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      Nurses' Perceptions on How Recovery-Oriented Mental Health Care Can Be Developed and Implemented

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          Abstract

          Aim

          This study explored how nurses working in inpatient mental health units perceived the development and implementation of a recovery-oriented mental healthcare programme (ROMHCP).

          Background

          The recovery-oriented mental healthcare approach (ROMHCA) in mental health is regarded as the future of mental health services and has been implemented in different countries worldwide. However, regarding developing and implementing the recovery approach, Africa appears to have been left behind by the rest of the continents.

          Design

          The study used a qualitative approach to describe how a recovery-oriented mental healthcare approach could be developed.

          Methods

          Thirty nurses who worked in Botswana's four inpatient mental health facilities consented and voluntarily participated in the study. Data were collected from February to mid-March 2022 through online focus group discussions and analysed using thematic analysis. The COREQ checklist was used to report the findings.

          Results

          Two main themes emerged as follows: (i) developing and implementing a recovery-oriented mental healthcare programme is possible and (ii) certain elements are required to develop and implement ROMHCP.

          Conclusion

          The participants believed that people diagnosed with mental illness could recover from the illness and suggested how it could be achieved. They also contended that the programme's success would lie mainly with multisectoral support from policymakers, facilities, hospital personnel, patients, and the community. Clinical Relevance. ROMHCP has the potential to benefit people with mental illness in the country. In addition, it would allow nurses to improve their knowledge and skills in managing mental illnesses. Patient or Public Contribution. The patients and the general public did not contribute to the study's concept, design, and outcomes. However, the nurses working in mental health facilities volunteered to participate in the study.

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          Most cited references54

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          Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.

          A Tong, P SAINSBURY, J. Craig (2007)
          Qualitative research explores complex phenomena encountered by clinicians, health care providers, policy makers and consumers. Although partial checklists are available, no consolidated reporting framework exists for any type of qualitative design. To develop a checklist for explicit and comprehensive reporting of qualitative studies (in depth interviews and focus groups). We performed a comprehensive search in Cochrane and Campbell Protocols, Medline, CINAHL, systematic reviews of qualitative studies, author or reviewer guidelines of major medical journals and reference lists of relevant publications for existing checklists used to assess qualitative studies. Seventy-six items from 22 checklists were compiled into a comprehensive list. All items were grouped into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. Duplicate items and those that were ambiguous, too broadly defined and impractical to assess were removed. Items most frequently included in the checklists related to sampling method, setting for data collection, method of data collection, respondent validation of findings, method of recording data, description of the derivation of themes and inclusion of supporting quotations. We grouped all items into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. The criteria included in COREQ, a 32-item checklist, can help researchers to report important aspects of the research team, study methods, context of the study, findings, analysis and interpretations.
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            Saturation in qualitative research: exploring its conceptualization and operationalization

            Benjamin Saunders, Julius Sim, Tom Kingstone … (2017)
            Saturation has attained widespread acceptance as a methodological principle in qualitative research. It is commonly taken to indicate that, on the basis of the data that have been collected or analysed hitherto, further data collection and/or analysis are unnecessary. However, there appears to be uncertainty as to how saturation should be conceptualized, and inconsistencies in its use. In this paper, we look to clarify the nature, purposes and uses of saturation, and in doing so add to theoretical debate on the role of saturation across different methodologies. We identify four distinct approaches to saturation, which differ in terms of the extent to which an inductive or a deductive logic is adopted, and the relative emphasis on data collection, data analysis, and theorizing. We explore the purposes saturation might serve in relation to these different approaches, and the implications for how and when saturation will be sought. In examining these issues, we highlight the uncertain logic underlying saturation—as essentially a predictive statement about the unobserved based on the observed, a judgement that, we argue, results in equivocation, and may in part explain the confusion surrounding its use. We conclude that saturation should be operationalized in a way that is consistent with the research question(s), and the theoretical position and analytic framework adopted, but also that there should be some limit to its scope, so as not to risk saturation losing its coherence and potency if its conceptualization and uses are stretched too widely.
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              Recovery from mental illness: The guiding vision of the mental health service system in the 1990s.

              William A. Anthony (1993)
              Article 0 comments Cited 322 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Kebope Mongie Kealeboga:
                ORCID: https://orcid.org/0000-0001-8390-4731
                Journal
                Journal ID (nlm-ta): Nurs Res Pract
                Journal ID (iso-abbrev): Nurs Res Pract
                Journal ID (publisher-id): nrp
                Title: Nursing Research and Practice
                Publisher: Hindawi
                ISSN (Print): 2090-1429
                ISSN (Electronic): 2090-1437
                Publication date Collection: 2023
                Publication date (Electronic): 23 August 2023
                Volume: 2023
                Electronic Location Identifier: 4504420
                Affiliations
                1University of Botswana, Faculty of Health Sciences, School of Nursing Science, Gaborone, Botswana
                2North-West University Faculty of Health Sciences, School of Nursing Science, Mafikeng, South Africa
                Author notes

                Academic Editor: Claire Newman

                Author information
                https://orcid.org/0000-0001-8390-4731
                https://orcid.org/0000-0002-6058-8905
                https://orcid.org/0000-0001-5129-5564
                Article
                DOI: 10.1155/2023/4504420
                PMC ID: 10470086
                PubMed ID: 37664807
                SO-VID: 58fcf458-8724-4962-bf25-bc9c5aa0f235
                Copyright © Copyright © 2023 Kebope Mongie Kealeboga et al.
                License:

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 16 February 2023
                Date revision received : 5 August 2023
                Date accepted : 19 August 2023
                Funding
                Funded by: SANLiC Gold
                Categories
                Subject: Research Article

                ScienceOpen disciplines: Nursing
                Data availability:
                ScienceOpen disciplines: Nursing

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