No abstract

Nearly all patients included in this study had one or more health risk factors that could aggravate clinical outcomes. There is a significant need, and potential, for health-promoting interventions. Multi-factorial interventions may be frequently indicated and should be the subject of interventional studies.

Because of the acuteness of the birth and the infant's prematurity, the mothers had various feelings about becoming mothers. Existential issues concerning life and death were triggered regarding their own lives and those of their infants. Their experiences are different from those of other NICU mothers; their illnesses initially restricted them from being with their infants. The mothers found that their own health and the fact that their infants were premature and had to stay in the NICU restricted them from being able to take care of their infants. While they recovered, they strived to act as they felt a real mother should.

No abstract

The aim of this study was to explore the daily life experiences of women who suffer from eating difficulties (ED). The research question was: what mental challenges related to daily life are experienced by women who suffer from ED? ED challenge the daily lives of individuals and their families. The problem is often concealed, and the individuals concerned frequently experience guilt and shame. An explorative design was used. Five women participated in a group programme focusing on experiences of ED, guilt and shame, being a mother and self-expression. Data were collected using focus group interviews and analysed by means of qualitative content analysis. The main theme Balancing between mental vulnerability and strength comprised three themes: (1) Struggling with emotional ambivalence; (2) Being cognitively aware of limitations; and (3) Experiencing an existential sense of being lost and frozen. The mental challenges were strong and affected the participants' lives. One clinical implication for psychiatric nurses is to acknowledge the strength of emotional, cognitive and existential challenges and make it possible for patients to articulate their exhaustion in spite of their outward appearance of strength.

Public guidelines in many western countries recommend post-incident reviews (PIRs) with patients after restraint use in mental health care. PIRs are one of several elements of seclusion and restraint reduction in internationally used programmes. PIRs may improve restraint prevention, patients' recovery processes and care providers' ethical mindfulness. The knowledge base on PIRs is, however, vague. This qualitative study explores professional care providers' experiences and considerations regarding PIRs that included patients after restraint use in a Norwegian context. Methods: Within a phenomenological hermeneutical framework, 19 multidisciplinary care providers were interviewed about their experiences and views regarding PIRs that included patients after restraint events. The interviews were performed over the period 2015-2016. Data analysis followed a data-driven stepwise approach in line with thematic content analysis. A group of two patient consultants in mental health services, and one patient's next of kin, contributed with input regarding the interview guide and analysis process. Results: Care providers experienced PIRs as having the potential to improve the quality of care through a) knowledge of other perspectives and solutions; b) increased ethical and professional awareness; and c) emotional and relational processing. However, the care providers considered that PIRs' potential could be further exploited as they struggled to get hold on the patients' voices in the encounter. The care providers considered that issue to be attributable to the patients' conditions, the care providers' safety and skills and the characteristics of institutional and cultural conditions.

No abstract