Staff Nurse Perceptions of MBT Skills Training for Working With BPD in AMH

Staff Nurse Perceptions of the Impact of Mentalization Based Treatment (MBT) Skills Training on Clinical Practice When Working With Borderline Personality Disorder (BPD) in Acute Mental Health Admission Wards: A Qualitative Analysis.

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT02239055

Enrollment

Registered

2014-09-12

Start date

2014-05-31

Completion date

2014-08-31

Last updated

2017-05-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Borderline Personality Disorder

Keywords

Borderline Personality Disorder, Mentalization Based Treatment, MBT Skills Training, Staff Nurse Perceptions, Acute Mental Health

Brief summary

Despite expert opinion unconvinced of any value for hospitalization in caring for people with borderline personality disorder (BPD), this patient group still accounts for a significant proportion of adult acute mental health (AMH) admissions. Staff nurses generally voice negative perceptions of BPD, a view which is linked to an uncertainty of how to approach these patients, and difficulties leading to personal distress and burnout. Mentalization-based treatment (MBT) is an evidence based approach, focusing on the mental states of both self and others, developed specifically to treat BPD and facilitated successfully in specialised settings. MBT Skills training is a compact and cost effective two day workshop which equips generalist mental health nurses with a skillset enabling them to work effectively with BPD. MBT Skills training was first offered to staff nurses in Royal Cornhill Hospital, Aberdeen in 2013. This study aims to assess staff perceptions on the value of MBT skills training, evaluating how it impacts on clinical practice when working with BPD in AMH.

Detailed description

Methodology: Using two focus groups with a neutral facilitator, a purposive sample of nine staff nurses took part in a semi-structured exploration of BPD in AMH. Participants discussed challenges with patients and the impact of MBT skills training and Clinical Supervision (CS). The focus groups were audio recorded and transcribed verbatim. Data was examined using a thematic analysis.

Interventions

None listed

Study design

Observational model

CASE_CONTROL

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to 65 Years

Healthy volunteers

Yes

Inclusion criteria

* Staff nurses aged between 18 and 65, who had completed the 2 day Mentalization Based Treatment (MBT) skills training and were still working in acute mental health.

Exclusion criteria

* Staff nurses under 18 or over 65, who had not completed the 2 day Mentalization Based Treatment (MBT) skills training and were not working in acute mental health.

Design outcomes

Primary

Measure	Time frame	Description
Focus Groups	2 hours for focus groups, one month data analysis	Focus Groups used to measure Staff nurse perceptions of the impact of MBT and associated issues in working with BPD in AMH.

Countries

United Kingdom

Outcome results