{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T12:43:58Z","timestamp":1781873038605,"version":"3.54.5"},"reference-count":40,"publisher":"Wiley","issue":"13-14","license":[{"start":{"date-parts":[[2019,3,29]],"date-time":"2019-03-29T00:00:00Z","timestamp":1553817600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100010040","name":"Abertay University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010040","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To evaluate and explore mental health nurses\u2019 responses to and experience of an educational intervention to improve attitudes towards people with a diagnosis of borderline personality disorder (BPD). Report findings are concordant with relevant EQUATOR guidelines (STROBE and COREQ).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Attitudes towards people with a diagnosis of BPD are poorer than for people with other diagnoses. There is limited evidence about what might improve this situation. One intervention with reportedly good effect uses an underlying biosocial model of BPD. No previous intervention has been co\u2010produced with an expert by experience. We developed and delivered a 1\u2010day intervention comprising these elements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A mixed\u2010methods design was used comprising prospective within\u2010subjects cohort intervention and qualitative elements. Participants were mental health nursing staff working in inpatient and community settings in one NHS Board in Scotland, UK.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Measurement of cognitive and emotional attitudes to people with a diagnosis of BPD at pre\u2010 and postintervention (<jats:italic>N\u00a0=\u00a0<\/jats:italic>28) and at 4\u2010month follow\u2010up. Focus groups were used to explore participants\u2019 experiences of the intervention (<jats:italic>N\u00a0=\u00a0<\/jats:italic>11).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Quantitative evaluation revealed some sustained changes consistent with expected attitudinal gains in relation to the perceived treatment characteristics of this group, the perception of their suicidal tendencies and negative attitudes in general. Qualitative findings revealed some hostility towards the underpinning biosocial model and positive appreciation for the involvement of an expert by experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Sustained benefits of an educational intervention for people working with people diagnosed with BPD in some but not all areas. Participants provided contrasting messages about what they think will be useful.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>The study provides further evidence for incorporation of a biosocial model into staff training as well as the benefits of expert by experience co\u2010production. Mental health nurses, however, believe that more well\u2010resourced services are the key to improving care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.14847","type":"journal-article","created":{"date-parts":[[2019,3,4]],"date-time":"2019-03-04T14:10:22Z","timestamp":1551708622000},"page":"2613-2623","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Mixed\u2010methods evaluation of an educational intervention to change mental health nurses' attitudes to people diagnosed with borderline personality disorder"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8862-1527","authenticated-orcid":false,"given":"Geoffrey L.","family":"Dickens","sequence":"first","affiliation":[{"name":"School of Health and Social Sciences Abertay University Dundee UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Lamont","sequence":"additional","affiliation":[{"name":"School of Health and Social Sciences Abertay University Dundee UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo","family":"Mullen","sequence":"additional","affiliation":[{"name":"Independent Consultant Elgin UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadine","family":"MacArthur","sequence":"additional","affiliation":[{"name":"NHS Grampian, Dr Gray\u2019s Hospital Elgin UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6241-6704","authenticated-orcid":false,"given":"Fiona J.","family":"Stirling","sequence":"additional","affiliation":[{"name":"School of Health and Social Sciences Abertay University Dundee UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,3,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/10673220600975121"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/01612840590931957"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2010.10.004"},{"issue":"2","key":"e_1_2_9_6_1","first-page":"DOI:10.1186\/s12","article-title":"The attitudes of psychiatric hospital staff toward hospitalization and treatment of patients with borderline personality disorder","volume":"15","author":"Bodner E.","year":"2015","journal-title":"BMC Psychiatry"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1108\/MHRJ-05-2014-0016"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1742646414000132"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-0979.2002.00246.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1525\/ae.2004.31.4.475"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/00048670802415392"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11414-014-9416-9"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2015.10.019"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13202"},{"key":"e_1_2_9_16_1","first-page":"140","article-title":"Suicidal attempts among emergency department patients: One year of clinical experience","volume":"24","author":"Elisei S.","year":"2012","journal-title":"Psychiatria Danubina"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/0883-9417(93)90051-W"},{"key":"e_1_2_9_18_1","volume-title":"SPSS for windows step by step: A simple guide and reference. 11.0 update","author":"George D.","year":"2003"},{"issue":"7","key":"e_1_2_9_19_1","doi-asserted-by":"crossref","first-page":"533","DOI":"10.4088\/JCP.v69n0404","article-title":"Prevalence, correlates, disability, and comorbidity of DSM\u2010IV borderline personality disorder: Results from the wave 2 national epidemiologic survey on alcohol and related conditions","volume":"69","author":"Grant B. 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