A qualitative approach was used to explore workplace experiences of nurses who have a mental illness. Interview transcripts from 29 nurses in New South Wales, Australia were subjected to discourse analysis. One significant finding was a theme depicting the need for support and trust. This superordinate theme encompassed four subelements: declaring mental illnesses, collegial support, managerial support, and enhancing support. Most of the participants portrayed their workplace as an unsupportive and negative environment. A number of colleagues were depicted as having little regard for the codes for professional nursing practice. This paper shows how nurses in the study dealt with the workplace support associated with mental illness.
BackgroundThe significance of occupational violence in general practice is well established, but research has focused almost exclusively on the experiences of GPs. Only limited research has examined the role of general practice receptionists despite their acknowledged vulnerability to violent patient behaviour. No qualitative research has explored this problem. AimTo explore the experiences of general practice receptionists regarding occupational violence and the effects of violence on their psychological and emotional wellbeing and on their work satisfaction and performance. Design of studyQualitative study. SettingConstituent practices of an Australian network of research general practices. Practices were located in a range of socioeconomic settings. MethodSemi-structured interviews were conducted with practice receptionists. The interviews were audiotaped, transcribed, and subjected to thematic analysis employing a process of constant comparison in which data collection and analysis were cumulative and concurrent. Qualitative written responses from a crosssectional questionnaire-based study performed concurrently with the qualitative study were similarly analysed. ResultsNineteen interviews were conducted and 12 written responses were received. Violence was found to be a common, sometimes pervasive, experience of many receptionists. Verbal abuse, both 'across the counter' and telephone abuse, was the most prominent form of violence, although other violence, including assault and threats with guns, was reported. Experiences of violence could have marked emotional and psychological effects and could adversely affect job satisfaction, performance, and commitment. ConclusionIt is apparent that occupational violence is a whole-ofpractice problem and strategies for GP and staff safety will need to take a whole-of-practice approach.
This qualitative study explored the workplace experiences of nurses who have a mental illness. The ultimate goal of the study was to gain insights that would lead to the development of more supportive environments for these nurses. Interviews were conducted with 29 nurses in New South Wales, Australia. The interview transcripts were subjected to discourse analysis. One significant finding was the theme 'Crossing the boundary - from nurse to patient'. This encompassed three sub-themes: 'Developing a mental illness', 'Hospital admission', and 'Being managed'. For most of the participants, being a nurse with a mental illness was largely a negative experience. Often, nurses without a mental illness actively sought to reform the participants' behaviour to enforce what was seen as appropriate conduct for a professional nurse. This paper shows how nurses in this study dealt with the early concerns associated with mental illness.
The main aim of this study was to explore the immediate needs of the relatives of acutely ill older people during hospitalisation. The research question posed was: 'What are the immediate needs of the relatives1 of acutely ill older people in the hospital setting?' A descriptive qualitative approach was utilized, with ethnographic data collection methods and thematic data analysis. Unstructured interviews were conducted with relatives of older people who were admitted for acute care. The setting for the study included two large tertiary referral hospitals located in two area health services in New SouthWales,Australia. Analysis of data revealed two themes: being informed and being there. Being informed describes the nature of the information that relatives need and why this is so important to them. Being there illustrates how relatives perceive their roles and responsibility during hospitalisation. It highlights the importance of this and the impact it has on individuals The findings highlight the importance of appreciating the family's experiences in relation to the care of their older family member. They point to the need for education of stakeholders to focus on relatives as well as the older patient, improved assessment incorporating a whole of family approach on admission to hospital, and finally, facilitating positive relationships between ward staff and families.
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