How does stigma influence mental health nursing identities? An ethnographic study of the meaning of stigma for nursing role identities in two Belgian Psychiatric Hospitals

Sercu, Charlotte; Ayala, Ricardo; Bracke, Piet

doi:10.1016/j.ijnurstu.2014.07.017

Cited by 55 publications

(35 citation statements)

References 32 publications

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“…Their participants viewed this as 'work-family conflict' with nurses having to balance two interconnected roles'. Similarly, Sercu et al (2015) found that family experience of mental illness is one reason for nurses to choose their profession and has been shown to inform therapists' approaches and attitudes to their work (Telepak 2010). In Kidd's (2008) narrative accounts from nurses with mental illness, family and personal mental health history was a pervasive influence on life and work.…”

Section: Discussionmentioning

confidence: 99%

Interwoven histories: Mental health nurses with experience of mental illness, qualitative findings from a mixed methods study

Oates

Drey

Jones

2018

Int J Mental Health Nurs

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The effects of mental health nurses' own experience of mental illness or being a carer have rarely been researched beyond the workplace setting. This study aimed to explore how the experience of mental illness affects mental health nurses' lives outside of and inside work. A sample of 26 mental health nurses with personal experience of mental illness took part in semistructured interviews. Data were analysed thematically using a six-phase approach. The analysis revealed the broad context of nurses' experiences of mental illness according to three interwoven themes: mental illness as part of family life; experience of accessing services; and life interwoven with mental illness. Participants typically described personal and familial experience of mental illness across their life course, with multiple causes and consequences. The findings suggest that nurses' lives outside of work should be taken into account when considering the impact of their personal experience of mental illness. Similarly being a nurse influences how mental illness is experienced. Treatment of nurses with mental illness should account for their nursing expertise whilst recognizing that the context for nurses' mental illness could be much broader than the effect of workplace stress.

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Section: Discussionmentioning

confidence: 99%

Interwoven histories: Mental health nurses with experience of mental illness, qualitative findings from a mixed methods study

Oates

Drey

Jones

2018

Int J Mental Health Nurs

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“…The overarching theme of "breaking down stigma" which emerged in the new findings specifically emphasizes what urgently needs to occur if we are to entice nurses to choose mental health as their future career path. Our findings also suggest that the current mental health nursing is strongly motivated to put an end to stigma (Sercu et al, 2015), and as such is reflected under the themes of "visibility of mental health nursing" and "growing mental health nursing." If there is a serious attempt made to stamp out stigma, then this will go a long way to making mental health nursing a more desirable profession for new graduates and more experienced nurses seeking a career change.…”

Section: Implications For Practicementioning

confidence: 60%

Breaking down the stigma of mental health nursing: A qualitative study reflecting opinions from western australian nurses

Harrison

Hauck

Ashby

2017

Psychiatric Ment Health Nurs

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WHAT IS KNOWN ON THE SUBJECT?: The rate of mental illness in the general population is ever increasing Mental health nurses are ageing, and this is not a preferred career for new graduates; thus, recruitment and retention of mental health nurses is declining Stigma is attached to the view of mental illness and the role of a mental health nurse. If this stigma can be reduced, it may provide an opportunity for the profession to become more popular and assist recruitment in this area WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: Previous research has focused on why mental health nurses leave the profession which has not provided successful results This study adopts a new way of working whereby we gathered opinions from current mental health nurses focusing on why they originally wanted to work in mental health WHAT ARE THE IMPLICATIONS FOR PRACTICE?: New findings presented in this paper will guide improvements in nurse training, policy development for mental health services and improve recruitment of the next generation of mental health nurses The findings provide a strong message that in order to entice others to work in mental health, we need to first address breaking down the stigma related to mental health nursing ABSTRACT: Introduction A lack of understanding surrounding the role of mental health nursing is associated with recruitment and retention challenges. Additional complexities include stigma related to the role, an ageing workforce and dearth of graduates keen to pursue this career. Scientific Rational Previous research has focused on why nurses leave the profession which has not provided necessary solutions. There is a need to instead explore why nurses originally chose a career in mental health. Aim of study This qualitative study focused on opinions and experiences of existing mental health nurses to determine what could be performed to entice nurses to choose mental health. Methods A cross-sectional design involving a brief interview was conducted with 192 Western Australian nurses from one public mental health service. Results Thematic analysis revealed an overarching theme "breaking down stigma" and additional themes of: "visibility of mental health nursing" and "growing mental health nursing." Subthemes under "visibility" included "self-promotion" plus "industry and university promotion," whereas subthemes related to "growing" focused upon "improving the student experience." Finally, "recognizing the mental health specialty" was identified for an attractive career pathway. Discussion This study adds to international evidence and showcases unique insights from mental health nurses into why they chose a career in mental health whilst previously replicated research focused on why nurses chose to leave. Implications for practice Findings suggest that before we can entice nurses to choose mental health, there is urgency to reduce stigma related to the role. "Breaking down stigma" will allow the role to become more visible and be represented in a more positive authentic manner. New findings in this paper ...

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“…However, clients never mentioned nurses in their interviews. The role of the mental health nurse, as the studies indicate, is related to the therapeutic aspects of medical care, very much in accordance with the biomedical model, which leads to stigmatizing the mental illness and thus ends up affecting the construction of the identity of the role (Sercu, Ayala & Bracke ). On the other hand, nurses play important aspects of the profession, such as concern for the therapeutic environment, support people through education to understand their disease, to solve everyday problems, and to reduce the psychosocial consequences of this (Ergun et al ).…”

Section: Discussionmentioning

confidence: 99%

Living with bipolar disorder in Chile: A qualitative study

Hormazábal-Salgado

Troncoso

2019

Int J Mental Health Nurs

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Bipolar disorder (BD) is an important factor contributing to rates of higher morbidity and mortality with serious consequences on the quality of life. There is limited literature on life experience of people living with BD in Chile. For this reason, this study examines the life experiences of Chilean clients with BD. Semi-structured interviews were conducted, and clients aged 40-65 years, euthymic, with a preserved judgement of reality were included. A thematic analysis was conducted, and two themes and subthemes were extracted. The first theme is the life experiences of the disease, and it comprises the subtheme information about BD, life experiences of relapses (with acute experiences of disease, professional assistance, and prodromal symptom management), accepting the disease, accepting the medication, and being bipolar as a stigma. The second theme is that of family environment, which includes the subthemes of family support, lack of family support, and family crisis resulting from BD. The findings provide evidence to support the importance of accepting the disease, the long-term course of the disease, in addition to pharmacological treatment, which requires interventions from nurses when personal risk factors of acute episodes are identified and addressed. Besides, client and family members have to be actively involved. Future research should examine the relationship between stigma from bipolar disorder, perceptions from family members, and educational interventions from nurses and people affected by BD in Chile.

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How does stigma influence mental health nursing identities? An ethnographic study of the meaning of stigma for nursing role identities in two Belgian Psychiatric Hospitals

Cited by 55 publications

References 32 publications

Interwoven histories: Mental health nurses with experience of mental illness, qualitative findings from a mixed methods study

Interwoven histories: Mental health nurses with experience of mental illness, qualitative findings from a mixed methods study

Breaking down the stigma of mental health nursing: A qualitative study reflecting opinions from western australian nurses

Living with bipolar disorder in Chile: A qualitative study

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