title: Specialist educational intervention for mental health nursing staff: delivery, content and personal impact.
abstract: OBJECTIVE
  This paper reports a study to ascertain the views of acute ward-based mental health nursing staff on the delivery, content and personal impact of an innovative 18-day, whole team educational intervention in acute mental health care.
  
  
  BACKGROUND
  There are grave concerns internationally about the quality of inpatient mental health care for people with acute psychiatric problems. Educational courses are needed to improve these services. However, existing schemes are often selective, hard to access and limited to developing highly specialist skills for senior nurses. They have also been criticized for making no difference to clinical practice. There is little evidence to guide the development of these or alternative team-based courses.
  
  
  METHODS
  Qualitative data were collected over a 6-week period using 12 focus group interviews and individual questionnaires.
  
  
  RESULTS
  Four themes were identified. The joint education of nursing staff from different organizations was welcomed and reduced feelings of ward isolation. Mixing qualified and unqualified staff was not regarded positively. In terms of course content and learning themes, unqualified staff were more likely to report positive learning outcomes for knowledge, skills, attitude, morale and personal development; qualified nurses were more likely to indicate positive outcomes in anonymized data from questionnaires than from focus groups. Both groups reported little chance of knowledge implementation without changes in the organization of care.
  
  
  CONCLUSIONS
  Whilst it may be desirable to educate whole nursing teams, more benefit might be gained from shared education between several organizations and separating the education of qualified and unqualified staff before combining these groups in team education. Participants remained pessimistic about their chances of implementing new knowledge and skills in current acute inpatient mental health environments.
authors.affiliation: School of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK.
authors.forename: Penny
authors.initials: P
authors.lastname: Bee
authors.forename: David
authors.initials: D
authors.lastname: Richards
authors.forename: Samantha
authors.initials: S
authors.lastname: Loftus
authors.forename: John
authors.initials: J
authors.lastname: Baker
authors.forename: Lorna
authors.initials: L
authors.lastname: Bailey
authors.forename: Karina
authors.initials: K
authors.lastname: Lovell
mesh_terms: D000208:Acute Disease; D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003479:Curriculum; D004509:Education, Nursing, Continuing; D005260:Female; D017144:Focus Groups; D006801:Humans; D007858:Learning; D008297:Male; D001523:Mental Disorders / Q000451:nursing*; D008605:Mental Health Services / Q000458:organization & administration; D009741:Nursing Staff, Hospital / Q000193:education* / Q000523:psychology; D011568:Psychiatric Nursing / Q000193:education*; D011795:Surveys and Questionnaires