Care providers need to be skilled in assessing each individual's resources and interpretations of their condition, to be able to communicate in a respectful, patient-centred manner and to assist adolescents to explore their ambivalence and set their own realistic goals. More research is needed.
Few studies address the many challenges that are faced by staff and patients in the inpatient mental health context. In particular, there is a lack of research that explores first-hand patient experiences in order to establish what treatment practices best assist patient recovery and what are the barriers to these practices. This qualitative study, which utilises a user-involved research framework, collaborates with a co-researcher patient group throughout the study. Fourteen patients, all of whom had been in inpatient treatment for at least three weeks, were recruited to the study. Study participants were interviewed in-depth in the period September 2016 to March 2017. Data underwent a thematic analysis that was inspired by interpretative phenomenological analysis. A core theme of the findings was the importance of being recognised as a whole person, and the patient-professional relationship was regarded as a fundamental factor in fostering recovery, with two underlying themes: (i) a need to have one's self-identity recognised and supported, and (ii) an experience of ambivalence between needing closeness and distance. This study suggests ways nurses can give priority to interpersonal interactions and relationships with hospitalised patients over task-oriented duties, highlighting the need for nurses to balance patient competing needs for both closeness and distance.
This study explores the lived experience of hospitalisation from the perspective of people with a mental health disorder. This hermeneutic‐phenomenological study, which forms part of a larger qualitative serial inquiry, uses a participatory research design, with analysis inspired by interpretative phenomenological analysis. Fourteen participants were interviewed twice: first during hospitalisation and then again 3 months following hospital discharge. Findings are reported from the entire interview data set. Our findings suggest that mental health hospitalisation is a contradictory experience for patients. On one hand, our study participants experienced the hospital as a place where it is alright to be vulnerable, while on the other hand participants experienced hospitalisation as a burden of everyday stigma and signs of depersonalisation. We conclude that it is important to recognise that patients in need of inpatient treatment for mental illnesses are, in fact, people first and foremost. More reflective practice can be developed by shifting the focus to recovery‐oriented practices to and open dialogue‐based approaches.
Høgskulen på Vestlandet Forfa arbidrag: idé, utforming og design, datasamling, li eratursøk, analyse og tolking samt utarbeiding og godkjenning av manuset.Lill Ane e Juvik er sjukepleiar og ph.d.-stipendiat. Forfa aren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonfliktar.Institu for helse-og omsorgsvitskap Høgskulen på Vestlandet Forfa arbidrag: utforming, design og innspel til utviklinga av manuset. Kari Eldal er ph.d., sjukepleiar og forskar. Forfa aren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonfliktar.Institu for helse-og omsorgsvitskap Høgskulen på Vestlandet Forfa arbidrag: utforming og design, analyse og tolking samt utarbeiding og godkjenning av manuset. Anne Marie Sandvoll er sjukepleiar og professor. Forfa aren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonfliktar.
B A KG R U N NOvervekt og fedme aukar i den norske befolkninga. Fastlegar kan spele ei viktig rolle for å førebygge vektauke og auka helserisiko hjå personar med overvekt. Føremålet med studien var å få meir innsikt og djupare forståing av erfaringane personar med overvekt har i møte med fastlegen.
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The fifth and sixth authors were service user co-researchers conducting interviews and advising on the analysis and presentation of results. The fourth author was not part of the core research team. His contribution was scientific advice in designing and conducting the study and manuscript preparation. The second, third and last authors were involved in analysis and manuscript preparation. The first author contributed in all phases of the study.
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