I have blogged about this issue before… Mental health laws and policies inadvertently (at best) or purposefully (at worse) promoting the denial of human right freedoms. I continue to be very concerned for the freedom of people with mental health problems who have mustered up sufficient strength to seek some professional help to address their mental health, and who then find themselves in a voluntary mental health unit only to discover that their freedoms are curtailed because the doors are locked behind them. The very idea that people with mental health problems are a safety risk is a travesty and perpetuates unhelpful sense of stigma and fear in the wider community. People should feel welcomed and encouraged to access mental health help when it is needed… the environment in which help occurs is very important. And, to not have the freedom to come and go at will to places where mental health care is provided is not sufficiently appropriate or evidenced based care. The political and policy debate should be an important focus in all stated and federal elections… the freedoms of people with mental health problems should be considered carefully. And… human rights and dignity should be the hallmark for policy and governance changes on this matter. The evidence does not adequately support the current practice which allows for the mass detention of voluntary mental health clients in mental health care. See this croakey blog for more good quality discussion on this topic: http://blogs.crikey.com.au/croakey/2015/01/27/queensland-policies-on-mental-health-doing-harm-breaching-the-law/
Some excellent tips about working in research and writing teams… but the general principles can be applied more broadly in nursing and health care practice and beyond I suspect… toxic team members sap the strength out of any teams… good productive and successful teams share the love…. and the hard yards!
Originally posted on The Research Whisperer:
At some time in everyone’s academic lives, there will be cause for collaboration angst.
It may all start golden: big ideas, excitement about working with new colleagues, the potential for fancy-pants funding and intellectual glory.
And if you were invited onto a prestigious team by a favoured prof…well, you’d almost fall over signing up, right?
Then, down the track, you’re looking at the fifth ‘I still haven’t done it’ email from Collaborator 2, or – worse still – finding no email from Collaborator 3…ever.
How many times is it physiologically safe to roll one’s eyes at Collaborator 4 for declaring yet again that they should be first author?
I’ve written before about how to find research friends and make co-writing work, which have focused for the most part on the positive habits and traits that lead to successful, satisfying collaborations.
This post focuses on the flipside.
Finding out that your co-writer or co-investigator is awful to work with…
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I have a colleague and friend who is unwell at the moment. It is an awful feeling when someone you know is really very sick – and finding ways to help, and showing you care makes all the world of difference…to them and you!
This blog aims to highlight one way to draw together the social capital among small groups of friends, colleagues, family… whoever… for the purpose of collaborating in the development of a quilt gift to give to a person who is recovering. Bringing together a group of people to collaborate in building a quilt as a gift, is one way in which it is possible to develop a tangible expression of care, concern and hopefulness for recovery. Quilts convey both a physical and an emotional warm, a closeness and some comfort, and the expression of these elements in a gift of a quilt can carry with it some positive affect to enhance recovery. I have written a paper about how this has been done in the past – you can read more about some research about recovery quilting here.
Wabi-Sabi – imperfect is beautiful!
A collaborative quilt doesn’t need a great deal of sewing skill or expertise, and creating a project that non-sewers can be included in is possible. The quilt doesn’t need to be stitch-perfect. In Japanese culture there is a concept of Wabi-Sabi – imperfectly beautiful! I think collaborative care expressed in a quilt is an ideal match to the wabi-sabi concept. A little bit of guidance and some inspiration – everyone can have a go and contribute something, without the expectation of being perfect. A relaxed and inclusive way for everyone to work together. I have contributed to a few collaborative quilts – and in my experience, the beauty really is in the varied interpretations and inspirations of each contributor. The meaningfulness that is sewn into each block is a great way to ensure variety. And, with this level of flexibility – it works!
What is needed:
- Someone that can lead the sewing and guide beginners (someone needs to have little bit of knowhow… but, you can manage with just a ‘little’!)
- Fabric for the top – avid quilters will have a stash! (they can’t help themselves!) Ask them to contribute some… or use some reclaimed/ vintage fabrics from an op-shop. Or – buy a ‘jelly roll’ (cut strips of fabric) from a patchwork or fabric shop. What ever you do to collect your fabric – you will need to give it to your quilting collaborators in a ready made/cut blocks. A block will be easiest to work with if it is a square shape. The size doesn’t matter – but do make sure that all of the blocks are exactly the same size. Here is a free pattern if you need one! And some youtube guidance if that helps!
- Middle – batting. Go to a quilt/ fabric shop and buy the quantity you need. You don’t have to have batting… you might prefer to use a cosy backing instead (eg fleece or chenille). The batting is best new – choose a wash and wear type. I prefer bamboo or cotton.
- Backing – can be a reclaimed sheet, tablecloth, curtain or bed spread (op-shop again!) Or – you can buy some plain fabric for the back.
- Distribute the blocks to the collaborators and encourage people to have a go! The more that contribute – the more beautiful the diversity!
What to do with your block:
Here is a list of my favourite ideas about what to put on your block…. it is only a sample of ideas shared (and borrowed) to stimulate your own creativity! Pinterest is a great source of inspiration and has lots of tutorials and patterns to get you started if you need some! Remember to leave 1 1/2cm border around the edge so the blocks can be sewn together.
- Doilies are a great and simple edition to a block. They can be easily hand sewn onto a block.
- Buttons sewn in a corner or in a shape, eg bird or heart.
- Crochet a mandala or a granny square and sew it on your block.
- Crochet a button!
- Use a simple stitch to make a monogram or to stitch a shape design – eg a heart, star, or just straight or spiral lines.
- Applique – a fancy word that means sewing one layer of fabric over another. You can use fusible iron-on webbing to stick the fabric together and then blanket stitch around the edge of your shape, but you don’t have to.
- Use floss/ embroidery thread to embroider some stitches…. as fancy or as simple as you like. A cross stitch animal, tree, or design in a corner of your block for example.
- Use some yarn or ribbon to make a design on your block and then ‘stab’ stitch it in place to stabilise your design.
- Cut some felt flowers and sew a button in their centres to stabilise the flower on the block. Leave the petals free or blanket stitch them in place. Or make some felt birds!
- Cut a range of various sized circles of fabric or felt and layer them to look like flower petals – secure with a centre button or bead.
- highlight some features in the block fabric with coloured stitches or buttons or ric-rac
- Select a variety of stitch techniques
- Make some tiny pom-poms – or buy pom-pom ribbon – cut, arrange and sew in place as a bunch of balloons in a design.
- Use ribbons or ric-rac to make a rainbow, garden or decorative lines, curves for designs
- machine embroider a design
- Black thread embroidery – feathers
- Add beads and sequins to your block or sew a trinket, mirror disc or charm in place.
Here are some links to some craft sites that might be sources of creative inspiration for some!
Building and giving a quilt together
Relationships are strengthened, emotions are shared and comfort is provided in undertaking this type of collaborative activity. All are stronger together. Have fun making and giving quilts in collaboration with others – a burden shared is a burden halved! And above all…. wabi-sabi! Imperfect can be beautiful – so enjoy the journey what ever your skills might be! Collaborative caring…
I have a few quilting, embroidery and textile artist brains trust that I turn to for ideas, inspiration, tutorage and rescue when needed. Thank you for your encouragement, generosity and skills! When I grow up – I hope to be as expert and generous as you all are in your quilting, embroidery and textiles! xo
Solastalgia can be thought of a type of ‘homesickness’ that is experienced by people who have experienced a major change, and possibly the destruction of, their environment or place. People can experience grief, loss and anxiety and depression directly related to the degradation of their home or or place. It is important to recognise how people are connected to their surrounding and particularly attuned to their home, community, environment and to nature generally. When you space and place in the world is changed beyond your control – it is unsettling. Recognising the distress that is caused early and providing timely support is important because in doing so appropriate responses and health care interventions can be put in place for individuals, groups and whole communities.
Our mental health is linked to the environment and where we live
There are a range of commentators about this topic in recent times (some are listed at the end of this blog). Some are listed below, in particular, Professor Glenn Albrecht has been instrumental in identifying the key issues in NSW. His TED Talk video here is useful for those that want to know a little more about Solastalgia, but also about Solaphilia – the opposite of Solastalgia. Solaphilia is a concept that highlights the innate sense that people have to love or appreciate their place, or environment, that is, our place as people in the natural environment. Albrecht (in his video) says that to some extent our appreciation of nature or our love for our surrounding is vital and is a buffer for solastaglia. Basically if we look after our place and environment, it is good for our mental health! But when we start to compromise the environment, we also (perhaps unintentionally), make people more vulnerable to mental heath problems such as depression. Our mental health and our place in the environment are intrinsically linked.
People have a natural attraction and appreciation of nature . This capacity to reason and understand the environment has safety implications. For example, people are don’t usually enjoy environmental factors that are threatening or that represent danger. People don’t usually enjoy a climate that is too hot or too cold. If we avoid environmental or climatic hazards – we lie longer and happier lives!
Biophillia – our relationship with nature
Kellert (a biologist) wrote an interesting book about people and places (see below for the reference) and about how we interact with nature. He says that people are drawn to form emotional bonds and attachment with the natural environment and this impacts on a sense of mental health and well-being, so much so, that people experience the desire to control the environment, or as Kellert (2012) describes it, to have dominion over the natural environment. People experience a sense of connection, meaning and purpose related to their experiences of the natural environment that provides a sense of spiritual connection to the world beyond one’s self.
Kellert (2012) suggests that the human affinity for the natural environment is so strong that it is symbolically represented in images, language and designs and that this too enhances a sense of well-being for people. These core biophillic values help us to understand mental health and well-being of rural people with emergent mental health problems from a unique perspective, and to better understand the complex context in which mental health decline occurs for them.
The dynamics of rural communities are changeable and respond to impacts such as environmental changes (for example, drought, flood, salinity, and/or climate change), mining operations and workforce dynamics, downturns in commodity prices, financial pressures with the lowering of land values and loss of productivity, export demands, fly-in-fly-out (FIFO) workforce, population declines and the related fragmentation of social networks, farm amalgamations and corporatisations, as well as the limited availability of educational and employment opportunities for rural people (Some authors have written more about this…. eg Speldewinde).
Environmental examples were Solastalgia can develop in rural communities:
Salinity and rising water tables
The insidious impacts of dryland salinity, that is, the rise of a salty ground water table, is increased as deep-rooted trees are cleared from agricultural areas to make way for productive agricultural landscapes that include shallow-rooted cropping. Farming practices and environmental management are also threatened by a long-term downturn in commodity prices and other environmental impacts such as drought. Thus, the economic impacts are also significant, and when combined with the creeping effects of salinity, are recognised as a vulnerability for mental health decline of residents because psychological distress is frequently associated with people’s sense of place, while their relationships and lived experiences influence their psychological quality of life. Some studies have shown links between depression and salinity increases.
Coal seam and open cut mining
In NSW, open cut and coal seam gas mining have grown in prominence and residents of communities where mining occurs have had to adapt to this change. Some communities have struggled to find a balance between environment, people and mining. Albrecht says that the competing battles are between Solastalgia and one end of the spectrum and Solaphilia at the other end, thus the conflict is between environmental impacts on people and their need to maintain a connection with place that is protective of mental health generally. Albrecht an his colleagues have conducted soem research that has explored how mining in the Hunter region has impacted people and their emotional health, and he has been able to explain some of the profound discomforts that impact people in that region – for example, the loss of landscape and the scarred horizons can be very debilitating to some people with some people avoiding travel in the region to help them minimise their distress and discomfort at the sight of an altered landscape, despite the geography being part of their cultural place.
South West Queensland and Northern NSW experienced have experienced some significant flooding in recent years. Communities established in floodplains for the ease of access to water (historically) are particularly at risk of flood events. Moree, NSW is an example, where flood events can see the main street and many dwelling inundated with flood waters. Despite the risks, local people are connected to their place, and how it looks and feels. Moree Plains Shire Council have just conducted a Floodplain Management Program and have identified houses that will need to be lifted to avoid floor flooding in the future. Even changes such as the retro- raising of house heights will change the street scape of a country town to some extent. On the one hand there is assistance, support and planning underway to to help the community, on the other hand people will experience change in regard to their environment and place… the environmental and human emotional conflict is challenging to balance and reconcile.
There are many stories of drought and the changes to landscape. Drought and depression are well recognised in tandem. However the length of drought and the grief and loss that is associated with drought can be further complicated when ideas about solastalgia are considered.
In Indonesia a recent study has shown by Warsini, West, Mills and Usher, links between depression, anxiety and the loss of place and home to people who have had volcano eruptions destroy their homes and livelihoods. While the geography still exists – some people are profoundly sad and distressed at the loss of their homes and places. Their connections with the place has been disrupted and that can be described as an experience of solastalgia – homesick for the past place that is gone forever, yet still being in the same geographic location.
Keeping strong and resilient
Remember that early recognition of any mental health or emotional decline is important. The earlier problems are recognised the sooner and more successfully mental health help can be implemented.
Environmentally, we know that from time to time the unpredictable will occur. Getting through these times is challenging, however, good mental health support is an important aspect in community level recovery.
Being connected to place, environment and nature is important -people need to do that to be mentally healthy and well. Advocating for looking after the environment is important for the mental health and well being of us all. The more we can do to maintain balance in nature – the better our emotional being in the future.
Albrecht, G., Sartore, G., Connor, L., Higginbotham, N., Freeman, S., Kelly, B., . . . Pollard, G. (2007). Solastalgia: The distress caused by environmental change. Australasian Psychiatry, 15, S95-S98.
Kellert, S. (2012). Birthright. People and nature in the modern world., Yale University Press.
Speldewinde, P. C., A. Cook, P. Davies and P. Weinstein (2009). “A relationship between environmnetal degradation and mental health in rural Western Australia.” Health & Place 15: 880-887.
Stokols, D., R. P. Lejano and J. Hipp (2013). “Enhancing the resilience of human-environment systems: A social ecological perspective.” Ecology and Society 18(1): 7.
Walker, B., C. S. Holling, S. R. Carptenter and A. Kinzig (2004). “Resilience, adaptability and transformability in social-ecological systems.” Ecology and Society 9(2).
Another paper… this time addressing the very important topic about pre-registration mental health nursing education in Australia.
Mental Health First Aid training is designed to equip people with the skills to help others who may be developing mental health problems or experiencing mental health crises. This training has consistently been shown to increase: (1) the recognition of mental health problems; (2) the extent to which course trainees’ beliefs about treatment align with those of mental health professionals; (3) their intentions to help others; and (4) their confidence in their abilities to assist others. This paper presents a discussion of the potential role of Mental Health First Aid training in undergraduate mental health nursing education. Three databases (CINAHL, Medline, and PsycINFO) were searched to identify literature on Mental Health First Aid. Although Mental Health First Aid training has strong benefits, this first responder level of education is insufficient for nurses, from whom people expect to receive professional care. It is recommended that: (1) Mental Health First Aid training be made a pre-requisite of pre-registration nurse education, (2) registered nurses make a larger contribution to addressing the mental health needs of Australians requiring care, and (3) current registered nurses take responsibility for ensuring that they can provided basic mental health care, including undertaking training to rectify gaps in their knowledge.
Click here for more details… Happell, Wilson, McNamara 2014 MH Nurse Curriculum
…and follow for latest publication: here… https://www.researchgate.net/publication/265127066_Undergraduate_mental_health_nursing_education_in_Australia_More_than_Mental_Health_First_Aid
Jamie Ranse, RN, FACN, FCENA, BN, GCertClinEd, GCertClinEpi, MCritCarNurs;
Alison Hutton, RN, MACN, DipApSci(Nsg), BN, PaedCert MN, PhD;
Basseer Jeeawody, RN, FACMHN, BA(Hons), Psych DipNsg, MEd, PhD;1
Rhonda Wilson, RN, BNSc, MNurs(Hons) PhD
ABSTRACT Background: Internationally there is an increasing amount of peer-reviewed literature
pertaining to disaster nursing. The literature includes personal anecdotes, reflections, and
accounts of single case studies. Furthermore, issues such as the willingness of nurses to
assist in disasters, the role of nurses in disasters, leadership, competencies, and educational
preparedness for nurses have been the focus of the literature.
Aim: The aim of this research was to determine the international research priorities for
Method: This research used a three-round Delphi technique. The first round used a
face-to-face workshop to generate research statements with nursing members of the
World Association for Disaster and Emergency Medicine (WADEM). The second and
third rounds included the ranking of statements on a 5-point Likert scale with nursing
members of WADEM and the World Society of Disaster Nursing (WSDN). Statements
that achieved a mean of four or greater were considered a priority and progressed.
Results: Participants were from multiple countries. Research statements were generated
in the areas of: education, training, and curriculum; psychosocial; strategy, relationship,
and networking; and clinical practice. Psychosocial aspects of disaster nursing ranked the
highest, with five statements appearing in the top ten research areas, followed by state-
ments relating to: education, training, and curriculum; clinical practice; and finally,
strategy, relationship, and networking.
Conclusions: Future disaster nursing research should focus on the area of psychosocial
aspects of disaster nursing, in particular, both the psychosocial needs of a disaster-affected
community and the psychosocial wellbeing of nurses who assist in disaster health activities.