Experiences of Dutch ambulance nurses in emergency care for patients with acute manic and/or psychotic symptoms : a qualitative study

Purpose: To explore the experiences of ambulance nurses in emergency care of patients with acute manic and/or psychotic symptoms. Methods: In this qualitative study, 14 interviews were conducted and analyzed using thematic analysis according to Braun and Clarke (2006). Findings: Psychiatric emergency care causes stress and uncomfortable feelings for ambulance nurses due to a lack of information on the patients, being alone with the patient in a small place and the unpredictability of the situation. Practice implications: More information about the specific patient, education, and good collaboration with other professionals could improve care

Patient experiences with nursing care during hospitalization on a closed ward due to a manic episode : a qualitative study

Purpose: To describe the experiences of patients with nursing care they had received when hospitalized for mania. Design and methods: Multicenter qualitative study using open interviews. Data were analyzed using the Stevick-Colaizzi-Keen method. Findings: Sense of security is vital for the recovery of these patients, nurses can support and hinder this. Feelings of security are related to clear and calm communication, respect, recognizability of nurses, and daily structure. Practice implications: Nurses should make sure that the patient recognizes them as nurses. Nurses should spend as much time as possible in the living room. Clear communication about treatment goals is important

Show yourself, experiences of patients with bipolar disorder recording a film to show their 'euthymic being' : a qualitative study

Purpose: To examine the experiences of outpatients with bipolar disorder recording a 10-minute film to show their "being" in a euthymic mood state. Design and methods: A multicenter qualitative study, in the context of a feasibility study for a newly developed intervention. Data were analyzed using the Stevick-Colaizzi-Keen method. Findings: Participants experienced the recording as positive and valuable. Although camera anxiety was mentioned frequently, the overall conclusion is that recording a film in the context of a newly developed film intervention is valid. Practice implications: Clear information and support for the patient should be provided during the preparatory conversation and recording

Nursing care for patients with acute mania : exploring experiential knowledge and developing a standard of good care : results of the Delphi study

Background: When patients diagnosed with bipolar disorder are suffering from acute mania (involuntary), hospitalization is often necessary. Patients are often quite disruptive, which makes it difficult to regulate their behavior and manage them in their current condition. The nursing team must also ensure the safety of the other patients on the ward. Nursing practice in this domain appears to draw primarily on tradition and experience. Objective: To achieve consensus on a standard for nursing practice for patients suffering from mania who are admitted to a closed psychiatric ward. Study Design: Previously, professionals, patients, and informal caregivers in the Netherlands were interviewed about the nursing care and their lived experiences. Based on these findings and on the results of a literature review, 89 statements were formulated. A three-round Delphi study among professionals, patients, and informal caregivers was carried out. The accepted statements were summarized. Results: In the first round, 71 statements were accepted, none were rejected, and for 18 statements, no consensus could be reached. These were reformulated and presented in a second round. Thirteen of these statements were accepted, none were rejected, and five statements needed to be reformulated and were presented in the third and final round of this Delphi study. In this final round, all statements were accepted. Conclusion: Consensus was reached among professionals, patients, and informal caregivers in the Netherlands about essential and valuable components of nursing care for patients suffering from acute mania who are admitted to a closed psychiatric ward

Emergency care to ‘persons with confused behavior’ : lived experiences of, and collaboration between, police and members of a mobile crisis team : a hermeneutic-phenomenological study

Background: Police officers and members of a mobile crisis team (MCT) are the two actors who respond to nuisance in Dutch society related to ‘persons with confused behavior’ and serious violent incidents. Their collaboration creates tension and dissatisfaction about roles and responsibilities. Aim: To explore the lived experiences of, and collaboration between, police officers and members of a MCT. Methods:A hermeneutic-phenomenological study with unstructured in-depth interviews of eight police officers and eight members of a MCT. Findings: The main findings in this study are that in the emergency care of ‘persons with confused behavior’ two very different professions are forced to work together, and that this collaboration is quite challenging. It becomes clear that different visions and expectations cause frustration in the collaboration. Police want the participation of the MCT as soon as possible after they are called in. The MCT wants to be easily accessible for police and can identify the great diversity of problems adequately but cannot solve all problems. There are shortcomings in adequate follow-up care provided by other health-care facilities. Conclusion:It turns out that it is extremely important for police officers that members of the MCT explain to them why a crisis assessment has a certain outcome. The exposed frictions and stagnation in the collaboration should be discussed openly as part of the process in order to acknowledge this and resolve it together. A recently started project called ‘street triage’, in which the police and MCT work together as one team and give a joint response, seems to remove a lot of the friction and stagnation. Further studies are needed to explore the effects of street triage by testing the validity of the hypothesis that street triage can close the gap between the two professions