Being the parent of a child who attempts suicide meant managing a life-threatening situation and the additional moral stigma. In part, the participants did this in the group by negotiating the character of the suicide attempt(s) and who was responsible.

The objective of this paper was to systematically review and critically evaluate all English language research papers reporting empirical studies of clinical supervision in psychiatric nursing. The first part of the search strategy was a combination of brief and building block strategies in the PubMed, CINAHL, and PsycINFO databases. The second part was a citation pearl growing strategy with reviews of 179 reference lists. In total, the search strategy demonstrated a low level of precision and a high level of recall. Thirty four articles met the criteria of the review and were systematically evaluated using three checklists. The findings were summarized by using a new checklist with nine overall questions regarding the studies' design, methods, findings, and limitations. The studies were categorized as: (i) effect studies; (ii) survey studies; (iii) interview studies; and (iv) case studies. In general, the studies were relatively small scale; they used relatively new and basic methods for data collection and analysis, and rarely included sufficient strategies for identifying confounding factors or how the researchers' preconceptions influenced the analyses. Empirical research of clinical supervision in psychiatric nursing was characterized by a basic lack of agreement about which models and instruments to use. Challenges and recommendations for future research are discussed. Clinical supervision in psychiatric nursing was commonly perceived as a good thing, but there was limited empirical evidence supporting this claim.

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traynor m., boland m. & buus n. (2010) Autonomy, evidence and intuition: nurses and decision‐making. Journal of Advanced Nursing 66(7), 1584–1591. Abstract Title.  Autonomy, evidence and intuition: nurses and decision‐making. Aim.  This paper is a report of a study conducted to examine how nurses represent professional clinical decision‐making processes, and to determine what light Jamous and Peloille’s ‘Indeterminacy/Technicality ratio’ concept can shed on these representations. Background.  Classic definitions of professional work feature autonomy of decision‐making and control over the field of work. Sociologists Jamous and Peloille have described professional work as being high in ‘indeterminacy’ (the use of tacit judgements) relative to technicality (activity able to be codified). The rise of the evidence‐based practice movement has been seen as increasing the realm of technical decision‐making in healthcare, and it is relevant to analyse nurses’ professional discourse and study how they respond to this increase. Method.  Three focus groups with qualified nurses attending post‐qualifying courses at a London university were held in 2008. Participants were asked to talk about influences on their decision‐making. The discussions were tape‐recorded, transcribed and subjected to discourse analysis. Findings.  Participants described their decision‐making as influenced by both indeterminate and technical features. They acknowledged useful influences from both domains, but pointed to their personal ‘experience’ as the final arbiter of decision‐making. Their accounts of decision‐making created a sense of professional autonomy while at the same time protecting it against external critique. Conclusion.  Pre‐ and post‐registration nurse education could encourage robust discussion of the definition and roles of ‘irrational’ aspects of decision‐making and how these might be understood as components of credible professional practice.

Open Dialogue is a resource-oriented mental health approach, which mobilises a crisis-struck person's psychosocial network resources. This scoping review 1) identifies the range and nature of literature on the adoption of Open Dialogue in Scandinavia in places other than the original sites in Finland, and 2) summarises this literature. We included 33 publications. Most studies in this scoping review were published as "grey" literature and most grappled with how to implement Open Dialogue faithfully. In the Scandinavian research context, Open Dialogue was mainly described as a promising and favourable approach to mental health care.