A thematic analysis of care provider experiences of using self‐harm abstinence agreements in psychiatric inpatient care
Abstract Aim Traditional methods used when managing self‐harm in a psychiatric inpatient setting tend to infringe on the autonomy of the individuals receiving treatment and are often experienced as practically and emotionally challenging by care providers. Therefore, we examined care providers’ expe...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-07-01
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| Series: | Nursing Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/nop2.795 |
| _version_ | 1828111726538653696 |
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| author | Jonas Bjärehed Evelina Ingelsson Lindell Sofie Westling |
| author_facet | Jonas Bjärehed Evelina Ingelsson Lindell Sofie Westling |
| author_sort | Jonas Bjärehed |
| collection | DOAJ |
| description | Abstract Aim Traditional methods used when managing self‐harm in a psychiatric inpatient setting tend to infringe on the autonomy of the individuals receiving treatment and are often experienced as practically and emotionally challenging by care providers. Therefore, we examined care providers’ experiences of an alternative method negotiating self‐harm abstinence agreements, which can be viewed as a form of positive risk taking. Design A qualitative approach using semi‐structured interviews with twelve mental health professionals. Methods Thematic analysis of the interviews. Results Five themes emerged; “No‐harm agreements versus constant observation and coercion,” “No‐harm agreements to promote independence and collaboration,” “No‐harm agreements’ effect on ward safety,” “Ambiguity surrounding the no‐harm agreements” and “Ethical complexities of the no‐harm agreements.” These indicated perceived positive effects on the therapeutic relationship, the individuals’ autonomous functioning and the ward environment, but also practical and ethical difficulties. |
| first_indexed | 2024-04-11T11:39:59Z |
| format | Article |
| id | doaj.art-54e5e5a0417345f3ae02dee66a75e33a |
| institution | Directory Open Access Journal |
| issn | 2054-1058 |
| language | English |
| last_indexed | 2024-04-11T11:39:59Z |
| publishDate | 2021-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Nursing Open |
| spelling | doaj.art-54e5e5a0417345f3ae02dee66a75e33a2022-12-22T04:25:52ZengWileyNursing Open2054-10582021-07-01841660166710.1002/nop2.795A thematic analysis of care provider experiences of using self‐harm abstinence agreements in psychiatric inpatient careJonas Bjärehed0Evelina Ingelsson Lindell1Sofie Westling2Department of Psychology Lund University Lund SwedenDepartment of Psychology Lund University Lund SwedenClinical Psychiatric Research Center, Department of Clinical Sciences, Lund, Psychiatry Lund University, Region Skåne Lund SwedenAbstract Aim Traditional methods used when managing self‐harm in a psychiatric inpatient setting tend to infringe on the autonomy of the individuals receiving treatment and are often experienced as practically and emotionally challenging by care providers. Therefore, we examined care providers’ experiences of an alternative method negotiating self‐harm abstinence agreements, which can be viewed as a form of positive risk taking. Design A qualitative approach using semi‐structured interviews with twelve mental health professionals. Methods Thematic analysis of the interviews. Results Five themes emerged; “No‐harm agreements versus constant observation and coercion,” “No‐harm agreements to promote independence and collaboration,” “No‐harm agreements’ effect on ward safety,” “Ambiguity surrounding the no‐harm agreements” and “Ethical complexities of the no‐harm agreements.” These indicated perceived positive effects on the therapeutic relationship, the individuals’ autonomous functioning and the ward environment, but also practical and ethical difficulties.https://doi.org/10.1002/nop2.795psychiatric nursingself‐harm |
| spellingShingle | Jonas Bjärehed Evelina Ingelsson Lindell Sofie Westling A thematic analysis of care provider experiences of using self‐harm abstinence agreements in psychiatric inpatient care Nursing Open psychiatric nursing self‐harm |
| title | A thematic analysis of care provider experiences of using self‐harm abstinence agreements in psychiatric inpatient care |
| title_full | A thematic analysis of care provider experiences of using self‐harm abstinence agreements in psychiatric inpatient care |
| title_fullStr | A thematic analysis of care provider experiences of using self‐harm abstinence agreements in psychiatric inpatient care |
| title_full_unstemmed | A thematic analysis of care provider experiences of using self‐harm abstinence agreements in psychiatric inpatient care |
| title_short | A thematic analysis of care provider experiences of using self‐harm abstinence agreements in psychiatric inpatient care |
| title_sort | thematic analysis of care provider experiences of using self harm abstinence agreements in psychiatric inpatient care |
| topic | psychiatric nursing self‐harm |
| url | https://doi.org/10.1002/nop2.795 |
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