Person‐centred care: clarifying the concept in the context of inpatient psychiatry

Gabrielsson, Sebastian; Sävenstedt, Stefan; Zingmark, Karin

doi:10.1111/scs.12189

Cited by 64 publications

(61 citation statements)

References 43 publications

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“…If nurses are able to acknowledge revealed sources for vitality, it can have the potential to facilitate relatives’ nurturing and caring presence with the person. Thus, nurses need to embody sensitive understanding of the specific needs of relatives (Gabrielsson, Sävenstedt, & Zingmark, 2014; Galvin & Todres, 2009; Owens et al, 2011). …”

Section: Discussionmentioning

confidence: 99%

To be present, share and nurture: a lifeworld phenomenological study of relatives’ participation in the suicidal person’s recovery

Sellin

Asp

Kumlin

et al. 2017

International Journal of Qualitative Studies on Health and Well

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In today’s health care, participation is acknowledged as important. However, there is limited research on how relatives of patients at risk of suicide experience their opportunities to participate in care during periods when their close ones are subject to inpatient care. The aim of this study was to describe the phenomenon of participation, as experienced by relatives of persons who are subject to inpatient psychiatric care due to a risk of suicide. The study was conducted through a reflective lifeworld research (RLR) approach, based on phenomenological philosophy. Eight relatives of patients receiving care from professionals in a psychiatric specialist health care context in Sweden participated in phenomenon-oriented interviews. Data were analysed to elucidate a meaning structure of the phenomenon. The findings show that the phenomenon of participation was more associated with patients’ recovery processes than with the caring process, and means “being actively involved in a process in which the person regains the desire to live”. The meaning of participation is further described by its meaning constituents: struggling for being able to be present for the person at risk of suicide, being able to share everyday life, and nurturing sources for vitality. These insights into the meaning of participation highlight the importance of allowing supportive relatives to be a part of the patient’s life, while the person is cared for in an inpatient hospital setting. Thus, participation enables relatives to be acknowledged as resourceful human beings in the patient’s recovery process, and thereby facilitates a sense of being able to manage and share life itself together with the person. This means that mental health nurses need to recognize individual variations of relatives’ participation processes, and take on the responsibility of acknowledging relatives’ lifeworlds.

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Section: Discussionmentioning

confidence: 99%

To be present, share and nurture: a lifeworld phenomenological study of relatives’ participation in the suicidal person’s recovery

Sellin

Asp

Kumlin

et al. 2017

International Journal of Qualitative Studies on Health and Well

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“…The therapeutic nurse–patient relationship is considered essential for good nursing practice in psychiatric inpatient care (Delaney & Ferguson ; Gabrielsson et al . ; McAndrew 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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“…While engaging and empowering patients are described as important aspects of the work of psychiatric inpatient nurses (Delaney & Johnson ), staff working in forensic care might desire to maintain a distance between patients and themselves and hold negative beliefs about patients’ abilities to recover (Lammie et al ). Conceptualizations of psychiatric care as person‐centred (Gabrielsson et al ) and recovery‐oriented (Le Boutillier et al ) align with growing expectations of user involvement in health care, reflecting both an interest in empowering citizens and containing costs (Dent & Pahor ). A challenge for forensic psychiatric care is to create a caring climate despite patients being cared for against their will (Selvin et al ).…”

Section: Introductionmentioning

confidence: 99%

‘I know what I need to recover’: Patients’ experiences and perceptions of forensic psychiatric inpatient care

Marklund

Wahlroos

Looi

et al. 2019

Int J Mental Health Nurs

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Patients find forensic psychiatric care inadequate in that they are not treated as individuals and not involved in their own care. The purpose of this study was to describe patients’ experiences and perceptions of forensic psychiatric inpatient care. Semi‐structured interviews were conducted with 11 inpatients. A qualitative content analysis resulted in a recurring theme, ‘I know what I need to recover’, and three main categories: ‘A need for meaning in a meagre existence’, ‘A need to be a person in an impersonal context’, and ‘A need for empowerment in a restricted life’. Participants experienced and perceived forensic care as predominantly monotonous, predetermined, and not adapted to them as individuals, forcing them to fight and adapt to get through it and not lose themselves. Perceived needs were largely ignored or opposed by staff due to the content and structure of care. Findings suggest a need for reflective practices and patient involvement in order to develop and maintain a person‐centred and recovery‐oriented nursing practice. The study adds to previous research showing the importance of patients in forensic psychiatric inpatient care being listened to and involved in their care. The study is reported in accordance with the COREQ guidelines.

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Person‐centred care: clarifying the concept in the context of inpatient psychiatry

Cited by 64 publications

References 43 publications

To be present, share and nurture: a lifeworld phenomenological study of relatives’ participation in the suicidal person’s recovery

To be present, share and nurture: a lifeworld phenomenological study of relatives’ participation in the suicidal person’s recovery

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

‘I know what I need to recover’: Patients’ experiences and perceptions of forensic psychiatric inpatient care

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