2.How do these thoughts and feelings currently affect your attitude?
3.How do these thoughts and feelings affect your behaviour?
4.What will you hope to achieve in this course in regards to these reflections?
5.Did the DVD change anything for you personally or on a professional level?
7.Briefly describe your thoughts and feelings about mental illness now?
8.Discuss any differences now from your previous reflection?
9.Identify any changes you will make to your nursing practice as a result of your reflections?
10.Identify what nursing principles underpin the practice you intend?
11.Discuss how you expect these principles will be reflected in the way you deliver nursing care comparing these to the National Standards for Mental Health Nurses?
12.As a result of this course are you likely to pursue a career in mental Health? Explain why or why not?
1. Mentally ill people should not only be restricted to mental units but also, they should interact with other people. Even qualified nurses face the same challenge of fear I faced when watching the video part 1. But I believe a change of stigmatization and fear can be overcome through practicing reflection exercises in the hospital setting. These kinds of practices will enhance better understanding of mental sickness to students. Through these reflection exercises, students are aware of the impact of negative attitude, stigma and preconceived thoughts to the entire health care team and families. Furthermore, students are aware of the common errors nurses make while medicating mentally ill people. They need to be careful will observing the symptoms.
2. After watching part 1 of the documentary, I had sundry sentiments concerning this type of situation. First, I felt overwhelmed and excited as I expected to learn more about mental health illness, but I was also apprehensive because I thought the man would be dangerous to the life of others especially the child and wife. Due to these reasons, I was not sure about my feelings at last. What I have faith in is that I am an understanding individual who can nurse human beings by being helpful and non-judgmental. Currently, I can interact and engage with any patient, and my last placements have enabled me to gain relevant knowledge about caring for mentally ill patients.
3. When I was watching the video part 1, I became scared and felt uneasy by the way the man talked. I disregarded the nurses for treating the wrong disease. I never believed that I would feel as I did. I suffered from the sick feeling in my stomach. I was sweating because of fear. I started thinking about the kind of work I am about to start. I thought I had chosen a wrong career. I felt so judgmental about the ill man. However, currently, I feel upset because I was stigmatizing the man by allowing my perceived ideas to overhaul my nonjudgmental perceptions. I chose to discourse innermost fear with experienced nurses and comforted myself that I was normal to feel that way but recommended me to watch part 2 of the movie to understand my feelings fully.
4. I will be able to comprehend both the art of caring for people with a mental sickness and the science of mental health nursing. I have come to know that I have various strengths and weaknesses whereby I started with negative attitude limiting me to have positive medical placement. I believe there is need to change my attitude, belief and to feel about the ill man and the mental sickness. I have realized that I won't be student forever and I will soon start interacting with mentally ill people
5. From the movie, I have learned that mentally ill people are supposed to be treated and handled with respect, understanding, and empathy. More so, I have learned that their mental sickness should not judge clients. This video has reinforced me that as a nurse, I need to put my emphasis on the client regardless of my personal beliefs that I had before because the clients are living with mental health sickness.
6. At first, I thought that mentally sick people were scarily and dangerous and therefore they were supposed to be confined in a unit away from other people.
7. According to Casemore (2011), it is the goal of mental care professionals to make the patient become significant in the community as well as fulfill life through the provision of quality care. As such, Mosuro, Malcolm, and Guishard-Pine (2014) suggest that the condition of a patient after intervention should be better than one’s initial state before therapy. In our daily activities, we tend to face issues that can develop stress and depression which predispose us to seek care and outside support for better recovery. However, the symptoms of depression are closely related to stress and as such nurses should be able to avoid stigmatizing patients in their professional practice. More so, nurses must be careful on examining symptoms to prevent mistreatment of a condition. Stigmatization leads to the labeling of individuals which in turn results in an inappropriate treatment.
My first reflection expressed naivety and fear while taking care of patients with mental illness. I have realized that caring for the sick people is imperative as well as a duty I have to deliver to humanity.
8. My first reflection expressed naivety, fear, and stigmatization while taking care of the mentally ill person. I have come to learn the art of caring the sick people unlike in the previous reflection whereby I perceived mentally ill people as dangerous and risky to face.
9. One of the changes that I will show is to acquire self-awareness, interpersonal skills, and the ability to influence other nurses towards positive transformation while taking care of mentally challenged people. After the reflections, I would be able to be understanding of my predicament and augment this knowledge to real-life experiences during my practice. In addition to this benefit, I will be able to elaborate a conclusion and finally test the conclusion in the real practical situation(World Health Organization, 2011). Therefore, reflections help to transform a situation at hand characterized by disturbance, conflict, doubt and obscurity into a situation which is settled, clear, harmonious and coherent(Shanley & Jubb-Shanley, 2012).
10.The following are the nursing principles that support ethical practices;
- Non-maleficence: This principle demands nurses to be competent in the field to avoid any cause of injury to the mentally ill patient(Parker & Smith, 2015).
- Justice: All clients must not be subjected to stigma, and therefore they are supposed to be treated equally and fairly(Parker & Smith, 2015).
- Fidelity: Nurses are needed to show their commitments based on the virtue of caring (Parker & Smith, 2015).
- Beneficence: This principle demands nurses to have passion and act in a positive manner while helping others while following their desire to do good(Chiovitti, 2011).
- Integrity and totality state that entire patient needs to be considered while deciding which type of medication to offer. This practice reduces severe side effects to mentally sick people(Kelleher, 2014).
- Autonomy: The patient is given right of independence, self-determination, and capacity to self-direct and therefore they are allowed to decide what will happen to them while getting medications (Kayser, Cossette, & Alderson, 2014).
11.The above principles can be practiced through following various health care standards. I am supposed to acknowledge cultural, value and belief diversities to ensure there in no stigmatization (Parker & Smith, 2015). Moreover, through these principles, I will establish a successful partnership to support patients. I will give room for patients to express their decisions related to the medication. The principles will guide me to value the participation of other participating agencies in providing care that is holistic and based on evidence to ensure proper and comprehensive service to mentally ill people. Finally, these principles demand me to be fully qualified and demonstrate skills and knowledge while at the same time integrating all standards harmonically.
12.Yes, there is high chance to pursue a career in Mental Health because I will have developed a passion for providing support and care to the people facing mental challenges in the community. Furthermore, this career will offer me any opportunity to give inspiring hope, compassion, and teachings to mentally ill people on how they should overcome their situations. I would like working in an industry that I see the impact of my services to the community, and therefore, this profession will give me the right platform (Akhtar-Danesh et al., 2013). The greatest reward in life that I can get is through helping other people to overcome the current condition and improve their entire life.
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Casemore, R. (2011). Person-Centred Counselling in a Nutshell. Counseling in a Nutshell series.
Chiovitti, R. F. (2011). Theory of protective empowering for balancing patient safety and choices. Nursing Ethics, 18(1), 88–101.
Kayser, J. W., Cossette, S., & Alderson, M. (2014). Autonomy-supportive intervention: An evolutionary concept analysis. Journal of Advanced Nursing, 70(6), 1254–1266.
Kelleher, J. P. (2014). Beneficence, justice, and health care. Kennedy Inst Ethics J, 24(1), 27–49.
Mosuro, S., Malcolm, D., & Guishard-Pine, J. (2014). Mental health awareness and coping in foster carers: The impact of a counselling skills intervention. Educational and Child Psychology.
Parker, M. E., & Smith, M. C. (2015). Nursing Theories and Nursing Practice. F. A. Davis Company, Philadelphia.
Shanley, E., & Jubb-Shanley, M. (2012). Coping focus counselling in mental health nursing. International Journal of Mental Health Nursing, 21(6), 504–512.
World Health Organization. (2011). Mental Health Atlas 2011. World Health Organization, 1–81.