The experiences of inpatient nursing staff caring for young people with early psychosis

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Early Intervention services aim to improve outcomes for people with first episode
psychosis, and where possible, to prevent psychiatric hospital admission. When
hospitalisation does occur, inpatient staff are required to support patients and families who
may be less familiar with services, uncertain about possible outcomes, and may be
experiencing psychiatric hospital for the first time.
Our study aimed to understand the process of hospitlisation in early psychosis, from the
perspective in inpatient nursing staff. We were particularly interested in their experiences
of working with younger people, in the context of adult psychiatric wards.
Nine inpatient nursing staff took part in semi-structured interviews, which were
transcribed, and then analysed using Interpretative Phenomenological Analysis.
Five themes are outlined:“It’s all new and it’s all learning”; The threatening,
unpredictable environment; Care and conflict within the intergenerational relationship;
Motivation and hope; and Coping and self-preservation.
The phenomenological focus of our approach throws the relational component of
psychiatric nursing into sharp relief. We reflect upon the implications for organisations,
staff, families and young people. We suggest that the conventional mode of delivering
acute psychiatric inpatient care is not likely to support the best relational and therapeutic

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  • inpatient nursing early psychosis

    Accepted author manuscript, 202 KB, PDF-document

    Embargo ends: 1/01/50


Original languageEnglish
JournalJournal of Research in Nursing
Publication statusAccepted/In press - 15 Oct 2018


  • phenomenology, young adult, inpatient, psychosis, burnout, hope, acute care

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