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Beyond the moment: Influence of a co-facilitated education intervention on practitioners' recovery beliefs and practices.
International Journal of Mental Health Nursing ( IF 5.6 ) Pub Date : 2020-05-28 , DOI: 10.1111/inm.12740
Agnes Higgins 1 , Rebecca Murphy 1 , Carmel Downes 1 , Jennifer Barry 1 , Mark Monahan 1 , Louise Doyle 1 , Patrick Gibbons 2
Affiliation  

Despite health policy and research increasingly advocating for recovery‐enabling principles to be better integrated into mental health services, finding solutions to enhance the translation of recovery policy into practice remains a challenge. This study sought to understand whether a co‐facilitated group education intervention for service users and family members reached beyond the intervention and impacted the everyday recovery promoting beliefs and practices of the practitioners involved and the wider organization. The study employed a qualitative design involving semi‐structured interviews with a purposively selected sample of 28 participants (mental health nurses and other members of the multidisciplinary team) who were involved in delivering the intervention. Data were analysed using thematic analysis, with the assistance of NVivo. Participants reported that not only did involvement with the programmes help them reconnect with the contextual realities of service user and family members lived experience, but it enabled them to move beyond traditional power relationships and pathologizing discourses. Having engaged with and experienced the feasibility and positive impact of the co‐facilitation process practitioners’ self‐efficacy around partnership working and co‐production was enhanced. In addition, those involved demonstrated a willingness to challenge paternalistic practices and advocate for the perspectives of service users and families to be further embedded within the organizational infrastructure and operational spaces. Providing mental health practitioners with real‐life examples of partnership working and peer support in action within a co‐facilitated psychoeducation context has potential to be a forum for promoting second‐order change around recovery‐oriented practice within mental health services.

中文翻译:

超越时机:联合教育干预对从业者康复信念和实践的影响。

尽管卫生政策和研究越来越主张将促进恢复的原则更好地纳入精神卫生服务,但寻找解决方案以加强将恢复政策转化为实践仍然是一个挑战。这项研究旨在了解针对服务使用者和家庭成员的共同协助小组教育干预措施是否超出干预范围,并影响了日常康复,促进了相关从业者和整个组织的信念和实践。该研究采用了定性设计,涉及半结构化访谈,从有意选择的28名参与者(心理健康护士和多学科团队的其他成员)的样本中进行了干预。在NVivo的协助下,使用主题分析对数据进行了分析。参与者报告说,参与这些计划不仅帮助他们重新与服务使用者和家庭成员的实际生活环境联系起来,而且使他们摆脱了传统的权力关系和使话语成为可悲的话题。与合作促进过程的参与者进行互动并经历了可行性和积极影响后,从业人员围绕伙伴关系工作和联合生产的自我效能得到了增强。此外,有关人员表明愿意挑战家长式作风,并主张将服务使用者和家庭的观点进一步纳入组织的基础设施和业务空间。
更新日期:2020-05-28
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