Metasynthesis of Research on the Role of Psychiatric Inpatient Nurses

Delaney, Kathleen R.; Johnson, Mary E.

doi:10.1177/1078390314527551

Cited by 38 publications

(35 citation statements)

References 54 publications

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“…). Nurses perceive engagement, maintaining safety, and empowering and educating patients as important aspects of nursing practice in psychiatric inpatient care, supported by flexible staff attitudes about rules and staff self‐direction (Delaney & Johnson ). Positive ratings of nurse–physician relationships, and management and organizational support are all predictors of job satisfaction, low intentions to leave, and high quality of care, with burnout and workload as mediators between nurses' practice environment and outcome (Bogaert et al .…”

Section: Introductionmentioning

confidence: 99%

Taking personal responsibility: Nurses' and assistant nurses' experiences of good nursing practice in psychiatric inpatient care

Gabrielsson

Sävenstedt

Olsson

2016

Int J Mental Health Nurs

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Therapeutic nurse-patient relationships are considered essential for good nursing practice in psychiatric inpatient care. Previous research suggests that inpatient care fails to fulfil patients' expectations in this regard, and that nurses might experience the reality of inpatient care as an obstruction. The aim of the present study was to explore nurses' and assistant nurses' experiences of good nursing practice in the specific context of psychiatric inpatient care. Qualitative interviews were conducted with 12 skilled, relationship-oriented nurses and assistant nurses in order to explore their experiences with nursing practice related to psychiatric inpatient care. Interviews were transcribed and analysed using an interpretive descriptive approach. Findings describe good nursing practice as a matter of nurses and assistant nurses taking personal responsibility for their actions and for the individual patient as a person. Difficulties in providing dignified nursing care and taking personal responsibility cause them to experience feelings of distress and frustration. Shared values and nursing leadership supports being moral and treating patients with respect, having enough time supports being present and connecting with patients, and working as a part of a competent team with critical daily discussions and diversity supports being confident and building trust. The findings suggest that taking personal responsibility is integral to good nursing practice. If unable to improve poor circumstances, nurses might be forced to promote their own survival by refuting or redefining their responsibility. Nurses need to prioritize being with patients and gain support in shaping their own nursing practice. Nursing leadership should provide moral direction and defend humanistic values.

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Section: Introductionmentioning

confidence: 99%

Taking personal responsibility: Nurses' and assistant nurses' experiences of good nursing practice in psychiatric inpatient care

Gabrielsson

Sävenstedt

Olsson

2016

Int J Mental Health Nurs

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“…Literature also emphasizes that nurses should proactively utilize their expertise to harmonize their closeness and personal commitment to patients with more task-oriented, organizational, and coordination aspects of care (Delaney & Johnson 2014). The findings revealed how nurses and peer workers are dependent on teams to feel competent and satisfied.…”

Section: Relevance For Practicementioning

confidence: 99%

Mental health nurses and mental health peer workers: Self‐perceptions of role‐related clinical competences

Debyser

Duprez

Beeckman

et al. 2017

Int J Mental Health Nurs

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In a mental healthcare that embraces a recovery-oriented practice, the employment of mental health peer workers is encouraged. Although peer workers are increasingly working together with nurses, there is a lack of research that explores how nurses and peer workers perceive their role-related competences in clinical practice. The aim of this study was to clarify and understand these self-perceptions in order to identify the specificity and potential complementarity of both roles. This insight is needed to underpin a successful partnership between both vocations. A qualitative descriptive research design based on principles of critical incident methodology was used. Twelve nurses and eight peer workers from different mental healthcare organizations participated. A total of 132 reported cases were analysed. Rigour was achieved through thick description, audit trail, investigator triangulation and peer review. Nurses relate their role-related competences predominantly with being compliant with instructions, being a team player and ensuring security and control. Peer workers relate their role-related competences with being able to maintain themselves as a peer worker, building up a relationship that is supportive for both the patient and themselves, and to utilize their lived experience. Both nurses and peer workers assign a major role to the team in determining their satisfaction with their competences. Consequently, what is perceived as important for the team appears to overshadow their self-assessment of competences. The findings highlighted the importance of paying more attention to identity construction, empowerment and role competence development of nurses and peer workers in their respective education and ongoing training.

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“…Qualitative investigations attest that PMH nurses tell stories about their relationship work and the approaches they use to forge connections with patients [14] . Perhaps PMH nurses think of relationships only in the context of their connection with a particular patient or in terms of activities embedded in every-day practice [15] . Berg and Hallberg (2000) maintain such stories are more about doing for patients rather than being with the individual; relationship aspects that are difficult to grasp and articulate [16] .…”

Section: Psychiatric Mental Health Nursing and Their Relationship Tramentioning

confidence: 99%

Peplau and the brain: Why Interpersonal Neuroscience provides a useful language for the relationship process

Delaney

Ferguson

2014

JNEP

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Since introduced by Peplau in the 1950's the psychotherapeutic relationship has been a defining element of psychiatric mental health (PMH) nursing practice. While the components of the therapeutic relationship have been detailed over the decades, PMH nurses appear to be faltering in particular aspects of the relationship process. Individuals hospitalized on inpatient psychiatric units have reported that nurses often failed to engage. Nursing leaders believe that the specialty has not articulated what PMH nurses do within the relationship that helps clients lead a more meaningful life. We suggest what remains ambiguous is not what nurses do within the relationship but the language to depict the mental processes involved in relationship building particularly in the engagement phase. Using the language of interpersonal neuroscience three key engagement processes are detailed, i.e., resonance, attunement and mentalizing. The healing elements of the relationship are explored particularly how attention to individuals' narratives of experiences supports their movement towards integration and coherence.

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Metasynthesis of Research on the Role of Psychiatric Inpatient Nurses

Abstract: Nurses need to articulate their practice so they can assert for the staffing and resources needed to keep units safe and promote patients' well-being, strive toward quality, and promote the development of the specialty.

Cited by 38 publications

References 54 publications

Taking personal responsibility: Nurses' and assistant nurses' experiences of good nursing practice in psychiatric inpatient care

Taking personal responsibility: Nurses' and assistant nurses' experiences of good nursing practice in psychiatric inpatient care

Mental health nurses and mental health peer workers: Self‐perceptions of role‐related clinical competences

Peplau and the brain: Why Interpersonal Neuroscience provides a useful language for the relationship process

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