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Title: Exploring mental health practitioners' beliefs about hope and experiences of fostering service users' hope within community and secure settings
Author: Niebieszczanski, Rebecca Jane
ISNI:       0000 0004 5370 2620
Awarding Body: Staffordshire University
Current Institution: Staffordshire University
Date of Award: 2015
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Hope has been linked to psychological well-being, resilience and recovery from mental health difficulties. Many recovery-oriented policies have included calls for mental healthcare staff to develop hope-inspiring relationships with their clients. However, guidance and research regarding the clinical application of these recommendations are lacking. This is particularly the case within forensic mental health services, which have been slower to adopt the recovery model. This thesis aimed to develop an understanding of staff perspectives about hope and their experiences of fostering hope with service users, in forensic mental health settings. An initial scoping exercise found that no such studies have been conducted in secure settings. Therefore, Paper One reports a review of qualitative literature exploring staff beliefs of hope, practices to foster hope and the challenges faced by practitioners across a broad range of mental health settings. The therapeutic relationship, helping the client to maintain social connections, uncovering values and goals and working to develop different perspectives emerged as important hope-inspiring practices. Clinicians identified the importance of maintaining their own sense of hope and also the challenges to remaining hopeful. Many of the studies lacked an integration of the themes and categories that emerged from analysis. Paper Two reports an empirical study that utilised a Grounded Theory methodology to develop a model of nurses’ experience of inspiring hope in their clients within one medium secure hospital. The grounded theory that was developed from the data described what it meant for the nurses to hold on to hope for their clients. Two categories (being the intervention and doing reasonable hope) captured the practices through which nurses worked to foster hope. These practices were influenced by the nurses’ beliefs about hope and the context of the secure unit. The model also captured the emotional impact of working to inspire hope and the way in which nurses managed their emotional response. The clinical implications of the findings, particularly to staff recruitment, training and support, are discussed. Paper three outlines the author’s own reflections on the research process.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: C800 Psychology