Barriers Experienced by Psychiatric Nurses to Facilitate Therapeutic Relationships With Mental Healthcare Users With Dual Diagnosis in a Psychiatric Hospital in South Africa.
Thomas Mathebula, Anna Elizabeth van der Wath, Thifhelimbilu Irene Ramavhoya
{"title":"Barriers Experienced by Psychiatric Nurses to Facilitate Therapeutic Relationships With Mental Healthcare Users With Dual Diagnosis in a Psychiatric Hospital in South Africa.","authors":"Thomas Mathebula, Anna Elizabeth van der Wath, Thifhelimbilu Irene Ramavhoya","doi":"10.1111/jpm.13136","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Psychiatric nurses are in a unique position to build therapeutic relationships with mental healthcare users with dual diagnoses to foster trust and recovery. However, a dual diagnosis poses barriers to establishing and maintaining a therapeutic nurse-patient relationship.</p><p><strong>Aim: </strong>The overall aim of this study was to explore and describe barriers experienced by psychiatric nurses to facilitate therapeutic relationships with mental healthcare users with dual diagnosis in a psychiatric hospital in Limpopo province, South Africa.</p><p><strong>Design: </strong>A qualitative, explorative, descriptive and contextual design was followed.</p><p><strong>Method: </strong>Semi-structured interviews were conducted with 12 purposively selected participants who cared for mental healthcare users with dual diagnoses. Tech's method of open coding was used to analyse the data.</p><p><strong>Findings: </strong>Disruptive and disrespectful behaviour and mental healthcare users' substance use during hospitalisation resulted in nurses harbouring ambivalent feelings that impaired therapeutic nurse-patient relationships.</p><p><strong>Conclusion: </strong>The barriers affecting therapeutic relationships with mental healthcare users with dual diagnosis should be addressed to enhance recovery and treatment compliance.</p><p><strong>Recommendations: </strong>An integrated approach with the involvement of the interprofessional team, debriefing and training for nurses may help to foster therapeutic nurse-patient relationships, empower nurses and enhance the recovery of mental healthcare users with dual diagnosis.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Psychiatric and Mental Health Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jpm.13136","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Psychiatric nurses are in a unique position to build therapeutic relationships with mental healthcare users with dual diagnoses to foster trust and recovery. However, a dual diagnosis poses barriers to establishing and maintaining a therapeutic nurse-patient relationship.
Aim: The overall aim of this study was to explore and describe barriers experienced by psychiatric nurses to facilitate therapeutic relationships with mental healthcare users with dual diagnosis in a psychiatric hospital in Limpopo province, South Africa.
Design: A qualitative, explorative, descriptive and contextual design was followed.
Method: Semi-structured interviews were conducted with 12 purposively selected participants who cared for mental healthcare users with dual diagnoses. Tech's method of open coding was used to analyse the data.
Findings: Disruptive and disrespectful behaviour and mental healthcare users' substance use during hospitalisation resulted in nurses harbouring ambivalent feelings that impaired therapeutic nurse-patient relationships.
Conclusion: The barriers affecting therapeutic relationships with mental healthcare users with dual diagnosis should be addressed to enhance recovery and treatment compliance.
Recommendations: An integrated approach with the involvement of the interprofessional team, debriefing and training for nurses may help to foster therapeutic nurse-patient relationships, empower nurses and enhance the recovery of mental healthcare users with dual diagnosis.
期刊介绍：
The Journal of Psychiatric and Mental Health Nursing is an international journal which publishes research and scholarly papers that advance the development of policy, practice, research and education in all aspects of mental health nursing. We publish rigorously conducted research, literature reviews, essays and debates, and consumer practitioner narratives; all of which add new knowledge and advance practice globally.
All papers must have clear implications for mental health nursing either solely or part of multidisciplinary practice. Papers are welcomed which draw on single or multiple research and academic disciplines. We give space to practitioner and consumer perspectives and ensure research published in the journal can be understood by a wide audience. We encourage critical debate and exchange of ideas and therefore welcome letters to the editor and essays and debates in mental health.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
