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Exploring therapeutic engagement with individuals with a diagnosis of personality disorder in acute psychiatric inpatient settings: A nursing team perspective / Emma Acford; Jason Davies

International Journal of Mental Health Nursing

Swansea University Author: Davies, Jason

  • Accepted Manuscript under embargo until: 8th July 2020

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DOI (Published version): 10.1111/inm.12629

Abstract

Individuals with personality disorders (PD) face negative attitudes and are often deemed harder to care for than individuals with other diagnoses. To improve care and engagement with services it is essential to understand the ways general psychiatric nursing staff approach this client group. This re...

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Published in: International Journal of Mental Health Nursing
ISSN: 1445-8330 1447-0349
Published: 2019
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa51080
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Abstract: Individuals with personality disorders (PD) face negative attitudes and are often deemed harder to care for than individuals with other diagnoses. To improve care and engagement with services it is essential to understand the ways general psychiatric nursing staff approach this client group. This research aims to examine the ways inpatient psychiatric nursing staff therapeutically engage with individuals with PD. Focus groups were conducted with Registered Mental Health Nurses (N=7) and Health Care Assistants (formally known as nursing assistants; N=12) who care for individuals with a diagnosis of PD in a general psychiatric inpatient setting. A thematic analysis indicated six themes; the right frame of mind, knowing the service user, knowing when to engage, service user input, a unified approach, and structured admissions. The findings highlight what non-PD specialist inpatient nursing staff do in order to engage therapeutically with this group of service users and areas that require improvement. Supporting good practice could improve staff confidence when caring for this client group, lower stigma around the diagnosis, and promote a more positive experience of care for individuals with a diagnosis of PD who are using general inpatient mental health services.
Keywords: personality disorder, psychiatric inpatient care, nursing, therapeutic engagement, thematic analysis
College: College of Human and Health Sciences