Expressed emotion on long‐stay wards

Psychiatric ward rules: a literature reviewThis literature review forms a background element of a comparative study of two acute psychiatric wards in the East End of London. The research focused on ward rules as a means of investigating the relationship between the flexibility/inflexibility of ward nursing regimes and patient outcomes. Previous studies identified a relationship between ward rules and patient aggression. Other studies identified a link between absconding by inpatients and nurses' attitudes towards rule enforcement. However, an in-depth exploration of psychiatric ward rules from the perspective of nurses and patients has not been undertaken previously.

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“…Finnema et al . (1996) analyzed the association between rule enforcement and the levels of high expressed emotion amongst staff.…”

Section: The Literaturementioning

confidence: 99%

Acute psychiatric ward rules: a review of the literature

Alexander

Bowers

2004

Psychiatric Ment Health Nurs

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“…There seems to be a connection between a high level of disability in the psychiatric patient and the nursing staff 's experience of the patient's being 'difficult' to handle (cf. Finnema, Louwerens, Sloof & van den Bosch, 1996;Moore, Ball & Kupiers, 1992;Shepherd, Muijen, Dean & Cooney, 1995). In addition, this study has shown that a common staff approach is by no means a part of a formulated care-strategy.…”

Section: Discussionmentioning

confidence: 99%

“Being good or evil”: Applying a common staff approach when caring for patients with psychiatric disease

Enarsson

Sandman

2008

International Journal of Qualitative Studies on Health and Well

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This study was performed to gain a deeper understanding of how psychiatric staff, when caring for patients with psychiatric disease, experience situations that include a common staff approach directed toward an individual client. Nine nurses were interviewed. The interviews were analyzed with a phenomenological-hermeneutic method in order to illuminate the lived experience of applying a common staff approach. The results revealed several meanings: shedding light on carers' mutual relationships; being deserted by nurse colleagues; being aware of one's own basis of evaluation, and that of others; being judged by the patient as good or evil; and becoming sensitive to the patient's suffering. The comprehensive understanding was that the nurse has a difficult choice*to focus on relations with one's colleagues or to focus on the situation of the patient, who seems to suffer when a common staff approach is used.

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“…There is evidence that critical views about patients with enduring and complex disorders can change with psychoeducational training input (Finnema 1996;Willetts 1997;Hazelton 2006). Specifically, attributions about the causes of behavioural problems are important in determining the emotional and behavioural responses of staff.…”

Section: Staff Motivations and Interestsmentioning

confidence: 99%

Personality disorder: its impact on staff and the role of supervision

Moore¹

2012

Adv. psychiatr. treat

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SummaryOver the past decade attention to the provision of healthcare for individuals with personality disorder, particularly those who pose a risk to others, has substantially increased. Keeping pace with such developments with a suitably trained, consistent and motivated workforce, interfacing health and criminal justice systems where necessary, presents an enormous challenge. Staff must be experts in managing conflict at every level, while sustaining an optimistic and therapeutic orientation. Boundaried relationships provide the context for recovery for patients. Key principles and practices likely to promote resilience in personality disorder services, with a focus on the role of supervision, are outlined in order to support staff in keeping themselves afloat, their patients safe, and their services on target.

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Expressed emotion on long‐stay wards

Cited by 30 publications

References 18 publications

Acute psychiatric ward rules: a review of the literature

Acute psychiatric ward rules: a review of the literature

“Being good or evil”: Applying a common staff approach when caring for patients with psychiatric disease

Personality disorder: its impact on staff and the role of supervision

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