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

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Abstract

Background
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.
Aims
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.
Methods
Nine inpatient nursing staff took part in semi-structured interviews, which were
transcribed, and then analysed using Interpretative Phenomenological Analysis.
Results
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.
Conclusions
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
outcomes.

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  • inpatient nursing early psychosis

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Details

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

    Keywords

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

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