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  • Nurses experiences of delivering care in acute inpatient mental health settings: A narrative synthesis of the literature

    Author(s)
    Wyder, Marianne
    Ehrlich, Carolyn
    Crompton, David
    McArthur, Leianne
    Delaforce, Caroline
    Dziopa, Fiona
    Ramon, Shulamit
    Powell, Elizabeth
    Griffith University Author(s)
    Wyder, Marianne
    Crompton, David R.
    Ehrlich, Carolyn E.
    Year published
    2017
    Metadata
    Show full item record
    Abstract
    Inpatient psychiatric care requires a balance between working with consumers' priorities and goals, managing expectations of the community, legal, professional and service responsibilities. In order to improve service delivery within acute mental health units, it is important to understand the constraints and facilitating factors for good care. We conducted a systematic narrative synthesis, where findings of qualitative studies are synthesised to generate new insights. 21 articles were identified. Our results show that personal qualities, professional skills as well as environmental factors all influence the ability to provide ...
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    Inpatient psychiatric care requires a balance between working with consumers' priorities and goals, managing expectations of the community, legal, professional and service responsibilities. In order to improve service delivery within acute mental health units, it is important to understand the constraints and facilitating factors for good care. We conducted a systematic narrative synthesis, where findings of qualitative studies are synthesised to generate new insights. 21 articles were identified. Our results show that personal qualities, professional skills as well as environmental factors all influence the ability to provide recovery focused care. Three overarching themes which either facilitated or hindered were identified. These included: (i) Complexity of the nursing role (clinical care; practical and emotional support: advocacy and education; enforcing aspects of the Mental Health Act. and, maintaining ward safety); (ii) Constraining factors (operational barriers; change in patient characteristic; and competing understandings of care); and (iii) Facilitating factors (ward factors; nursing tools; nurse characteristics; approach to people; approach to work and ability to self-care). We suggest that the therapeutic use of self is central to the provision of recovery oriented care. However person-centred practice can be fragile and fluid and a compassionate system of support is needed to enable an understanding of context and self. It is critical to have a work environment which fosters hope and optimism and is supportive of autonomy, ensures workload balance, and is safe.
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    Journal Title
    International Journal of Mental Health Nursing
    DOI
    https://doi.org/10.1111/inm.12315
    Note
    This publication has been entered into Griffith Research Online as an Advanced Online Version.
    Subject
    Nursing not elsewhere classified
    Nursing
    Public Health and Health Services
    Psychology
    Publication URI
    http://hdl.handle.net/10072/345189
    Collection
    • Journal articles

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