I attended the
@FNightingaleF
Students Day yesterday. I tried to share my career in 5 mins (failing to do so), and I’ve been wondering why I was on an ‘expert leader’ panel? This is a summary, and a translation of my Scottish accent!
#MHDeservesBetter
#FNFStudents
#TeamFNF
(1/7)
I have heard of mental health nursing students being told “you should have done psychology” when they show a psychological curiosity about patients. No. Good mental health nurses will always consider histories, contexts, experiences and meanings which lead to distress.
So yesterday I learned that ‘Netflix and chill’, doesn’t mean Netflix and chill. Casual sex apparently. And thus begins the haunting journey into my memory, as I count the times I’ve enthusiastically suggested it as a means of self-care.
Recieved an email from the NMC this morning, saying they now understand the complexity of mental health nursing and apologise for the dilution of mental health nurse education. They've agreed we deserve our own bespoke education and will mandate this across the UK.
Conscious decision to teach in dressing gown and jammies today. Trying to role model and let students know that I don't care what they wear or look like, but I'd like to see their faces on camera...
"The verdict is in. The
@nmcnews
Future Nurse standards have allowed undergraduate nursing curriculums to be dominated by adult nursing content, and the frustration of mental health nursing at this is palpable". My comment published in the
@NursingTimes
.
This editorial is a personal and professional critique of the theory-practice gap in mental health nursing, the challenges some students/newly qualified nurses experience, and why my role as educator is pointless if students are simply told to ignore me.
I'm a mental health nurse, but have had an uncomfortable relationship with the profession, as despite intentions we can both help and harm people. I'm in practice, research and education, always with the hope we can acknowledge this and improve.
#InternationalNursesDay
Very pleased that my item has been accepted and will be discussed at
@theRCN
Congress. We need to talk about how mental health nurse education is being diluted. It's not good enough for mental health nursing or the people we care for.
I enjoyed presenting some of my PhD data on the experiences of
#MentalHealth
nurses at an
@NHSEngland
webinar today. Grim content but important we're honest about how stressful and traumatising the role can be. The role absolutely requires a decent education.
#MHDeservesBetter
Through many conversations over the last few months, it's become clear that there is a growing consensus amongst mental health nurses that under increasingly generic NMC standards, there is not enough mental health nursing content within our pre-registration curriculums. 1/2
Perspectives of crisis intervention for people diagnosed with 'borderline personality disorder'; an integrative review. Delighted this was published today after 3 years working on it. I strongly recommend all humans read it and share it. 😁
I've heard a lot from professionals over the last few years, that the stigma around 'personality disorder' is "better than it used to be". I'm not convinced, but even if it is better, it's still not even nearly good enough is it?
I was proud to co-author this with colleagues, adding to
@nmcnews
reading list, and continuing to draw attention to the scandal of diluted
#MentalHealth
nurse education in the UK. Some highlights (with gifs). (1/10)
Incredibly simple model showing how people diagnosed with
#borderlinepersonalitydisorder
can remain in crisis during and after intervention. When people are treated poorly, they feel worse. The obvious is pointed out in this 2021 literature review here:
Happy new year all. I'm very pleased to be starting the new year with a new job, and I'm so looking forward to contributing to a course with a sole focus on mental health nursing. 🙂
Moving jobs and going through 9 years of stuff. Throwback to the time when we still marked paper assignments, and witty colleagues created a fake paper and slipped it into my pile. I looked at this for the first time thinking it was a genuine attempt.
Last share of
#MHNursesDay
. Probably one of the best and most honest things I've ever written, about my uncomfortable relationship with the profession I love. Food for thought.
@MHnursesday
@WeMHNurses
Humbled and moved by nursing students this week as I gave my last lectures at
@RGUNMandP
@RobertGordonUni
. Applause, lovely feedback and even bunting with kind messages. 9 years drawing to a close, and looking forward to new adventures at
@MHNAbertay
@AbertayUni
. 🙂
Huge honour for me to be asked to deliver the
@MHNAUK
keynote lecture for 2022. I have a healthy balance of nervousness and excitement for Oxford on Thursday!
I was honoured to be selected as the
@MHNAUK
keynote speaker 2022, and on 8/9/22 presented the lecture “Ghost or Phoenix: The disappearance or rise of mental health nursing?” at
@UniofOxford
for
@MHNRconf
. Below is a thread of related resources.
#MHDeservesBetter
(1/20)
Hi all, after significant interest I have made my online conference presentation "a critical introduction to 'borderline personality disorder'" free and accessible to all on youtube. I hope people find it useful and I'd welcome anyone's thoughts.
At my first congress I enjoyed the opportunity to stand up for mental health nurse education, raising this issue:
I met some great people at the
@RCNMHForum
and I hope this conversation continues beyond
#RCN22
As well as the keynote which I'm nervously waiting to do, I have a poster at
@MHNRconf
. Come and say hello and talk to me about crisis intervention for people diagnosed with 'borderline personality disorder'.
#MHNR2022
Later this year I'm hoping to do a study on experiences of crisis and crisis intervention for people diagnosed with
#borderlinepersonalitydisorder
. I'm seeking the views of people with the diagnosis to inform how I carry out my study ethically. Please share.
#BPD
#BPDChat
Delighted to be selected to give the annual
@MHNAUK
lecture in September. Having the belief and trust of my peers is incredibly validating. The theme is 'MH nursing in challenging times'. I think I have quite a bit to say about that! Thanks for nomination
@Zelina76
🙂
Excellent and important book by
@suicideresearch
. Perfect balance of personal and professional perspectives, humanistic and compassionate. Recommended for anyone interested in suicide prevention.
For any nurses or midwives interested in
#borderlinepersonalitydisorder
I’ve recorded a 1 hour on-demand session for the Nursing in Practice Virtual Festival 2020. This is FREE, and is available from 6th Oct to 14th Dec. Register here for access:
Nice to receive
#TopCitedArticle
from
@JPMHNursing
today, and pleased that it has made a contribution to the field. The review explores literature and finds complex issues around crisis, relationships, risk and responsibility. Article open access here:
Yesterday I taught my first class at
@MHNAbertay
, and shared some of my PhD findings around 'borderline personality disorder'. Great to have space to share my research, and to do these complex topics justice in our MH nursing specific course. Not all universities are as lucky.
I've recieved ethical approval for my study and am looking to speak to people diagnosed with
#borderlinepersonalitydisorder
living in
@NHSGrampian
who have experienced crisis intervention in the last 12 months. Email address for further information is on the flyer. Please share
@CatieChapp
@ohxnostalgia
"Maybe there weren’t any grown-ups, only people who had worked hard and also got lucky and were slightly out of their depth, all of us doing the best job we could, which is all we can really hope for"
@neilhimself
with the most comforting words ever...
First time doing my own work! Delivering training for
@SAMHtweets
staff on 'personality disorder', providing a critique of diagnosis and promoting humanistic understandings of distress. Great engagement from attendees and superb venue thank you
@TheInkwellMoray
@JDaviesPhD
I’ve worked with some people where 6-12 sessions wouldn’t even be enough time to develop a relationship. You need a relationship to do the work. Time limited therapies are not person centred.
Sharing 3 things for
@MHnursesday
. 1. We work in an ethically grey area, sometimes helping but also harming. We need to acknowledge this, and think about it. We have great power, thus have a responsibility to use it very carefully.
#MHNursesDay
#MentalHealthNursing
has “seminal differences… (and needs) an altogether different skill set” from other nursing fields. This is a superb paper, important and timely, and necessary reading for all mental health nurses.
@RCNMHForum
@MHNAUK
@WeMHNurses
Great
@MHNRconf
in Oxford. I enjoyed delivering a keynote for
@MHNAUK
to stand up for
#MHNursing
, and have felt valued by my profession. Inspired by the critical thinking and compassion of many MH Nurses, and appreciative of the friendship of all.
#MHDeservesBetter
One reason I care so much about
#MentalHealth
nurse education, is knowing that people diagnosed with 'borderline personality disorder' are often met with
#MentalHealth
nurses who don't know how to help them. Doing a literature review I found this today:
I wrote this article on self-disclosure after finding many students and practitioners apprehensive about sharing some of themselves with patients. I argue that self-disclosure is one of our most important therapeutic tools. Our humanity is important.
I actually left my intellectual bunker and taught students in person today, for the first time in a long time. It was lovely. 😊 Online may have a place, but it is no substitute.
Just to clarify this was indeed an April Fool, and not a funny one, as it highlights the sad reality that mental health nursing students often don't get enough mental health in their education. This needs to change, because people who receive mental health care deserve better.
Recieved an email from the NMC this morning, saying they now understand the complexity of mental health nursing and apologise for the dilution of mental health nurse education. They've agreed we deserve our own bespoke education and will mandate this across the UK.
Delighted that our article just won the 2020
@JPMHNursing
paper of the year! Really pleased to have this validation, but more importantly I hope it contributes to improved
#crisis
care experiences for people diagnosed with “
#borderlinepersonalitydisorder
”.
If you're interested in the challenges facing mental health nurse education in the UK, please take the time to watch my keynote from Oxford in September 2022. If you feel what I feel, time for all of us to stand up and be counted.
#MHDeservesBetter
The Nursing and Midwifery Council (NMC) is considering international models of education for clinical placements as it explores whether the 2,300 hours needed to qualify can be reduced.
I attended this meeting with other mental health nurses from around the UK, and it was great to see the compassion in the room and shared discomfort with the SIM model. Formal position statement below.
#StopSIM
An urgent
@RCNMHForum
member meeting was held on the 6th May 2021, in response to the concerns raised by
@StopSIMMH
.
Members echoed the calls of the
#StopSIM
Coalition - supporting the full content of their letter.
@theRCN
has written a formal position statement on the matter.
Anyone who watched the horrific
#panorama
documentary may be interested in the challenges impacting mental health nurse education. The problems in that hospital ran deeper than education, but generic education will certainly not help in the future.
I was honoured to be selected as the
@MHNAUK
keynote speaker 2022, and on 8/9/22 presented the lecture “Ghost or Phoenix: The disappearance or rise of mental health nursing?” at
@UniofOxford
for
@MHNRconf
. Below is a thread of related resources.
#MHDeservesBetter
(1/20)
The job is not generic, and I believe it requires a unique training. Having our students taught content they are unlikely to need in their roles, at the expense of content which would be very useful for them, is quite ridiculous. I'm curious to hear thoughts of others. 2/2
@StephJonesBerry
The lack of autonomy for mental health nurse education, sidelined within nursing as a whole, a passenger to the dominant ideal of what it means to be a nurse which is shaped in the image of adult nursing.
This
#InternationalWomensDay
, I’m reflecting on how many women I’ve met personally and professionally, who have been harmed by this world, many of whom are then harmed again by being told it’s their problem because they have a ‘personality disorder’.
"It seems contradictory that while mental health has never seemed so important to our society, the specialist education of mental health nursing is quietly disappearing". Finally published the speech I gave at
@theRCN
congress in 2022.
#MHDeservesBetter
Some of my thoughts on mental health nursing. I feel we are often confined in between other professions, and perhaps even limited by the regulation and preparation of nursing itself.
I am proud of this article, because it was written honestly and from the heart, so I am pleased to see it be
#TopDownloadedArticle
in
@JPMHNursing
. Read about some of the challenges in having theory make its way into clinical practice. Article here:
On
#InternationalNursesDay
I'm torn between pride in being a
#MentalHealth
nurse, and frustration that the speciality is not always respected in pre-registration education, with inadequate preparation for a complex and demanding role.
#MHDeservesBetter
Clinical supervision (which sounds intimidating, and should perhaps be rebranded as fabulous reflection) is so important for all staff, to give support, encourage learning and promote best practice. One of my wishes for nursing, is that more people would engage with it.
On my way back from
@BIG_SPD
and nice to recieve an email saying my literature review published in
@JPMHNursing
was one of the most downloaded. Pleased that the topic is getting the attention it deserves. Article at this link for anyone interested:
Great to see
@nmcnews
support and encourage clinical supervision for students. Restorative thinking spaces are essential to the provision of good care. However, there's still a power of work to be done to protect these spaces for registered nurses.
2300 hours sounds great on paper, yet unless we can guarantee every one of those hours is in a suitable learning environment then it's simply a PR exercise. Looking good, but not necessarily being good. Less may very well be more.
Can nursing students be register-ready after fewer practice hours?
A report by University Alliance has reignited debate over the number of placement hours required for NMC registration.
What do you think?
@Jane_Fisher2
I'm a third year Mh student - i spend more time getting physical health proficencies signed off than i have interpersonal skills or anything relating to emotional intelligence, de escalation etc
For me, this is why
#MentalHealth
Nursing is a specialism and needs a dedicated focus and depth in pre-reg nurse education. Explained in 4 panels.
#MHDeservesBetter
Very worrying. Possibly due to the stress of the job as well as feeling undervalued by society through poor pay. Certainly emphasises the need for mental health nurses to have specialist training, to look after themselves, and to care for other nurses in need.
#MHDeservesBetter
Nurses reporting 'suicidal thoughts has increased by 98% over the first 10 months of this year'.
RCN Interim head of nursing practice
@SWJ_1
adds that "in October 2022 we had one caller a week disclosing suicidal thoughts. But, in 2023 it works out as almost one a day."
Comment in
@RCNi_MHPjournal
on Nurse Education. "If our society is comfortable with increasing genericism, then we are saying it is okay to lower our expectations for good quality mental healthcare".
After a discussion around online teaching and the cameras on/off debate today, I was reminded of this, which I wrote in the midst of the pandemic. Food for thought for anyone still using online teaching as part of education.
#AcademicTwitter
Each time I hear “It’s behavioural” or “it’s just behaviour”, I feel embarrassed of mental health nursing. We have no right to call ourselves professionals if we are not able to look beneath the surface.
Mental health staff saying “it’s behavioural” about a patient in distress indicates:
a. They do not like the patient
b. They feel it’s acceptable to communicate this
c. They blame the patient
d. They think they can legitimise this by disguising it in pseudo-clinical-language
I wholeheartedly agree with this article in
@NursingTimes
. The arts can help nurses develop the empathy and humanism needed to be effective in the caring role. We need more than ‘professionalism’ and
@nmcnews
tick boxes of tasks. We need stories.
Had real cabin fever with home working this week, resulting in a soul crushing apathy and tormenting melancholy for the last couple of days. Went up Bennachie just now, and it has been the best medicine.
I agree with the term 'nurses eat their young'. Fresh ideas and enthusiasm can be swallowed by culture. Whilst there are many reasons for this, nurses still need to look inward when asked about retention issues. My thoughts here:
I have some fundamental beliefs about responding to suicidal thinking, and one is that encouraging guilt opposes empathy, it is unlikely to be useful, and is likely to make people feel worse, thus harming rather than helping.
I try to make self-blaming depressed patients feel guilty about
#suicide
:
"The burden you are to others alive is nothing compared the burden if you are dead. People who care about you will be haunted by your death for the rest of their lives. You must stay alive to save them."
For some of
@BIGSPD
I'll be hanging around poster 36 which has a model for thinking about risk in mental health care. Come and say hello, have a look at the poster and I'm happy to discuss any thoughts, questions or curiosities.
#BIGSPD23
I've been open about suicidal thoughts for a few years now, and I'm convinced this helps some people move past the stigma often associated. Whenever I share my experience, people always get in touch to share theirs. It is not a rare or unusual human experience.
#WSPD2023
Update of cochrane review on crisis interventions for 'BPD'. "The evidence base has changed little in 10 years... and there is a pressing need for research into appropriate interventions that can guide practice"
This feels like one of the most important pieces of writing that I've been part of.
#MentalHealth
Nurse education is under threat, and yet
#academicfreedom
can have uncomfortable consequences.
#MHDeservesBetter
Read more here:
Felt a bit shit this morning, but certainly less so now. Amazing how looking up at the sky and appreciating nature can give perspective, and put our experiences in their cosmic context.
"There were views expressed that, whatever the mental health nursing identity is, it is not being given new energy and clarity from the Future Nurse Curriculum but the reverse". A powerful articulation of student experience which
@nmcnews
should see.
Please take 5 minutes to watch
@Keirwales
on BBC news, beautifully laying out some simple but important truths about how people diagnosed with personality disorders are being failed by the mental health care system.
A better link to the BBC interview. Lets not tell traumatised people their personalities are disordered, let's make specialist hospitals genuinely specialist, and let's stop exporting people into private inpatient units.
The item is no.18, and we got through 6 debates today, so likely to be presenting this on Wednesday or Thursday. Nice to see how things work today, though it appears a pretty intimidating stage! I'll get through fuelled by fear and passion.
The phrase 'attention seeking' is often used to minimise the seriousness of a person's distress. Seems stupid that the response is to withhold attention, rather than do something useful with the attention we give.
When I began my PhD journey, Donald Trump had only just been elected president. Now, years later, I have nowhere near finished, but finally gained ethical approval to do some research. It has taken a long time, just to get to what feels like the start. 😂
#PhDchat
#PhDlife
Great paper re: dilution of
#MentalHealth
nurse education. "The question then becomes, is there real and significant commitment, beyond grassroots groups such as Mental Health Deserves Better, to combat that dilution?" Is there
@nmcnews
?
#MHDeservesBetter
An introduction to
#mentalizing
, in the Spring edition of RGView
@RobertGordonUni
. An important concept not only for
#mentalhealth
work, but for all human interaction.
@AFNCCF
website has further resources on Mentalization Based Treatment.
How many times each day do we hear 'that's just the way we do things. It's process'? We need to stop treating man made laws, processes and rituals as immovable laws of physics. If things don't make sense or help anyone, let's change them.
"
@nmcnews
and others may have believed that reducing nursing to the notion of being a nurse first and field of practice second, would solidify professional identity. This was foolhardy. "
A year ago to the day I presented in Oxford on the disappearance of
#MentalHealth
Nursing, facilitated by a diluted undergraduate education. What has changed since then? Nothing.
#MHDeservesBetter
Pleased to say that I was elected to the
@BIG_SPD
executive committee at the recent elections. Hoping that I can make myself useful. I'm at the tail end of my PhD into crisis for people diagnosed with 'borderline personality disorder', and I see a lot that needs to change.