Effective nursing care of adolescents with anorexia nervosa: a consumer perspective

Zugai, Joel; Stein‐Parbury, Jane; Roche, Michael

doi:10.1111/jocn.12182

Cited by 27 publications

(70 citation statements)

References 24 publications

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“…The analysis of the literature indicates that therapeutic alliance is associated with enhanced health outcomes for consumers, with the achievement of goals and broader wellbeing (Bennett, 2012;Brown & Wissow, 2012;Byers et al, 2010;Byrne & Deane, 2011;de Leeuw et al, 2012;Encinares & Lorbergs, 2001;Gallop, Kennedy, & Stern, 1994;Hewitt & Coffey, 2005;Hosking, 1993;Montreuil et al, 2012;Pulido et al, 2008;Spiers & Wood, 2010;Sturis, 2002;Zugai et al, 2013). Therapeutic alliance enhances consumer based engagement with resources (Brown & Wissow, 2012;Gallop et al, 1994) and commitment to wellbeing (Zugai et al, 2013).…”

Section: Enhanced Healthmentioning

confidence: 97%

“…As a consequence of therapeutic alliance with a nurse, a consumer assumes an active, committed and engaged role in the maintenance of their own wellbeing, leading to emancipation from illness and/or suffering (Kempe, 1998;Surtees, 2007;Zugai et al, 2013). Therapeutic alliance also enhances consumer insight into illness, and therefore, greater involvement in their care (Byrne & Deane, 2011;Hewitt & Coffey, 2005;Zugai et al, 2013).…”

Section: Enhanced Healthmentioning

confidence: 97%

“…Therapeutic alliance enhances consumer based engagement with resources (Brown & Wissow, 2012;Gallop et al, 1994) and commitment to wellbeing (Zugai et al, 2013). As a consequence of therapeutic alliance with a nurse, a consumer assumes an active, committed and engaged role in the maintenance of their own wellbeing, leading to emancipation from illness and/or suffering (Kempe, 1998;Surtees, 2007;Zugai et al, 2013).…”

Section: Enhanced Healthmentioning

confidence: 98%

“…Support and care in a therapeutic alliance then involves the measures that the nurse takes to better enable the consumer to adapt healthy behaviours (Gardner, 2010;Madden, 1990), which does not compromise consumer autonomy (Richardson, 1997). Nursing support may involve education and skills training (Dubyna & Quinn, 1996), and motivation from encouragement and praise (Zugai et al, 2013).…”

Section: Equality: the Balance Between Autonomy And Supportmentioning

confidence: 99%

“…Through empowerment, a consumer assumes greater ownership of and responsibility for their own wellbeing and health maintenance (Spiers & Wood, 2010;Zugai, Stein-Parbury, & Roche, 2013), which is a more effective care strategy than arrangements which depend on consumer compliance (Dubyna & Quinn, 1996). Consumer empowerment is supported by nursing strategies which rely on consultation with the consumer (Spiers & Wood, 2010).…”

Section: Consumer Empowermentmentioning

confidence: 99%

See 4 more Smart Citations

Therapeutic Alliance in Mental Health Nursing: An Evolutionary Concept Analysis

Zugai

Stein‐Parbury

Roche

2015

Issues in Mental Health Nursing

Self Cite

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The concept of therapeutic alliance is relevant in contemporary mental health care, as the consumer-led recovery movement promotes the development of collaborative relationships, and is focussed on the consumer's individual concept of wellbeing. An evolutionary concept analysis was undertaken to establish a contemporary interpretation of therapeutic alliance for mental health nursing. The CINAHL, Scopus and PsycINFO databases were searched for articles (n = 322), with 52 deemed appropriate for analysis. Therapeutic alliance is characterised by mutual partnerships between nurses and consumers, and is dependent on a humanistic healthcare culture. Therapeutic alliance is associated with enhanced consumer outcomes and experiences with care.

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Section: Enhanced Healthmentioning

confidence: 97%

Section: Enhanced Healthmentioning

confidence: 97%

Section: Enhanced Healthmentioning

confidence: 98%

Section: Equality: the Balance Between Autonomy And Supportmentioning

confidence: 99%

Section: Consumer Empowermentmentioning

confidence: 99%

See 3 more Smart Citations

Therapeutic Alliance in Mental Health Nursing: An Evolutionary Concept Analysis

Zugai

Stein‐Parbury

Roche

2015

Issues in Mental Health Nursing

Self Cite

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Being a mother with anorexia: A phenomenological study of seeking and receiving professional support for white heterosexual women in the UK

Fitzpatrick

Clarke

Ramsey-Wade

et al. 2023

Couns and Psychother Res

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Mothers are currently under‐represented in the literature on anorexia, including research on treatment, with most research focussed on female adolescents. This raises questions about how adult women and particularly those who are mothers, experience eating disorder treatment. This study provides a phenomenological exploration of lived experiences of seeking and receiving professional help and interactions with health professionals for six white heterosexual mothers who experienced anorexia while raising their children. Four themes are reported that capture the women's diverse experiences of seeking and receiving support for anorexia: (1) conflict between mothering and seeking help; (2) experiences of feeling blamed, poorly treated or misunderstood by health professionals; (3) positive experiences of seeking and receiving support; and (4) the importance of ongoing support. The women's experiences suggest that healthcare professionals should adopt a more holistic approach that acknowledges the subjective reality of the client (including their mother status) when working with mothers experiencing anorexia.

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Patient and clinician perspectives on supported mealtimes as part of anorexia nervosa treatment: A systematic review and qualitative synthesis

Komarova,

Chambers,

Foye

et al. 2024

Euro Eating Disorders Rev

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ObjectiveTo systematically review the literature on clinicians' and patients' experiences of supported mealtimes in the treatment of anorexia nervosa.MethodThis systematic review was conducted in accordance with PRISMA guidelines and registered on PROSPERO (CRD42022372565). PsycINFO, MEDLINE and Embase were searched up to the 20th of November 2023 for qualitative articles investigating the perspectives of healthcare professionals and patients on clinician‐supported meals across all clinical settings. Data were analysed using thematic synthesis. The Critical Appraisal Skills Programme was used to evaluate the quality of selected studies.ResultsThis review comprised of 26 studies; eight concerned with the perspectives of clinicians only, 16 addressing patients' views, and two studies exploring the views of both groups. Experiences of both groups were generally negative, and three overlapping themes were identified: lack of consistency in care provided, high levels of negative emotions and an uncomfortable power dynamic.ConclusionsThis review suggests that supported mealtimes are experienced more positively by patients when rules are clear and consistently enforced, and when clinicians make informal conversation and supportive comments. Our findings highlight the need for best practice guidelines and clinician training to improve the delivery of supported mealtimes. Such guidelines and training should be coproduced in collaboration with patients and carers.

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Effective nursing care of adolescents with anorexia nervosa: a consumer perspective

Cited by 27 publications

References 24 publications

Therapeutic Alliance in Mental Health Nursing: An Evolutionary Concept Analysis

Therapeutic Alliance in Mental Health Nursing: An Evolutionary Concept Analysis

Being a mother with anorexia: A phenomenological study of seeking and receiving professional support for white heterosexual women in the UK

Patient and clinician perspectives on supported mealtimes as part of anorexia nervosa treatment: A systematic review and qualitative synthesis

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