Author Archives: nursingmidwiferyrgu

Research Seminars

The research team are running a series of Research Seminars, which is currently showcasing the Phd research of our most recently qualified doctors. The seminars aim to highlight research carried out by school staff and our external colleagues, with a focus on health and social care.

The winter – spring session kicked off in mid-December with Dr Steve Smith presenting his PhD study in a talk entitled ‘Solution Focus: What is it good for?’ He eloquently led the audience through his study of the use of solution focused brief therapy by nurses, and enthused with his thoughts on being immersed in the research process.  The resulting discussion with the audience could have gone on all night.  Readers may view Steve’s presentation by clicking this link:
http://mediastream.rgu.ac.uk/flash/45536111_hi.mp4 (60 sec download time)


The seminar series continues in February with Dr Heather Bain presenting her work on the unique knowing of district nurses : https://nursingmidwiferyrgu.wordpress.com/2017/01/24/research-seminar-series-the-development-of-unique-knowing-in-district-nursing-practice/.

Heather’s session will also be available to view in this blog by the end of February. But, if you would like to come along to this session in person then all you need to do is contact Heather Nicolson h.nicolson@rgu.ac.uk.

The seminars run between 4-5pm and are usually on a Monday or Tuesday. Come along for tea, coffee, cakes and biscuits beforehand and be prepared to have your enthusiasm for research lit or rekindled.

 

Research Seminar Series – The development of unique knowing in district nursing practice

There  is an upcoming  research seminar about “the development of unique knowing in district nursing practice” by Dr. Heather Bain:
Date: Monday 6 February 2017
Time: 4-5pm
Room: H230 FOHSC Building

heather-bain

(Click on the image to enlarge)

Blood transfusion: Patient Identification and Empowerment

Our Master’s graduate Lynn Stout, transfusion practitioner at NHS Grampian and her supervisor Dr Sundari Joseph have published an article titled “Blood transfusion: Patient Identification and Empowerment”. It is a feature article in the British Journal of Nursing http://www.magonlinelibrary.com/doi/pdf/10.12968/bjon.2016.25.3.138

Mentalization-Based Therapy Skills Training and Borderline Personality Disorder by Dan Warrender

I recently completed my MSc Nursing at the University of Aberdeen. This involved undertaking a research project which was directly influenced and inspired by my area of practice as a staff nurse. Working in acute mental health can be challenging for staff, but also for patients, none more so than people with a diagnosis of borderline personality disorder (BPD). People with BPD constitute an estimated prevalence of 20% within inpatient settings, with crisis presentations often involving suicidal and self-harming behaviour. Whilst admission to inpatient services is done primarily with a view to assessing and containing risk of harm, the acute mental health environment can present further challenges as patients can paradoxically deteriorate in hospital. Understanding BPD can be simply described as ‘understanding misunderstanding’. People with BPD often have significantly unstable interpersonal relationships as they can assume other peoples mental states and misconstrue their intentions. These misunderstandings are often triggers to manifestations of crisis. In this way, people with BPD are incredibly fragile, and admission to 28 bedded mixed sex wards, with different staff on opposing shift patterns provides ample opportunity for misunderstanding. This entails a situation where a patient may be admitted on the basis of one crisis, only to experience further crises within the hospital environment. Mentalization-Based Treatment Skills Training (MBT-S) is a two day workshop which teaches mental health staff nurses about BPD and it’s development, before moving on to a role-play based skillset which promotes empathy and exploration of thoughts and feelings. The aim of mentalization is to increasing the patient’s ability for self-reflection and awareness of other peoples mental states. MBT-S was first introduced to staff nurses in Royal Cornhill Hospital in June 2013. My study utilised 2 focus groups to assess staff nurse perceptions of the impact MBT-S had on their practice, with the findings capturing 7 key areas.

  • Common Sense Approach
  • Consistency of Approach
  • Empathy
  • Flexibility
  • Empowerment of Staff
  • Tolerating Risk
  • Limitations

Staff found MBT-S to be a common-sense approach which allowed a consistency of approach between themselves and colleagues. There was also increased empathy towards patients as a result of an increased understanding regarding the nature of BPD. MBT-S had a flexible use in structured sessions or ‘off the cuff’ instances and staff felt empowered to make real visible changes in patients mental states. Staffs ability to tolerate risk was also increased, this avoided unnecessary use of constant observations and the mental health act through an increased ability to make changes through MBT-S based discussion. Limitations were not around MBT-S, but around the limited opportunity to engage with patients in incredibly busy environments.

Although a small scale study, this piece of work has significant implications for practice given the prevalence of people with BPD and the associated challenges admissions can involve. Now in a post at RGU as a lecturer in mental health, I am committed to continuing my research, and increasing awareness and understanding of BPD as a condition which can improve with the correct approach.

Dan Warrender