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Acute care psychiatric nursing interventions: the experience of expert nurses
Thomson, Andrea E.
Brandon University, Faculty of Health Studies
vi, 136 pages
Includes bibliographical references (pages 100-129). "Thesis submitted to the Faculty of Graduate Studies in partial fulfillment of the requirements for the degree of Master of Psychiatric Nursing."
Psychiatric nursing interventions are integral to the health and care of mental health clients. These interventions are embedded into every day nursing practice. The purpose of this research was to explore psychiatric nurses’ lived experiences providing nursing interventions to adult clients in acute care settings. Hermeneutic phenomenology, as outlined by van Manen, was utilized. Six expert psychiatric nurses, with many years of acute care practice in providing care to clients with complex problems through the use of critical skill provision, were recruited through purposive and snowball sampling. Data were collected through the use of open-ended, semi-structured research questions delivered through conversational interviews. Data analysis illuminated integrated themes of awareness and person-centered care (PCC). Awareness was further categorized into subthemes of self-awareness, awareness of the client, and situational awareness. PCC involved subthemes of delivering PCC plans; determining goals; fostering empathy, support, and hope; listening in one-to-one interactions; person-centered teaching; and enhancing coping strategies. Awareness and PCC interventions were harmonious and reciprocal in practice. Awareness was required to provide PCC and through the practice of PCC awareness grew. Use of the interventions involved a complex interplay of skills that were embodied into the caring responses provided by psychiatric nurses.
InterventionsAwarenessPresencePsychiatric nursingAcute careMental healthHermeneutic phenomenologyPerson-centered careCoping strategies
Psychiatric nursing--MethodsPsychiatric hospital patientsPsychotherapy patients
Brandon UniversityFaculty of Health Studies