A case study exploring recovery-orientated mental health nursing practices in one NHS Foundation Trust

Aim: To explore how mental health nurses experience the implementation of recovery-orientated nursing practices in mental health services in one National Health Service Foundation Trust. Methods: A qualitative instrumental case study methodology (Stake, 1995) was applied. Semi-structured interviews and focus groups were used to gather the views of participants. Thematic analysis was applied to arrange and interpret the data. Findings: Recovery-orientated practices have been defined and explored within clinical and personal spheres. This study argues that such polar positions do not epistemologically align with mental health nursing. Instead, recovery-orientated nursing practices are seen as enabling processes along a continuum rather than divergence. Barriers and enablers towards implementing recovery-orientated nursing practices are many and positioned within the Trust's micro, meso and macro system levels. Participants argued that nursing executives often conflicted with opposing organisational priorities within mental health services, hindering them from directly influencing practice-based nurses towards implementing recovery-orientated nursing practices. Opposed by practice-based nurses, policies and strategies were seen as how nursing executives can influence the implementation of recovery-orientated nursing practices. Visible leadership and role modelling were methods by which participants felt nursing executives could directly influence nursing practice and improve communication. However, a strict hierarchical structure within the Trust hinders senior leaders from influencing recovery-orientated nursing practices in mental health services. Conclusion: Regardless of the objectively identifiable policies, processes and procedures created within the Trust, if practice-based mental health nurses do not feel connected to their leaders or contribute to and value the policies they make, nursing executives may bear little to no influence on implementing recovery-orientated nursing practices.

Name dc:type.qualificationname

phd

Level dc:type.qualificationlevel

doctoral

Grantor dc:publisher.institution

University of Greenwich

Year dc:date.issued

2023

Author dc:creator

• Jones, Stephen William

Advisors dc:contributor.advisor

• Crowley, John
• Cleaver, Karen

• RT Nursing

Language dc:language

en