Learning to Respond to Thought-Disordered Speech – Nursing Students’ Experiences: A Mixed Method Study

Publication Type:
Thesis
Issue Date:
2021
Full metadata record
๐—œ๐—ป๐˜๐—ฟ๐—ผ๐—ฑ๐˜‚๐—ฐ๐˜๐—ถ๐—ผ๐—ป Nursing students experience challenges in responding to people who exhibit thought-disorder. Learning how to respond in a manner supportive of consumers' recovery goals is important to beginning nursing practice across many clinical fields. ๐—”๐—ถ๐—บ๐˜€ The aim of this research study was to explore how pre-registration nursing students were prepared to respond to people experiencing thought-disorder according to students, recent graduates and mental health nursing academics. ๐— ๐—ฒ๐˜๐—ต๐—ผ๐—ฑ๐˜€ A sequential, two-phase mixed methods project was undertaken to explore the learning and teaching experiences of nursing students and recent graduates. Quantitative and qualitative data were collected from 148 nursing students by online survey, followed by semi-structured interviews with 11 nursing students and 12 mental health nursing academics. ๐—ฅ๐—ฒ๐˜€๐˜‚๐—น๐˜๐˜€ Analysis of the results found that little direct learning and teaching supporting skills development in responding to thought-disorder was reported. Learning of mental health nursing skills was described as having little focus in pre-registration nursing programs but all participants confirmed the importance of learning to respond to thought-disorder as a pre-registration beginning nursing skill. Clinical placement was suggested by all participants as the context for learning how to respond to people exhibiting thought-disorder in their speech. ๐——๐—ถ๐˜€๐—ฐ๐˜‚๐˜€๐˜€๐—ถ๐—ผ๐—ป ๐—ฎ๐—ป๐—ฑ ๐—ฐ๐—ผ๐—ป๐—ฐ๐—น๐˜‚๐˜€๐—ถ๐—ผ๐—ป Strategies to prepare nursing students with therapeutic communication skills needs further exploration. Determination of effective learning strategies is warranted to prepare nursing students for beginning practice across many clinical environments in responding to people exhibiting thought-disordered speech. The development of these learning strategies should employ the insights of Experts by Experience to help ensure all nurses are equipped to support consumers to achieve their recovery goals in health care.
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