400218 Mental Health Nursing Practice 1


Topics: Select from the following topics to complete your task.

Egan (2002) and other authors (Barker, 2003; Horsfall; 1997; Peplau; 1994; Stein Parbury, 2005; Watkins; 2001) a number of theories attempt to explain the basic characteristics and dynamics in a therapeutic relationship.

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One theory of therapeutic relationship best describes the way that you interact in your practice with patients/clients.


“Clinical supervision for psychiatric nursing in general is perceived as a great thing, but the empirical evidence supporting this claim has been limited.”

Critically consider the role and function that clinical supervision plays in current psychiatric/mental nursing practice.

Argumentation can be supported by examples drawn from your practice or the extensive literature.


O’Brien 1999: The therapeutic relationship is the cornerstone of mental health nursing care.

But, it’s important to “understand the perspective of service recipients on the therapeutic relation” in order for appropriate interventions to be developed.

Review the current literature and examine how Australian consumers experience mental health services.

Answer to Question: 400218 Mental Health Nursing Practice 1

The Impact of Consumer Experience on Mental Health Recovery

High-quality nursing is vital in modern health care. It is important to ensure patient satisfaction and a high quality outcome.

McAndrew et. al. (2014) state that mental health is valued by nurses because of the close relationship between them and their clients.

Nurses must be able to understand and gain more knowledge about the perspectives of consumers regarding the services provided, especially when there are gaps in Australian health care (Ewart et. al., 2016,).

It is essential to assess the Australian consumers’ perceptions of mental health care services and how this impacts patients’ recovery.

Relationships between consumer-nurse

A nurse-patient relationship refers to a mutually trusting, respectful, and confident helping attitude. This helps the patient fulfill their physical, emotional, or spiritual needs.

The nurse and the patient form a caring relationship that allows them to work in harmony, resulting in healing.

Some elements of the patient, nurse, or organizational environment can hinder the creation of these relationships (Pazargadi (2015).

When this happens, the nurse can have a positive interaction with the client, which can lead to a learning experience that will help the client develop a corrective emotional behavior.

This is possible when nurses demonstrate empathy and communicate effectively with clients to control their thoughts, wishes, and concerns.

Establishing trust-relationships allows clients to share their feelings with nurses. The coping and therapeutic process is possible (Psychiatric Nursing 2014).

The only way to have a productive nurse-client relationship is if they are happy in their work environment.

Dissatisfaction at work will result in dissatisfaction, which in turn will have an impact on the quality of the nursing work.

There are many factors that affect nurses’ job satisfaction, which can have negative effects on patient experiences.

Overwork load, high cost-effectiveness policy and transparency goals in order to maintain accountability externally are factors that negatively affect the motivation of nurses and their efficiency. In the end, this can lead to difficult relationships between the nurse and the customer.

The nursing staff will feel pressured and manipulated by management under the pretense of increasing productivity due to a heavy administrative workload (Kieft, Koeft, et.al., 2014).

Consumer-Centered Caring

Care can only be considered quality if it is effective, safe, and timely.

Patients will be listened to and reflected upon during their care.

The nurse can communicate useful information to patients and their families without violating the regulations of the organization.

This is why contemporary health policies regard clients as partners in their care and treat their interactions as the pillars.

The National Safety and Quality Health Service Standards (NSQHSS), and the Australian Safety and Quality Goals for Health Care 2012 (The Goals), are both farsighted efforts to achieve these working concepts (Newell & Jordan 2015.

Nursing theories are important for nurses in order to improve their nursing skills and help them deliver their care.

They gain authority through knowledge and perception but it is these nursing theories that drive their nursing practice.

Because without a solid theory that facilitates meaningful communication, there would be no way to achieve the best possible health care outcomes.

These theoretical relationships depend more on the patient’s exchanges of thoughts and feelings with the nurse. In turn, the patients will have satisfied needs, which can lead to better health outcomes (Senn 2013, 2013).

Efficacy Of Quality Nursing and Quality Delivery of Mental Health Care

Because quality nursing is the most important factor in providing modern health and social services, patients must feel satisfied with their care.

An effective mental health nursing will only be able to reflect the lived experiences of its patients.

The mental health nurses must build and maintain healthy relationships with clients and patients in order to make it more efficient and responsive.

This can be done by invoking empathy towards service users through dialog, enabling them feel comfortable, so they can share their emotions and distress (McAndrew. et. al., 2014.

For clients with traumatic or past experiences, it is vital to establish a strong relationship.

These clients will have the chance to review their relationships and experience through their therapists in the client-patient relationship.

Clients will be able to see the real world through nurse-client relationships. This relationship is neutral and free from any judgments about external relationships.

Service users evaluate nurses’ trustworthiness and positive attitude in all healthcare settings.

Nursing professionals value their nursing ability by empathizing with service users and relating it to the skills they have in communicating empathy, talking, listening and listening.

Research shows that nurses spend much of their time doing other things than building relationships with service recipients (McAndrew (2014)).

Factors That Influence the Consumer Experience

Quality is an important strategic tool to sustain competitive edge in all fields, but especially in mental healthcare, where it is not easily defined due to its intangibility or heterogeneity.

It makes it difficult to assess. This is why the only way you can measure it is to look at the interactions and experiences of customers and service providers. They all have different intensities.

Consumers have the right of inquiry about their health care and services. This allows them to offer solutions and suggestions to improve the quality and effectiveness of their services.

The quality and lengths provided by the service determine the quality of the patient’s health and social well-being.

For improvement areas, it is crucial to assess patients’ experiences and satisfaction.

Customer satisfaction begins with understanding the customers’ priorities and needs.

In order to gain customer satisfaction, it is necessary to segment customers. This will allow you to see the priorities and viewpoints of your customers regarding the services.

To compare the perceived and expected benefits of the services with those of the service provider, it is crucial to collect information from customers.

This information management and conflict resolution is time-consuming and complicated. However, it is vital for identifying the reasons customers have negative experiences.

Another factor that contributes to a negative experience is stigmatization.

The degree of stigma depends on the individual’s diagnosis, as well as the training and discipline of the service provider (MHCA, 2011).

Numerous studies have found that people and providers alike are confused about mental illness discrimination.

Many people also see mental patients with fear, and this alienates them from society.

This belief system is based on the assumption that mental illness can be self-inflicted. Mental patients are also violent and not communicative.

The problem will only get worse if mental health professionals adopt similar attitudes (Knox 2013).

Recent studies have clearly shown that many mental healthcare providers refer to mental consumers in a negative light.

There is ample evidence that these consumers had experienced stigmatization from all levels. This includes mental health nurses, psychiatrists general practitioners, psychologists, doctors, and medical students.

The main reason for this negative attitude is the inability to understand and care about the challenges faced by this vulnerable population. They are often emotional and react with anger, hurt and sadness to the stigma.

This leads to low self-esteem, low self-confidence and self alienation. It also results in anxiety and depression which eventually lead to decreased satisfaction (Knox 2013).

This can often be avoided if the treatment is performed within the scope Recovery-oriented services (Hungerford & Fox, 2014).

Factors that Influence Consumer Recovery

Recovery is the intense process of changing someone’s feelings and attitudes in order to have a fulfilling and productive life.

It involves moving beyond the terrible effects of psychiatric disability.

Integrating mental health services is done through acute, residential, community-based settings.

These arrangements have presented new challenges like staffing changes.

This makes it necessary to design facility aesthetics components that make the patients feel safe and provide enough amenities and staff access (Rickwood & Thomas 2017.

It is important that the recovery approach be sensitive to cultural differences, such as those of Aboriginal and Torres Strait Islander Australians.

A tailored approach to care is needed for those with sub-acute illnesses. It should provide support, education, and opportunities to socialize, as well as symptom management and daily living skills.

Psychosocial rehabilitation facilities should be included in recovery-based care to increase patient empowerment, hopefulness, as well as universal well being.

Consumer recovery will be difficult if these services are not integrated into the health care systems (Rickwood & Thomas 2017.

Measurement Of Recovery

Recovery-based services are not always easy to access because people don’t know what recovery means. The primary perspective must originate from the symptom-reduction-based medical model, that works towards patients’ sustained remission, wherein personal recovery is perceived through consumer narratives about satisfying, positive, and contributing life, irrespective of the limitations of the illness.

The measurement of recovery also includes monitoring the effectiveness, efficiency, quality and satisfaction of services. Rickwood & Thomas, 2017.

The Australian community mental hospitals have released 136 outcomes measures. They are divided under seven domains: recovery.

Critical problem in measuring recovery field is failure to define what recovery means for young people, as well as those who are in the early stages or onset of mental illness (Rickwood & Thomas 2017.

Critical Analysis Of Mental Health Consumer Experience And Its Effect On Health Recovery

To gather information about quality of healthcare delivered, all patients experience are tracked.

It’s because patient experiences can be a reliable indicator of what actually happened during the delivery and administration of health care by healthcare workers.

This assessment of patient experiences on quality of care provides valuable information about patient experiences. It also gives insight into patients’ priorities.

The national performance framework that evaluates the quality of health services has a set if quality indicators known as the Consumer Quality Index (CQI). This index measures the standard of patient experiences.

These are the main indicators of patient satisfaction: clear information and support, respect for decisions and preferences, empathy and emotion support, easy accessibility to health care, efficient treatment and recognition of physical needs. Family involvement and support. Care continuity and transition.

Nursing staff spends more time with patients than nurses, so they have greater influence on patient experiences.

To ensure high quality nursing care, nurses present eight essentials of magnetism.

A good staffing ratio, good nurse-doctor relationships and self-regulating nursing practice are all essential. They also need to be supported by a competent nurse manager, educational support and patient orientation (Kiet, 2014).

The above statements are not intended to suggest that health care providers should create a pleasant work environment. However, they must also be careful about causing harm to consumers and others.

To improve consumer-nurse relationships, patient healing, and patient experience (Brophy, et al. 2016).

It is possible to maintain a positive nurse-patient relation by dividing it into three distinct phases. The orientation phase, the working and the termination phases are all separate. This phase allows the nurse to reflect the goals and behaviors of both the patient and nurse.

The nurse uses this relationship to ascertain the patients’ psychological, emotional and spiritual needs. She does so using communication skills, personal competencies, and an understanding of human behaviours.

Trust occurs when the patient trusts the nurse with their integrity, credibility, and compassion (Senn, 2013,).

The therapeutic alliance is an element that can help improve patient experience in modern mental health care. It is a customer-oriented, collaborative relationship, which focuses on individual consumer wellbeing.

It is the most humanistic form of healthcare, created by mutual partnership between the nurses and the consumers. This is linked to improved consumer outcomes in healthcare (Zugai, et al. 2015).

Institutionalizing consumer leadership can help to embed a recovery orientation in the Austalian mental system.

It is a necessary requirement for all those involved in improving the health care service delivery because of its positive impact.

The consumer movement can increase consumer empowerment values and equity. These are essential elements for a recovery-oriented system of health care.

A consumer leadership can therefore expand to cover a wide variety of mental healthcare service users (Rickwood & Thomas 2017.

Australia has long boasted of a well thought-out strategy and planning. This made patient recovery the highest priority and most prioritized part of the mental healthcare system.

It is unknown how far the national reforms of health care will bring about a change in the system. The inclusion of the consumer recovery orientation in the system framework is a Pandora’s box.

Monitoring mental health services is essential in order to confirm the quality of care provided (Rickwood & Thomas 2017.

A poor integrated health system can cause people to feel isolated and impede their ability to participate in the community. It also reduces productivity and hinders economic growth.

Austrialia has poorer health outcomes despite spending $10 million each year on its mental health.

To promote system reform, it’s necessary to improve the sustainability of the mental health system. This includes adherence to person-centric design principles and innovative system architecture. Effective funding is also needed to ‘upstream support’ services and programs.

Additionally, it is urgent that transparent, collaborative governance be established to allow people, communities, and health care professionals to work together (NMHC, 2014).


Nurses can communicate with patients through trust, mutual goals. Respect, reliance, reliance, respect, empathy. This makes it easier for both patient as well as nurse to learn.

It is possible to improve the mental health of patients by developing nurse-client relationships.

There are many discrepancies between client and nurse that can jeopardize mental health care.

Consumers can have negative experiences that lead to them being disengaged from the mainstream health service.

It is detrimental to the health and well-being of the nation, as well as impedes its economic progress.

The primary contact with mental health care is the nurse. Nurses must build positive client relationships using efficient learning skills and honest behavior.

Consumer satisfaction is the foundation of all health care services. Therefore, mental health recovery lies in the patient experience.

Low perceptions of mental illness can hamper the treatment.

Primary Health Networks should be able to show how to prioritize recovery orientation through planning.

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