Nurses’ Experiences of Care at Crisis Resolution Home Treatment Teams: A case study research

Abstract

What is known on the subject?• There are many international studies on CRHTTs; however, there has been little research on nurses' experiences of working with CRHTTs.• Earlier studies focused on the nurses' gatekeeping role but did not explore nurses' perception of care as a construct. What does the paper add to existing knowledge?• This study provides information based on mental health nurses' experiences. It explains the home environment, the therapeutic relationship and the process of mental health nursing care during a crisis. Also, the study explains nurses' satisfaction with care provided at patients' home.• Unlike other studies, this study focused on nurses' experiences while providing care, rather than on nurses' general responsibilities and the services they provide.This study is the first of its kind in Spain with such a focus. What are the implications for practice?• Acknowledging nurses' experiences and their perspectives about the care they provide could help shift mental health nursing paradigms from those based on biomedical models to newer perspectives found in recovery models. Furthermore, this knowledge could improve the quality of care in mental health settings due to its potential to guide nursing practices.• Raising mental health care providers' awareness of mental health nurses' personal and professional care constructs would help implement support systems to meet the professional's needs. Meeting the needs of nurses related to the care they provide is likely to impact patient care positively.

Variables Impacting the Quality of Care Provided by Professional Caregivers for People with Mental Illness: A Systematic Review

“…As shown in Table 1 , most of the articles are research articles ( n = 13), followed by articles dedicated to interventions ( n = 7). In terms of the objectives of the studies included, seven investigate the variables that may affect the dispensing of care ( n = 7) [ 25 , 28 , 30 , 33 , 35 , 38 , 39 ], seven are focused on researching or increasing the training and knowledge of professional caregivers ( n = 7) [ 24 , 29 , 31 , 32 , 36 , 41 ], three are dedicated to researching the working atmosphere and how it can affect care quality ( n = 3) [ 26 , 27 , 40 ], and three investigate the caregiver perspective ( n = 3) [ 22 , 23 , 37 ]. The studies can be divided into quantitative ( n = 14), qualitative ( n = 4) and mixed methods ( n = 2) studies, as well as into cross-sectional ( n = 7), longitudinal ( n = 7), inductive ( n = 3), exploratory ( n = 1), study case (n = 1) and other ( n = 1) studies.…”

“…Another aspect that plays a key role in this regard is the proximity provided by home care. This type of care is seen by professional caregivers as an opportunity to get to know the person beyond their role as a patient, which increased their involvement in the job and provided greater satisfaction than conventional care in hospitals or centers [ 22 ].…”

Professional relationships during crisis interventions: A scoping review

“…studies were reviewed based on their title and abstract using the inclusion criteria, leaving 468 remaining studies for full text analysis. With the remaining 3 [11,55,56] studies citation tracking was performed using Google Scholar resulting in an additional 273 hits. After another fulltext analysis 5 [34,[57][58][59][60] additional studies were identified.…”

“…The included studies describe outpatient crisis interventions in different settings. Four studies [55,57,58,60] focus on crisis resolution teams (CRTs), also known as crisis resolution home treatment teams (CRHTTs), one study [11] focuses on a crisis assessment and treatment service (CAT), another study [34] was conducted at a metropolitan community mental health service center, and one study [59] focuses on a counseling service. One study [56] researched the professional relationship in brief therapy.…”

“…Therefore, all the included services offered short-term, time-limited, outpatient crisis intervention, which are voluntarily accessed (Table 2). All of the included studies contained empirical literature according to the evidence-hierarchy by reporting on evidence gained by qualitative interviews [11,55,[57][58][59][60] and/or focus groups [34,56,58]. One study included quantitative survey data in addition to the qualitative interviews [57].…”