[Negotiating the Space Between Openness and Rejection - Mental Health Nurses' Attitudes Towards Risk Behaviour of their Patients - A Qualitative Study].

Abstract:

:Objective Personal recovery as a key concept in mental health requests that people with severe mental illness need support in taking positive risks, especially from mental health nurses as key players in this context. In German-speaking countries, studies regarding positive risk-taking seem scarce. Attitude as a concept of social psychology seems to be important to this topic, because it strongly influences the human behavior. Therefore, this study examines the attitudes of mental health nurses in outpatient settings towards their patients taking positive risks and their perception of the institutional position regarding this issue. Methods Four focus group interviews were conducted and analyzed using a descriptive content-analysis approach. Results Three main categories were identified: the concept of risk, the nurses' ambivalence and the institutions' ambivalence. Nurses seem to generally connote risk negatively. Their attitudes towards positive risks can be described as ambivalent, oscillating between openness and aversion and their institutions perceive it similarly. Conclusion Results from other studies can be confirmed. Nurses expect clear position from their institution regarding positive risk-taking and increased support. Guidelines are missing in practice. :Ziel der Studie Beschreiben der Einstellung von Mitarbeitenden gegenüber dem Eingehen positiver Risiken ihrer Patienten, da darüber wenig bekannt ist und die Einstellung wesentlich zum Verständnis der aktuellen Praxis beiträgt. Methodik Anhand der Inhaltsanalyse von 4 Fokusgruppeninterviews wurde die Einstellung der Pflegenden gegenüber dem Eingehen positiver Risiken ihrer Patienten untersucht und wie sie ihre Institution dabei wahrnehmen. Ergebnisse Pflegende bewerten Risiken eher negativ, haben eine ambivalente Einstellung gegenüber positiven Risiken und nehmen ihre Institution auch so wahr. Schlussfolgerung Die Ergebnisse bestätigen Ergebnisse anderer Studien. Klare Leitlinien zum Thema fehlen in der Praxis.

journal_name

Psychiatr Prax

journal_title

Psychiatrische Praxis

authors

Burr C,Richter D

doi

10.1055/s-0042-113093

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

348-355

issue

6

eissn

0303-4259

issn

1439-0876

journal_volume

44

pub_type

杂志文章
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    authors: Rainer M,Mucke HA,Masching A,Haushofer M

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    authors: Hubschmid T,Perrin N,Ciompi L

    更新日期:1991-11-01 00:00:00

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    更新日期:2000-05-01 00:00:00

  • [The inpatient group in a psychiatric clinic--structure, interaction regulations, patient judgments].

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    更新日期:1982-09-01 00:00:00

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    abstract::The conditions determining statutory offences as represented by indictable sex offences, have been amended and revised by the 4th Penal Reform Law of the Federal German Penal Code, in 1973, under the heading "Indictable Offences against Sexual Self-Determination". This heading, which is meant to convey a programme, ho...

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    pub_type: 杂志文章

    doi:

    authors: Rasch W,Sassenberg U

    更新日期:1983-05-01 00:00:00

  • [Cost-effectiveness of galantamine in a german context].

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    journal_title:Psychiatrische Praxis

    pub_type: 临床试验,杂志文章

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    authors: Happich M,Schweikert B,Mühlbacher A

    更新日期:2005-04-01 00:00:00

  • [Working with a family systems therapy approach as part of the routine treatment on acute psychiatric wards: sustained effects on team members' workload].

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    pub_type: 评论,杂志文章

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    authors: Haun MW,Kordy H,Ochs M,Schweitzer J,Zwack J

    更新日期:2012-11-01 00:00:00

  • [Organization of a psychiatric department in the Hamburg-Eilbek general hospital--a description].

    abstract::In January 1980 a Psychiatric Department was established at the General Hospital for decentralised psychiatric treatment of inpatients. The article describes the preparatory planning which went into the concept of the Department. First of all, the Hospital is scheduled to look after a district with a population of 110...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Lorenzen H

    更新日期:1982-11-01 00:00:00

  • [The case of a 86-years old woman first diagnosed with Huntington's disease].

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    journal_title:Psychiatrische Praxis

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    doi:10.1055/s-2004-828455

    authors: Jähnel M

    更新日期:2004-11-01 00:00:00

  • [Day hospitals--predictors for utilisation and quality expectations from the perspective of family caregivers of dementia patients].

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    pub_type: 杂志文章

    doi:10.1055/s-0028-1090044

    authors: Donath C,Bleich S,Grässel E

    更新日期:2009-05-01 00:00:00

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    authors: Staiger T,Stiawa M,Mueller-Stierlin AS,Kilian R,Beschoner P,Gündel H,Becker T,Frasch K,Panzirsch M,Schmauß M,Krumm S

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    pub_type: 杂志文章,评审

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    更新日期:1993-09-01 00:00:00

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  • [Shared decision-making in the treatment of people with severe mental illness: a focus group study].

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    pub_type: 杂志文章

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  • [Munchhausen patients in general hospitals--Clinical features and treatment approaches in C-L psychiatry settings].

    abstract::Factitious disorders have been reported in 0.5 - 1 % of general hospital patients. It often takes several years until the disorder is detected. During this period, enormous health care cost can arise not least out of iatrogenic self-induced mutilations and related secondary somatic complications. Apart from surgeons a...

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  • [Treatment of depressive patients in private practice--empirical results, health political and social conditions and recommendations].

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    更新日期:2007-09-01 00:00:00

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    更新日期:1977-11-01 00:00:00

  • [New strategies in schizophrenia: impact of endophentotypes].

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  • ["If I were the department head in this case..."--interventional interview with patients and co-workers of a psychiatric department].

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    doi:10.1055/s-2001-13264

    authors: Scheidt P,Schweitzer J,Maischein L,Tebbe B,Hirschenberger N,Enssle M,Krause U,Voigtländer W

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  • [Dyslipidemia and schizophrenia].

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    doi:10.1055/s-2006-940056

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  • [The Quality of Inpatient Treatment of Elderly with Major Depression].

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