Lets Talk Solutions

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Conference Presentation 2009 Melbourne

Transcript of Lets Talk Solutions

  • 1.
    • THERAPY IN NURSING INITIATIVE
  • ACUTE INPATIENT SETTING
  • August 2009
  • Albert Morrison CNS

10th Victorian Collaborative Psychiatric Nursing Conference 2.

  • Thank You For Coming
  • A Solution Focused Approach

10th Victorian Collaborative Psychiatric Nursing Conference 3.

  • The Integration Of Solution Focused Brief Therapy
  • Into Nursing Practice

10th Victorian Collaborative Psychiatric Nursing Conference 4.

  • Literature
  • Solution Focused Brief Therapy
  • Integration of SFBT into Nursing Practice
  • Is it helpful to Mental Health Nurses?

10th Victorian Collaborative Psychiatric Nursing Conference 5.

  • recovery based philosophies are being erodedmental health nursing practice is too custodial and essentially operates within an observational framework without actively providing psychosocial interventions
  • (Mullen, 2009)

10th Victorian Collaborative Psychiatric Nursing Conference 6.

  • Where have the talk therapies gone?

10th Victorian Collaborative Psychiatric Nursing Conference 7.

  • by talking about themselves, people become more
  • aware of how they are living and perhaps by
  • doing whatever needs to be done, they might
  • move beyond their problems, into a new story of
  • their own making
  • Barker, P. & Buchanan-Barker, P. (2007)

10th Victorian Collaborative Psychiatric Nursing Conference 8.

  • Literature Review Ferraz & Wellman, (2008)
  • Literature relating integration of SFBT in
  • mental health (MH) nursing practice with
  • special focus on inpatient care.
  • Evidence for suitability & relevance to MH Nursing

10th Victorian Collaborative Psychiatric Nursing Conference 9.

  • Published articles 1980-2006
  • 203 citations
  • 9 papers met the inclusion criteria
  • Ferraz & Wellman, (2008)

10th Victorian Collaborative Psychiatric Nursing Conference 10.

  • SFBT congruent with the philosophical underpinning ofmental health nursing.
  • Can be safely incorporated into nursing practice
  • May positively impact on nurses willingness to communicate with their patients
  • Helps nurses create a collaborative, goal-orientated approach
  • Ferrez & Wellman,(2008)

10th Victorian Collaborative Psychiatric Nursing Conference 11.

  • SFBT techniques relevant to nursing practice
  • Cost effective approach
  • SFBT provides framework & easily understood
  • Harmonious with nursing values
  • Bowles, Mackintosh & Torn, (2001)

10th Victorian Collaborative Psychiatric Nursing Conference 12.

  • SFBT may be helpful to clients
  • May be useful in a broad range of applications
  • Research moving in the right direction
  • Efficacy phase
  • More careful study needed
  • Gingerich, J. W., & Eisengart, S. (2000)

10th Victorian Collaborative Psychiatric Nursing Conference 13.

  • SFBT was first developed by:
  • Steve De Shazer & Insoo Kim Berg
  • (1985, 1998) at the Brief Family
  • Therapy Centre in Milwaukee, USA .

10th Victorian Collaborative Psychiatric Nursing Conference 14. 10th Victorian Collaborative Psychiatric Nursing Conference 15. 10th Victorian Collaborative Psychiatric Nursing Conference The client constructs his or her own solution based on his or her own resources and successes(De Shazer, 1988, P.50) 16.

  • Principles
  • If it isn't broken dont fix it
  • If it works do more of it
  • If its not working try something different
  • Change is inevitable

10th Victorian Collaborative Psychiatric Nursing Conference 17.

  • Problem Free Talk
  • Acknowledge problem
  • Not problem solving
  • Solution building
  • Jong & Berg, (2008 )

10th Victorian Collaborative Psychiatric Nursing Conference 18.

  • Assumptions
  • The client is not the problem the problem is the problem
  • Assumes the client has strengths
  • Things will get better
  • Problem not always there
  • Change is inevitable

10th Victorian Collaborative Psychiatric Nursing Conference 19.

  • Practice Development 2008-2009
  • Therapy In Nursing Initiative
  • Adult acute inpatient setting
  • 25 beds
  • 32 Nursing staff

10th Victorian Collaborative Psychiatric Nursing Conference 20.

  • Question 1
  • List three things that you know about Solution
  • focused Brief Therapy?
  • Question 2
  • Please rate your confidence in using SFBT in your
  • Nursing practice?

10th Victorian Collaborative Psychiatric Nursing Conference 21.

  • Question 3
  • Mental Health nurses should provide
  • psychosocial interventions such as SFBT to
  • clients in the inpatient setting.
  • Question 4
  • How long have you been working in mental
  • health?

10th Victorian Collaborative Psychiatric Nursing Conference 22.

  • Total session 5
  • Total staff attended 31

10th Victorian Collaborative Psychiatric Nursing Conference 23.

  • Content
  • Origins of Solution Focused Brief Therapy
  • Influences
  • Major Tenants
  • Basic principles

10th Victorian Collaborative Psychiatric Nursing Conference 24.

  • The presentation was relevant to my nursing practice
  • The objectives of the session were clearly explained
  • I found the information informative & interesting
  • I know more about SFBT after this session
  • Opportunity given to ask questions

10th Victorian Collaborative Psychiatric Nursing Conference 25.

  • bring on the training
  • Presentationinformative & interesting
  • Case study example was goodmore please

10th Victorian Collaborative Psychiatric Nursing Conference 26.

  • good work
  • We find that we do a lot of this already but this is more structured and better focused
  • Great programmelooking forward to see how it goes

10th Victorian Collaborative Psychiatric Nursing Conference 27. 10th Victorian Collaborative Psychiatric Nursing Conference 28.

  • 12 of those emailed responded and agreed to be
  • part of the project
  • Registered Nurses x 5
  • Clinical Nurse Specialists x 4
  • Endorsed Enrolled Nurses x 2
  • Clinical Nurse Educator x 1

10th Victorian Collaborative Psychiatric Nursing Conference 29.

  • Moving forward to change
  • Interviewing for strengths
  • Case study role play
  • DVD footage Solution building

10th Victorian Collaborative Psychiatric Nursing Conference 30.

  • At the end of this training session on a scale of 0 to 10
  • 0 beingIm not at all confident at having a go at using SFBT in
  • my clinical practice
  • 10 beingIm very confident that I will be using SFBT in my
  • clinical practice
  • Where would you put yourself on this scale right now?
  • 0.1.2 . 3 . 4.5.6.7.8.9.10

10th Victorian Collaborative Psychiatric Nursing Conference 31.

  • Nurse 1 (3)
  • What tells you that youre at that number?
  • Willing to give it a go
  • Its not going to kill anyone
  • A little knowledge goes a long way

10th Victorian Collaborative Psychiatric Nursing Conference 32.

  • Nurse 1
  • What needs to happen to get you to the next
  • couple of numbers on the scale?
  • Practicepracticepractice
  • More in-services & more knowledge

10th Victorian Collaborative Psychiatric Nursing Conference 33.

  • Nurse 1
  • When you get to the next couple of numbers on
  • the scale, how will you know?
  • Ill feel more confident
  • Will be able to identify those that might benefit
  • Ill be more at ease in using SFBT
  • I will be getting more detail from the client

10th Victorian Collaborative Psychiatric Nursing Conference 34.

  • Nurse 1
  • What will you be doing different that will tell you
  • that you have moved up the scale?
  • Finding out what their solution is