Brief admission (BA) for patients with emotional instability and self-harm: nurses’ perspectives - person-centred care in clinical practice
Purpose: Emotional instability and self-harm pose major problems for society and health care. There are effective interventions in outpatient care, but when patients need inpatient care, nurses often struggle meeting their patient’s needs. Brief admission (BA) is a newly implemented crisis intervent...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2019-01-01
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| Series: | International Journal of Qualitative Studies on Health & Well-Being |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/17482631.2019.1667133 |
| _version_ | 1827366291606863872 |
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| author | Joachim Eckerström Emelie Allenius Marjolein Helleman Lena Flyckt Kent-Inge Perseius Pernilla Omerov |
| author_facet | Joachim Eckerström Emelie Allenius Marjolein Helleman Lena Flyckt Kent-Inge Perseius Pernilla Omerov |
| author_sort | Joachim Eckerström |
| collection | DOAJ |
| description | Purpose: Emotional instability and self-harm pose major problems for society and health care. There are effective interventions in outpatient care, but when patients need inpatient care, nurses often struggle meeting their patient’s needs. Brief admission (BA) is a newly implemented crisis intervention and novel form of inpatient care. The aim of this study is to describe nurses’ experiences working with BA related to patients with emotional instability and self-harm. Methods: Eight nurses were interviewed according to a semi-structured interview guide. The data was analysed using qualitative content analysis. Results: Four main categories emerged regarding nurses’ experiences with BA: provides security and continuity, fosters caring relationships, shifts focus towards patient’s health and empowers the patient. The nurse’s role shifted from “handling problems” to establishing caring relationships with a focus on the person’s health and possibilities for recovering instead of psychiatric symptoms. Conclusions: Previous studies on patients’ perspective of BA describe positive experiences such as increased autonomy and participation in the healthcare process. This study supports those findings, albeit from the perspective of nurses. Our findings suggest that BA may reduce work-related stress experienced by nurses while caring for persons with emotional instability and self-harm. BA may also support nurses in their ability to provide more meaningful and constructive psychiatric inpatient care. |
| first_indexed | 2024-03-08T08:47:40Z |
| format | Article |
| id | doaj.art-e193591abcda49938644b280d02a6555 |
| institution | Directory Open Access Journal |
| issn | 1748-2623 1748-2631 |
| language | English |
| last_indexed | 2024-03-08T08:47:40Z |
| publishDate | 2019-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Qualitative Studies on Health & Well-Being |
| spelling | doaj.art-e193591abcda49938644b280d02a65552024-02-01T14:39:34ZengTaylor & Francis GroupInternational Journal of Qualitative Studies on Health & Well-Being1748-26231748-26312019-01-0114110.1080/17482631.2019.16671331667133Brief admission (BA) for patients with emotional instability and self-harm: nurses’ perspectives - person-centred care in clinical practiceJoachim Eckerström0Emelie Allenius1Marjolein Helleman2Lena Flyckt3Kent-Inge Perseius4Pernilla Omerov5Karolinska InstitutetStockholm County CouncilHanze University of Applied SciencesKarolinska InstitutetKarolinska InstitutetErsta Sköndal Bräcke University CollegePurpose: Emotional instability and self-harm pose major problems for society and health care. There are effective interventions in outpatient care, but when patients need inpatient care, nurses often struggle meeting their patient’s needs. Brief admission (BA) is a newly implemented crisis intervention and novel form of inpatient care. The aim of this study is to describe nurses’ experiences working with BA related to patients with emotional instability and self-harm. Methods: Eight nurses were interviewed according to a semi-structured interview guide. The data was analysed using qualitative content analysis. Results: Four main categories emerged regarding nurses’ experiences with BA: provides security and continuity, fosters caring relationships, shifts focus towards patient’s health and empowers the patient. The nurse’s role shifted from “handling problems” to establishing caring relationships with a focus on the person’s health and possibilities for recovering instead of psychiatric symptoms. Conclusions: Previous studies on patients’ perspective of BA describe positive experiences such as increased autonomy and participation in the healthcare process. This study supports those findings, albeit from the perspective of nurses. Our findings suggest that BA may reduce work-related stress experienced by nurses while caring for persons with emotional instability and self-harm. BA may also support nurses in their ability to provide more meaningful and constructive psychiatric inpatient care.http://dx.doi.org/10.1080/17482631.2019.1667133borderline personality disorderbrief admissioncrisis interventionemotional instabilitymental health nursingpatient admissionperson-centred carepsychiatric nursingself-harm |
| spellingShingle | Joachim Eckerström Emelie Allenius Marjolein Helleman Lena Flyckt Kent-Inge Perseius Pernilla Omerov Brief admission (BA) for patients with emotional instability and self-harm: nurses’ perspectives - person-centred care in clinical practice International Journal of Qualitative Studies on Health & Well-Being borderline personality disorder brief admission crisis intervention emotional instability mental health nursing patient admission person-centred care psychiatric nursing self-harm |
| title | Brief admission (BA) for patients with emotional instability and self-harm: nurses’ perspectives - person-centred care in clinical practice |
| title_full | Brief admission (BA) for patients with emotional instability and self-harm: nurses’ perspectives - person-centred care in clinical practice |
| title_fullStr | Brief admission (BA) for patients with emotional instability and self-harm: nurses’ perspectives - person-centred care in clinical practice |
| title_full_unstemmed | Brief admission (BA) for patients with emotional instability and self-harm: nurses’ perspectives - person-centred care in clinical practice |
| title_short | Brief admission (BA) for patients with emotional instability and self-harm: nurses’ perspectives - person-centred care in clinical practice |
| title_sort | brief admission ba for patients with emotional instability and self harm nurses perspectives person centred care in clinical practice |
| topic | borderline personality disorder brief admission crisis intervention emotional instability mental health nursing patient admission person-centred care psychiatric nursing self-harm |
| url | http://dx.doi.org/10.1080/17482631.2019.1667133 |
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