Being Open to a Process of Learning: The Meaning of Joint Activities With Patients as Narrated by Nursing Staff in Psychiatric Inpatient Care.

Andreas Glantz, Lena Wiklund Gustin, Ingeborg Nilsson, Anna Westerlund, Jenny Molin
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Abstract

Forming therapeutic relationships is considered important within psychiatric and mental health nursing. One way of achieving this is through social interaction when engaging in joint activities. However, introducing and using nursing interventions based on joint activities in psychiatric inpatient care has proven challenging. Since staff motivation is important, researching the meaning of engaging in joint activities from the nursing professional's point of view can provide information that is relevant in this area. This study aims to illuminate the meaning of participating in joint activities with patients as narrated by nursing professionals in psychiatric inpatient care. Narrative interviews with 14 nursing professionals with experience from psychiatric inpatient care were conducted. Data were analysed using phenomenological hermeneutics and reported following the consolidated criteria for reporting qualitative research (COREQ) guidelines. Results illuminate that engaging in joint activities means being open to a process of learning. Four themes contributed to this understanding: Struggling with uncertainty, discovering aspects of the other, unfolding paths to self-fulfilment and sharing personhood. Being open to a process of learning means being willing to face uncertainty when engaging in activities as well as being open to learning about oneself as well as the other. Through openness to this process of learning, a sharing of personhood can be achieved, where the nursing professional and the patient approach becoming two persons. Illuminating the meaning of joint activities from the nursing professionals' perspective may provide valuable insights related to introducing and using interventions focusing on joint activities.

对学习过程持开放态度:精神病住院护理中护理人员讲述的与患者共同活动的意义》。
在精神科和心理健康护理工作中,建立治疗关系非常重要。实现这一目标的方法之一是在开展联合活动时进行社交互动。然而,在精神病住院护理中引入和使用基于联合活动的护理干预措施已被证明具有挑战性。由于员工的积极性非常重要,因此从护理专业人员的角度研究参与联合活动的意义,可以为这一领域提供相关信息。本研究旨在通过精神病住院护理中护理专业人员的叙述,阐明与患者共同参与活动的意义。研究人员对 14 名具有精神病住院护理经验的护理专业人员进行了叙述式访谈。采用现象学诠释学对数据进行了分析,并根据定性研究报告综合标准(COREQ)指南进行了报告。结果表明,参与联合活动意味着对学习过程持开放态度。四个主题促成了这一认识:在不确定性中挣扎、发现他人的方方面面、展开自我实现之路和分享人格。对学习过程持开放态度意味着在参与活动时愿意面对不确定性,以及对学习自己和他人持开放态度。通过对这一学习过程的开放,可以实现人格共享,使护理专业人员和患者接近成为两个人。从护理专业人员的角度阐明共同活动的意义,可为引入和使用以共同活动为重点的干预措施提供有价值的见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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