Navigation Links
Services for patients with BPD need to be improved say psychiatric nurses

Eighty per cent of psychiatric nurses believe that people with Borderline Personality Disorder (BPD) receive inadequate care, despite the fact that one in fifty adults suffer from the condition, according to the October issue of the Journal of Psychiatric and Mental Health Nursing.

Ninety-eight per cent of nurses said service shortages played a role in inadequate care and 83 per cent said that disagreements between staff on how to care for people with BPD was a factor.

Researchers from the Republic of Ireland - Professor Seamus Cowman, from the Royal College of Surgeons and Philip James, a Clinical Nurse Specialist from the Health Service Executive - found that more than a quarter of the nurses surveyed (27 per cent) had daily contact with patients with BPD.

Despite this, only three per cent had received post-graduate training in BPD and, when training was provided, it tended to be a single workshop or lecture.

BPD is a serious mental illness characterised by persistent instability in moods, personal relationships, self-image and behaviour. This instability can affect aspects of the individuals life and their sense of identity, resulting in self-harm and a significant rate of suicide attempts. It is more common in young women and sufferers often need extensive mental health services.

A hundred and fifty seven ward and community-based nurses working for a health service providing mental health inpatient and outpatient services were surveyed, with 67 (41 per cent) completing the detailed questionnaire.

A worrying finding of this study is that the majority of staff believe that multi-disciplinary team disagreements lead to inadequate care says Professor Seamus Cowman.

This points to the need for greater guidance to avoid different approaches being taken to managing clients with the same disorder. The need for all services to develop policies on handling BPD was also highlighted by the Expert Group on Mental Health Policy in its 2006 report.

Lack of specialist training was also a concern.

The majority of nurses strongly agreed that they had a key role to play in the assessment and management of people with BPD and 90 per cent said they would be keen to receive further training in dealing with BPD says Professor Cowman.

We were concerned to note that only three per cent had received post-graduate training. In contrast, Australian nurses receive 11 times as much post-graduate training in BPD as their colleagues in the Republic of Ireland.

This lack of training needs to be addressed as other studies have shown that it can improve both knowledge of BPD and attitudes towards it.

88 per cent of the nurses who took part in the survey said that people with BPD were difficult to treat. 75 per cent said they were very or moderately difficult to look after and 80 per cent believed that they were more difficult to look after than other clients.

62 per cent felt that lack of staff training or expertise contributed to inadequate care for people with BPD and 65 per cent said that not telling people they had BPD was another factor.

Nurses were also asked how much they knew about the condition. The number of questions answered correctly ranged from two to nine and averaged 5.8.

When it came to how services could be improved, providing specialist services for people with BPD was the most favoured option (65 per cent), followed by standard protocols for managing people with BPD (60 per cent) and skills training workshops for staff (51 per cent).

Improving undergraduate training (48 per cent), improving in-service training (48 per cent) and providing psychiatric staff who liaise with accident and emergency departments (42 per cent) were also popular responses.

This study shows that psychiatric nurses come into regular contact with patients with BPD and believe they have a role to play in caring for them says Professor Cowman.

But the majority see people with BPD as a difficult group to care for and feel that the overall care that is being provided is inadequate.

It does however highlight a willingness for nurses to work with people with BPD and a desire to improve the services that they receive.

We hope that this research will help to drive service improvements for people with BPD and provide staff with the education and guidance they need to make best use of their skills.


Contact: Annette Whibley
Blackwell Publishing Ltd.

Related medicine news :

1. Support Services found to Dramatically Impact Pediatric Health Care
2. Mental Health Services for Children
3. London Emergency Services Receive Wide Appreciation
4. Health and Human Services stockpiles 20 million bird flu Vaccines
5. Reliance Infocomm Tied With Apollo To Provide Telemedicine Services
6. Mental Health Services In Poor Shape
7. Medicare to cover services provided by rural health care personnels.
8. New Treat And Teach Program To Modernize Dental Services in Scotland
9. The Cleveland Clinic Expands Its Services across the World via the Net
10. Shortage of services forces delayed hospital treatment for patient.
11. Health Services Plagued By Corruption
Post Your Comments:
(Date:11/30/2015)... ... 30, 2015 , ... The recently published 32nd Annual Report ... reveals that in 2014, someone called a poison center about every 11 seconds. ... were human exposure cases. , The American Association of Poison Control Centers (AAPCC) ...
(Date:11/30/2015)... ... November 30, 2015 , ... ... as their exclusive channel partner for the Nutraceutical Specialties products into oral solid ... US, effective immediately. , “We are pleased to announce our expanded distribution ...
(Date:11/30/2015)... Ill. (PRWEB) , ... November 30, 2015 , ... ... Decision Support Solutions, announced at the Radiology Society of North America (RSNA) annual ... have seen over 60% growth from 2014. Throughout 2015, the company has ...
(Date:11/30/2015)... , ... November 30, 2015 , ... ... – Kreithen”), one of the leading plastic surgery practices in Florida, is proud ... chosen to consult for surgical innovations giant Ethicon Inc., a Johnson & Johnson ...
(Date:11/30/2015)... ... November 30, 2015 , ... Insightra Medical, ... Matrix Surgical Mesh technology for soft tissue repair in the US via Insightra’s ... long-term resorbable surgical mesh intended to support and reinforce soft tissue for 6-9 ...
Breaking Medicine News(10 mins):
(Date:11/30/2015)... Booth #4303 – The Imaging Components business of ... broader array of products in a new booth (#4303) at ... North America in Chicago ... X-ray components "At the Heart of Imaging." Products will include ... Varian,s Claymount brand, and computer-aided diagnostic software from MeVis as ...
(Date:11/30/2015)... Wash. , Nov. 30, 2015  Precision ... Post-Processing services, is pleased to announce a dramatic ... medical imaging services. Building on its ISO-9001:2008 certification ... and implemented comprehensive Core Lab protocols and procedures. ... variety of research activities.  Their Core Lab services ...
(Date:11/30/2015)... SHELTON, Connecticut , November 30, 2015 ... Kentucky Breast Care has entered into a ... women,s healthcare practice. This will allow Kentucky Breast Care ... and offer exceptional care for their patients. ... Kentucky Breast Care has entered into a ...
Breaking Medicine Technology: