{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T07:04:35Z","timestamp":1790319875324,"version":"4.1.0"},"reference-count":57,"publisher":"Wiley","issue":"9-10","license":[{"start":{"date-parts":[[2018,12,6]],"date-time":"2018-12-06T00:00:00Z","timestamp":1544054400000},"content-version":"vor","delay-in-days":35,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2018,11]]},"abstract":"Accessible Summary<\/jats:title>\n \n What is known on the subject?<\/jats:title>\n \n \n \n Recovery\u2010oriented care is a means of providing mental health treatment, focused on the patient's individual needs and active involvement in one's own care. However, this approach presents with challenges, particularly in psychiatric hospitals, which tend to be focused on symptom reduction.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n What does the paper adds to existing knowledge?<\/jats:title>\n \n \n \n This study examines the influence of three different recovery\u2010oriented training programmes\/interventions (namely, illness management and recovery, peer support, and psychiatric advance directives) on the attitudes and practice of mental health staff (including nurses) in an inpatient setting, using a mixed\u2010methods methodology. We quantitatively assess the knowledge, attitudes and practices developed following recovery\u2010oriented training, compared to staff not trained in these interventions. We interviewed staff exposed to the different interventions to learn about their personal views and characterized the benefits and challenges they experienced.<\/jats:p>\n <\/jats:list-item>\n \n Mainly, the illness management and recovery training created a positive change in the work attitude and some work\u2010related practices of mental health staff and the increased presence of a person\u2010centred approach supporting patient autonomy. However, and contrary to expectations, there was no increase in practices that support personal goals or provide individually tailored services.<\/jats:p>\n <\/jats:list-item>\n \n Peer support had an experiential impact among mental health staff, initiating a more humane, positive approach to patients.<\/jats:p>\n <\/jats:list-item>\n \n Psychiatric advance directives were reported as more challenging to implement and with limited impact.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n What are the implications for practice?<\/jats:title>\n \n \n \n Recovery\u2010oriented trainings can be internalized and implemented by staff in medical model psychiatric settings.<\/jats:p>\n <\/jats:list-item>\n \n Despite recovery\u2010oriented training, challenges do occur\u2014notably, they are hardest to implement in acute wards\/patient states and by psychiatric nurses.<\/jats:p>\n <\/jats:list-item>\n \n Using multiple recovery\u2010oriented programmes\/interventions can accelerate the momentum for change in traditional settings and promote positive practice.<\/jats:p>\n <\/jats:list-item>\n \n Ongoing comprehensive mental health staff training on recovery\u2010oriented care programmes is essential in order to sustain change over time.<\/jats:p>\n <\/jats:list-item>\n \n Training is not enough in itself\u2014hospital administrations need to be actively involved in promoting recovery\u2010oriented policies.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Abstract<\/jats:title>\n \n Introduction<\/jats:title>\n Developing person\u2010centred recovery\u2010oriented care is a challenge in mental health systems, particularly psychiatric hospitals.<\/jats:p>\n <\/jats:sec>\n \n Aim<\/jats:title>\n To assess the knowledge, attitudes and practices developed following recovery\u2010oriented training of nurses and other staff; to identify the benefits and challenges involved in the implementation of recovery\u2010oriented intervention in psychiatric wards.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n A mixed\u2010methods study compared recovery knowledge, attitudes and practices of 37 mental health ward staff trained in recovery\u2010oriented intervention, against 35 staff not trained. Fifteen staff were interviewed about their experiences, and protocols were qualitatively analysed.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The quantitative outcomes partially confirmed positive changes in attitudes and some practices. Qualitative interviews complemented these findings, revealing greater use of a person\u2010centred approach and support for patient autonomy. However, we did not find differences between groups in quantitative outcomes pertaining to personal goals or providing individually tailored services.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n This study validates the implementation of recovery training and practices in psychiatric settings, and identifies the challenges involved. We discuss psychiatric nurse conflicts in implementation in acute wards.<\/jats:p>\n <\/jats:sec>\n \n Implications for practice<\/jats:title>\n Our findings support the need for broader staff training in recovery\u2010oriented interventions. Recruiting the support of the hospital administration for recovery\u2010oriented intervention programmes is key, both ethically and structurally.<\/jats:p>\n <\/jats:sec>\n <\/jats:sec>","DOI":"10.1111\/jpm.12502","type":"journal-article","created":{"date-parts":[[2018,11,9]],"date-time":"2018-11-09T03:36:00Z","timestamp":1541734560000},"page":"569-581","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":56,"title":["Implementing recovery\u2010oriented interventions with staff in a psychiatric hospital: A mixed\u2010methods study"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2122-5116","authenticated-orcid":false,"given":"Tzipi","family":"Hornik\u2010Lurie","sequence":"first","affiliation":[{"name":"The Falk Institute for Mental Health Studies Kfar Shaul Hospital Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anat","family":"Shalev","sequence":"additional","affiliation":[{"name":"Spitzer Department of Social Work Ben Gurion University of the Negev Beer\u2010Sheva Israel"},{"name":"Beer\u2010Sheva Mental Health Center Beer Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lior","family":"Haknazar","sequence":"additional","affiliation":[{"name":"Spitzer Department of Social Work Ben Gurion University of the Negev Beer\u2010Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Garber Epstein","sequence":"additional","affiliation":[{"name":"The Bob Shapell School of Social Work Tel Aviv University Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linor","family":"Ziedenberg\u2010Rehav","sequence":"additional","affiliation":[{"name":"Beer\u2010Sheva Mental Health Center Beer Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Galia S.","family":"Moran","sequence":"additional","affiliation":[{"name":"Spitzer Department of Social Work Ben Gurion University of the Negev Beer\u2010Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,12,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0095655"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2850.2011.01776.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.2975\/30.2006.96.103"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0095112"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-011-0380-x"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0349.2012.00867.x"},{"issue":"12","key":"e_1_2_8_9_1","first-page":"720","article-title":"From theory to practice\u2010implementing the bio\u2010psycho\u2010social model in clinical and research activities in the Beer\u2010Sheva mental health center","volume":"155","author":"Cohen H.","year":"2016","journal-title":"Harefuah"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-013-9598-2"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781452230153"},{"key":"e_1_2_8_12_1","first-page":"209","volume-title":"Handbook of mixed methods in social and behavioral research","author":"Creswell J. 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