Smith, P, Thompson, A and Madill, A orcid.org/0000-0002-9406-507X (2023) Staff experiences of a novel in-reach rehabilitation and recovery service for people with profound and enduring mental health needs. International Journal of Mental Health Nursing. ISSN 1324-3780
Abstract
This organizational case study addresses the research question: What are the experiences of staff who work in a novel in-reach rehabilitation and recovery service for people with profound and enduring mental health needs? Fifteen purposefully sampled staff were recruited from across a novel mental health service that embeds the community sector within inpatient provision. The sample comprises twelve National Health Service and three community voluntary organization staff (four men and eleven women). Data were generated via photo-elicitation in which interviews focused on the photographs participants brought to help convey their experiences of the Service. Interpretative phenomenological analysis was used to analyse the transcripts. The analysis demonstrates that participants are oriented towards five ‘meta-questions’: What is recovery? Who is valued and how is it demonstrated? Why are you frustrated in doing the best job you can and what support do you need? How can change occur in staff practices and approaches in an environment embedded in history? and How do we make the Service work in the context of constraints? Eight paired themes were also identified regarding staff experience of the Service: hope and individuality; culture and power; communication and confidence; accountability and limitations. The conclusions of this organizational case study have wide relevance to clinical practice: staff (i) place importance on promoting and developing greater awareness of different approaches to care; (ii) aspire to develop better communication across multidisciplinary teams and (iii) desire greater awareness of the complexities of risk to improve staff confidence.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2023 The Authors. This is an open access article under the terms of the Creative Commons Attribution License (CC-BY 4.0), which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited. |
Keywords: | interpretative phenomenological analysis, mental health services, multidisciplinary teams, photo-elicitation, recovery-orientated care |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Psychology (Leeds) |
Funding Information: | Funder Grant number Leeds & York Partnership NHS Foundation Trust N/A |
Depositing User: | Symplectic Publications |
Date Deposited: | 26 Apr 2023 13:27 |
Last Modified: | 25 Jun 2023 23:19 |
Status: | Published online |
Publisher: | Wiley |
Identification Number: | 10.1111/inm.13160 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:198548 |