11 research outputs found
Controlling emotions : nursesâ lived experiences caring for patients in forensic psychiatry
Purpose: Nurses working in forensic psychiatry often encounter offenders who have a severe mental illness, which may cause ethical challenges and influence nursesâ daily work. This study was conducted to illuminate the meaning of nursesâ lived experiences of encounters with patients with mental illnesses in forensic inpatient care. Methods: This qualitative study employed narrative interviews with 13 nurses. Interviews were audiotaped and transcribed verbatim and analysed following a phenomenological-hermeneutic approach. Results: Four key themes were revealed: âBeing frustratedâ (subthemes included âFighting resignationâ and âBeing disappointedâ), âProtecting oneselfâ (subthemes included âTo shy away,â âBeing on your guard,â and âBeing disclosedâ), âBeing open-mindedâ (subthemes included âBeing confirmed,â âDeveloping trust,â and âDeveloping compassionâ), and âStriving for controlâ (subthemes included âSensing mutual vulnerabilityâ and âRegulating oneselfâ). Further, working in forensic psychiatry challenged nursesâ identity as healthcare professionals because of being in a stressful context. Conclusions: Dealing with aggressive patients with severe mental illnesses threatens nursesâ professional identity. Nurses must attempt to empathize with patientsâ experiences and respond accordingly. Utilizing strategies rooted in compassion such as self-reflection, emotional regulation, and distancing themselves when necessary may enable nurses to more effectively respond to patientsâ needs. © 2019, © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group
Comparing patientsâ perspectives of âgood careâ in Dutch outpatient psychiatric services with academic perspectives of patient-centred care
Background: Over the past six decades, the concept of patient-centred care (PCC) has been discussed in health research, policy and practice. However, research on PCC from a patientsâ perspective is sparse and particularly absent in outpatient psychiatric services. Aim: to gain insight into what patients with bipolar disorder and ADHD consider âgood careâ and what this implies for the conceptualisation of PCC. Method: A literature review on the different conceptualisations of PCC was complemented with qualitative explorative research on the experiences and needs of adults with ADHD and with bipolar disorder with mental healthcare in the Netherlands using focus group discussions and interviews. Results: The elements addressed in literature are clustered into four dimensions: âpatientâ, âhealth professionalâ, âpatientâprofessional interactionâ and âhealthcare organisationâ. What is considered âgood careâ by patients coincided with the four dimensions of PCC found in literature and provided refinement of, and preferred emphasis within, the dimensions of PCC. Conclusions: This study shows the value of including patientsâ perspectives in the conceptualisation of PCC, adding elements, such as âprofessionals listen without judgmentâ, âprofessionals (re)act on the fluctuating course of the disorder and changing needs of patientsâ and âpatients are seen as persons with positive sides and strengthsâ
Comparing patientsâ perspectives of âgood careâ in Dutch outpatient psychiatric services with academic perspectives of patient-centred care
The application of a violence risk assessment tool among Chinese psychiatric service users: a preliminary study
User involvement in structured violence risk management within forensic mental health facilities - a systematic literature review
Nurses' role in caring for people with a comorbidity of mental illness and intellectual disability: A literature review
This article examines literature on the role of the nurse caring for people with a dual disability (DD) of intellectual disability and mental illness. A search of the literature between 2000 and 2010 resulted in a total of 21 articles that met the inclusion criteria. Seven key categories of the role of the nurse were identiïŹed: (i) advocacy/health promotion (including working with family); (ii) assessment/case management; (iii) behavioural interventions; (iv) communication; (v) leadership and the nurseâs role within the multidisciplinary team; (vi) functions regarding medication administration; and (vii) safety/risk management. There is a paucity of research about the role of nurses working with people with DD, although a number of opinion-based articles exist. This article identiïŹes a need for the role of the nurse working in DD to be more clearly articulated and for the development of evidence to guide best practice