Emma Tuckfield - A thesis submitted in partial fulfilment of the requirements of the degree of Doctor of Clinical Psychology (DClinPsych)
<p>Relationships between nursing staff and patients are central to mental health recovery, with good relationships linked to better therapeutic outcomes. Understanding the nurse-patient relationship in different contexts has implications for both care and safety.</p> <p>The first...
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| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
2022
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| _version_ | 1797109284512727040 |
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| author | Tuckfield, E |
| author2 | Lane, N |
| author_facet | Lane, N Tuckfield, E |
| author_sort | Tuckfield, E |
| collection | OXFORD |
| description | <p>Relationships between nursing staff and patients are central to mental health recovery, with good relationships linked to better therapeutic outcomes. Understanding the nurse-patient relationship in different contexts has implications for both care and safety.</p>
<p>The first paper is a systematic review of twenty-nine qualitative studies exploring nurses’ and patients’ experiences of the nurse-patient relationship in the context of restrictive interventions. This is a novel review question. A thematic synthesis found that patients and nurses experienced disempowerment, ambivalence, and disengagement in the relationship, though these experiences held different meanings for both groups. Studies were of mixed methodological quality, with rigour, ethical reporting, and researcher reflexivity lacking. The review indicates a need for interventions to ameliorate potential damage to the nurse-patient relationship following the use of restrictive interventions. </p>
<p>The second paper explored the role of relational factors in perceived safety within secure forensic mental health settings. Ten members of forensic mental health nursing staff were interviewed using semi-structured interviews, and their transcripts analysed using a constructivist Grounded Theory approach. A tentative model emerged from the data, suggesting that staff continually move away from and towards perceived safety, with relational factors mediating this ongoing process. Challenges arose which helped or hindered these processes. The model highlighted an important role for the staff team in perceived safety, suggesting greater attention should be placed on improving team cohesion and familiarity. A role for emotion regulation in perceived safety also emerged, which would benefit from greater exploration. There are clear implications for the need to attract and retain staff in forensic mental health settings. </p>
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| first_indexed | 2024-03-07T07:39:38Z |
| format | Thesis |
| id | oxford-uuid:a03a3e66-5885-4e55-b2fc-c9bd27a0c7c6 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T07:39:38Z |
| publishDate | 2022 |
| record_format | dspace |
| spelling | oxford-uuid:a03a3e66-5885-4e55-b2fc-c9bd27a0c7c62023-04-17T10:03:13ZEmma Tuckfield - A thesis submitted in partial fulfilment of the requirements of the degree of Doctor of Clinical Psychology (DClinPsych)Thesishttp://purl.org/coar/resource_type/c_db06uuid:a03a3e66-5885-4e55-b2fc-c9bd27a0c7c6Clinical psychologyForensic psychiatryGrounded theoryTherapeutic allianceEnglishHyrax Deposit2022Tuckfield, ELane, NWinder, RHarrison, SJenkins, HEvans, K<p>Relationships between nursing staff and patients are central to mental health recovery, with good relationships linked to better therapeutic outcomes. Understanding the nurse-patient relationship in different contexts has implications for both care and safety.</p> <p>The first paper is a systematic review of twenty-nine qualitative studies exploring nurses’ and patients’ experiences of the nurse-patient relationship in the context of restrictive interventions. This is a novel review question. A thematic synthesis found that patients and nurses experienced disempowerment, ambivalence, and disengagement in the relationship, though these experiences held different meanings for both groups. Studies were of mixed methodological quality, with rigour, ethical reporting, and researcher reflexivity lacking. The review indicates a need for interventions to ameliorate potential damage to the nurse-patient relationship following the use of restrictive interventions. </p> <p>The second paper explored the role of relational factors in perceived safety within secure forensic mental health settings. Ten members of forensic mental health nursing staff were interviewed using semi-structured interviews, and their transcripts analysed using a constructivist Grounded Theory approach. A tentative model emerged from the data, suggesting that staff continually move away from and towards perceived safety, with relational factors mediating this ongoing process. Challenges arose which helped or hindered these processes. The model highlighted an important role for the staff team in perceived safety, suggesting greater attention should be placed on improving team cohesion and familiarity. A role for emotion regulation in perceived safety also emerged, which would benefit from greater exploration. There are clear implications for the need to attract and retain staff in forensic mental health settings. </p> |
| spellingShingle | Clinical psychology Forensic psychiatry Grounded theory Therapeutic alliance Tuckfield, E Emma Tuckfield - A thesis submitted in partial fulfilment of the requirements of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title | Emma Tuckfield - A thesis submitted in partial fulfilment of the requirements of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title_full | Emma Tuckfield - A thesis submitted in partial fulfilment of the requirements of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title_fullStr | Emma Tuckfield - A thesis submitted in partial fulfilment of the requirements of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title_full_unstemmed | Emma Tuckfield - A thesis submitted in partial fulfilment of the requirements of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title_short | Emma Tuckfield - A thesis submitted in partial fulfilment of the requirements of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title_sort | emma tuckfield a thesis submitted in partial fulfilment of the requirements of the degree of doctor of clinical psychology dclinpsych |
| topic | Clinical psychology Forensic psychiatry Grounded theory Therapeutic alliance |
| work_keys_str_mv | AT tuckfielde emmatuckfieldathesissubmittedinpartialfulfilmentoftherequirementsofthedegreeofdoctorofclinicalpsychologydclinpsych |