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J Probl Based Learn > Volume 5(1); 2018 > Article
Journal of Problem-Based Learning 2018;5(1): 21-28.
DOI: https://doi.org/10.24313/jpbl.2018.5.1.21    Published online April 30, 2018.
Learning about mental health nursing: Linking threshold concepts to practice
Anna Treloar1, Teresa Stone2, Margaret McMillan3
1School of Nursing and Midwifery, University of Newcastle, Australia
2University of Newcastle, Australia, and University of New England, Australia
3School of Nursing and Midwifery, University of Newcastle, Australia
Correspondence  Anna Treloar ,Tel: 02 4921 6303, Fax: 02 4921 6301, Email: Anna.treloar@newcastle.edu.au
Abstract

Objectives/purpose
To examine how a story involving threshold concepts can be used as stimulus material for student nurses involved in mental health care.
Methods
Case study research conducted in Australia collected 100 stories told by nurses working in mental health settings which were written down and then analysed to determine their clinical and educational purpose. This paper focuses on one of these stories because its complexities offer an introduction to the role of the therapeutic relationship in mental health nursing care.
Results
This single story provides many insights into the role of the clinical mental health nurse and when used as stimulus material for nursing students combined with a framework for enquiry it also an example of how a story may be used to illuminate a threshold concept such as the therapeutic relationship.
Conclusions
When choosing learning materials, it is important to i) identify an actual situation that the student might encounter, then ii) identify the knowledge, skills and behaviours that are required by the practitioner in this situation before iii) outlining the appropriate level of objective expected for students investigating this situation to achieve and then iv) listing the threshold concepts from the various disciplines that will be developed from exploring this situation.
Keywords: Mental health nursing, Threshold concepts, Problem-based learning, Therapeutic relationships
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