Critical Incident Analysis
Contemporary Challenges in Mental Health Care Provision and Management 2 B73M20 Cohort 09/09 Student ID: 20328
Assignment: Critically analyse an incident experienced whilst in practice, allowing opportunity to explore professional responsibilities, concepts of care management and the impact of health policy/legislation on care provision. You should demonstrate fitness of practice (NMC, 2008).
Submission Date:
14 May 2012
Assignment word count:
3000
Actual word count:
2967
Contents
1. Assignment 2. References
03 – 11 12 – 13
ID No: 20328
Page 2
Introduction This paper will critically analyse an incident that occurred during my placement on a forensic low secure unit. The Low secure unit provides multidisciplinary treatment and care for male patients aged between eighteen and sixty-four with serious mental disorders who require the provision of appropriate security underpinned by the principles of rehabilitation and risk management. The Green Lister and Crisp (2007) model will be used to critically analyse and reflect on the incident. There are many models of reflection but The Green Lister and Crisp Model (2007) was chosen because it enables an in-depth analysis of the pertinent management and ethical issues arising from the incident. The model allows a comprehensive analysis of the incident because of its detailed and logical structure when compared to other models. The analysis will consider various
management issues that had an impact on the incident and I will take into account both the individual service user and the policies surrounding the incident. Brotherton and Parker (2008) propose that using frameworks can help to guide reflective processes. Schwester (2012) states that the use of identified models of reflection and critical incident analysis are needed to assist practitioners and scholars alike in both preparedness and response to incidents. Critical incidents, are events that offer meaningful opportunities
Assignment: Critically analyse an incident experienced whilst in practice, allowing opportunity to explore professional responsibilities, concepts of care management and the impact of health policy/legislation on care provision. You should demonstrate fitness of practice (NMC, 2008).
Submission Date:
14 May 2012
Assignment word count:
3000
Actual word count:
2967
Contents
1. Assignment 2. References
03 – 11 12 – 13
ID No: 20328
Page 2
Introduction This paper will critically analyse an incident that occurred during my placement on a forensic low secure unit. The Low secure unit provides multidisciplinary treatment and care for male patients aged between eighteen and sixty-four with serious mental disorders who require the provision of appropriate security underpinned by the principles of rehabilitation and risk management. The Green Lister and Crisp (2007) model will be used to critically analyse and reflect on the incident. There are many models of reflection but The Green Lister and Crisp Model (2007) was chosen because it enables an in-depth analysis of the pertinent management and ethical issues arising from the incident. The model allows a comprehensive analysis of the incident because of its detailed and logical structure when compared to other models. The analysis will consider various
management issues that had an impact on the incident and I will take into account both the individual service user and the policies surrounding the incident. Brotherton and Parker (2008) propose that using frameworks can help to guide reflective processes. Schwester (2012) states that the use of identified models of reflection and critical incident analysis are needed to assist practitioners and scholars alike in both preparedness and response to incidents. Critical incidents, are events that offer meaningful opportunities
References: Brotherton, G., & Parker, S. (2008) Your foundation in health and social care: a guide for foundation degree students. Los Angeles: SAGE Carless, D., Joughin, G., & Liu, N.-F (2006) How assessment supports learning: learning-oriented assessment in action. Hong Kong: Hong Kong University Press. Clamp, C. G. L., Gough, S., & Land, L. (2004) Resources for nursing research: an annotated bibliography. London: Sage Publications. Collins, M., & Munroe, P. (2004) From Toxic Institutions to Therapeutic Environments: Residential Settings in Mental Health Services. London: RCPsych Publications. Daly, J., Speedy, S. and Jackson, D. (2010) Contexts of Nursing. 3rd Edition. London: Churchill Livingstone. Daniels, R. (2009) Nursing Fundamentals: Caring and Clinical Decision Making. New York: Delmar Learning. Department of Health (DH) (2009) Records Management: NHS Code of Practice. Part 2. London: DH Dimond, B. (2008) Legal Aspects of Nursing. Harlow, England: Pearson Education. Equality and Human rights Commission (2012) The human Rights Act. [online] Available at: http://www.equalityhumanrights.com/human-rights/what-are-humanrights/the-human-rights-act/ (Accessed: 06/05/2012) Glosoff, H., L. (2001) The mental health desk reference. New York: Wiley Green Lister, P. & Crisp, B. R. (2007) Critical incident analyses: A practice learning tool for students and practitioners. Practice: Journal of the British Association of Social Workers. 19(1): pp 47-60. Harrison, M., Howard, D., & Damien, D. (2008) Acute mental health nursing: from acute concerns to the capable practitioner. London: SAGE Publications Henderson, T. (2003) Communication and Managerial Effectiveness. Nursing Management. 9(9): pp. 30-34. Hutchinson, C. and Sharples, C. (2006) Information Governance: Practical Implications for Record Keeping. Nursing Standard. 20(36): pp. 59-64. Holbrook, T. (1989) Policing Sexuality in a Modern State Hospital. Journal of Hospital and Community Psychiatry. 40: pp. 75–79. Iacovino, L. (2006) Recordkeeping, ethics and law: regulatory models, participant relationships and rights and responsibilities in the online world. Dordrecht: Springer. Kosnik, L. (2006) Patient Flow, Reducing Delay in Healthcare Delivery. New York: Springer Mackenzie, J. (1998) Ward Management in Practice. London: Churchill Livingstone. . ID No: 20328 Page 12 McGeehan, R. (2007) Best Practice in Record-Keeping. Nursing Standard 1987(21): pp. 3-9. Monahan, J., & Steadman, H. J. (1994) Violence and mental disorder: developments in risk assessment. Chicago: University of Chicago Press. NHS Executive (1999) Safety, Privacy and Dignity in Mental Health Units: Guidance on Mixed Sex Accommodation for Mental Health Services. London: Department of Health. National Institute for Health and Clinical Excellence (2007) Acutely Ill Patients in Hospitals: Recognition and Response to Acute Illness in Adults in Hospital. Guideline 50. London: NICE National Patient Safety Agency (2007) Recognising and Responding Appropriately to Early Signs of Deterioration in Hospitalised Patients. London: NPSA Nottinghamshire Healthcare NHS Trust (2009) Clinical Records Management GG/IC/01. Unpublished Nursing and Midwifery Council (NMC) (2008) The Code: Standards of conduct, performance and ethics for nurses and midwives. London: NMC Nursing and Midwifery council (NMC) (2010). Record keeping: Guidance for nurses and midwives. London: NMC Perlin, M. L. (1994) Hospitalized Patients and the Right to Sexual Interaction: Beyond the Last Frontier? New York University Review of Law and Social Change. pp. 517 – 546 Roberts, G. (2006) Enabling recovery: the principles and practice of rehabilitation psychiatry. London: RCPsych Publications Rolfe, G., Freshwater, D., & Jasper, M. (2001) Critical reflection for nursing and the helping professions: a user’s guide. New York: Palgrave Rosario, M., Schrimshaw, E., Hunter, J. and Braun, L. (2006) Sexual Identity Development among Lesbian, Gay and Bisexual Youths: Consistency and Change over Time. Journal of Sex Research. 43(1): pp. 46-58 Royal College of Psychiatrists (2010) Sexual Boundary Issues in Psychiatric Settings. London: Royal College of Psychiatrists. Schwester, R. W. (2012). Handbook of critical incident analysis. New York: E. Sharpe, Inc Videbeck, S. L. (2008) Psychiatric Mental Health Nursing. Philadelphia: Lippincott Williams & Wilkins. Woods, C. (2003) The importance of good record keeping for nurses. Nursing Times. 99(02): pp 26 ID No: 20328 Page 13