ORCID Profile
0000-0002-7101-7016
Current Organisations
University College Cork
,
Trinity College Dublin
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Publisher: Wiley
Date: 03-08-2023
DOI: 10.1111/JPM.12956
Abstract: Self‐care is essential for nurses' wellbeing, with stress posing a major barrier. Research into self‐care is often absorbed into studies of burnout or resilience. Understanding lived experiences of influences on nurses' self‐care practices is essential. There is currently a paucity of literature on this topic. To explore mental health nurses' views about what influences their ability to self‐care in relation to workplace stress and the impact on their practice and work environment. An Interpretative Phenomenological Analysis approach was utilized. In‐depth interviews explored how nurses perceived the influence of environment and relationships on self‐care practices in the workplace. Participants' perceptions and experiences are embodied by the theme: the nurse bombarded , comprising two subordinate themes—the nurse consumed by the intensity of work and therapeutic relationships and feeling vulnerable from colleague relationships and feeling undervalued. Participants described conflict between workload demands and expectations and the desire to provide optimal care. Stressful working environments pose major barriers to effective self‐care. Feeling bombarded and vulnerable, impacts nurses' lives personally and professionally. Mental health nurses' self‐care is crucial for quality practice. Strategies to address relational, personal and environmental barriers to self‐care are therefore necessary.
Publisher: Springer Science and Business Media LLC
Date: 15-03-2023
DOI: 10.1007/S40653-023-00524-2
Abstract: Engaging with children and adolescents in mental health settings who are exhibiting behaviours that challenge can often result in the use of seclusion, restraint and coercive practices. It is recognised that more therapeutic ways to engage this population are needed, adopting trauma informed interventions may provide a solution. The aim of this systematic review is to synthesize the evidence in relation to the effect of trauma-informed interventions on coercive practices in child and adolescent residential settings. The review is guided by elements of the Cochrane Handbook for Systematic Reviews of Interventions and reported using the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) checklist. Results were synthesized and reported narratively. Nine studies met the eligibility criteria for this review. There was a lack of homogeneity amongst the studies. The trauma-informed interventions used were typically multi-faceted, underpinned by a variety of approaches and sought to bring about changes to clinical practice . Most studies (n = 8) reported significant reductions in the use of restrictive practices following the implementation of a trauma informed approach. The use of a trauma-informed approach, underpinned by an organisational change or implementation strategy, have the potential to reduce coercive practices with children and adolescents. However, the included interventions were insufficiently described to draw strong conclusions.
Publisher: Informa UK Limited
Date: 13-09-2022
Publisher: Informa UK Limited
Date: 04-05-2023
No related grants have been discovered for James O Mahony.