A lack of therapeutic engagement and consumer input in acute inpatient care planning limits fully accountable mental health nursing practice

Josephien H.M. Rio, Jeffrey Fuller, Kerry Taylor, Eimear Muir-Cochrane

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

It is mental health consumer's human right to lead a fulfilling life as they are empowered to actively manage their recovery. This can be facilitated through care planning, yet research suggests that the care plan is not routinely created, discussed, or updated in acute mental health settings. Research on care planning and the role of the mental health nurse highlights the importance of therapeutic communication in care plan development. This paper argues that the lack of meaningful care plan discussions between consumers and mental health nurses in an acute setting is a limitation to the practice of fully accountable mental health nursing care. We explore this limitation in quality care provision by examining literature on accountability and conclude that in mental health nursing, accountability is frequently enacted through an overarching focus on the organizational need to manage risks, rather than on therapeutic engagement.

Original languageEnglish
Pages (from-to)290-298
Number of pages9
JournalInternational Journal of Mental Health Nursing
Volume29
Issue number2
Early online date20 Dec 2019
DOIs
Publication statusE-pub ahead of print - 20 Dec 2019

Keywords

  • accountability
  • consumer participation
  • mental health nursing
  • patient care planning
  • risk management

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