A hermeneutic approach to the characteristics of mental health nursing practice

Holm, Anne Lise; Severinsson, Elisabeth

doi:10.1111/j.1365-2850.2011.01736.x

Cited by 21 publications

(23 citation statements)

References 25 publications

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“…When the nurses act in accordance with their own values and interests, they can avoid feeling the stress that is often connected with acts of inauthenticity and thus gain positive health benefits. This results is in line with a study among nurses who work in palliative care that showed that authenticity is one of the most important characteristic of professionals [37], and also other studies that emphasized authenticity among nurses to be an important characteristic of professionals in their practice in dealing with patients in various critical conditions [38] [39]. As we mentioned earlier, authenticity in terms of higher-order strengths or capacities has, to our knowledge, not been identified as a personal resource in previous studies dealing with work engagement and staying healthy.…”

Section: Discussionsupporting

confidence: 80%

Experiences of Staying Healthy in Relationally Demanding Jobs: An Interpretative Phenomenological Study of Work-Engaged Nurses in the Hospital

Bjarnadottir¹,

Vik²

2015

OJN

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Background: Based on the experience of hospital nurses, the aim of this study is to explore the phenomenon of how work-engaged nurses stay healthy in relationally demanding jobs involving very sick and/or dying patients. Method: In-depth interviews were conducted with ten workengaged nurses employed at the main hospital in one region in Norway. The interviews were interpreted using the Interpretative Phenomenological Analysis method (IPA). Results: The results indicate the importance of using the personal resources: authenticity and a sense of humour for staying healthy. The nurses' authenticity, in the sense of having a strong sense of ownership towards their personal life experiences, and a sense of having a meaningful life in line with their own values and interests, was an important element when they considered their own health to be good in spite of repetitive strain injuries and perceived stress. These personal resources seem to be positively related to their well-being and work engagement, which serves as an argument for including them among other personal resources, often conceptualized in terms of Psychological Capital (PsyCap). The results also showed that the nurses worked actively and intentionally with conditions that could contribute to safeguarding their own health. Conclusion: The results indicated the importance of stimulating the nurses' area of knowledge about caring for themselves in order to enable them to maintain good physical and mental health. A focus on self-care should be part of the agenda as early as during nursing education.

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Section: Discussionsupporting

confidence: 80%

Experiences of Staying Healthy in Relationally Demanding Jobs: An Interpretative Phenomenological Study of Work-Engaged Nurses in the Hospital

Bjarnadottir¹,

Vik²

2015

OJN

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“…Life experience, not just of mental ill health, was something that gave the MHNs credibility and insight. Authenticity or 'use of self' is a common theme in other studies looking at MHNs' perceptions of their role (Hurley 2009, Holm & Severinsson 2011. It is associated with notions of 'the wounded healer', whereby personal insight gives the 'healer' stronger powers to cure fellow sufferers (Zerubavel & Wright 2012).…”

Section: Discussionmentioning

confidence: 99%

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

Oates

Drey

Jones

2017

Psychiatric Ment Health Nurs

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This is the accepted version of the paper.This version of the publication may differ from the final published version. Permanent repository link AbstractIntroduction: 'Expertise by experience' is a highly valued element of service delivery in recoveryoriented mental health care, but is unacknowledged within the mental health nursing literature.Aim: To explore the extent and influence of mental health professionals' personal experience of mental ill health on clinical practice.Method: Twenty seven mental health nurses with their own personal experience of mental ill health were interviewed about how their personal experience informed their mental health nursing practice, as part of a sequential mixed methods study.Results: The influence of personal experience in nursing work was threefold: first, through overt disclosure; second, through the 'use of the self as a tool'; third, through the formation of professional nursing identity.Discussion: Mental health nurses' experience of mental illness was contextualised by other life experiences and by particular therapeutic relationships and clinical settings. In previous empirical studies nurses have cited personal experience of mental illness as a motivator and an aspect of their identity. In this study there was also an association between personal experience and enhanced nursing expertise.Implications for practice: If drawing on personal experience is commonplace, then we must address the taboo of disclosure and debate the extent to which personal and professional boundaries are negotiated during clinical encounters.

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“…; Samuelsson et al . ), and that nurses might be in a position to access and affect consumers' intrapersonal experiences (Holm & Severinsson ). Clearly, engaging with consumers in direct, empathic ways to do this might be very challenging and confronting for nurses, requiring them to negotiate both personal and professional ‘demands and boundaries’ (Gilje et al .…”

Section: Discussion and Recommendationsmentioning

confidence: 99%

Therapeutic engagement between consumers in suicidal crisis and mental health nurses

Lees

Procter

Fassett

2014

Int J Mental Health Nurs

124

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Registered nurses within public mental health services play crucial roles in helping people recover from suicidal crisis. However, there is a lack of understanding of how care is experienced in this context, and available evidence suggests that nurses and consumers are often dissatisfied with the quality of care. There is thus an imperative to generate understanding of needs and experiences of both groups with a view to informing practice development. This article summarizes qualitative findings from a multimethod study undertaken in Australia, which surveyed and interviewed mental health nurses who had recent experience of caring for consumers in suicidal crisis in a hospital setting, and interviewed consumers who had recovered from a recent suicidal crisis. A framework was developed to guide the study and support ethical imperatives; in particular, the promotion of consumer well-being. The findings highlight that therapeutic interpersonal engagement between nurses and consumers was central to quality care. This was particularly noted, as engagement could help reduce consumer isolation, loss of control, distress, and objectification of the delivery of potentially-objectifying common interventions. Of concern, the results indicate a lack of therapeutic engagement from the perspective of both consumers and nurses. Recommendations to promote fuller therapeutic engagement are presented.

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A hermeneutic approach to the characteristics of mental health nursing practice

Cited by 21 publications

References 25 publications

Experiences of Staying Healthy in Relationally Demanding Jobs: An Interpretative Phenomenological Study of Work-Engaged Nurses in the Hospital

Experiences of Staying Healthy in Relationally Demanding Jobs: An Interpretative Phenomenological Study of Work-Engaged Nurses in the Hospital

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

Therapeutic engagement between consumers in suicidal crisis and mental health nurses

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