SAC Group Controversy Paper

This Case Study will be undertaken as a group activity and is designed to deepen your knowledge about mental illnesses, and to test your understanding about the nursing care of people suffering from such conditions. It will also assist you to express your ideas through class presentation and in writing.

This is a reflective essay based on my experience in communicating in a group setting and the importance of communication in my future role as a mental health nurse. The reason for choosing communication is because throughout my three years of studying it will be a recurring skill that I will require in order competent and confident in delivering the best care to the patients, carers and their families. In this essay I will be using Gibbs (1988), to assist me to reflect in a clear way, to challenge my assumptions, explore new ideas, and promote self-improvement and link practice and theories. I will conclude the essay with an action plan concentrating more on the areas needed for improvement. According to David Boud., RoseMary Keogh R & David Walker "Reflection is an important human activity in which people recapture their experience, think about it, mull over and evaluate it. It is this working with experience that is important in learning’. Reflective practice is a tool to help nurses identify what they know well and where their skills gaps are. Reflective practice is a requirement of my registration with ????? and NMC standards.

The process of running a group therapy session is a unique time to tests a person’s skills abilities when it comes to facilitating that group. This paper will mainly look at ways when it comes to my learning's of this class that I took ways; I will also show examples and skills to run a good group therapy session. This whole paper is a reflection of the many things that I took was on being an active group counselor facilitator.

The theory contained four major concepts that can be considered theoretically simple. Although the theory can be considered simple, it does not fit the idea of parsimony because it mainly accounts for psychiatric nurses specifically. However, the theory can still be applied generally to relationships with clients and any healthcare profession. Another consideration is that the client has to be able to perceive difficulties and therefore an infant or young child, comatose client, or mentally disabled client limits the generality to whom it is applied. The accessibility of Peplau’s theory can be validated through the indicators of an effective interpersonal relationship with empathic linkages and progression through the stages. Being able to assess behaviors is an ability accessible to most, which can be accessible to nursing practice whether it is in the community setting or hospital setting. The importance of Peplau’s theory contributes to the valued nursing goal of wellness by improving relationships that strengthen self-worth, provide a sense of connectedness with others, and support self-confidence.

The first time I personally experienced attending a group therapy was part of my course. Through this experience i can say that group therapy can be very powerful in healing a person emotionally and since the members were from the same class, where we all have similar goals. Group therapy helped all of us to establish meaningful and intimate relationship and we also recognised commanality of members needs and problems and to develop a sense of bonding and we became very close and we could also be there for each other during emotionally trying times.It also helped me to increase self-growth, self acceptance and self –confidence among oneself and group members. Group therapy is a powerful venue for growth and change. It also helped me in expressing my emotions in a healthy way.

Psychiatric inpatient group therapy is not a new concept, having presence in inpatient culture for over eighty years. Inpatient group therapy has many unique purposes. For example, there are several group treatment goals. These

Acute psychiatric inpatient nursing is primarily focused on the assessment and treatment of patients admitted in times of crisis. To effectively assess a patients needs a nurse requires an overview of the patient’s interactions with their external & internal environment. Fundamental to this been successful is the nurse patient relationship, forming a trusting relationship and maintaining this throughout the patient’s care. The nurse’s ability to listen, talk and understand are identified as key to positive patient experiences of feeling supported and cared for (Gilburt et al 2008).

Barwell, J., Arnold, F., & Berry, H. (2013). How interprofessional learning improves care. Nursing Times, 109(22), 9.

A constant theme emerges throughout the plot of Nurse Ratched treating the patients not based on any reasonable medical guidelines, but rather out of a selfish desire to control and manipulate them. One of the treatments that is recommended by many psychologists as an initial starting point in any treatment is group therapy. According to The Theory and Practice of Group Psychotherapy, three important therapeutic principles that group therapy helps to instill in patients are cohesiveness, hope, and altruism. The “Group Meetings” that Nurse Ratched conducts completely shun these principles and instead become a means for her to weaken her patients, lower their self-esteem, and make them submissive to her. Patients are encouraged to spy on each other and then reveal each other’s secrets to Nurse Ratched.

Group therapy has been used for many years as a therapeutic method in which members can offer support and understanding for each other. It can be defined as two or more people, who share common issues, meeting and interacting face-to-face to help one another reach an identifiable goal. There are several types of group therapy, one that I will be discussing in this paper is the self-help group. In recent years, self-help groups have increased in number and credibility. Members can speak freely about their experiences, while receiving advice and support from others, which in turn, can help them realize that they are not alone in their struggles. In this paper, I will analyze my observational experience of two self-help groups, Alcoholics Anonymous,

18). Challenge Myths and Misconceptions- about what group is and what occurs. Convey Information- Explain Confidentiality, stages of the group developmental stages that are oriented with groups (David, 1995, p. 21). Explain procedures and obtain informed consent. Screening – using a group selection questionnaire. During the beginning phase of group therapy, issues arise around topics such as orientation, beginners’ anxiety, and the role of the leader. The purpose of the group is articulated, working conditions of the group are established, members are introduced, a positive tone is set for the group, and group work begins (David, 1995, p. 22). This phase may last from 10 minutes to a number of months. In a revolving group, this orientation will happen each time a new member joins the group (David, 1995, p.

An important part of our learning and growing experience must stem from our ability to analyze and reflect upon the groups that we have been members in. This reflection can define our understanding of the weaknesses both in ourselves and in the others within our group; and it can help to shape the way that we act in future groups. Adjusting ourselves to compensate for our weaknesses, based upon an honest and thorough examination of our actions within a group setting, is one of most important thing for any person to do. It is only through this evaluation that we can improve ourselves and our interactions with others. This paper will examine a group that was required to make an important decision about adding a new member

In this case study, one day of care for a 28 year old, male patient on a low secure psychiatric unit will be examined and discussed. The main focus will be on implementation and evaluation of the nursing process. These areas will be covered under; physiological, psycho-sociological and pharmacological aspects of the patient’s care. Although, the case study is discussed using third person expression, the care discussed is what was implemented and evaluated by myself, a second year student nurse, under supervision from a qualified member of staff.

Hurley (2009) designed a qualitative study to clarify the identity of the mental health nurse. The author defines the psychiatric nurse’s role as the role as exhibited in several behaviors. The behaviors include, being a generic specialist, adopting the patient’s focus, engaging in talking therapy, interacting with the patients, and engaging in a therapeutic use of self. According to Foster, McAllister and O’Brien (2006) a therapeutic use of self is

In conclusion, this class has changed my perspective about working in a group. Since my prior experience with groups was so unsettling, I believed that all groups were going to be the same. However, this class has made it possible to believe that there are groups that respect and take into consideration other members’