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Registered mental nurses' experiences of nurse-patient relationships in acute care. / Ian Taylor

Swansea University Author: Ian Taylor

Abstract

The changing context of mental health care provision in the United Kingdom in the last three decades has seen significant change in acute inpatient services. Service users have expressed dissatisfaction about current service provision and care. Nurses continue to represent the largest professional g...

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Published: 2012
Institution: Swansea University
Degree level: Doctoral
Degree name: D.N.Sc
URI: https://cronfa.swan.ac.uk/Record/cronfa42306
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first_indexed 2018-08-02T18:54:23Z
last_indexed 2019-10-21T16:47:35Z
id cronfa42306
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spelling 2018-08-22T09:54:09.7870866 v2 42306 2018-08-02 Registered mental nurses' experiences of nurse-patient relationships in acute care. 7a4b908652dbc4281a6e9ffda4cf77dc NULL Ian Taylor Ian Taylor true true 2018-08-02 The changing context of mental health care provision in the United Kingdom in the last three decades has seen significant change in acute inpatient services. Service users have expressed dissatisfaction about current service provision and care. Nurses continue to represent the largest professional group providing care in these services. Comparatively little is known from nurses' perspectives about the present nature of the nurse-patient relationship in acute mental health inpatient settings. The purpose of this research study was to explore with a sample of 14 registered mental nurses, their experiences about the nature of the nurse-patient relationship. An interpretive, phenomenological approach was adopted. The principal research question asked 'What are registered mental nurses' experiences of the nature of the nurse-patient relationship in working age acute inpatient mental health care settings?' Following ethical approval, unstructured, individual interviews were used as the primary method of data collection. Transcribed interview texts were analysed hermeneutically, supplemented with the researcher's field notes and reflective journal. Key findings included the impact of poor ward environments, increased patients' acuity of illness, and multiple, competing demands placed on nursing time. Although nurses valued human interpersonal relationships with patients, they struggled to achieve their aspirations for the nurse-patient relationship, owing to a range of factors including organisational constraints, inexperience, and limited post-registration professional development. Nurses could experience stress and emotional fatigue, and their needs for support were not always met. These factors may challenge possibilities for the development of therapeutic nurse-patient relationships. Whilst nurses appear to acknowledge the benefits of therapeutic nurse-patient relationships, they may be insufficiently prepared to achieve their ideals, given the challenges of working within an area of practice which provides for short term admissions focussed on acute risk management and containment. E-Thesis Nursing.;Mental health.;Medical personnel. 31 12 2012 2012-12-31 COLLEGE NANME Nursing COLLEGE CODE Swansea University Doctoral D.N.Sc 2018-08-22T09:54:09.7870866 2018-08-02T16:24:28.7605873 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Ian Taylor NULL 1 0042306-02082018162444.pdf 10798014.pdf 2018-08-02T16:24:44.1100000 Output 8550377 application/pdf E-Thesis true 2018-08-02T16:24:44.1100000 false
title Registered mental nurses' experiences of nurse-patient relationships in acute care.
spellingShingle Registered mental nurses' experiences of nurse-patient relationships in acute care.
Ian Taylor
title_short Registered mental nurses' experiences of nurse-patient relationships in acute care.
title_full Registered mental nurses' experiences of nurse-patient relationships in acute care.
title_fullStr Registered mental nurses' experiences of nurse-patient relationships in acute care.
title_full_unstemmed Registered mental nurses' experiences of nurse-patient relationships in acute care.
title_sort Registered mental nurses' experiences of nurse-patient relationships in acute care.
author_id_str_mv 7a4b908652dbc4281a6e9ffda4cf77dc
author_id_fullname_str_mv 7a4b908652dbc4281a6e9ffda4cf77dc_***_Ian Taylor
author Ian Taylor
author2 Ian Taylor
format E-Thesis
publishDate 2012
institution Swansea University
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
document_store_str 1
active_str 0
description The changing context of mental health care provision in the United Kingdom in the last three decades has seen significant change in acute inpatient services. Service users have expressed dissatisfaction about current service provision and care. Nurses continue to represent the largest professional group providing care in these services. Comparatively little is known from nurses' perspectives about the present nature of the nurse-patient relationship in acute mental health inpatient settings. The purpose of this research study was to explore with a sample of 14 registered mental nurses, their experiences about the nature of the nurse-patient relationship. An interpretive, phenomenological approach was adopted. The principal research question asked 'What are registered mental nurses' experiences of the nature of the nurse-patient relationship in working age acute inpatient mental health care settings?' Following ethical approval, unstructured, individual interviews were used as the primary method of data collection. Transcribed interview texts were analysed hermeneutically, supplemented with the researcher's field notes and reflective journal. Key findings included the impact of poor ward environments, increased patients' acuity of illness, and multiple, competing demands placed on nursing time. Although nurses valued human interpersonal relationships with patients, they struggled to achieve their aspirations for the nurse-patient relationship, owing to a range of factors including organisational constraints, inexperience, and limited post-registration professional development. Nurses could experience stress and emotional fatigue, and their needs for support were not always met. These factors may challenge possibilities for the development of therapeutic nurse-patient relationships. Whilst nurses appear to acknowledge the benefits of therapeutic nurse-patient relationships, they may be insufficiently prepared to achieve their ideals, given the challenges of working within an area of practice which provides for short term admissions focussed on acute risk management and containment.
published_date 2012-12-31T03:52:42Z
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score 11.012678

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