Patients’ conceptions of how health processes are promoted in mental health nursing. A qualitative study

Abstract

The most important goal of nursing care is to promote the subjective experience of health. The health promoting efforts of mental health care nurses must be aimed at creating encounters where the patient will be confirmed both existentially and as an individual worthy of dignity. The patient in mental health care is often viewed by the nurse as nothing more than a passive recipient of care and the belief in the patient's potential is minimal. This can lead to a situation where the patient loses control in the caring situation and feels unable to improve his/her health, which conflicts with the goal of the nursing care. The aim of the study was to describe patients' conceptions of how health processes are promoted in mental health nursing. Twelve patients with experience of mental health nursing were interviewed, and the data material was analysed using a phenomenographic approach. The results show 13 different conceptions of the phenomenon, and these were summarized into four descriptive categories: interaction, attention, development and dignity. The conceptions described show that the patients need to be treated as equals and that the nurse must trust the patient's ability to make decisions and to promote his/her health process. It is suggested that mental health nursing should be built on humanistic science and its view that every individual has the ability to grow and develop. This view is one of the most important preconditions for the promotion of health processes in mental health nursing.

Psychiatric Nursing Care of Suicidal Patients Described by the Sympathy–Acceptance–Understanding–Competence Model for Confirming Nursing

“…Inspiring hope, being personal, and showing trust in the patients' own potentials are other essential factors described in the literature (Cutcliffe & Barker, 2002;Cutcliffe et al, 2006;Jackson & Stevenson, 2000;Svedberg et al, 2003). These factors are described in the units, which concur with patients' experiences illustrated in other studies Talseth et al, 1999).…”

“…The care that the nurses gave, based on the questionnaire, could be interpreted as the care they wish to give (i.e., ideal nursing). The nurses emphasized the importance of being accessible, accepting, understanding, understandable, attentive, respectful, and committedperson support and self-support factors from the SAUC phases-which psychiatric patients also emphasized as crucial (Fletcher, 1999;Samuelsson et al, 2000;Sun et al, 2005;Svedberg, Jormfeldt, & Arvidsson, 2003;Talseth et al, 2001;Talseth et al, 1999;Wiklander, Samuelsson, & Asberg, 2003). The nurses, as in previous findings, emphasized that authentic empathy makes patients more likely to divulge their inner thoughts and problems-information much needed for ongoing suicide assessment (Billings, 2004;Sun et al, 2005).…”

Trust in Physician Scale: Factor structure, reliability, validity and correlates of trust in a sample of Nigerian psychiatric outpatients

“…A higher level of trust in patients with psychiatric disorders was associated with easier divulgence of their morbid experiences (Repper et al, 1994) and their ability to be in charge of their mental health (Kai and Crosland, 2001;Svedberg et al, 2003). Other authors have also reported that trust influences patients' inclination to access health care services (Sharma et al, 2003;Booth et al, 2004) and to recommend health care facilities to others (Joffe et al, 2003).…”

La dépression chez la femme : plus qu’un simple cafard. Récit de deux études de cas

“…Garland et Scott (2002) font état que cette médication démontre peu d'efficacité chez 35 à 40 % de la population. Svedberg, Jormfeldt et Arvidsson (2003) ont tenté de démontrer que l'expérience vécue de la maladie mentale devrait se résumer en un sentiment d'habilitation chez les sujets, mais leurs résultats réfutent quelque peu leur prédiction. Pénélope, bien qu'encore fragile, semble maintenant capable de reconnaître et de miser sur ses forces intérieures, alors que cela reste à voir pour Diana.…”