes emphasise the importance of recognising mental health problems and applying these practices in all nursing situations
  • Collaborative Care boxes emphasise the value of including the family in psychiatric-mental health care. This feature provides key topics to discuss with families, allowing them to understand the characteristics of the disorder.
  • Practice Example provides real-life scenarios that students may encounter and point out the challenges involved
  • Mental Health in the Media features depict how mental illness in the media affects our attitudes and behaviour. They also highlight the successes and difficulties faced by those in the media
  • How I Will Use My Mental Health Skills and Why I Chose to Work in Mental Health present the personal stories of those who work in mental health nursing
  • Self-Awareness boxes engage the reader in a process of introspection and self-questioning that is essential to the therapeutic use of self.
  • Diagnostic Features provide diagnostic criteria for mental health disorders, followed by descriptive text
  • Communication boxes offer sample dialogues between nurses and clients. In addition, they provide the rationale for at least two different but helpful alternatives. This feature is designed to provide students with a beginning repertoire of communication interventions useful when interacting with mental health clients
  • Nursing Care Plans are included in the chapters dealing with specific disorders. They represent a different way to view care for clients diagnosed with specific mental disorders according to the DSM-5
  • Your Assessment Approach and Your Intervention Strategies present clinically-relevant strategies in a succinct, user-friendly format. Your Assessment Approach contains lists of assessment points. Your Intervention Strategies list specific nursing intervention strategies along with their rationales
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Table of contents
  • Chapter 1 People with lived experience and carers
  • Chapter 2 The therapeutic relationship
  • Chapter 3 Psychiatric/mental health nurses: who are they and what do they do?
  • Chapter 4 Self-awareness and the mental health nurse
  • Chapter 5 Theories for interdisciplinary care in mental health
  • Chapter 6 The biological basis of behavioural and mental disorders
  • Chapter 7 The science, practice and experience of psychopharmacology
  • Chapter 8 Stress, anxiety and anxiety disorders
  • Chapter 9 Therapeutic communication
  • Chapter 10 Psychiatric–mental health assessment
  • Chapter 11 Ethics, legal issues and the rights of people with a mental illness
  • Chapter 12 Cognitive disorders
  • Chapter 13 Substance use disorders
  • Chapter 14 Working in collaboration with people living with schizophrenia and other psychotic disorders
  • Chapter 15 Affective disorders
  • Chapter 16 Dissociative, somatic symptom and factitious disorders
  • Chapter 17 Eating disorders Chapter 18 Personality disorders
  • Chapter 19 People at risk for suicide and self-harming behaviour
  • Chapter 20 Family violence
  • Chapter 21 The mental health of younger people
  • Chapter 22 Older people
  • Chapter 23 Therapeutic groups
  • Chapter 24 Family-focused interventions
  • Chapter 25 Cognitive and behavioural interventions
  • Chapter 26 Pathways of care

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