Module Title |
Specialist Interventions(Acute Mental Health)
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Module Code |
NS534
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School |
School of Nursing and Human Sciences
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Online Module Resources
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Module Co-ordinator | Dr Liam MacGabhann | Office Number | H226 |
Level |
5
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Credit Rating |
10
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Pre-requisite |
None
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Co-requisite |
None
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Module Aims
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Students will be able to critically review a range of assessment & intervention tools applicable to Acute Mental Health Nursing Care and evaluate their effectiveness.
To critically analyse strategies employed in the management of people presenting with acute mental health difficulties.
Critically appraise the effectiveness of the role of specialist and advanced nursing practice within the multidisciplinary approach to acute mental health care.
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Learning Outcomes
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On successful completion of the module and following a period of personal study students will be able to: Critically evaluate the bio/psycho/social interventions which are therapeutically effective in acute mental health nursing.
Explore and articulate the effectiveness of spending time interacting/collaborating with service users presenting with mental health difficulties, in the pursuit of improved mental health.
Critically evaluate strategies that can be employed to improve team working, awareness of inter professional roles and acknowledgement of the uniqueness of nursing in meeting user needs.
Demonstrate the application of nursing needs assessment, intervention and evaluation of outcome skills and their impact on patient/clients lives.
Demonstrate the application of health promotional activities such as relapse prevention, psycho education and medication management in reducing the negative effects of mental illness.
Critically analyse the potential effects of collaborative practice between users, carers, statutory/voluntary agencies and multi professional intervention, on the management and administration of acute mental health care.
Critically evaluate the dynamics, practices, ethical & legal principles underlying the nursing management of people in contact with acute mental health services and evaluate the effectiveness of this management role.
Critically analyse the consideration of personal/societal concepts such as cultural identity, sexuality, gender, stereotyping, spirituality, relativism and self identity in the delivery of acute mental health nursing care.
Demonstrate the requisite skills required in ensuring integrated assessment, intervention and management of people with acute mental health difficulties associated with co existing difficulties, such as dual diagnosis (coexistent substance misuse), dual diagnosis (co existing DSM or ICD classification), toxic conditions and behavioural manifestations.
Critically evaluate the policy/protocol development/ manpower/time/financial, research/ practice development resource implications, in delivering clinically effective acute mental health care.
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Indicative Time Allowances
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Hours
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Lectures |
30
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Tutorials |
10
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Laboratories |
0
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Seminars |
10
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Independent Learning Time |
100
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Total |
150
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Placements |
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Assignments |
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NOTE
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Assume that a 10 credit module load represents approximately 150 hours' work, which includes all teaching, in-course assignments, laboratory work or other specialised training and an estimated private learning time associated with the module.
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Indicative Syllabus
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Students will examine the effectiveness of historical, contemporary and potential models of acute mental health care and where the principles of specialist and advanced nursing practice are/can be applied. These include psychiatric intensive care, acute inpatient care, acute day hospital care and psychiatric liaison.
Students will also explore a range of interventions particularly relevant to acute mental health/psychiatric nursing care, such as; crisis intervention e.g. with suicidal person, debriefing, conflict resolution, negotiation, promoting safety, `being' with a person in medication management, brief therapy, problem solving skills, social skills training, relapse prevention, cognitive behavioural therapy, advocacy and area specific assessment skills.
Students will be expected to articulate nursing knowledge and expertise in their assessment, judgment, decision making, relationship building and the planning and evaluation of nursing care, within a holistic multidisciplinary/agency approach to care. Strategies for the management of patient/client care will be analysed as to their effectiveness, appropriateness, rationale, origin and pertinence/value to acute mental health care. E.g. ritualistic generic practices, observation practices and prevention and management of violence.
Students will engage in critical discussion about some of the ethical/moral/legal/professionalisation/hierarchical/policy & procedure issues that impact on the ability of psychiatric/mental health nurses to deliver therapeutic care. E.g. ECT, enforced medication and deprivation of liberty & decision making.
Partnership in care. Students will examine the role of acute mental health nursing practice in relation to user involvement/partnership. They will examine the relevance and utilization of, research/evidence base, clinical standards, evaluation and practice development in respect of the user/nurse partnership.
The nature of acuity and implications for demonstrating role of specialist & advanced nursing will be critiqued throughout this module. Some of the pertinent topics will include; leadership, resilience, clinical judgment & decision making, formulation, documentation, presentation and reporting skills.
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Assessment | Continuous Assessment | 100% | Examination Weight | 0% |
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Indicative Reading List
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Essential:
Barker, P. 1997. Assessment in psychiatric and mental health nursing: In search of the whole person. Cheltenham: Stanley Thornes.
Brimblecombe, N. 2001 Acute Mental Health in the Community: Intensive Home Treatment as an Alternative to Psychiatric Nursing. London: Whurr Pub Caplan, G. Caplan, R. 2001 Helping the Helpers Not To Harm: Iatrogenic Damage and Community Mental Health. London: Brunner/Routledge
Gamble, C., & Brennan, G. 2000. Working with serious mental illness: A manual for clinical practice. London: Harcourt Publishers.
Kerrilmann, N. 1997. Parasuicide. Wiley: Chicester
Sidani, S. 1998. Evaluating nursing interventions. London: Sage.
Tyrer, P., Harrison-Read, P., & Van Horn, E. 1997. Drug treatment in psychiatry: A guide for the community mental health worker. Oxford: Butterworth Heineman.
Supplementary:
American Psychiatric Association 1994. Diagnostic and Statistical Manual of Mental Disorders IV. Washington: APA.
Barker, P. 1992 Basic Family Therapy. London: Blackwell Scientific
Caplan, G. Caplan, R. 2001 Helping the Helpers Not To Harm: Iatrogenic Damage and Community Mental Health. London: Brunner/Routledge
Castledine, G & Mc Gee, P 1998 Advanced and specialist nursing practice. Malden: Blackwell Science.
Chapman, G., & Sonnenberg, F. 2000. Decision making in health care. Cambridge: Cambridge University Press. Clinton, M & Nelson, S. 1999 Advanced Practice in Mental Health Nursing. England: Blackwell Science
Cowman, S., Farrelly M. & Gilheaney P 1997 The role and function of the psychiatric nurse in clinical practice. Dublin: St Vincents Psychiatric Hospital.
Corey, G 2000. Theory and practice of counselling and psychotherapy. Stamford, CN: Brooks/Cole.
Clinton, M & Nelson, S. 1999 Advanced Practice in Mental Health Nursing. England: Blackwell Science
Department of Health Standing Nursing and Midwifery Advisory Committee 1999 Mental Health Nursing: Addressing Acute Concerns. HMSO: London
Department of Health 1999 National Service Framework for Mental Health Modern Standards & Service Models. London: The Stationary Office
Dryden, W. 1994 Individual Therapy: a handbook. Milton Keynes: Open University
Falkob, A. 1998. Crossing Bridges: Training Resources for Working with Mentally ill Parents and their Children, Reader for Managers, Practitioners and Trainers. London: Department of Health.
Fergusson, D.M., & Mullen, P. 1999. Childhood sexual abuse: An Evidence Based Perspective. Thousand Oaks: C.A Sage.
Hunt, G. & Wainwright, P. 1996 Expanding The Role Of The Nurse. England: Blackwell Science.
Kirst-Ashman, K.K. 2000. Human behaviour, communities, organisations, and groups in the macro social environment: An empowerment approach. Belmont, CA: Wadsworth
Neal, M. J. 1997 (3rd Ed) Medical Pharmacology at a Glance. Oxford: Blackwell Science.
Parsons, M. OHara, P. 2000) Mental Health and Professional Practice-Interagency Community Care.
Nolan, M., Grant, G., & Keady, J. 1996. Understanding family care: A multidimensional model of caring and coping. Buckingham: Open University.
Rossi, S.A. (2001 Caring and Doing for Others: Social Responsibility in the Domains of Family, Work, and Community). USA: University of Chicago Press
Royal College of Psychiatrists 1998 Management of Imminent Violence: Clinical practice guidelines to support mental health services. London: Royal College of Psychiatrists.
The Sainsbury Centre for Mental Health 1998 Keys to Engagement: A Review of Care for People with Severe Mental Illness who are Hard to Engage with Services. London: The Sainsbury Centre for Mental Health.
The Sainsbury Centre for Mental Health 1998 Open All Hours: 24 hour response for people with mental health emergencies. London: The Sainsbury Centre for Mental Health.
Tilbury, D.2002. Working with mental illness. London: Palgrave Macmillan.
Wilkinson, G. & Miers, M. 1998 Power and Nursing Practice. U.K: Palgrave Macmillan.
Useful journals: Please see NS533
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Programme or List of Programmes
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GNSAMH | GDip Nursing - Acute Mental Health |
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