Write a critical analysis of 600 words on an issue of safety for the nurse that you explored in some depth, ensuring it is specifically related to Mental Health.
(1 )For your assessment: Write a critical analysis of 600 words on an issue of safety for the nurse that you explored in some depth, ensuring it is specifically related to Mental Health.
Module one looked at the specific rights and responsibilities of the registered nurse in a specialty clinical area, from the perspective of keeping the nurse and/or her/his patients/clients physically and emotionally safe. It also raised the issue of legal responsibilities and identified issues specific to the specialty area.
• Chosen Issue of safety ‘Burnout’. Also known as Compassion Fatigue. Burnout has been defined by Maslach and Jackson as a sustained response to chronic work stress involving the 3 dimensions of emotional exhaustion, depersonalisation and a perceived lack of personal accomplishment
World Health Organization International Classification of Diseases (ICD-10) defines burnout as a “state of vital exhaustion.”
• Burnout us not a recognized disorder in The Diagnostic and Statistical Manual of Mental Disorders
• Physicians and other healthcare workers are believed to be particularly susceptible to burnout compared with the general public
References to assist:
VERY HELPFUL RESOURCE, PLEASE USE https://lifeinthefastlane.com/ccc/burnout/
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Lim, J., Bogossian, F., & Ahern, K. (2010). Stress and coping in Australian nurses: a systematic review. International Nursing Review, 57(1), 22-31. doi:10.1111/j.1466-7657.2009.00765.x
Gifkins, J., Loudoun, R., & Johnston, A. (2017). Comping strategies and social support needs of experienced and inexperienced nurses performing shiftwork.Journal of Advanced Nursing, 73(12), 3079-3089. 10.1111/jan.13374
This final link discusses the concept of ‘burnout’, and although the focus is on medical burnout, the author makes some important and relevant points that can be applied to nursing (updated 2015)
Submission – Part B: 600 words: Information disclosure to carers in mental health (ethical vs legal dilemma)
(2) For your assessment: Write 600 words on your understanding of the dilemma of providing information to carers while considering the confidentiality concerns relating to the patient/client. Don’t forget to consider the ethical implications in your consideration of the issues (ethical vs. legal dilemma for nurses). Ensure it is specifically related to Mental Health
Module two looks specifically at the rights of patients/clients and in more depth the rights of carers in the process of treatment and recovery. It raises some questions about how the nursing profession views and deals with the rights of the carers and their need for information, particularly in the context of patients/clients who may lack insight in their care needs.
Disclosure of health information (retrieved from https://www2.health.vic.gov.au/mental-health/practice-and-service-quality/mental-health-act-2014-handbook/oversight-and-service-improvement/disclosure-of-health-information)
• The Mental Health Act 2014 enables health information to be disclosed in specified circumstances, to ensure that people with mental illness receive effective treatment and care.
• Health information may be disclosed if the person to whom the information relates consents to its disclosure.
• Where a person is unable to consent or refuses consent to disclose health information, the Act permits information to be disclosed in specified circumstances.
The Mental Health Act 2014 enables health information to be disclosed in specified circumstances, to ensure that people with mental illness receive effective treatment and care.
Health information may be disclosed if the person to whom the information relates consents to its disclosure.
Where a person is unable to consent or refuses consent to disclose health information, the Act permits information to be disclosed in specified circumstances.
Disclosure of health information
The following people must not disclose health information about a consumer, except in the circumstances outlined in the remainder of this document:
• the mental health service provider
• any member of staff or former member of staff of the mental health service provider
• any person who is or was a contractor of the mental health service provider
• any volunteer or former volunteer at the mental health service provider
• any member of the board or former member of the board of the mental health service provider.
Health information may be disclosed if the person to whom the information relates consents to its disclosure. Health information may also be disclosed if the person to whom the information relates is dead and the person’s senior available next of kin consents to its disclosure:
Disclosures to relatives, friends, or third parties
In a critical care setting, it may seem unreasonable to refuse to provide information to a next-of-kin when a patient is seriously ill as this may be in the patient’s overall best interests. There is no legal definition of next-of-kin, although, under Section 26 of the Mental Health Act 1983, the patient’s husband or wife, including civil partner, takes precedence for taking responsibility for the patient in the context of mental illness. In this context, if separated, the partner remains the legal next-of-kin until they are divorced unless an alternative person is nominated. Channelling information through one next-of-kin places some limits on the extent of disclosure.
Information is accessible to third parties when requested by employers, insurance companies, and lawyers. Doctors are required to maintain an honest statement, not give opinion, and use substantiated evidence. Complaints procedures may also require access to personal data. This must be made with the explicit consent of the parties, although the GMC and Audit Commission are permitted access to records via statutory legislation
References to assist:
National Mental Health Strategy and Policy (please use)
The National Mental Health StrategyOpens in a new windowis a commitment by Australian governments to improve the lives of people with a mental illness. It aims to reduce the impact of mental disorders on those affected, their families and the community and assure the rights of people with mental illness.
Government policies and strategies for carers
The rights of Australia’s carers are recognised by special national, state and territory acts. This legislation underpins government strategies and policies aimed at making life easier for carers and those in their care.
Rights and recognition of carers (please use)
The Carer Recognition Act 2010Opens in a new window states that carers should be treated with respect and considered as partners with other care providers. This includes ’The Statement for Australia’s Carers’, which sets out 10 guiding principles that focus on carers having the same rights, choices and opportunities as other Australians. Australian public service agencies and government-funded service providers must ensure their employees are aware of The Statement, and that they take carers’ needs into account when developing and implementing services.
• Victoria: Carers Recognition Act 2012Opens in a new window (please use)