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A thematic analysis of care provider experiences of using self‐harm abstinence agreements in psychiatric inpatient care
AIM: Traditional methods used when managing self‐harm in a psychiatric inpatient setting tend to infringe on the autonomy of the individuals receiving treatment and are often experienced as practically and emotionally challenging by care providers. Therefore, we examined care providers’ experiences...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8186717/ https://www.ncbi.nlm.nih.gov/pubmed/33620760 http://dx.doi.org/10.1002/nop2.795 |
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author | Bjärehed, Jonas Ingelsson Lindell, Evelina Westling, Sofie |
author_facet | Bjärehed, Jonas Ingelsson Lindell, Evelina Westling, Sofie |
author_sort | Bjärehed, Jonas |
collection | PubMed |
description | AIM: Traditional methods used when managing self‐harm in a psychiatric inpatient setting tend to infringe on the autonomy of the individuals receiving treatment and are often experienced as practically and emotionally challenging by care providers. Therefore, we examined care providers’ experiences of an alternative method negotiating self‐harm abstinence agreements, which can be viewed as a form of positive risk taking. DESIGN: A qualitative approach using semi‐structured interviews with twelve mental health professionals. METHODS: Thematic analysis of the interviews. RESULTS: Five themes emerged; “No‐harm agreements versus constant observation and coercion,” “No‐harm agreements to promote independence and collaboration,” “No‐harm agreements’ effect on ward safety,” “Ambiguity surrounding the no‐harm agreements” and “Ethical complexities of the no‐harm agreements.” These indicated perceived positive effects on the therapeutic relationship, the individuals’ autonomous functioning and the ward environment, but also practical and ethical difficulties. |
format | Online Article Text |
id | pubmed-8186717 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-81867172021-06-15 A thematic analysis of care provider experiences of using self‐harm abstinence agreements in psychiatric inpatient care Bjärehed, Jonas Ingelsson Lindell, Evelina Westling, Sofie Nurs Open Research Articles AIM: Traditional methods used when managing self‐harm in a psychiatric inpatient setting tend to infringe on the autonomy of the individuals receiving treatment and are often experienced as practically and emotionally challenging by care providers. Therefore, we examined care providers’ experiences of an alternative method negotiating self‐harm abstinence agreements, which can be viewed as a form of positive risk taking. DESIGN: A qualitative approach using semi‐structured interviews with twelve mental health professionals. METHODS: Thematic analysis of the interviews. RESULTS: Five themes emerged; “No‐harm agreements versus constant observation and coercion,” “No‐harm agreements to promote independence and collaboration,” “No‐harm agreements’ effect on ward safety,” “Ambiguity surrounding the no‐harm agreements” and “Ethical complexities of the no‐harm agreements.” These indicated perceived positive effects on the therapeutic relationship, the individuals’ autonomous functioning and the ward environment, but also practical and ethical difficulties. John Wiley and Sons Inc. 2021-02-23 /pmc/articles/PMC8186717/ /pubmed/33620760 http://dx.doi.org/10.1002/nop2.795 Text en © 2021 The Authors. Nursing Open published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Research Articles Bjärehed, Jonas Ingelsson Lindell, Evelina Westling, Sofie A thematic analysis of care provider experiences of using self‐harm abstinence agreements in psychiatric inpatient care |
title | A thematic analysis of care provider experiences of using self‐harm abstinence agreements in psychiatric inpatient care |
title_full | A thematic analysis of care provider experiences of using self‐harm abstinence agreements in psychiatric inpatient care |
title_fullStr | A thematic analysis of care provider experiences of using self‐harm abstinence agreements in psychiatric inpatient care |
title_full_unstemmed | A thematic analysis of care provider experiences of using self‐harm abstinence agreements in psychiatric inpatient care |
title_short | A thematic analysis of care provider experiences of using self‐harm abstinence agreements in psychiatric inpatient care |
title_sort | thematic analysis of care provider experiences of using self‐harm abstinence agreements in psychiatric inpatient care |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8186717/ https://www.ncbi.nlm.nih.gov/pubmed/33620760 http://dx.doi.org/10.1002/nop2.795 |
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