ANU Medical School, The Australian National University, Canberra, Australian Capital Territory, Australia.
Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia.
Int J Ment Health Nurs. 2019 Dec;28(6):1288-1295. doi: 10.1111/inm.12635. Epub 2019 Jul 28.
Consumer participation is a clear expectation of contemporary mental health policy. Most activity has concentrated in direct service delivery, and academic roles for mental health consumers have been slow to establish. An international project was undertaken to implement and evaluate meaningful consumer involvement in mental health nursing education. A learning module was co-produced between 'Experts by Experience' (drawing on experience of mental distress and service use) and Mental Health Nurse Academics. This qualitative exploratory study aimed to capture how Experts by Experience perceive their contribution. Interviews were undertaken with Experts by Experience who delivered the learning module. Data were analysed thematically and subsequently interpreted with Critical Social Theory. Two main themes emerged from the findings: 'there wasn't a barrier' described how personal narratives enhanced relationships between Experts by Experience and students; and 'made the human being visible', described their experiences of allowing students to see the person behind a diagnosis. These findings suggest Experts by Experience teaching is valuable and potentially a tool in redressing stigma. Addressing poor public perceptions could attract higher numbers of quality practitioners to mental health and meet identified workforce shortages. The findings presented here strengthen the evidence base for Expert by Experience roles in mental health professional education. These findings can be considered in international curricula reviews and aid progress towards a more socio-political, humanistic focus in mental health nursing, congruent with rights-based reform agendas.
消费者参与是当代心理健康政策的明确期望。大多数活动都集中在直接服务提供上,心理健康消费者的学术角色发展缓慢。一个国际项目着手实施并评估了在心理健康护理教育中让消费者有意义地参与其中。一个学习模块是由“有经验的专家”(借鉴精神困扰和服务使用的经验)和心理健康护士学者共同制作的。这项定性探索性研究旨在了解有经验的专家如何看待他们的贡献。对提供学习模块的有经验的专家进行了访谈。对数据进行了主题分析,然后用批判社会理论进行了解释。研究结果中出现了两个主要主题:“没有障碍”描述了个人叙事如何增强有经验的专家和学生之间的关系;“让人可见”描述了他们让学生看到诊断背后的人的经历。这些发现表明,有经验的专家教学是有价值的,并且可能是消除污名的一种工具。解决公众对心理健康的负面看法可以吸引更多高素质的从业者进入精神健康领域,并满足已确定的劳动力短缺问题。这里提出的研究结果加强了在心理健康专业教育中让有经验的专家发挥作用的证据基础。这些研究结果可以在国际课程审查中加以考虑,并有助于朝着更具社会政治、人本主义的精神健康护理方向发展,这与基于权利的改革议程是一致的。