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Does the practice of care planning live up to the theory for mental health nursing students?
Rebecca Rylance Senior lecturer, Faculty of Health and Applied Social Sciences of Liverpool John Moores University
Peter Graham Quality improvement lead, Priory Healthcare Division
Rebecca Rylance and Peter Graham examine why the person-centred care that students learn about is not always a reality on the wards
Care planning should be a collaboration between the service user, caregivers and the relevant professionals. It is based on recovery principles, where clients identify their goals and how to work to reach them, rather than concentrating on illness, symptoms and problems. Mental health nursing students were taught the theory but observed that, in their clinical placements, this approach was often not followed in practice.
These issues were explored in two teaching sessions with six students. Subsequent focus groups were recorded, transcribed and analysed, yielding four main themes: care planning custom and practice, collaboration, organisational culture and student assumptions about their mentors. Participants detailed how care planning might not be person-centred in practice. It was suggested that this might be due to clinical customs, strains and restrictions, lack of collaboration between service users and the multidisciplinary team, and inept organisational culture. The main challenge for services has been how to manage risk as well as the person-centred approach, and the ‘competing dilemmas associated with care-versus-control issues’.
Mental Health Practice. 18, 2, 30-36. doi: 10.7748/mhp.18.2.30.e917Correspondence
This article has been subject to double blind peer reviewConflict of interest
Received: 31 July 2013
Accepted: 20 January 2014