Abstract:
:The basically asymmetric character of the 'psychotic patient-psychiatric nurse' relationship constitutes an ethical challenge for the nurse. One aspect of this relationship is that nurses must constantly self-consciously control their behaviour towards the patient. There is some evidence that the patient sometimes feels offended because of his perception that the nurse rejects him. The purpose of this article is to examine the role rejection plays in the 'psychotic patient-psychiatric nurse' relationship and ethical implications this might have for the field of psychiatric nursing. This study is conducted using an ethnographic research design that includes participant observation and narrative interviews of nurses working on an acute ward of a psychiatric hospital. One case is analysed and discussed in depth through the philosophical insights (particularly 'the ethical demand') of the Danish moral philosopher K.E. Løgstrup. The psychotic patient, being vulnerable, dependent, and trusting, confronts the psychiatric nurse with a constant 'ethical demand' to take care of him. The patient's trust, and his fight to maintain his dignity, creates a risk of being rejected. The nurse, by resorting to the tactic of 'impersonal professional routine', which does not define the relationship as a personal encounter, creates boundaries between herself and the patient. The nurse's withdrawal from the patient's perception of reality is experienced by the patient as rejection and hence an offence of his dignity. The nurse's rejection of the patient has two causes: external factors--for example inadequate staffing--cause the nurse to be unable to live up to the professional ideal of 'welcoming' the patient; internal factors--for example the profession's understanding of itself--create an unclear understanding of the nurse's role and responsibilities. It is necessary to work with both the external and internal factors to improve psychiatric nursing.
journal_name
J Psychiatr Ment Health Nursjournal_title
Journal of psychiatric and mental health nursingauthors
Hem MH,Heggen Kdoi
10.1111/j.1365-2850.2004.00687.xsubject
Has Abstractpub_date
2004-02-01 00:00:00pages
55-63issue
1eissn
1351-0126issn
1365-2850pii
687journal_volume
11pub_type
杂志文章abstract::In this article we describe the findings of an exploratory study into the application of early recognition and early intervention methods aimed at prevention of psychotic relapses in patients with schizophrenia. Following the results we described in part 1, we now focus specifically on factors which favourably or adve...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2850.2002.00499.x
更新日期:2002-06-01 00:00:00
abstract::WHAT IS KNOWN ON THE SUBJECT?: Compared to the general population, people with mental illness die several years prematurely. The prevalence of chronic physical illnesses such as diabetes and cardiovascular disease is higher in people with mental health illnesses, putting them at increased risk of developing skin wound...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/jpm.12629
更新日期:2020-12-01 00:00:00
abstract::There has been a drive towards addressing the types of care and therapeutic interventions available to people with serious mental illness, which is reflected in the latest government mental health policy initiatives. Recent evidence strongly supports the implementation of psychological and social interventions for peo...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2004.00822.x
更新日期:2005-04-01 00:00:00
abstract::The aim of this paper is to describe the first 2 years of operation of an electronic system for reporting medication events in psychiatry (Medi-Event system). We have carried out a descriptive analysis of all medication events (errors, near misses and adverse drug reactions) reported between 1 March 2008 and 28 Februa...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2010.01664.x
更新日期:2011-05-01 00:00:00
abstract::The aim of this mini-ethnographic study was to describe medication administration (MA) in short-time inpatient psychiatric care. MA was observed on two psychiatric wards. Field-notes were taken and interviews were conducted with 15 voluntarily admitted patients and nine nurses. The data analysis was conducted as a dia...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2003.00714.x
更新日期:2004-04-01 00:00:00
abstract::WHAT IS KNOWN ON THE SUBJECT?: Stigma involves connecting individuals with a particular label to negative characteristics; this is based not on the stigmatized condition itself, but cultural reactions to it. Stigma exists towards nurses with mental illness. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: This paper offer...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/jpm.12306
更新日期:2017-06-01 00:00:00
abstract::This hermeneutic phenomenological study, informed by Max van Manen and Martin Heidegger, describes what it is like for four older women to live with depression. Each participant was interviewed up to three times. Interviews were semi-structured, audiotaped and transcribed verbatim. Data were analysed using van Manen's...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2009.01465.x
更新日期:2009-12-01 00:00:00
abstract::WHAT IS KNOWN ON THE SUBJECT?: Informal caregivers of psychiatric patients are vulnerable to many disturbances associated with the stress related to their activity. Caregivers who show a coping style focused on problem-solving report less psychological distress, and this approach positively influences the recovery pro...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/jpm.12403
更新日期:2017-10-01 00:00:00
abstract::Staff are injured more frequently than patients during the implementation of physical interventions. In essence the application of physical interventions is a form of manual handling, where the aggressive patient is the 'load'. In the non-mental healthcare environment, manual handling contributes to a large chunk of w...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2850.2008.01354.x
更新日期:2009-05-01 00:00:00
abstract::Psychiatric staff perceptions of aggression by psychiatric patients may affect the therapeutic relationship between care providers and patients in institutions. Attitudes to and the subjective experience of violence may also differ substantially between members of a single care team. This study seeks to validate the F...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2011.01870.x
更新日期:2012-12-01 00:00:00
abstract::Non-medical prescribing is a relatively new competency that appears to benefit both service users and health professionals alike. However, little is known about its use in mental health settings. This single case study in one UK National Health Service (NHS) Trust aimed to look at these views and consider how the role...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2010.01672.x
更新日期:2011-04-01 00:00:00
abstract::Poor practice associated with pro re nata (PRN) prescriptions in mental health is known to be common and can increase the risk of serious and potentially fatal side effects. A contributing factor to poor practice is the lack of a clear chain of accountability between the decision to prescribe and administer PRN prescr...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2012.01960.x
更新日期:2013-09-01 00:00:00
abstract:UNLABELLED:WHAT IS KNOWN ON THE SUBJECT?: There is emerging evidence highlighting the counter therapeutic impact of the use of restraint and promoting the minimization of this practice in mental health care. Mental health nurses are often the professional group using restraint and understanding factors influencing thei...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章,评审
doi:10.1111/jpm.12285
更新日期:2016-03-01 00:00:00
abstract::This grounded theory study was designed to generate a mid-range theory of treatment from the perspective of boys who have molested children and undergone outpatient treatment. Data included information from seven boys' charts, their written responses to open-ended questions, and audio-taped interviews. The interviews ...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2850.2003.00554.x
更新日期:2003-06-01 00:00:00
abstract::This paper argues that the secularization of madness, during the seventeenth and eighteenth centuries, occurred as a consequence of cultural change that accompanied the social upheavals of the age. In examining the reconciliation of competing explanations for madness, from theological and empirical viewpoints, it is s...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 历史文章,杂志文章
doi:10.1111/j.1365-2850.1996.tb00069.x
更新日期:1996-04-01 00:00:00
abstract::WHAT IS KNOWN ON THE SUBJECT?: The Depression, Anxiety and Stress Scale-21 (DASS-21) is a widely used measurement for psychological symptoms and distress. Some previous studies have shown that the DASS-21 can accurately measure symptoms of anxiety, depression and stress, while other studies have indicated that the DAS...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/jpm.12363
更新日期:2017-03-01 00:00:00
abstract::WHAT IS KNOWN ON THE SUBJECT?: Client aggression in forensic psychiatry is associated with burnout symptoms in nursing staff. It is unclear what mechanisms contribute to this relationship. The type and severity of aggression might be of importance in the association between client aggression and burnout symptoms, but ...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/jpm.12496
更新日期:2018-10-01 00:00:00
abstract::WHAT IS KNOWN ON THE SUBJECT?: Psychiatric day hospital (DH) treatment has been offered since the 1930s and is appropriate for individuals experiencing intense psychiatric symptoms without requiring 24-hour inpatient care. No empirical research has examined the specific purpose of DH treatment from the perspectives of...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/jpm.12405
更新日期:2017-10-01 00:00:00
abstract::Recent Australian Government policy reflects the integral nature of active consumer participation to the planning and delivery of mental health services. The effectiveness of consumer participation in improving mental health services has received some attention in the literature. Commonwealth Government funding enable...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2850.2003.00599.x
更新日期:2003-06-01 00:00:00
abstract::While there is agreement among stakeholders that change is required in mental healthcare, yet the precise nature of this change and how it should be brought about are relatively under-explored. Research has looked at developments taking place in primary mental health services, but relatively little has examined the wo...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2850.2002.00531.x
更新日期:2002-12-01 00:00:00
abstract::This paper examines the aids and barriers to implementing the psychosocial interventions (PSI) which trainees learned on two teaching modules. The main purpose of the modules is to teach trainees PSI to help them be more effective in their care of patients with severe mental illness. The trainees were qualified nurses...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2011.01752.x
更新日期:2012-02-01 00:00:00
abstract::WHAT IS KNOWN ON THE SUBJECT?: Internalized stigma in people diagnosed with mental illness has several negative outcomes; however, it remains unclear in an Indonesian context. The human rights of people diagnosed with mental illness in Indonesia have been routinely violated because of the existing stigma against menta...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/jpm.12611
更新日期:2020-10-01 00:00:00
abstract::The care of demented patients requires clear communication during care procedures. Earlier studies have shown that nurses were often vague in their verbal communication and unpublished observations indicated that in some cases demented patients continued to be verbally active after the nurses had left. This study aime...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.1995.tb00051.x
更新日期:1995-01-01 00:00:00
abstract::The purpose of this paper is to describe self-mutilation from the viewpoint of parents of self-mutilating Finnish adolescents. Four parents of self-mutilating adolescents were interviewed in depth. Qualitative content analysis was applied. Four main categories emerged: the phenomenon of self-mutilation, factors contri...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2007.01214.x
更新日期:2008-04-01 00:00:00
abstract::WHAT IS KNOWN ON THE SUBJECT?: Warwick-Edinburgh Mental Well-being Scale (WEMWBS) which is a measurement of mental health and well-being, was translated into Chinese to assess the reliability and validity in a sample of undergraduate nursing trainees in Wenzhou. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Currently, ...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/jpm.12344
更新日期:2016-11-01 00:00:00
abstract::People who have experienced self-harm report dissatisfaction with the care provided by statutory services. This review provides a critical exploration of the evidence examining the attitudes of healthcare professionals across both mental health and medical settings towards people who self-harm. It also explored in det...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2850.2010.01600.x
更新日期:2010-10-01 00:00:00
abstract::There is evidence to suggest that community mental health nurses experience stress and burnout related to their work. Previous research has been limited by a number of methodological problems. One of the problems is that studies have tended to have small or unrepresentative samples, and many researchers have only exam...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2850.2000.00351.x
更新日期:2000-12-01 00:00:00
abstract::This study examines the level of expressed emotion (EE) and burnout in staff caring for people with learning disabilities on a medium secure unit. The study aims to develop a baseline measure of EE and burnout in staff on the unit to be used for future service evaluation and to underpin interventions in the developing...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2007.01073.x
更新日期:2007-05-01 00:00:00
abstract::WHAT IS KNOWN ON THE SUBJECT?: Aggressive behaviour is a major problem in clinical practice of mental health care and can result in the use of coercive measures. Coercive measures are dangerous for psychiatric patients and international mental healthcare works on the elimination of these interventions. There is no pre...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章,评审
doi:10.1111/jpm.12586
更新日期:2020-08-01 00:00:00
abstract::Despite its prevalence there has been little academic research into swearing, and certainly none on its impact on nurses and nursing practice. Nurses are, of all health workers, most likely to be targets of verbal aggression, and up to 100% of nurses in mental health settings report verbal abuse. The literature contai...
journal_title:Journal of psychiatric and mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2850.2010.01554.x
更新日期:2010-08-01 00:00:00