The dynamics between structure and flexibility in constant observation of psychiatric inpatients with suicidal ideation.

Abstract:

:The aim of the study is to describe how expert nurses perform constant observation of patients with suicidal ideation. A qualitative content analysis is used to analyse individual and focus group interviews of five nurses. One main finding is identified: organizing phases and transitional phases formed during constant observation and the creation of a therapeutic relation. The findings are explained and discussed. In summary, the findings show that constant observation of inpatients with suicidal ideation seems to consist of two main aspects. One refers to its phases and consists primarily of assessing the need for control and controlling the patient from self-harm. The other aspect refers to the relationship between the nurse and the patient during a period of constant observation. There is a dynamic relation between structure and flexibility, and between control and the development of a therapeutic relationship between the patient and the nurse. The therapeutic relation is important when staff assess the need to continue round-the-clock observation.

authors

Vråle GB,Steen E

doi

10.1111/j.1365-2850.2005.00854.x

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

513-8

issue

5

eissn

1351-0126

issn

1365-2850

pii

JPM854

journal_volume

12

pub_type

杂志文章
  • Sexual abuse comfort scale: a scale to measure nurses' comfort to respond to sexual abuse in psychiatric populations.

    abstract::The purpose of the present study was to further contribute to the psychometric evaluation of the Sexual Abuse Comfort Scale (SACS) in order to provide a standardized measure that would assess the impact of educational programmes on nurses' comfort to intervene with psychiatric clients regarding sexual abuse. This stud...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2850.1997.00055.x

    authors: McCay E,Gallop R,Austin W,Bayer M,Peternelj-Taylor C

    更新日期:1997-10-01 00:00:00

  • Staff perspectives: What is the function of adult mental health day hospital programs?

    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

    authors: Taube-Schiff M,Ruhig M,Mehak A,Deathe van Dyk M,Cassin SE,Ungar T,Koczerginski D,Sockalingam S

    更新日期:2017-10-01 00:00:00

  • Care systematization in psychiatric nursing within the psychiatric reform context.

    abstract::The aim of this study was to approach care systematization in psychiatric nursing in two psychiatric disorder patients who attended 'Nossa Casa', São Lourenço do Sul, RS, Brazil. Nossa Casa services psychiatric patients in the community, focussing on: (i) permanence in their environment, allowing patients to remain cl...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1046/j.1351-0126.2001.00446.x

    authors: Hirdes A,Kantorski LP

    更新日期:2002-02-01 00:00:00

  • Ordinary chat and therapeutic conversation: phatic communication and mental health nursing.

    abstract::This paper offers a definition of 'phatic communication' and identifies examples of it. The paper also illustrates how a knowledge of such communication is useful for mental health nurses in conversation with their clients and colleagues. The importance of turn taking in conversations is also discussed in a cultural c...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2850.2003.00639.x

    authors: Burnard P

    更新日期:2003-12-01 00:00:00

  • 'Your experiences were your tools'. How personal experience of mental health problems informs mental health nursing practice.

    abstract::WHAT IS KNOWN ON THE SUBJECT?: 'Expertise by experience' has become an increasingly valued element of service design and delivery by mental health service providers. The extent and influence of mental health professionals' personal experience of mental ill health on clinical practice has seldom been interrogated in de...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/jpm.12376

    authors: Oates J,Drey N,Jones J

    更新日期:2017-09-01 00:00:00

  • Illicit drug users in Northern Ireland: perceptions and experiences of health and social care professionals.

    abstract::Over the 30 years of conflict, Northern Ireland escaped the worst excesses of illegal drug trafficking and usage. This was in large part due to the 'policing' of local community crime by paramilitaries. However, since the first 'cease-fire' in 1994 the province has witnessed a dramatic and unprecedented rise in the av...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2006.01015.x

    authors: McLaughlin D,McKenna H,Leslie J,Moore K,Robinson J

    更新日期:2006-12-01 00:00:00

  • Schizophrenia: revisited.

    abstract::Schizophrenia is a devastating illness for the affected individuals and their families. Health care providers and researchers are also challenged by the clinical heterogeneity of this disorder. The goal of the present paper is to offer an updated overview of the aetiology, definition, clinical manifestations and pharm...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2850.1997.00044.x

    authors: Provencher HL,Fournier JP,Dupuis N

    更新日期:1997-08-01 00:00:00

  • Reconciling scientific and religious discourse about madness during the age of reason: lessons for today?

    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

    authors: Weeks NP

    更新日期:1996-04-01 00:00:00

  • Newspaper coverage of a violent assault by a mentally ill person.

    abstract::The media is an important source of public information on mental ill-health. A man with a serious psychiatric illness attacked a minister with a knife at a Remembrance Sunday service in a remote, rural part of the Highlands, inflicting a severe facial wound. We aimed to identify lessons for the National Health Service...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2004.00743.x

    authors: Stark C,Paterson B,Devlin B

    更新日期:2004-12-01 00:00:00

  • Consent and long-term neuroleptic treatment.

    abstract::The involvement of clients in the process of developing their care and treatment package is well established. If a genuine collaboration in treatment is achieved one of the fundamental bases of this process lies with 'informed consent'. Neuroleptic medication forms the basis of relapse prevention treatment for people ...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2850.2002.00463.x

    authors: Harris NR,Lovell K,Day JC

    更新日期:2002-08-01 00:00:00

  • Stress and the quality of life in the parents of young people with intellectual disabilities.

    abstract::This paper reports the results of a study into stress and quality of life in the parents of young people with an intellectual disability. Research in this area often finds that parents suffer stress as a result of having a son or daughter with an intellectual disability. According to Glidden (1993), this has led to th...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:

    authors: Browne G,Bramston P

    更新日期:1998-10-01 00:00:00

  • Schizophrenia sufferers and their carers: a survey of understanding of the condition and its treatment, and of satisfaction with services.

    abstract::This paper reports a simple random survey of all identifiable schizophrenia sufferers, not in long-term residential or hospital care in one Health Board area. The survey was carried out (1) to assess service users' and carers' understanding of the illness, and (2) to assess perceptions of services by people with schiz...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.1994.tb00028.x

    authors: Wray SJ

    更新日期:1994-01-01 00:00:00

  • Psychological distress in student nurses undertaking an educational programme with professional registration as a nurse: Their perceived barriers and facilitators in seeking psychological support.

    abstract::WHAT IS KNOWN ON THE SUBJECT?: Psychological distress is a major health concern, and university student populations are at a risk due to high academic, economic and interpersonal demands at this time. While a number of studies have been conducted looking at distress and service uptake amongst university students, ther...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/jpm.12459

    authors: Mitchell AEP

    更新日期:2018-05-01 00:00:00

  • A concept analysis of relational aggression.

    abstract::The purpose of this article is to conduct a concept analysis of the phenomenon of relational aggression. With the increases in violence among our youth, the topic of aggression, and more specifically relational aggression, has gained an increasing interest. Discussion of relational aggression is imperative because it ...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2850.2007.01120.x

    authors: Gomes MM

    更新日期:2007-08-01 00:00:00

  • Rejection--a neglected phenomenon in psychiatric nursing.

    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 fee...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2004.00687.x

    authors: Hem MH,Heggen K

    更新日期:2004-02-01 00:00:00

  • Nurses' roles in systematic patient education sessions in psychiatric nursing.

    abstract::The purpose of this study is to gain understanding of nurses' expectations of their roles in systematic patient education in psychiatric inpatient care. Qualitative design was used in the study. The data were collected through interviews with nurses participating in the implementation of systematic patient education (...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2011.01833.x

    authors: Koivunen M,Huhtasalo J,Makkonen P,Välimäki M,Hätönen H

    更新日期:2012-08-01 00:00:00

  • CARE: a framework for mental health practice.

    abstract::Much has been written about care and its centrality to nursing practice. Yet nursing theories and frameworks surrounding care have either been esoteric or prescriptive and are seen as irrelevant to practice. This paper problematizes the notion of care with a view to developing a clearer, flexible framework for mental ...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2850.2003.00551.x

    authors: McAllister M,Walsh K

    更新日期:2003-02-01 00:00:00

  • Negotiating the boundaries: the experience of the mental health nurse at the interface with the criminal justice system.

    abstract::Community mental health nurses working within the criminal justice system undertake an important function with regard to the strategic intent that wherever possible, mentally disordered persons should receive care and treatment from health and social services. Their precise role, and the particular function of court d...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2850.2000.00294.x

    authors: Turnbull J,Beese J

    更新日期:2000-08-01 00:00:00

  • Pharmacological management of akathisia in combination with psychological interventions by a mental health nurse consultant.

    abstract::The article describes the management of akathisia by a mental health nurse (MHN) prescriber, working in partnership with the patient. A single-case design was used to evaluate this. It highlights three features: first, MHN can safely prescribe psychiatric medication in combination with concordance therapy. Second, the...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2006.00908.x

    authors: Jones M,Bennett J,Gray R,Arya P,Lucas B

    更新日期:2006-02-01 00:00:00

  • Relating with professionals.

    abstract::This paper addresses my difficulties as a carer in engaging with many professionals in mental health, both locally associated with my son's acute inpatient care, and nationally where policies are being developed and their implementation is pursued. All of us are affected by The Department of Health (DoH) Mental Health...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2850.2006.00974.x

    authors: Clarke C

    更新日期:2006-10-01 00:00:00

  • The nurse and the use of narrative: an approach to caring.

    abstract::The use by the nurse of the principles of narrative therapy to help patients re-author their personal narrative, and change it from a problem-saturated story to one that is more preferred, is explored. Three main narrative techniques: deconstruction, externalization and re-authoring are described. Examples of these te...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2009.01447.x

    authors: Aloi JA

    更新日期:2009-10-01 00:00:00

  • Treating first episode psychosis--the service users' perspective: a focus group evaluation.

    abstract::UK national guidance has prioritized developing specialist services for first episode psychosis. Such services are in the early stages of development and a definitive treatment model has yet to be established. The aim of this study was to explore service users' experiences of a first episode intervention designed alon...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2004.00730.x

    authors: O'Toole MS,Ohlsen RI,Taylor TM,Purvis R,Walters J,Pilowsky LS

    更新日期:2004-06-01 00:00:00

  • Resistance to changing practice from pro re nata prescriptions to patient group directions in acute mental health settings.

    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

    authors: Price O,Baker JA

    更新日期:2013-09-01 00:00:00

  • Factor structure and validity of the Depression, Anxiety and Stress Scale-21 in Swedish translation.

    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

    authors: Alfonsson S,Wallin E,Maathz P

    更新日期:2017-03-01 00:00:00

  • Forensic psychiatric nursing: skills and competencies: II clinical aspects.

    abstract::This study reports on research undertaken to identify the skills and competencies of forensic psychiatric nurses working in secure psychiatric services in the UK. The rationale for this research is the lack of clarity in the role definition of nurses working in these environments and the specific content that may unde...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2007.01192.x

    authors: Mason T,Coyle D,Lovell A

    更新日期:2008-03-01 00:00:00

  • Staff perception of their roles during the transition of psychiatric care into the community.

    abstract::The objective of this study was to investigate the staff's experiences involved in the processes of the transition of 20 non-demented long-stay psychiatric patients. Staff members expressed satisfaction from working outside the hospital. They believed that the patients' condition and their quality of life had improved...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.1995.tb00161.x

    authors: Reda S

    更新日期:1995-01-01 00:00:00

  • Training in cognitive behavioural interventions on acute psychiatric inpatient wards.

    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

    authors: McCann E,Bowers L

    更新日期:2005-04-01 00:00:00

  • Humanistic principles in relation to psychiatric nurse education: a review of the literature.

    abstract::This paper addresses the topic of humanistic educative principles and examines it in the context of Irish psychiatric nurse education. Humanistic or existential philosophy influences the nursing curriculum profoundly, and yet a dichotomy continues to exist in relation to the epistemological basis informing nurse educa...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2850.2006.01031.x

    authors: Scanlon A

    更新日期:2006-12-01 00:00:00

  • What can we expect of police in the face of deficient mental health systems? Qualitative insights from Chicago police officers.

    abstract::WHAT IS KNOWN ON THE SUBJECT?: People with serious mental illnesses are overrepresented in the criminal justice system. Interventions such as Crisis Intervention Teams and Co-responder Teams may improve police officers' ability to provide effective response. There is still a gap in our knowledge of the nature of the s...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/jpm.12691

    authors: Wood JD,Watson AC,Barber C

    更新日期:2021-02-01 00:00:00

  • An evaluation of a screening and brief intervention pilot project for hazardous and harmful drinkers within the accident and emergency department of Manchester Royal Infirmary.

    abstract::Hazardous and harmful drinkers make up a significant percentage of A and E attendees, and brief interventions have been shown to reduce harm among this particular group. This paper evaluates a pilot project which introduced a screening and brief intervention programme within the A and E department. This project aimed ...

    journal_title:Journal of psychiatric and mental health nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2850.2010.01684.x

    authors: O'Brien MT

    更新日期:2011-06-01 00:00:00