Nurses - psychiatrists' main collaborators when treating women with postpartum psychosis

Engqvist, Inger; Åhlin, Anders; Ferszt, Ginette G.; Nilsson, Kerstin

doi:10.1111/j.1365-2850.2010.01549.x

Cited by 10 publications

(12 citation statements)

References 31 publications

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“…competence is essential (Engqvist, 2010). There can be a contradiction between the views of psychiatrists and others concerning the power of the psychiatrist .…”

Section: Discussionmentioning

confidence: 99%

“…For his part, Griffiths (2001) noticed that the autonomy of team members tended to marginalize psychiatrists and to dilute individual responsibility. The only study I found on teamwork in psychosis (Engqvist & Nilsson, 2010) concluded that collaboration between nurses and the psychiatrist in postpartum psychosis is based on confidence in the nurses' competence. Interestingly, there seemed to be more in-depth studies 39 on team communication in other fields of medicine.…”

Section: Therapeutic Relationships In a Multi-agent Treatment Settingmentioning

confidence: 99%

“…RCC highlights the importance of all relationships and their impact on health outcomes; it further focuses on the personhood of all the participants, their affects and emotions, the context of reciprocal influence, and the moral value of genuine relationships (Beach, 2006;Safran, 2006; Suchman, 2006). The only study we have found regarding teamwork in psychosis (Engqvist, 2010) concluded that collaboration between nurses and psychiatrists in postpartum psychosis is based on confidence in the nurses' competence. …”

mentioning

confidence: 99%

“…The challenges and problems concerning workmates were one of the major issues in the interviews. They resulted not just from the challenges bound up with the treatments, but also from institutional aspects, and from more personal or even private issues in professional or clinician-clinician relationships.Various fields of medicine have given rise to research with parallel findings, including the crucial role of teams in clinical work (Engqvist & Nilsson, 2010;Jimmieson & Gallagher, 2010;, the importance of interprofessional collaboration for novices (McGrail & Gardner, 2009), the major importance of boundaries in health care organizations , and the contradictions relating to a uni-professional culture, teamwork, and responsibility ( Herrman, 2002;. The results of the present research indicate that the concept of relationship-centered care (RCC) (Beach & Inui, 2006;Safran & Beckman, 2006;Suchman, 2006b), which has mainly been used in general and somatic medicine, could be utilized also in psychiatry and in the treatment of psychosis.…”

mentioning

confidence: 99%

See 3 more Smart Citations

The Need-Adapted Approach in Psychosis: The Impact of Psychosis on the Treatment and the Professionals

Borchers¹,

Seikkula

Arnkil

2014

Ethical Hum Psychol Psychiatry

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This research aimed to describe the inner dialogues of psychiatrists in the context of the Need-Adapted treatment of psychosis. It strived to show that the experiences of professionals can have an impact on the treatments offered. In addition, the research aimed to clarify how the phenomenon of professionals' inner dialogues may be studied.The data for the three studies of the research consisted of eight videotaped and transcribed stimulated recall interviews with psychiatrists, who recalled their inner dialogues, assisted by videos from co-research interviews. The dialogues took place in multi-agent discussions with patients, with the family members of patients, and with other professionals. The first study provided an overall picture of the research material, with a focus on psychiatrists' inner dialogues concerning their workmates. The second study focused on how the psychiatrists viewed their agency. The third study dealt with the impact of psychosis on the treatment, the psychiatrists, and other professionals. The first two studies used adaptations of dialogical-narrative analysis, while the third study used an adaptation of qualitative content analysis.From the perspective of real-world clinical practice the studies suggested the following: (i) since psychiatrists interact with the clients and with other professionals, they respond as embodied individual human beings with possibly strong emotions; this suggests that the experiences and inner dialogues of the participants may be interdependent; (ii) clinician-clinician relationships can be of crucial importance in the treatment; (iii) especially in the inpatient setting, institutional forces can have an enormous impact on psychiatrists' agency by reducing professional creativity, and occasionally, by leading to a kind of agentless situation; (iv) psychiatrists seem to be more or less aware of the many harmful effects of (in particular) inpatient treatment; (v) the interview methods used in the research increased professionals' reflective opportunities, indicating that such interviews could be helpful in the dilemmas professionals encounter in practice. Tämän tutkimuksen tavoite oli kuvata psykiatrien sisäistä keskustelua psykoosien tarpeenmukaisen hoitomallin kontekstissa. Se pyrki osoittamaan, että ammattilaisten kokemuksilla voi olla vaikutusta tarjottuun hoitoon, ja selvittä-mään, miten ammattilaisten sisäistä keskustelua voidaan tutkia. Kolmen osatutkimuksen aineisto koostui kahdeksasta videolle tallennetusta ja transkriptoidusta stimulated recall -haastattelusta, joissa psykiatrit yhteisen tutkimisen haastattelun kuvanauhan avulla palauttivat mieleensä sisäistä keskusteluaan. Yhteisen tutkimisen haastattelu oli ryhmäkeskustelu, jossa oli lääkärien ohella läsnä potilas, hänen perheenjäseniään sekä muita ammattilaisia. Ensimmäisessä osatutkimuksessa kuvattiin tutkimusaineistoa kokonaisuudessaan ja keskityttiin psykiatrien työtovereita koskevaan sisäiseen keskusteluun. Toisessa osatutkimuksessa paneuduttiin psykiatrien kokemukseen toimijuudestaan....

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“…competence is essential (Engqvist, 2010). There can be a contradiction between the views of psychiatrists and others concerning the power of the psychiatrist .…”

Section: Discussionmentioning

confidence: 99%

Section: Therapeutic Relationships In a Multi-agent Treatment Settingmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

The Need-Adapted Approach in Psychosis: The Impact of Psychosis on the Treatment and the Professionals

Borchers¹,

Seikkula

Arnkil

2014

Ethical Hum Psychol Psychiatry

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“…23 A Swedish study by Engvist et al identified education as the means to address anxiety exhibited by nurses and advanced practice clinicians who work with pregnant women and mothers with SMI. 71 All nurses can be there to provide support and education for women who already feel judged and isolated.…”

Section: Integration Of Servicesmentioning

confidence: 99%

A review of research and nursing management of mental health problems in pregnancy and motherhood

Jarosinski¹,

Fox²

2016

NRR

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Abstract:In this article, the authors explore the risks pregnant women experience due to mental illness and intimate partner violence (IPV) and discuss the nursing role involved in the management of their care. For many women, pregnancy is a time of hopeful anticipation, yet for others, pregnancy reflects a new or an ongoing struggle with mental illness. The sequelae of untreated mental illness can be as severe as infanticide, maternal suicide, lack of maternal attachment, and inability to parent. Newborns whose mothers misuse alcohol and drugs are at risk of fetal alcohol spectrum disorders and neonatal addiction syndrome. Women who live with IPV risk their physical and mental well-being as well as the safety of their newborn. Implications for practice include the use of assessment tools early and during the treatment trajectory; otherwise, mental illness and IPV in pregnancy would go undetected/untreated. Identifying postpartum depression early is key toward providing timely care for both the mother and infant; yet, few obstetric practices use a depression assessment tool such as the Edinburgh Postnatal Depression Scale. During the initial intake assessment, the Edinburgh Postnatal Depression Scale can provide the means of early treatment through targeted assessment. Further implications include specialized services for substance-misusing pregnant women whose issues are different and separate from those of men, integration of services to address their multifaceted needs, and educating nurses to the reality of comorbidity as the norm rather than the rare occurrence, with a truly holistic approach that diminishes stigma.

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Pre-conception to parenting: a systematic review and meta-synthesis of the qualitative literature on motherhood for women with severe mental illness

Dolman

Jones

Howard

2013

Arch Womens Ment Health

171

188

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The majority of women with a severe mental illness (SMI) become pregnant and have children. The aim of this systematic review and meta-synthesis was to examine the qualitative research on the experiences of motherhood in women with SMI from preconception decision making to being a mother. The experiences of the health professionals treating women with SMI were also reviewed. Eleven databases were searched for papers published up to April 25, 2012, using keywords and mesh headings. A total of 23 studies were identified that met the inclusion criteria on the views of women with SMI, eight reported the views of health professionals including one which reported both. The meta-synthesis of the 23 studies on women's views produced two overarching themes Experiences of Motherhood and Experiences of Services. Sub-themes included the following: Guilt, Coping with Dual Identities, Stigma, and Centrality of Motherhood. Four themes emerged from the synthesis of the eight papers reporting the views of health professionals: Discomfort, Stigma, Need for education, and Integration of services. An understanding of the experiences of pregnancy and motherhood for women with SMI can inform service development and provision to ensure the needs of women and their families are met.

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Nurses - psychiatrists' main collaborators when treating women with postpartum psychosis

Cited by 10 publications

References 31 publications

The Need-Adapted Approach in Psychosis: The Impact of Psychosis on the Treatment and the Professionals

The Need-Adapted Approach in Psychosis: The Impact of Psychosis on the Treatment and the Professionals

A review of research and nursing management of mental health problems in pregnancy and motherhood

Pre-conception to parenting: a systematic review and meta-synthesis of the qualitative literature on motherhood for women with severe mental illness

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