Meanings of carers’ lived experience of “regulating oneself” in forensic psychiatry

Purpose This study aimed to illuminate the essential meanings of carers’ lived experience of regulating themselves when caring for patients with mental illnesses in forensic inpatient care. Methods Qualitative analysis was used to analyse data from narrative interviews with open-ended questions cond...

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Main Authors: Lars Hammarström, Siri Andreassen Devik, Marie Häggström, Ove Hellzen
Format: Article
Language:English
Published: Taylor & Francis Group 2022-12-01
Series:International Journal of Qualitative Studies on Health & Well-Being
Subjects:
Online Access:http://dx.doi.org/10.1080/17482631.2022.2094088
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author Lars Hammarström
Siri Andreassen Devik
Marie Häggström
Ove Hellzen
author_facet Lars Hammarström
Siri Andreassen Devik
Marie Häggström
Ove Hellzen
author_sort Lars Hammarström
collection DOAJ
description Purpose This study aimed to illuminate the essential meanings of carers’ lived experience of regulating themselves when caring for patients with mental illnesses in forensic inpatient care. Methods Qualitative analysis was used to analyse data from narrative interviews with open-ended questions conducted with nine carers, which were analysed using a phenomenological-hermeneutic approach. Results Findings revealed three themes, “preserving oneself as a carer,” “building an alliance with the patient” and “maintaining stability in the community.” Carers not only regulated emotions related to patients but also the ward to facilitate a caring climate. For carers, encounters with patients meant facing expressions of suffering that evoked unwanted emotions. Regulating one’s emotions also meant being emotionally touched and facing one’s vulnerability. Conclusion Regulating oneself was a strategy used by carers to get closer to the patient and establishing a trusting relationship. Regulating oneself meant becoming aware of one’s shortcomings, not projecting them onto others, which may impair establishing relationships with patients and fulfilling the aim and caring task of forensic psychiatry. This study stresses the importance of carers being guided to manage their conflicting emotions and vulnerabilities and finding courage and an approach that allows a permissive climate of self-reflection.
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spelling doaj.art-6cdce7c8bad64a1ab90a95f9c91349e32023-01-05T12:01:27ZengTaylor & Francis GroupInternational Journal of Qualitative Studies on Health & Well-Being1748-26231748-26312022-12-0117110.1080/17482631.2022.20940882094088Meanings of carers’ lived experience of “regulating oneself” in forensic psychiatryLars Hammarström0Siri Andreassen Devik1Marie Häggström2Ove Hellzen3Mid Sweden UniversityNord UniversityMid Sweden UniversityMid Sweden UniversityPurpose This study aimed to illuminate the essential meanings of carers’ lived experience of regulating themselves when caring for patients with mental illnesses in forensic inpatient care. Methods Qualitative analysis was used to analyse data from narrative interviews with open-ended questions conducted with nine carers, which were analysed using a phenomenological-hermeneutic approach. Results Findings revealed three themes, “preserving oneself as a carer,” “building an alliance with the patient” and “maintaining stability in the community.” Carers not only regulated emotions related to patients but also the ward to facilitate a caring climate. For carers, encounters with patients meant facing expressions of suffering that evoked unwanted emotions. Regulating one’s emotions also meant being emotionally touched and facing one’s vulnerability. Conclusion Regulating oneself was a strategy used by carers to get closer to the patient and establishing a trusting relationship. Regulating oneself meant becoming aware of one’s shortcomings, not projecting them onto others, which may impair establishing relationships with patients and fulfilling the aim and caring task of forensic psychiatry. This study stresses the importance of carers being guided to manage their conflicting emotions and vulnerabilities and finding courage and an approach that allows a permissive climate of self-reflection.http://dx.doi.org/10.1080/17482631.2022.2094088forensic mental healthlived experiencenurse-patient relationshipnursingphenomenological-hermeneutics
spellingShingle Lars Hammarström
Siri Andreassen Devik
Marie Häggström
Ove Hellzen
Meanings of carers’ lived experience of “regulating oneself” in forensic psychiatry
International Journal of Qualitative Studies on Health & Well-Being
forensic mental health
lived experience
nurse-patient relationship
nursing
phenomenological-hermeneutics
title Meanings of carers’ lived experience of “regulating oneself” in forensic psychiatry
title_full Meanings of carers’ lived experience of “regulating oneself” in forensic psychiatry
title_fullStr Meanings of carers’ lived experience of “regulating oneself” in forensic psychiatry
title_full_unstemmed Meanings of carers’ lived experience of “regulating oneself” in forensic psychiatry
title_short Meanings of carers’ lived experience of “regulating oneself” in forensic psychiatry
title_sort meanings of carers lived experience of regulating oneself in forensic psychiatry
topic forensic mental health
lived experience
nurse-patient relationship
nursing
phenomenological-hermeneutics
url http://dx.doi.org/10.1080/17482631.2022.2094088
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