Medicine and Health Sciences Commons^™

Visual Tracking Strategies To Move Scholarship Forward, T. Robin Bartlett, Mona Shattell, Eileen Rossen

Mona Shattell

Moving from the doctoral student role to the faculty member role is a challenging transition. Strategies that motivate and help to keep scholarship moving forward can be invaluable in helping to make the transition successful. The authors discuss 2 visual tracking strategies to promote the forward movement of scholarship. A white (dry erase) board and a publication trajectory table to track manuscript and research ideas through grant proposal and manuscript submission to publication are described.

Relationship Skills Building With Older Adults, Cheryl Mcneill, Mona Shattell, Eileen Rossen, T. Robin Bartlett

Mona Shattell

Relationship skills building is the focus of an innovative clinical experience with older adults for junior level nursing students in a psychiatric mental health course. The clinical experience is designed to help students apply, integrate, and validate previously learned therapeutic communication skills and experience discovery of self and others. This article describes a clinical experience that introduces students to older adults, who will make up the majority of health care recipients in the students’ future careers, and helps students explore the nurse’s role in mental health care for older adults.

Not only did students engaged in the clinical experience learn …

From The Guest Editor: Issues Affecting Gay, Lesbian, Bisexual, And Transgender Persons, Mona Shattell

Mona Shattell

No abstract provided.

Engaging Students And Faculty With Diverse First-Person Experiences: Using An Interpretive Research Group, Mona Shattell

Mona Shattell

No abstract provided.

“Take My Hand, Help Me Out:” Mental Health Service Recipients’ Experience Of The Therapeutic Relationship, Mona Shattell, Sharon Starr, Sandra Thomas

Mona Shattell

Statement of Purpose: The purpose of this study was to describe mental health service recipients’ experience of the therapeutic relationship.

Research Question: The research question was “what is therapeutic about the therapeutic relationship?”

Methods: This study was a secondary analysis of qualitative interviews conducted with persons with mental illness as part of a study of the experience of being understood. This secondary analysis used data from 20 interviews with community-dwelling adults with mental illness, who were asked to talk about the experience of being understood by a health care provider. Data were analyzed using an existential phenomenological approach.

Findings: Individuals …

Boredom In Acute Psychiatric Care, Mona Shattell

Mona Shattell

No abstract provided.

Peaceful Awakenings: Taking The “Alarm” Out Of The Alarm Clock, Mona Shattell

Mona Shattell

No abstract provided.

Fallout From The Biological Model: Implications For Psychiatric Mental Health Nurses, Beverly Hogan, Mona Shattell

Mona Shattell

No abstract provided.

Psychiatric Clinical Nurse Specialists, Nurse Practitioners, Or The New Practice Doctorate: Meeting Patients’ Needs?, Beverly Hogan, Mona Shattell

Mona Shattell

No abstract provided.

Research As The Researcher’S Story, Mona Shattell, W. Richard Cowling

Mona Shattell

No abstract provided.

It’S More Than A Shoe Shine – You’Re Touching Lives, Mona Shattell

Mona Shattell

No abstract provided.

The Disappearance Of One-To-Ones In Acute Psychiatric Care, Mona Shattell

Mona Shattell

No abstract provided.

An Exploration Of The Meanings Of Space And Place In Acute Psychiatric Care, Melanie Andes, Mona Shattell

Mona Shattell

Spatial human experiences such as confinement and freedom are important to acute psychiatric care. The physical space that inpatient psychiatric/mental health nurses and acute psychiatric patients share influences human relationships. The purpose of this paper is to explore the meanings of space and place in acute psychiatric settings, to discuss how these meanings affect human relationships, nurses’ work environment and patients’ perception of care, and to present how the design and use of nursing stations affects therapeutic relationships. We hope to encourage dialogue and research that will help clarify the meaning of space and place in acute care psychiatric units, …

Hall’S Essay On An Authentic Meaning Of Medicalization: An Extended Discourse, Mona Shattell, W. Richard Cowling, Marty Todd

Mona Shattell

No abstract provided.

The Interpretive Research Group As An Alternative To The Interpersonal Process Recording, Mona Shattell, Beverly Hogan, Allison Ray-Hernandez

Mona Shattell

No abstract provided.

“She Took The Time To Make Sure She Understood:” Mental Health Patients’ Experiences Of Being Understood, Mona Shattell, Sara Mcallister, Beverly Hogan, Sandra Thomas

Mona Shattell

The foundation of psychiatric/mental health nursing is the relationship between nurse and patient. Caring for persons with mental illness within the context of this relationship requires knowledge of the individual. To gain this knowledge, understanding the patient’s perceptions and concerns is essential. Research suggests that this understanding does not always occur. The study reported here examined what it means to individuals with mental illness to be understood. In-depth phenomenological interviews revealed three predominant themes: “I was important,” “It really made us connect,” and “They got on my level.” Nurses can use these findings to improve the care of those with …

Facilitating Communication: How To Truly Understand What Patients Mean, Mona Shattell, Beverly Hogan

Mona Shattell

No abstract provided.

You Catch More Flies With Honey: But Patients Shouldn’T Have To Manipulate Nurses To Receive Good Care, Mona Shattell

Mona Shattell

No abstract provided.

The Ecology Of Bipolar Disorder: The Importance Of Sleep, Mona Shattell, Mary Umlauf

Mona Shattell

Although much of the emphasis on treating Bipolar Disorder patients is pharmacotherapy, sleep loss is an important trigger for mania and plays an important role in the condition. The purpose of this paper is to fully explore the chronobiological, environmental, social and genetic factors that contribute to the sleep disruption that is characteristic of mania and bipolar disorder. This review is important because sleep, chronobiology and genetics are under-emphasized content areas in nursing education. As a result many practicing nurses are unaware of the importance of sleep for mental health or what to teach patients to improve both the quality …

The Scholarship Of Engagement In Nursing, Mona Shattell, Joseph Burrage, Barbara Haberman

Mona Shattell

We propose the time is right for the Scholarship of Engagement to serve as a model of scholarship in schools of nursing given the shift towards community based research and the emphasis of communitybased research in the recently published National Institutes of Health (NIH) roadmap initiative. Thus, this article addresses the need of nursing academe to embrace a broader paradigm of scholarship, the Scholarship of Engagement, in order to expand knowledge development via implementation of the NIH roadmap. The need for implementation of a broader paradigm of nursing science within the context of nursing academics’ roles is discussed.

“It’S The People That Make The Environment Good Or Bad:” The Patient’S Experience Of The Acute Care Hospital Environment, Mona Shattell, Beverly Hogan, Sandra Thomas

Mona Shattell

A review of contemporary nursing research reveals a tendency to focus on select aspects of the hospital environment such as noise, light, and music. Although studies such as these shed light on discrete aspects of the hospital environment, this body of literature contributes little to an understanding of the entirety of that world as the patient in the sickbed experiences it. The purpose of the study detailed in this article was to describe the patient’s experience of the acute care hospital environment. Nondirective, in-depth phenomenological interviews were conducted, then transcribed verbatim, and analyzed for themes. Against the backdrop of “I …

“Putting Feet To What We Pray About:” The Experience Of Caring By Faith-Based Care Team Members, Mona Shattell, Catherine Hasty

Mona Shattell

The purpose of this study was to explore the experience of caring by faith-based care team members. Nondirective, in-depth phenomenological interviews were conducted, transcribed verbatim, and analyzed for themes. Participants included 19 care team members who served on faith-based care teams providing in-home support for families with chronic and/or terminal illness. Analysis of the interview texts resulted in the following four themes: "putting feet to what we pray about," "building and sharing relationships," "it makes you more aware," and "because it's a team." Participants expressed a strong reciprocity in their experience; for example, "it's a mutual thing but I think …

“Nurse Bait:” Strategies Hospitalized Patients Use To Entice Nurses Within The Context Of The Nurse-Patient Relationship, Mona Shattell

Mona Shattell

Patients on medical-surgical and psychiatric inpatient units long for more and deeper connections with nurses. Patients’ dependence on the nursing staff, as well as their perceived powerlessness, creates a situation where patients believe they have to actively find ways to seek needed nursing care. This paper will describe active strategies used by medical-surgical patients to entice nurses within the context of the nurse-patient relationship; strategies designed to mitigate vulnerability and increase interpersonal connection. Implications for nursing practice and for Peplau’s Theory of Interpersonal Relations will be presented.

Problematic Interviewee Behaviors In Qualitative Research, Melinda Collins, Mona Shattell, Sandra Thomas

Mona Shattell

The interview is a staple of many qualitative approaches. Although textbooks offer extensive guidance to researchers about conducting interviews, less guidance is available about problematic interviewee behaviors, such as flattery or statements indicative of social desirability response bias. In this study, a secondary analysis of 22 phenomenological interview transcripts, we sought to examine problematic interviewee behaviors. More than 300 pages of typed text were subjected to line-by-line scrutiny, yielding only six potential instances of the phenomenon. Each could be interpreted several ways. What appeared to be flattery could also be perceived as simple gratitude or appreciation. We concluded that problematic …

Risk: A Concept Analysis, Mona Shattell

Mona Shattell

No abstract provided.

Nurse-Patient Interaction: A Review Of The Literature, Mona Shattell

Mona Shattell

Aims. The aims of this paper are to review a theoretical model useful for developing nursing knowledge related to nurse–patient interaction, review the literature on nurse–patient interaction, and discuss areas for further research.

Theoretical model. Goffman’s theory of face work.

Results. Nurse–patient interaction is a central element of clinical nursing practice. This paper shows how Goffman’s model can be used as a theoretical framework for understanding nurse–patient communication.

Relevance to clinical practice. Issues such as power, the social and cultural context, and interpersonal competence are shown to be important in the quality of nurse– patient interactions and nurses need to …

The Case For Antipsychotics In Bipolar Disorder, Mona Shattell, Norman Keltner

Mona Shattell

No abstract provided.

Using An Interpretive Research Group To Teach Communication And Understanding In Undergraduate Psychiatric/Mental Health Nursing Students, Mona Shattell, Beverly Hogan

Mona Shattell

No abstract provided.

What’S Therapeutic About The Therapeutic Milieu?, Sandra Thomas, Mona Shattell, Tracey Martin

Mona Shattell

While the milieu of an inpatient facility is considered a treatment modality, extant literature focuses on the staff’s role in creating the milieu rather than the patient’s perception of it. Not since Goffman’s Asylums (1961) has there been an in-depth examination of the phenomenal world of the hospitalized psychiatric patient. In this study, eight inpatients (ages 23 to 58) on the acute psychiatric unit of a metropolitan general hospital participated in phenomenological interviews about their experience of the environment. The essential meaning of the hospital was refuge from selfdestructiveness. Prominent aspects of patients’ experience within the place of refuge were …