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Sustainable practice: how practice development frameworks can influence team work, team culture and philosophy of practice
Author(s) -
Eve Julian David
Publication year - 2004
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/j.1365-2834.2003.00456.x
Subject(s) - clarity , rehabilitation , mental health , service (business) , public relations , work (physics) , process (computing) , directive , subject (documents) , engineering ethics , sociology , nursing , psychology , business , medicine , political science , engineering , computer science , psychotherapist , marketing , mechanical engineering , biochemistry , chemistry , neuroscience , library science , programming language , operating system
The current political agenda to adapt mental health services to meet contemporary needs is changing the way that psychiatric rehabilitation is organized and focused. This comparatively new branch of mental health services has over the past 20 years been subject to continual change, both through policy and clinical directive. The author argues that this consistent process of change has destabilized the clarity that is needed to offer the style of care and support that users of rehabilitation services require. Whilst broad aims of rehabilitation remain relatively clear the increasing options of principles and approaches towards rehabilitation have overwhelmed both service users and those working within the service. In this paper, author seeks to resolve these problems by providing an overview of a practice development framework that was applied to eight psychiatric rehabilitation teams over a 4 year period. The paper contains examples of equitable structures that have developed as a result of applying these frameworks. Attention is given to the creation of a representative council of service stakeholders and a paradigm of practice that has become integrated into the philosophical functioning of the teams. The tangible results of the process are ones of increased opportunity and fulfilment for those involved in the study.