The experiences of inpatient nursing staff caring for young people with early psychosis

Journal article


Thompson, J, Boden, Z, Newton, EK, Fenton, K, Hickman, G and Larkin, M (2019). The experiences of inpatient nursing staff caring for young people with early psychosis. Journal of Research in Nursing. 24 (1-2), pp. 75-85.
AuthorsThompson, J, Boden, Z, Newton, EK, Fenton, K, Hickman, G and Larkin, M
Abstract

Background Early Intervention services aim to improve outcomes for people with first episode psychosis, and where possible, to prevent psychiatric hospital admission. When hospitalisation does occur, inpatient staff are required to support patients and families who may be less familiar with services, uncertain about possible outcomes, and may be experiencing psychiatric hospital for the first time. Aims Our study aimed to understand the process of hospitlisation in early psychosis, from the perspective in inpatient nursing staff. We were particularly interested in their experiences of working with younger people, in the context of adult psychiatric wards. Methods Nine inpatient nursing staff took part in semi-structured interviews, which were transcribed, and then analysed using Interpretative Phenomenological Analysis. Results Five themes are outlined:“It’s all new and it’s all learning”; The threatening, unpredictable environment; Care and conflict within the intergenerational relationship; Motivation and hope; and Coping and self-preservation. Conclusions The phenomenological focus of our approach throws the relational component of psychiatric nursing into sharp relief. We reflect upon the implications for organisations, staff, families and young people. We suggest that the conventional mode of delivering acute psychiatric inpatient care is not likely to support the best relational and therapeutic outcomes.

Keywords1110 Nursing; Nursing
Year2019
JournalJournal of Research in Nursing
Journal citation24 (1-2), pp. 75-85
PublisherSAGE Publications
ISSN1744-9871
Digital Object Identifier (DOI)doi:10.1177/1744987118818857
Publication dates
Print05 Mar 2019
Publication process dates
Deposited16 Oct 2018
Accepted15 Oct 2018
Accepted author manuscript
License
CC BY 4.0
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https://openresearch.lsbu.ac.uk/item/86758

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