Life in acute mental health settings: experiences and perceptions of service users and nurses

Epidemiology and Psychiatric Sciences
Diana RoseTil Wykes

Abstract

Background. Acute psychiatric provision in the UK today as well as globally has many critics including service users and nurses. Method. Four focus groups, each meeting twice, were held separately for service users and nurses. The analysis was not purely inductive but driven by concerns with the social position of marginalised groups - both patients and staff. Results. The main themes were nurse/patient interaction and coercion. Service users and nurses conceptualised these differently. Service users found nurses inaccessible and uncaring, whereas nurses also felt powerless because their working life was dominated by administration. Nurses saw coercive situations as a reasonable response to factors 'internal' to the patient whereas for service users they were driven to extreme behaviour by the environment of the ward and coercive interventions were unnecessary and heavy handed. Conclusion. This study sheds new light on living and working in acute mental health settings today by comparing the perceptions of service users and nurses and deploying service user and nurse researchers. The intention is to promote better practice by providing a window on the perceptions of both groups.

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Citations

Sep 1, 2016·Journal of Addictions Nursing·Walter M Drymalski, Michael R Nunley
Jan 20, 2017·Journal of Psychiatric and Mental Health Nursing·M McKeownD Mercer
Dec 18, 2018·International Journal of Mental Health Nursing·Melanie R WhiteAngela Dawson
Jul 19, 2019·Journal of Evaluation in Clinical Practice·Eimear Muir-CochraneKaren Grimmer
Feb 23, 2020·Journal of Psychiatric and Mental Health Nursing·Manuela Schmidt, Timur Uman
Jan 4, 2020·Nursing Ethics·Urban AnderssonLena Wiklund Gustin
Sep 5, 2020·Journal of Reproductive and Infant Psychology·Claire PowellLouise Howard
Nov 3, 2017·BJPsych International·Diana RoseNaomi Good
Oct 28, 2019·Sociology of Health & Illness·Mick McKeownJoy Duxbury
Mar 9, 2021·Psychiatry, Psychology, and Law : an Interdisciplinary Journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law·Cassandra Simms-SawyersJoel Harvey
Mar 12, 2021·International Journal of Mental Health Nursing·Etienne Paradis-GagnéClara Lessard-Deschênes
Jun 19, 2021·Issues in Mental Health Nursing·Jenny MolinBritt-Marie Lindgren
Dec 8, 2020·Perspectives in Psychiatric Care·Işıl IşıkBülent Kadri Gültekin

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