Former suicidal inpatients’ experiences of treatment and care in psychiatric wards in Norway

Abstract

Purpose: The purpose of this study is to explore how former suicidal inpatients experienced treatment and care in psychiatric wards in Norway following the implementation of the National guidelines for prevention of suicide in mental health care. The focus of the analysis was on aspects of treatment and care with potential for improvement. Method: We interviewed five former inpatients and analysed the data by means of Interpretative Phenomenological Analysis. Results: Experiencing a sense of companionship with the staff and receiving individualized treatment and care was important for the participants. This involved establishing trusting connections with mental health workers who treated them with respect, made them feel valued, and who recognized their suffering and needs. The formerly suicidal patients experienced being in a recovery process, which was promoted by the support of mental health workers. Although the participants reported mostly positive experiences, there were examples of insufficient care. Sometimes, they felt that their suffering and suicidality were not sufficiently recognized. Conclusion: Our study indicates that although there has been increased focus on suicidality in the mental health services, among other through clinical guidelines, some mental health workers still lack competence and should focus more fully on how to provide individualized care for suicidal inpatients.

Zdravstvena nega pacienta, ki je samomorilno ogrožen

“…Medicinske sestre delujejo na različnih področjih, kjer prepoznavajo, posredujejo in vrednotijo stanje Tabela 2: Razporeditev kod po kategorijah Lynch, et al, 2008;Chan, et al, 2009;Meerwijk, et al, 2010;Bregar, 2012;Sakinofsky, 2014;Bolster, et al, 2015;Hagen, et al, 2017;Seixas Santos, et al, 2017;Jansson & Hällgren Graneheim, 2018 Cutcliffe & Stevenson, 2008;Lynch, et al, 2008;Lakeman, 2010;Bregar, 2012;Sun, et al, 2013;Sakinofsky, 2014;Sellin, et al, 2017;Seixas Santos, et al, 2017;Hagen, et al, 2017Hagen, et al, , 2018 Palmieri, et al, 2008;Chan, et al, 2009;Meerwijk, et al, 2010;Bolster, et al, 2015;Lygnugaryte-Griksiene, et al, 2017;Jansson & Hagen, et al, 2018;Hällgren Graneheim, 2018;Wang, et al, 2018 Ukrepi za izboljšanje obravnave in preprečevanje samomora Izobraževanje in usposabljanje na področju samomorilno ogroženih pacientov Povečanje samozavesti medicinskih sester Razvoj preventivnih praks Zagotavljanje podpore medicinskim sestram pri obravnavi samomorilno ogroženih pacientov Izboljšanje načina spopadanja medicinskih sester s samomori pacientov Preprečevanje izgorevanja medicinskih sester Palmieri, et al, 2008;Chan, et al, 2009;Bolster, et al, 2015;Griksiene, et al, 2017;Seixas Santos, et al, 2017;Lygnugaryte-Jansson & Hällgren Graneheim, 2018;…”

“…Bregar (2012) izpostavlja terapevtski odnos, ki vsebuje neposesivno bližino, empatijo medicinske sestre ter pristnost v odnosu. Pacienti so celo v raziskavi (Hagen, et al, 2018) izrazili, da med hospitalizacijo po poskusu samomora niso mogli zaupati občutkov vsem zaposlenim, ker niso začutili pristne povezave, in močno poudarili pomen pristnega odnosa med medicinsko sestro in pacienti. Kljub temu da morajo imeti medicinske sestre pri svojem delu veliko mero empatije, morajo imeti tudi sposobnost uravnotežiti svoje čustveno izražanje in profesionalno poklicno oddaljenost v odnosu s samomorilnimi pacienti, s čimer pripomorejo k skrbi tako zanje kot zase (Hagen, et al, 2017).…”

“…Medicinske sestre so v raziskavi (Wang, et al, 2016) pokazale premalo znanja za preprečevanje samomora. V primeru, da medicinske sestre ne razvijejo pristnega, zaupljivega in empatičnega odnosa s pacienti, se ti lahko umaknejo in skrivajo svojo stisko ter bolečino, kar lahko škodljivo vpliva na njihovo duševno zdravje in varnost (Hagen, et al, 2018). Pomanjkanje znanja in ustreznih veščin za obravnavo samomorilnosti lahko povzroči veliko škodo pacientu (Lygnugaryte-Griksiene, et al, 2012).…”

“…Pomanjkanje znanja in ustreznih veščin za obravnavo samomorilnosti lahko povzroči veliko škodo pacientu (Lygnugaryte-Griksiene, et al, 2012). Več raziskovalcev (Meerwijk, et al, 2010;Bolster, et al, 2015;Wang, et al, 2016;Hagen, et al, 2018) poudarja problem pomanjkanja kompetenc na področju komunikacije medicinskih sester s samomorilnimi posamezniki. Velikokrat se v njih pojavi strah, da bodo s pogovorom o samomoru ravnale narobe ali celo spodbudile pacientovo razmišljanje o samomoru (Wang, et al, 2016).…”

“I Didn’t Feel Treated as Mental Weirdo”: Primary Findings on Helpful Relationship Characteristics in Suicide Attempt Health Care in Lithuania

“…Lately some qualitative research has been published and provided valuable insights into how strict cultural gender norms might contribute to heightened men suicidality (Andoh-Arthur, Knizek, Osafo, & Hjelmeland, 2018;, the importance of spiritual/religious dimension in suicide attempt experience in Ghana (Akotia, Knizek, Kinyada & Hjelmeland, 2014), the process of recovery after a suicide attempt and how formal requirements and lack of direct contact might challenge therapists connection with suicidal patients (Hagen, Hjelmeland, & Knizek, 2018). Hagen at al. (2018a) study revealed that for suicidal patients in psychiatric wards in Norway experiencing a sense of companionship with professionals and receiving individualized care was important.…”