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Lets Talk Solutions

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Conference Presentation 2009 Melbourne

Conference Presentation 2009 Melbourne

Published in: Health & Medicine

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  • I had distributed this pre-project survey to all nursing staff on the roster this involves 31 survey
  • Transcript

    • 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 eroded…mental 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 of mental 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 don’t 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”
      • “ Presentation…informative & interesting”
      • “ Case study example was good…more 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 programme…looking 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 being I’m not at all confident at having a go at using SFBT in
      • my clinical practice
      •  
      • 10 being I’m 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 you’re at that number?
      • “ Willing to give it a go”
      • “ It’s 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?
      • “ Practice…practice…practice”
      • “ 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?
      • “ I’ll feel more confident”
      • “ Will be able to identify those that might benefit”
      • “ I’ll 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”
      • “ It will be a normal part of my practice”
      • “ Using SFBT in a practical situation with a
      • mentor”
      10th Victorian Collaborative Psychiatric Nursing Conference
    • 35.
      • “ Be more confident in selecting someone”
      • “ Will be focusing more on what the client says,
      • rather than worry that I'm asking the right
      • question ”
      10th Victorian Collaborative Psychiatric Nursing Conference
    • 36.
      • Getting Started
      • First Session Outline
      • Introduce self, problem free talk, SF question, MQ & Scaling
      • Second Session Outline
      • What’s better? What’s changed?
      10th Victorian Collaborative Psychiatric Nursing Conference
    • 37.
      • Solution Focused Question
      • When you’re discharged, say at the end of the
      • week…how will you know that being here in
      • hospital has been helpful…what will tell you that
      • being here has been of some help to you?
      10th Victorian Collaborative Psychiatric Nursing Conference
    • 38.
      • MIRACLE QUESTION
      • What will tell you that the problem that brought you here is gone?
      • What's the first thing that you will notice?
      • What will be different?
      • Shazer & Dolan, (2007)
      10th Victorian Collaborative Psychiatric Nursing Conference
    • 39.
      • SCALING
      • 0....1....2....3....4....5....6....7....8....9...10
      10th Victorian Collaborative Psychiatric Nursing Conference
    • 40.
      • What’s better since we last spoke?
      • What’s changed?
      • Where are you on the scale today?
      10th Victorian Collaborative Psychiatric Nursing Conference
    • 41.
      • ACTION STAGE
      • Small steps
      • Part of practice
      • Part of care planning
      • Session guidelines used and placed in notes
      • SFBT magnets on bed list
      • Sticker in notes
      10th Victorian Collaborative Psychiatric Nursing Conference
    • 42.
      • What next?
      • Continue to work with champions
      • Monitor occasions when used
      • Document session for discussion
      • Follow up workshops
      • Clinical supervision
      • 12 month review
      10th Victorian Collaborative Psychiatric Nursing Conference
    • 43.
      • Thank You
      10th Victorian Collaborative Psychiatric Nursing Conference
    • 44.
      • References:
      • Barker, P. & Buchanan-Barker, P. (2007). The Tidal Model: Mental Health,
      • Reclamation and Recovery. Electronic copy pdf
      • Bowles, N., Mackintosh, C. & Torn, A, (2001). Nurses’ communication skills: an
      • evaluation of the impact of solution-focused communication training, Journal of
      • Advanced Nursing. 36 (3), 347-354
      • De Jong, P & Berg, K., I. (2008) Interviewing For Solutions (3rdEd) Thomas
      • Brooks/Cole Belmont, CA
      • De Shazer, S. (2007). More Than Miracles: The State of the Art of Solution-
      • Focused Brief Therapy. Routledge, New York
      10th Victorian Collaborative Psychiatric Nursing Conference
    • 45.
      • Ferraz, H., & Wellman, N. (2008). The integration of solution-Focused brief
      • therapy principles in nursing: a literature review. Journal of Psychiatric and
      • Mental Health Nursing. 15. 37-44
      • Gingerich, J., W. & Eisengart, (2000). Solution-Focused Brief Therapy: A Review
      • of the Outcome Research. Family Practice 39. (4) 477-498
      • Mullen, A. (2009). Mental health nurses establishing psychosocial intervention
      • Within acute inpatient setting. International Journal of Mental Health Nursing .
      • 18, 83-90
      10th Victorian Collaborative Psychiatric Nursing Conference