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Psychiatric consultation. Improving the work environment.

A H Fishel1

  • 1University of North Carolina-Chapel Hill 27599.

Journal of Psychosocial Nursing and Mental Health Services
|November 1, 1991
PubMed
Summary
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Consultant-leader negotiation clarifies consultation goals. Confidentiality is key, with feedback offered as choices for group decision-making in this nursing consultation process.

Area of Science:

  • Nursing
  • Healthcare Management
  • Organizational Psychology

Background:

  • Effective consultation is crucial for healthcare improvement.
  • Understanding the dynamics of nurse-consultant interactions is vital.
  • Establishing clear communication protocols enhances consultation outcomes.

Purpose of the Study:

  • To outline the essential steps and skills for effective nursing consultation.
  • To emphasize the importance of collaborative goal-setting and confidentiality.
  • To define consultation as a structured process involving specific interpersonal and analytical skills.

Main Methods:

  • Initial negotiation between consultant and leader to define consultation needs and objectives.
  • Maintaining confidentiality through anonymized group data sharing.

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  • Presenting recommendations as selectable options for the group.
  • Employing skills in rapport building, interviewing, theme extrapolation, and feedback delivery.

    • Main Results:

    • Successful consultation requires a clear understanding of its purpose, established through negotiation.
    • Confidentiality is paramount and achievable through data anonymization.
    • Empowering the group by offering choices in recommendations fosters engagement.
    • Consultation is a dynamic process reliant on specific communication and analytical competencies.

    Conclusions:

    • Effective nursing consultation is a negotiated, confidential, and collaborative process.
    • The consultant's skill set, including rapport, interviewing, and feedback, is critical for success.
    • Providing options for recommendations enhances group autonomy and decision-making.
    • This structured approach to consultation supports professional development and problem-solving in nursing.