Journal of Mental Health and Addiction Nursing 2019-07-17T04:01:08+00:00 Scott Bryant Open Journal Systems <p>The Journal of Mental Health and Addiction Nursing publishes research and other scholarly contributions that inform the development, implementation, and evaluation of practice, research, education, leadership, and policy relevant to nurses engaged in mental health and addiction nursing.<br>Emphasis is placed on nursing-led knowledge and innovation that assists in preventing and managing conditions of individuals, communities, and specific populations experiencing mental health issues or illnesses.</p> <p>&nbsp;</p> <p>This Jorunal is published by The Dougmar Publishing Group Inc. &nbsp;<a href=""></a></p> <p>&nbsp;</p> <p align="center"><span style="text-decoration: underline;"><strong><a href=";p=oi&amp;m=1126246516272&amp;sit=jj5ztnalb&amp;f=7d83995e-2414-408e-8586-48373d1ed617">Sign up to receive the latest information on JMHAN!</a></strong></span></p> Sowing a Seed of Safety: Providing Culturally Safe Care in Acute Care Settings for People who use Drugs 2019-06-22T01:36:15+00:00 Jane McCall Bernie Pauly <p>This paper reviews the concept of cultural safety from the perspective of people who use illicit drugs and nurses in a hospital setting.</p> <p>&nbsp;</p> <p><strong>Background</strong></p> <p>Illicit drug use is often highly stigmatized and people who use illicit drugs often report negative healthcare experiences contributing to inequities in health and access to healthcare. Registered nurses play a key role in the delivery of healthcare when people who use drugs are hospitalized but often face difficulties in the provision of care. We explored understandings and meanings of cultural safety in healthcare as an approach to mitigate stigma and to promote health equity.</p> <p>&nbsp;</p> <p><strong>Design and Methods</strong></p> <p>Within an overall participatory approach to the research, we employed a qualitative ethnographic approach undertaking 275 hours of participant observation and conducting 34 open-ended interviews with 15 patients and 19 nurses on two acute care hospital units in 2012 and 2013. Result/Findings: Culturally safe care requires recognizing stereotypes and power imbalances; prioritizing trust and building relationships as important outcomes; giving patients space and time; and addressing conflicting organizational values and policies.</p> <p>&nbsp;</p> <p><strong>Conclusions</strong></p> <p>Providing culturally safe care requires organizational culture shifts that recognize the importance of historical, societal, and political forces that influence the way in which illicit drug use and people who use illicit drugs are constructed in society.</p> <p>&nbsp;</p> <p>&nbsp;</p> 2019-05-31T12:49:48+00:00 Copyright (c) 2019 Jane McCall, Bernie Pauly Harm Reduction, Stigma and the Problem of Low Compassion Satisfaction: 2019-07-17T04:01:08+00:00 Stephanie Knaak Romie Christie Sue Mercer Heather Stuart <p><strong>Background &amp; Objective</strong>: Canada is in the midst of an opioid crisis. Given the sheer magnitude of the crisis and escalating death toll, the mobilization of harm reduction interventions is an important priority. Currently, little is known about the role played by stigmatization, particularly in terms of how this may impact the endorsement and uptake of harm reduction strategies and initiatives among front-line providers.</p> <p><strong>Materials &amp; Methods</strong>: <em>Opening Minds</em>, the anti-stigma initiative of the Mental Health Commission of Canada, undertook a one-and-a-half-year research project to understand the qualities, characteristics, sources, consequences, and solutions to the problem of stigmatization on the front-lines of the opioid crisis. A qualitative key informant design was selected. Participants included various first responder and health provider groups, people with lived experience of opioid or other drug use, and people in key policy or programming roles. Eight focus groups were held across Canada, and 15 one-on-one key informant interviews were completed.</p> <p><strong>Results</strong>: Analysis of focus group and key informant interviews revealed three main ways in which stigma shows up on the front lines of the opioid crisis among providers. These themes coalesced around a central main problem, that of low compassion satisfaction. Suggestions for how these concerns can be addressed were also identified.</p> <p><strong>Conclusion</strong>: The findings from this research revealed several key ways that stigma ‘shows up’ in the experiences and perceptions of front-line providers and provide several promising avenues for combatting stigmatization related to opioid use and harm reduction. An important avenue for future research is to develop and elaborate on the theoretical connections between the concepts of stigmatization and compassion satisfaction as a way to better understanding the problem of stigmatization in helping environments.</p> 2019-07-16T20:08:37+00:00 Copyright (c) 2019 Stephanie Knaak, Romie Christie, Sue Mercer, Heather Stuart