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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 Orcid Logo

International Journal of Mental Health Nursing

Swansea University Author: Jason Davies Orcid Logo

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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
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URI: https://cronfa.swan.ac.uk/Record/cronfa51080
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first_indexed 2019-07-12T21:37:58Z
last_indexed 2019-07-24T15:37:49Z
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spelling 2019-07-24T10:27:02.2150514 v2 51080 2019-07-12 Exploring therapeutic engagement with individuals with a diagnosis of personality disorder in acute psychiatric inpatient settings: A nursing team perspective b7dab4136f5c9c0614cda9bf2d5910b0 0000-0002-1694-5370 Jason Davies Jason Davies true false 2019-07-12 HPS 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. Journal Article International Journal of Mental Health Nursing 1445-8330 1447-0349 personality disorder, psychiatric inpatient care, nursing, therapeutic engagement, thematic analysis 31 12 2019 2019-12-31 10.1111/inm.12629 COLLEGE NANME Psychology COLLEGE CODE HPS Swansea University 2019-07-24T10:27:02.2150514 2019-07-12T17:37:00.6434868 Emma Acford 1 Jason Davies 0000-0002-1694-5370 2 0051080-12072019173828.pdf Therapeuticengagementgeneralpsychiatricnursingacceptedversion.pdf 2019-07-12T17:38:28.9670000 Output 276553 application/pdf Accepted Manuscript true 2020-07-08T00:00:00.0000000 true eng
title Exploring therapeutic engagement with individuals with a diagnosis of personality disorder in acute psychiatric inpatient settings: A nursing team perspective
spellingShingle Exploring therapeutic engagement with individuals with a diagnosis of personality disorder in acute psychiatric inpatient settings: A nursing team perspective
Jason Davies
title_short Exploring therapeutic engagement with individuals with a diagnosis of personality disorder in acute psychiatric inpatient settings: A nursing team perspective
title_full Exploring therapeutic engagement with individuals with a diagnosis of personality disorder in acute psychiatric inpatient settings: A nursing team perspective
title_fullStr Exploring therapeutic engagement with individuals with a diagnosis of personality disorder in acute psychiatric inpatient settings: A nursing team perspective
title_full_unstemmed Exploring therapeutic engagement with individuals with a diagnosis of personality disorder in acute psychiatric inpatient settings: A nursing team perspective
title_sort Exploring therapeutic engagement with individuals with a diagnosis of personality disorder in acute psychiatric inpatient settings: A nursing team perspective
author_id_str_mv b7dab4136f5c9c0614cda9bf2d5910b0
author_id_fullname_str_mv b7dab4136f5c9c0614cda9bf2d5910b0_***_Jason Davies
author Jason Davies
author2 Emma Acford
Jason Davies
format Journal article
container_title International Journal of Mental Health Nursing
publishDate 2019
institution Swansea University
issn 1445-8330
1447-0349
doi_str_mv 10.1111/inm.12629
document_store_str 1
active_str 0
description 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.
published_date 2019-12-31T04:02:50Z
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score 11.012678

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