Recovery-Oriented Care in a Psychiatric Health Setting

Recovery-Oriented Care in a Psychiatric Health Setting by Renita Denise Hargrow MS, University of Phoenix, 2009 BSN, Carlow University, 2005 Project Submitted in Full Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University August 2017 Abstract Psychiatric recovery-oriented care is aimed at improving patients’ quality of care while increasing the efficiency of health care providers. Despite the benefits of recoveryoriented care, this approach is often lacking in health care settings. The purpose of this project was to implement a recovery-oriented training on psychoeducational groups on a 26-bed psychiatric unit. The Iowa model of evidence-based practice and adult learningPsychiatric recovery-oriented care is aimed at improving patients’ quality of care while increasing the efficiency of health care providers. Despite the benefits of recoveryoriented care, this approach is often lacking in health care settings. The purpose of this project was to implement a recovery-oriented training on psychoeducational groups on a 26-bed psychiatric unit. The Iowa model of evidence-based practice and adult learning theory provided the framework for the project. The objectives were to (a) assess training needs, (b) evaluate barriers for recovery-oriented psychiatric nursing, (c) develop strategies to address barriers, (d) train staff in psychoeducational approaches, and (e) evaluate the training effectiveness. Information on knowledge, confidence, training needs and barriers in conducting psychoeducational groups was collected from 24 nursing staff. Open-ended interviews were conducted to ascertain staff perceptions on training needs and barriers. Interview responses were analyzed for common themes. Staff expressed a need for training and perceived a lack of knowledge and time as barriers in conducting psychoeducational groups. A questionnaire was used to collect data on knowledge (8 items) and confidence (5 items) pre and post training. Pre/post responses were analyzed using descriptive statistics and paired sample t test. Results showed a significant increase in staff knowledge, but not confidence in conducting psychoeducational groups from pre to posttest. Results may be used by psychiatric nursing staff to improve the quality of recovery-oriented care, patient satisfaction, and efficiency of the care delivery system. Recovery-oriented psychiatric care implicitly changes social norms by helping individuals with mental health problems integrate back into their communities. Recovery-Oriented Care in a Psychiatric Health Setting by Renita Denise Hargrow MS, University of Phoenix, 2009 BSN, Carlow University, 2005 Project Submitted in Full Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University August 2017 Acknowledgments I would like to begin my acknowledgements by thanking my mentor, Dr. Melissa Taylor, for her inspiration, guidance, and patience. Dr. Taylor, from the bottom of my heart, I truly thank you for not allowing me to quit and encouraging me to continue on my journey, and achieve my goals. Through your guidance I have enhanced my professional growth by becoming a better nurse, leader, and person. I would also like to thank my committee members for helping me navigate this difficult and frustrating process, and enduring all the annoying emails and phone calls. I would also like to thank a wonderful woman for encouraging me to go back to school. Ms. Brooks, those little words of encouragement meant so much to me, and I truly thank you because I had no intentions of continuing my education. I would like to thank my family for all their love, encouragement, undying support, and putting up with my mood swings during this long, tedious process. To the love of my life, you were there in the beginning and the end. You have always been my biggest cheerleader, thank you for your undying love and support.