What makes an excellent mental health nurse?
A fellow-blogger is considering a career in mental health nursing and asked what skills they would need in order to become a good mental health nurse. Forget skills for a moment, I’d suggest that certain attributes are required of good mental health nurses (RMN’s).
Perhaps you are or you’ve been a patient and you’re not sure what to expect of RMN’s? Whether or not you’re engaged in the mental health field, wouldn’t it be amazing if everyone had these attributes? Okay, that’s a big ask. But having these attributes can help make a difference; even in your own lives and relationships. ..
MH nursing is the most rewarding job ever, trust me. It’s a highly respected career and there’s always a demand for skilled RMN’s. It’s often demanding, challenging, stressful, and exhausting, but it’s never boring. If you’re considering a career in this exciting, ever-growing area of nursing, you’ll need to think about the attributes needed for mental health nursing.
Attributes of a good mental health nurse
It’s a given that RMN’s need a sound knowledge of the theories of mental health and illness. They also need to understand and apply current legislation, paying attention to the protection of those who are vulnerable. Furthermore, nurses must use their knowledge of patients to handover to multidisciplinary teams effectively, to ensure continuity of care.
However, there’s so much more needed to nurse patients who experience mental illness, and who are often distressed or confused. So now it’s time to put the knowledge books aside and think about the attributes of a good RMN.
Empathy helps patients with mental illness
Good RMN’s must have the ability to put themselves in someone else’s shoes, walk a mile in their shoes. Imagine the single parent being admitted to hospital and her children having to be fostered out? Or the married man whose wife leaves him — because of his clinical depression. What about the man who dresses as a female and everyone laughs at him? Try putting yourself in any of their shoes.
Try not to use platitudes like “Time is a great healer.” to someone who’s just lost their mum/dad or “It will all look brighter in the morning.” to someone who’s depressed. At best you’ll sound insincere and at worst, condescending.
Don’t offer unwanted or ill-informed advice either. Who wants to hear “Oh my mum’s neighbour’s grandson had that and he used to ………..” Or “When my friend had depression, she ……..” then go on telling your own story. This isn’t empathy. It’s not about you, or your friend! It’s for and about the patient, or the person standing in front of you.
Being Non-judgmental is essential
Of course, it’s in our nature to judge, and it can be a good thing, it’s how we make sense of our world. Sometimes we all make snap decisions about a person; based on their colour, race, religion and even small things like how they’re dressed. But doing so is not an attribute of a good mental health nurse.
Being judgemental alienates us from others, which is no good in a mental health environment because patients need to be able to trust that you’ll do your very best for them, regardless.
Good mental health nurses, and indeed people, need to look beyond the presenting facade and immediate appearance, behind which they’ll often find very human and tragic struggles.
You can help your patients by providing kind, nonjudgmental care that acknowledges all aspects of their makeup. Nonjudgmental, holistic care affirms the dignity of your patients and helps them have a voice in their healthcare, (Arkansas University, 2017).
You can disagree with a patient’s or friend’s choices or strong opinion but do it in a non-judgemental way. You could say something like “I hear what you’re saying and I appreciate your opinion, but I see it differently. Tell me why you think …………”
Communication skills are a key requirement for every good mental health nurse
Excellent communication skills are a must when working with confused, maybe angry, depressed, manic, or psychotic patients and their families. In fact, I think we can all learn about better communication skills.
We all, especially mental health nurses, need to be able to actively listen, to stay in the moment with the patient or their families. So, don’t immediately start preparing your answer to their questions — listen to the end of their ‘story’. The clue is often there; a small add-on from the patient —right at the end — but it may actually be the problem causing them the most grief.
Remember, there is so much going on for say a newly admitted patient, and their needs may be complex, often requiring support in several areas. They may be too fatigued to deal with things like finances and bills or pets, so you’ll need to communicate these needs to the multidisciplinary team.
You must be able to speak clearly and concisely to the patient, asking if they need clarification or more time to think about what you’ve just said. Active listening and paraphrasing what the patient just said, makes them feel heard, understood and cared for. This is crucial attribute of a mental health nurse.
You need to be able to look, to see the patient, and sometimes the family dynamics, in order to gather information.
Observe facial gestures to see whether they’re smiling, nodding, frowning. Observe their posture; are they slumped, sagging shoulders, dressed appropriately for the weather. You might observe that the patient smells unclean and his teeth haven’t been brushed. You might notice that the patient is sweating or has a fever, and understand that you have to take action.
“By using your eyes, ears, nose, touch and knowledge of what is ‘normal’ for the people you care for, you can identify potentially serious changes in mood and mental state and take action early on.”The Royal College of Nursing (RCN)
“Compassion is usefully described as a sensitivity to distress together with the commitment, courage and wisdom to do something about it.”Cole-King & Gilbert, 2011
It’s a genuine sympathy for hardship or suffering. It’s kindness and the simple act of showing it can make a world of difference in a patient’s day. RMN’s come into people’s lives when they are in distress and vulnerable, and how they treat patients, and their families can leave a lasting impression.
Accepting differences and finding things in common help you relate to a patient/person, and what they might be going through. You’ll be showing them a kindness they might not get elsewhere, and despite them being mentally unwell, they will appreciate and remember it.
Leaving your own world at the front door, and just being there in the moment with a patient encourages openness and mutual trust. These small acts impact on a patient’s emotional responses and their view of the care they are to receive.
Sometimes mental health nurses are the only person they have to listen to them and take their illness seriously, which is why compassion is key. It’s always at the forefront of what nurses do.
Treating yourself and your colleagues compassionately goes a long way too. If we can’t look after ourselves, how then do we look after patients?
If you are a nurse commitment must be on your list
Commitment in nursing is about providing the best care available at all times. You must commit to building positive and trusting relationships with colleagues and patients and their significant others to promote continuity of care.
A nurse must be able to make the patient and families feel valued and cared for, and feel safe in the nurses knowledge and skills. Therefore a good mental health nurses must stay up to date with all relevant practice and be committed to lifelong learning.
Continuing professional development that focuses on compassion will enable delivery of excellent patient-centered and evidence-based care. Moreover, good mental health nurses must commit to taking good care of their own physical, emotional and mental health. If a nurse is not okay, how can they expect to look after their patients
How a good mental health nurse must have the ability to stay calm in a crisis
If you can keep your head when all about you are losing theirs ………. by Rudyard Kipling comes to mind. It’s imperative that qualified mental health nurses have the ability to remain calm when dealing with emotional outbursts or challenging behaviour.
Being calm will be beneficial to both you and the patient. If you’re panicking or flapping about, the patient will feel it and they too might become distressed.
Knowing how to interact effectively with different types of people will help to de-escalate or diffuse a potential risk situation and avoid having to use ‘Control and Restraint’ techniques on a patient.
Emotional intelligence: A mental health nurse must have the ability to understand her patient’s emotions
Emotional Intelligence (EI) is described by two researchers (Peter Salavoy and John Mayer) as the ability to
- recognize, understand and manage our own emotions
- recognize, understand and influence the emotions of others
In practical terms, this means being aware that emotions can drive our behaviour and impact people (positively and negatively), and learning how to manage those emotions – both our own and others – especially when we are under pressure.
An RMN, must remain calm and use their EI if there’s ever a challenging situation where a patient becomes aggressive or physically threatening. You’d need to take in everything and everyone around you immediately to ensure the safety of the patient and others.
Noticing, understanding, and managing one’s own and other’s emotions can be used to effectively engage the patient and bring calm to the situation. You might say to the patient “I hear what you’re saying……. I can see that you’re angry. What can I do to help? What would you like me to do?” “Would you like to sit with me and I can listen?” What else might you say?
Adaptability – Nursing in a fast paced environment
Adaptability or willingness to change in order to suit different conditions is necessary in an ever-changing work environment, particularly in nursing. An RMN will meet people who are often misunderstood by society, including their friends and family. Therefore, RMN’s need to adapt quickly and easily to new patients, different disorders and changes in moods.
There’s also new students, new mental health nurses, change in Junior Doctors every six months, new procedures and policies…………… The list is infinite end ever-changing, as is mental health environment. RMN’s must be flexible, be curious, be open-minded, and able to see ahead and have a plan B.
The above attributes are essential though this list is not exhaustive. There are are many more personal characteristics such as being warm, engaging, and considerate.
Over to you
I wish I could say I observed all the above in practice during three years of study and fifteen years of working within mental health. What do you think? I’d be interested to hear your thoughts and I’m happy to answer any questions.
Related: How to care for the mental health of the nurses in your life in these trying times (1). This was me: My mental health nursing career (2)
25 thoughts on “10 attributes of a good mental health nurse”
Reblogged this on By the Mighty Mumford and commented:
I WISH ONE, AT LEAST OF MY NURSES HAD BETTER SKILLS IN THESE AREAS!
Thank you for dropping by and commenting on my blog. It would be good if some of our nurses had these skills, eh?
In at least one case….it would have been a GREAT HELP!!!!! 🙂
Some of the mental health nurses I’ve met have been nicer and kinder than more qualified staff. They’ve really had the time to just listen.
The ones that have frustrated me have been the ones who think they know what I’m feeling when they don’t actually know at all. For example, saying I probably didn’t know what I wanted or I probably feel this way or that way.
Hey, nice to hear from you J and I’m really happy to read that you had some positive experiences with your nurse.
Of course, we have many great, kind nurses and it’s the minority who should give it all up 😉
Like you mentioned, how can they possibly know or tell you how you feel? It’s their job to ask and then listen. You wonder where some of these nurses trained!
I will never forget one mental health nurse who made an impact on my life (at a very trying time), some 20 plus years ago!
That’s great to hear Mio 🙂
Yes , every person could have a good ripple effect in the society…
One tip also is encouraging nurses to be fit and have exercise and meditation to be more mindful, stronger and more relaxed that can make a difference …
What if nurses could take like 20 days of paid leave per year to become more balanced and refreshed so they could help more …
Sure , there should be enough nurses to cover up …
Glad you agree 🙂 Yes, I think nurses should be looking after themselves a lot better too.
Trust me, nurses have lots of paid leave and they can have what’s called ‘duvet days’ for when they need to rest a little. But most just love to get in all the overtime they can – self-inflicted burnout, I’m a fraid!
I totally agree with you about these attributes especially about being non-judgmental and having empathy. Having a mental health problem is so difficult as it is and feeling like someone is judging you can really tip someone over the edge.
I saw it in some of our nurses and was horrified. Yet when I asked to speak to them about their attitude, all I got was the race card. They knew that didn’t wash with me but they’d try it all the same. That just confirmed their bad attitude!
Wow that’s so horrible.
Hi Carol, another one of my tests to see if your notifications are working. If the problem insists please edit this post by adding a word somewhere and update it. This may take care of the issue. Please let me know if resolved.
I spoke to a “Happiness Engineer” who told me Yoast was out of date and to update it. I did and all’s okay now. Thank you.
These are all really wonderful traits for mental health nurses! And also in any human being, but especially for those who care for people who are waging long, wearying inner battles.
Wouldn’t it be great if everyone had at least some of them 😉 x
While progress is being made on this front, for me there’s still too much platitudinous lip-service towards proactive mental illness prevention for men (and even boys), as well as treatment.
Various media will state the obvious, that society must open up its collective minds and common dialogue when it comes to far more progressively addressing the challenge of more fruitfully treating and preventing such illness in general; however, they will typically fail to address the problem of ill men refusing to open up and/or ask for help due to their fear of being perceived by peers, etcetera, as weak/non-masculine. The social ramifications exist all around us; indeed, it is endured, however silently, by males of/with whom we are aware/familiar or to whom so many of us are closely related.
I guess so Frank and it’s like the postcode lottery. You’ll get good care depending on where you live. But I agree, there’s still a long way to go. And it will only happen if men open up a bit more, stand up and be counted, face their fears……….. But of course no one’s taught them to do this; it’s been a case of big boys don’t cry!
Hopefully, if more people speak out things will change.
Yes. A very long way to go, apparently.
The author of The Highly Sensitive Man (2019, Tom Falkenstein) writes at the beginning of Chapter 1: “You only have to open a magazine or newspaper, turn on your TV, or open your browser to discover an ever-growing interest in stories about being a father, being a man, or how to balance a career with a family. Many of these articles have started talking about an apparent ‘crisis of masculinity.’ The headlines for these articles attempt to address male identity, but often fall into the trap of sounding ironic and sometimes even sarcastic and critical: ‘Men in Crisis: Time to Pull Yourselves Together,’ ‘The Weaker Sex,’ ‘Crisis in Masculinity: Who is the Stronger Sex?’ and ‘Search for Identity: Super-Dads or Vain Peacocks’ are just a few examples. They all seem to agree to some extent that there is a crisis. But reading these articles one gets the impression that no one really knows how to even start dealing with the problem, let alone what a solution to it might look like. One also gets the impression from these articles that we need to keep any genuine sympathy for these ‘poor men’ in check: the patriarchy is still just too dominant to allow ourselves that luxury. … ”
Also revelatory is the Toronto Now article headlined “Keep Cats Out of Your Dating Profile, Ridiculous Study Suggests” and sub-headlined “Men were deemed less masculine and less attractive when they held up cats in their dating pics, according to researchers”.
Even in this day and age, there remains a mentality out there, albeit perhaps subconsciously: Men can take care of themselves against sexual perpetrators, and boys are basically little men. The same mentality that might reflect why the book Childhood Disrupted was only able to include one man among its six interviewed adult subjects, there being such a small pool of ACE-traumatized men willing to formally tell his own story of childhood abuse. I’ve noticed over many years of Canadian news-media consumption that when the victims are girls their gender is readily reported as such; however, when they’re boys, they’re usually referred to gender-neutrally as children. It’s as though, as a news product made to sell the best, the child victims being female is somehow more shocking than if male. Also, I’ve heard and read news-media references to a 19-year-old female victim as a ‘girl’, while (in an unrelated case) a 17-year-old male perpetrator was described as a ‘man’.
Perhaps what makes me most concerned about a lack of societal/institutional attention on men’s concerns/mental health is that by not properly addressing (other than demonization via news/social/entertainment media) what generally creates abusive men, for example, their abused sons and/or daughters can go on to abuse their own children — and so the tragic, painful cycle may continue. …
Thank you for allowing me to thoroughly voice myself on this subject.
I agree with you Frank, and I feel for young men these days. They don’t know where they stand any more. Women want it all, women can do anything they wish with their hubbies as stay at home dads and so on. I’m sure they are having some sort of identity crisis – and who can blame them.
I wish I had all the answers, but someone, somewhere has to start the ball rolling. And it will take men to stand up and tell society what they need……….. before anything gets done.
In the meantime, you look after yourself 🙂 x
Dittos, and keep the good pieces coming.
Such an informative article. It really speaks about the challenges due to mental health. One should try to open themselves to seek mental health care, for a better insight regarding this please read this article https://yourmentalhealthpal.com/where-to-get-mental-health-help/
Thank you for your comments and sorry for the delay in responding. Having my own mental health crisis 🙁 x