- Title
- Exploring adaptations to the clinical reasoning cycle for forensic mental health nursing : a qualitative enquiry
- Creator
- Maguire, Tessa; Garvey, Loretta; Ryan, Jo; Levett-Jones, Tracy; Olasoji, Michael; Willetts, Georgina
- Date
- 2023
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/190609
- Identifier
- vital:17671
- Identifier
-
https://doi.org/10.1111/inm.13096
- Identifier
- ISSN:1445-8330 (ISSN)
- Abstract
- Forensic mental health nurses (FMHN) provide care to address the needs of people who have mental illnesses across a range of diverse settings. The Clinical Reasoning Cycle (CRC) has been identified as a potential framework to assist FMHNs; however, adaptations were required to reflect the unique nature of the clinical setting. This study aimed to explore adaptations made to determine suitability prior to implementation in practice. Nominal Group Technique was used to explore suggested adaptations determined from a previous study and reach a consensus on the changes. Fourteen senior nurses from a state-wide Forensic mental Health (FMH) service participated. A consensus was reached for two proposed changes. Data were analysed using thematic analysis. Three main themes were interpreted from the data; FMH adaptations are warranted, the focus of the CRC, and who owns the cycle? Nurses in this study considered the need to include offence and risk issues due to the impact these factors have on the therapeutic relationship and cognitive bias; however, they also identified the need to focus on recovery-oriented care while engaging in clinical reasoning. Nurses in this study also expressed some reluctance for nursing to ‘own' the model, due to concern that ownership may cause division among the team or result in inconsistency in care. However, some participant's suggested the CRC with adaptations assisted FMH nurses to articulate their specialist skills and knowledge to others and highlight the nursing contribution to care. Further work is needed to finalize adaptations with a focus on engaging the consumer carer workforce and interdisciplinary team. © 2022 The Authors. International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.
- Publisher
- John Wiley and Sons Inc
- Relation
- International Journal of Mental Health Nursing Vol. 32, no. 2 (2023), p. 544-555
- Rights
- All metadata describing materials held in, or linked to, the repository is freely available under a CC0 licence
- Rights
- https://creativecommons.org/licenses/by-nc-nd/4.0/
- Rights
- Copyright © 2022 The Authors
- Rights
- Open Access
- Subject
- 3904 Specialist studies in education; 4203 Health services and systems; 4205 Nursing; Clinical judgement; Consumer; Forensic psychiatric nursing; Nominal group technique; Professional identity
- Full Text
- Reviewed
- Funder
- Open access publishing facilitated by Swinburne University of Technology, as part of the Wiley - Swinburne University of Technology agreement via the Council of Australian University Librarians.
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