Section Two

Learning and Teaching Resources to Support Integration of Mental Health and Addiction in Curricula

Learning and Teaching Resources to Support Integration of Mental Health and Addiction in Curricula
RNAO
admin Fri, 10/06/2017 - 16:43
Section Two

Outcomes

Purpose

This section supports the educator to gain awareness of key assessment processes, tools and other resources that will assist in integrating CASN/CFMHN Entry-to-Practice Mental Health and Addiction Competencies for Undergraduate Nursing Education in Canada (2015) alongside best practices into the nursing undergraduate curricula.

Outcomes

At the end of this section, the educator will:

  • Understand the extent to which mental health, illness and addiction knowledge and skills are currently integrated throughout the undergraduate nursing curricula.
  • Identify areas in the nursing undergraduate curriculum that require integration of mental health, illness and addiction knowledge, concepts, attitudes and skills, based on the curriculum assessment tool.
  • Develop a personal learning plan for the advancement of one’s own mental health, illness and addiction knowledge and skills.

Mental Health and Addiction Faculty Assessment Tools

Mental Health and Addiction Faculty Assessment Tools

In order to effectively integrate mental health and addiction competencies into entry-level nursing curricula—and contribute to an environment that supports knowledge integration—it is important that faculty evaluate existing curricula content and engage in a personal self-assessment of mental health, illness and addiction knowledge to understand strengths and areas for improvement.

This resource provides two assessment tools, each designed to assist with identifying and addressing gaps in existing educational content, knowledge and skills. Both assessment tools have no demonstrated psychometric properties and are intended to support, stimulate and advance the ongoing development of nursing education in mental health and addiction.

  • The Curriculum Assessment Gap Analysis Tool enables the assessment of content, structures and processes within current curricula in relation to the CASN/CFMHN entry-to-practice domains and competencies. The tool also assesses associated knowledge, concepts, attitudes and skills pertaining to the promotion of mental health and the prevention, assessment and management of mental illness and addiction across the lifespan.
  • The Educator Self Assessment Tool enables the personal evaluation of educators knowledge and skills required for teaching and promoting mental health and for assessing, preventing and managing mental illness and addiction.

Who should use these tools? 

These tools are most useful to curriculum development committees to promote the integration of mental health content, concepts, attitudes and skills across all courses in the undergraduate SEC. 2 nursing program, and to nursing faculty and educators for assessment and integration of and within individual courses.

admin Fri, 10/06/2017 - 16:52

Tool #1: Curriculum Assessment Gap Analysis

Tool #1: Curriculum Assessment Gap Analysis

This tool aims to assist educators with evaluating existing curricula for integration of the knowledge and skills related to the use of CASN/CFMHN Entry-To-Practice Mental Health and Addiction Competencies (2015) and the content related to the RNAO Nurse Educator Mental Health and Addiction Resource in the following domains:

  • Professional responsibility and accountability
  • Knowledge-based practice
  • Ethical practice
  • Service to the public
  • Self-regulation

INSTRUCTIONS: On the assessment tool (on page 19) indicate whether students are currently learning and applying the following theory, skills and tools, list courses where this is applied or planned to be applied and outline course learning objectives that align with the application and/or tool. At the end, develop an action plan to address gaps.

A) Professional Responsibility and Accountability

  Yes Course Name(s)
(E.G. NURS 371)
Planned Course Name(s) Current Course
Learning Objectives
Name(s)
No Plan for
Future
Offerings
Understands and applies mental health related legislation.              
Upholds rights and autonomy of persons with mental health conditions and/or addiction.              
Recognizes and responds to stigmatizing and discriminating attitudes regarding mental health conditions and addiction as well as the impacts on health-care outcomes.              
Applies principles of mental health promotion, and mental illness and prevention of injury principles.              
Knowledge of voluntary and involuntary care.              
Discusses clients’ and others’ protection from self harm when safety is at risk, while maintaining client dignity and human rights              

 

B) Knowledge-based Practice

  Yes Course Name(s)
(E.G. NURS 371)
Planned Course Name(s) Current Course
Learning Objectives
Name(s)
No Plan for
Future
Offerings
KNOWLEDGE, ASSESSMENT and PLANNING CARE
Defines and discusses mental health, developmental and situational transitions, and the spectrum of mental health condition and addiction across the lifespan.              
Discusses how mental health co-morbidities affect individual health, levels of disabilities and use of mental health services.               
Describes key elements of the following theories:
  • Stress
  • Coping
  • Adaptation
  • Developmental
  • Harm Reduction
  • Crisis intervention
  • Recovery
  • Loss and grief
  • Trauma-informed care
             
Applies the following theories in clinical practice:
  • Stress
  • Coping
  • Adaptation
  • Developmental
  • Harm Reduction
  • Crisis intervention
  • Trauma-informed care
  • Recovery
  • Loss and grief
             
Provides opportunities to understand the interrelationship of physiology, pathophysiology and mental health and addiction.              
Discusses complementary therapies and mental health conditions and addiction.              
Provides knowledge of medications used to treat addiction and withdrawal.              
Provides knowledge and experience to perform a mental status exam.              
Provides an opportunity to apply therapeutic relational skills.              
Identifies clients’ emotional, cognitive and behavioural states, anxiety levels, indices of aggression, self-harm, suicide, risk to others, competency for self-care, signs of substance abuse, addiction and withdrawal.              
Includes the role of social determinants of health on mental health outcomes.              
Discusses treatment and management of mental disorders and addiction.              
Provides opportunities for care planning in collaboration with persons impacted by mental health concerns.              
Discusses the negative effects of violence, abuse, racism, discrimination, colonialization, poverty, homelessness and early childhood maltreatment on mental health.              
Recognizes impact of trauma and uses a trauma-informed approach to plan care with clients.              

 

C) Application of Knowledge

  Yes Course Name(s)
(E.G. NURS 371)
Planned Course Name(s) Current Course
Learning Objectives
Name(s)
No Plan for
Future
Offerings
Integrates relational care practices and mental health promotion skills within all clinical placements.              
Provides a mental illness and/or addiction clinical placement.              
Communicates therapeutically with persons and families who are experiencing a range of mental health conditions, addiction, abuse, bereavement or crisis.              
Uses self-therapeutically in providing health promotion, prevention, and supportive care.              
Engages in strengths-based care to promote resilience.              
Engages in advocacy for persons experiencing mental health condition or addiction.              
Engages individuals and families in education regarding their mental health, illness and/or addiction.              
Applies principles of recovery oriented, trauma-informed care, social determinants of health and harm reduction with clients.              
Administers medication used to treat mental illness and/or addiction safely, monitors for therapeutic e ects, side e ects, adverse reactions and intervenes appropriately.              

 

D) Ethical Practice

  Yes Course Name(s)
(E.G. NURS 371)
Planned Course Name(s) Current Course
Learning Objectives
Name(s)
No Plan for
Future
Offerings
Provides safe and respectful environment to clients receiving voluntary or involuntary care seeking
or receiving treatment for a mental health condition and/or addiction.
             
Assists persons with a mental health condition and/or addiction to make informed decisions about their care.              
Demonstrates understanding of cultural competency and cultural safety.              

 

E) Service to the Public

  Yes Course Name(s)
(E.G. NURS 371)
Planned Course Name(s) Current Course
Learning Objectives
Name(s)
No Plan for
Future
Offerings
Demonstrates knowledge of the health-care system or receiving treatment for a mental health condition and/or addiction.              
Recognizes impact of organizational culture on the provision of mental health care and acts to ensure appropriate services are delivered safely.              
Facilitates and engages in collaborative inter- and intra- professional and intersectoral practice.              

 

F) Self-regulation

  Yes Course Name(s)
(E.G. NURS 371)
Planned Course Name(s) Current Course
Learning Objectives
Name(s)
No Plan for
Future
Offerings
Evaluates individual practice and knowledge when providing care to clients experiencing mental illnesses and/or addiction.              
Identifies one’s own morals, values, attitudes, beliefs and experiences and the effect these have on care.              
Identifies learning needs related to mental health promotion and mental illness and addiction assessment, management and prevention.              
Seeks new knowledge, skill, supports related to nursing persons and families with mental health conditions and addiction.              
Evaluates self- learning related to mental health promotion and mental illness and addiction care.              

 

Recommendations:
















 

Action plan for integration:

 














 

admin Fri, 10/06/2017 - 16:52

Tool #2: Educator Self-Assessment

Tool #2: Educator Self-Assessment

INSTRUCTIONS: Evaluate personal knowledge and skills regarding mental health and addiction in nursing education and practice with the following Self-Assessment Tool (on page 30). At the end, add up the score for each section and then the total score. See scoring guide at the end for assessing strengths and weaknesses. 

Mental Health Foundational Concepts

RATE YOUR PROFICIENCY IN THE USE OF: Beginner   Advanced
1 2 3 4 5
Therapeutic relationships          
Suicide and self-harm assessment and interventions          
Trauma and trauma-informed care          
Crisis intervention          
Recovery orientated approach          
Harm reduction theory and approaches          
Mental health continuum          

Mental health including:

Resiliency
Stress
Coping
Adaptation
Developmental
Loss and grief
Recovery
Relationships with significant others, family, health care professionals etc.
Mental illnesses/disorders
Schizophrenia and other psychotic disorders Anxiety disorder
Behavioural and conduct disorders
Bipolar disorders
Depressive disorders
Eating disorder
Sleeping disorders
Substance-related and addictive disorders Trauma- and stressor-related disorders Personality disorders
Delirium and dementia 

         
Cultural competency and cultural safety          
Total          

Mental Health and Illness Approaches

RATE YOUR PROFICIENCY IN THE USE OF: Beginner   Advanced
1 2 3 4 5
Mental health promotion and prevention of mental health condition approaches          
Assessment and management of mental illness (i.e., DSM 5, Mental Status Exam, Cultural Formulation Interview for Cultural Assessments)          
Knowledge about psychological, sociological, physiological and pathophysiological aspects of mental health and illness, including co-morbidities          
Pharmacological and psychosocial interventions for mental illness, addiction and co-occurring disorders          
Applying a collaborative, strength-based recovery-oriented approach to assessing, planning and evaluating care of person and families experiencing mental illness and/or addiction          
Total          

Professional Responsibility and Accountability

RATE YOUR PROFICIENCY IN THE USE OF: Beginner   Advanced
1 2 3 4 5
Mental health and addiction legislation and acts at the provincial, federal, territorial and international level          
Pro ciency on professional standards and regulatory standards when promoting mental health and preventing or managing mental health conditions and addiction          
CNA(2008)Code of Ethics          
Knowledge regarding recognition, response and impacts to care regarding stigmatizing and discriminating attitudes regarding mental health conditions and addiction          

Techniques for protection from client self harm when safety is at risk 

         
Total          

Ethical Practice

RATE YOUR PROFICIENCY IN THE USE OF: Beginner   Advanced
1 2 3 4 5
Knowledge on voluntary and involuntary admission and how to provide safe and respectful environment to clients with mental illness and addiction          
Providing individuals with mental illness and addiction the support they require for making informed decisions about their care          
Understanding and applying principles of cultural competency and cultural safety when caring          
Application of self-re ection when working clients experiencing mental health conditions and/or addiction          
Total          

Service to the Public

RATE YOUR PROFICIENCY IN THE USE OF: Beginner   Advanced
1 2 3 4 5
Knowledge of the Canadian health-care system and application to daily practice          
Impact of organizational culture on the provision of mental health care and acts to ensure appropriate services are delivered safely          
Facilitation and engagement technique to establish and maintain collaborative inter- and intra-professional and intersectoral practice          
Total          

Self-regulation

RATE YOUR PROFICIENCY IN THE USE OF: Beginner   Advanced
1 2 3 4 5
Evaluation of individual practice and knowledge when providing care to clients with mental health conditions and/or addiction          
Identifies one’s own morals, values, attitudes, beliefs and experiences and the e ect these have on care          
Identify learning needs related to mental health promotion, and the assessment, management and prevention of mental illness and addiction          
Seek new knowledge, skill, supports related to mental health conditions and addiction          
Total          

SCORING

Mental health overview ............................................................................................................................................ /45
Mental health and illness approaches.............................................................................................................. /25
Professional responsibility and accountability............................................................................................ /25
Ethical practice............................................................................................................................................................. /20
Service to the public.................................................................................................................................................. /15
Self-regulation.............................................................................................................................................................. /20
TOTAL ...................................................................................................................................... /150 

SCORING GUIDE

0 - 50 — Novice educator

There is great potential for ongoing learning and future growth.

Next steps:

  • Knowledge development should be a priority. Recommend self-study, beginning with resources listed in this toolkit, RNAO Best Practice Guidelines and associated resources.
  • Seek supervision and assistance from peer mentors with more advanced expertise.
  • Solicit student feedback and guidance.
  • Develop a personal learning plan that focuses on key knowledge domains.
  • Use this resource to guide learning plans.

51 – 100 — Intermediate level experience and expertise

Continue to build on base knowledge and skills, and develop teaching practice.

Next steps:

  • Recommend self-study focused on knowledge gaps and peer learning with more expertise.
  • Develop confidence in testing out innovative, evidence informed approaches.
  • Use RNAO Best Practice Guidelines and associated resources as well as this resource to build capacity.

101-150 — Well-developed knowledge base and expertise

Continue to seek challenging opportunities to maintain and advance knowledge.

Next steps:

  • Be sure to share knowledge and experiences with peers.
  • Engage in leadership activities.
  • Offer support and encouragement to faculty with novice and intermediate-level expertise.
admin Fri, 10/06/2017 - 16:53