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Defensive practices in mental health nursing: Professionalism and poignant tensions

Bifarin, O, Felton, A and Prince, Z (2021) Defensive practices in mental health nursing: Professionalism and poignant tensions. International Journal of Mental Health Nursing, 31 (3). pp. 743-751. ISSN 1445-8330

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Abstract

Mental health nursing is a skilled profession, well positioned to support patients towards recovery with evidence-based therapeutic interventions. However, the profession continues to be challenged by tensions surrounding the delivery of restrictive interventions and concerns over tendencies towards defensive practices. This paper examines the ambiguity this creates within the mental health nursing role. Organizational cultures that overvalue metrics and administrative tasks create barriers for therapeutic engagement while contributing to role confusion and stress within nursing. We need to address such structural constraints on nurses as mental health nurses’ well-being is crucial to service delivery and the realization of therapeutic goals. From the UK perspective, authors argue that there is a need to examine service structures that foster compassionate and transformational leadership to enable mental health nurses to exercise the agency to practice therapeutically. Education and quality nursing research have a pivotal role to play in enabling this shift.

Item Type: Article
Additional Information: This is the peer reviewed version of the following article: Bifarin, O., Felton, A. and Prince, Z. (2022), Defensive practices in mental health nursing: Professionalism and poignant tensions. Int J Mental Health Nurs, 31: 743-751. which has been published in final form at https://doi.org/10.1111/inm.12936 This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
Uncontrolled Keywords: Science & Technology; Life Sciences & Biomedicine; Nursing; Psychiatry; mental health nursing; role concept; risk; restrictive practice; Humans; Leadership; Psychiatric Nursing; Defensive Medicine; Organizational Culture; Professionalism; mental health nursing; restrictive practice; risk; role concept; Defensive Medicine; Humans; Leadership; Organizational Culture; Professionalism; Psychiatric Nursing; 1110 Nursing; 1117 Public Health and Health Services; 1701 Psychology; Nursing
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RT Nursing
Divisions: Nursing & Allied Health
Publisher: Wiley
SWORD Depositor: A Symplectic
Date Deposited: 22 Jun 2022 11:41
Last Modified: 22 Jun 2022 11:45
DOI or Identification number: 10.1111/inm.12936
URI: https://researchonline.ljmu.ac.uk/id/eprint/17122

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