Narrative and Meaning of Life: How Mental Health Nurses can Respond

Sitvast, Jan

doi:10.31031/pprs.2018.01.000503

Cited by 2 publications

(3 citation statements)

References 26 publications

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“…Narrative also allows for a better understanding of all mental disorders [30] and a holistic view of the patient experiencing mental illness, due to the patient's reference to his/her own childhood, disease symptoms, or social support [30]. It is noteworthy that nurses show the ability to reflect on the patient's subjectivity and needs when caring for them [31], but they also need narrative competence in order to help patients find their own story [32]. Narratives of people with mental health problems depicting mental health recovery can address both positive and nega-tive experiences of illness.…”

Section: Integrated Nursing Care -Analysismentioning

confidence: 99%

Selected aspects of narration in the integrated care of patients diagnosed with schizophrenia

Zurzycka,

Wojtas

2023

ppiel

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Narrative has found application in medicine and the art of healing. Its particular importance can be shown in the integrated care of patients with mental disorders, practiced by both physicians and nurses. The experience of mental illness resulting in a change of the patient's lifestyle builds an extremely rich human story, heard in the patient's narrative, which allows the patient to be perceived holistically. The resulting respect for the patients' individuality and subjectivity in the narrative, emphasizing their functioning in various dimensions, showing empathy is essential in caring for people who, due to psychopathological symptoms, are unable to interpret and perceive reality on their own, express emotions, or take care of their basic needs. The aim of this paper is to present selected narrative issues in the integrated nursing care of a patient with diagnosed schizophrenia.

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Section: Integrated Nursing Care -Analysismentioning

confidence: 99%

Selected aspects of narration in the integrated care of patients diagnosed with schizophrenia

Zurzycka,

Wojtas

2023

ppiel

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“…Finally, the second focus group underlined the importance of learning through using objects, in addition to learning through experience and language. Externalizing thoughts by using objects or visual aids can be particularly beneficial for service users with communicative and cognitive challenges [e.g., (60,61,82,83)].…”

Section: The Analysis Phasementioning

confidence: 99%

“…Moreover, the intervention should incorporate nonverbal components to meet the cognitive and communicative skills of the designated service users given their considerable impairments in these domains [e.g., (5,8,59)]. Examples of existing nonverbal methods include the use of photographs [Photovoice; e.g., (60)] or colored building blocks [e.g., (61)] to visualize a person's lived experience on a certain topic. Moreover, to optimize usability of the intervention, the needs of both service users as well as other stakeholders who support the recovery process (e.g., relatives and mental health professionals) with regard to the usability will be taken into account, as well throughout the development process.…”

Section: Introductionmentioning

confidence: 99%

Targeting Personal Recovery of People With Complex Mental Health Needs: The Development of a Psychosocial Intervention Through User-Centered Design

Meer

Jonker

Wadman³

et al. 2021

Front. Psychiatry

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Long-term admissions in psychiatric facilities often result in a gradual erosion of the identity of people diagnosed with severe mental illnesses (SMIs) into merely “patient.” Moreover, experiences of loss often reduced people's sense of purpose. Although regaining a multidimensional identity and a sense of purpose are essential for personal recovery, few interventions specifically address this, while at the same time take people's often considerable cognitive and communicative disabilities into consideration. This study describes the development process of a new intervention through user-centered design (UCD). UCD is an iterative process in which a product (in this case, an intervention) is developed in close cooperation with future users, such that the final product matches their needs. The design process included three phases: an analysis, design, and evaluation phase. In the analysis phase, the “problem” was defined, users' needs were identified, and design criteria were established. In the design phase, the collected information served as input to create a testable prototype using a process of design and redesign, in close collaboration with service users and other stakeholders. This resulted in an intervention entitled “This is Me” (TiM) in which service users, together with a self-chosen teammate, actively engage in new experiences on which they are prompted to reflect. Finally, in the evaluation phase, TiM was implemented and evaluated in a real-life setting. In a small feasibility pilot, we found indications that some people indeed demonstrated increased reflection on their identity during the intervention. Furthermore, TiM seemed to benefit the relationship between the service users and the mental health professionals with whom they underwent the experiences. The pilot also revealed some aspects of the (implementation of) TiM that can be improved. Overall, we conclude that UCD is a useful method for the development of a new psychosocial intervention. The method additionally increased our knowledge about necessary factors in targeting personal recovery for people with complex mental health needs. Moreover, we conclude that TiM is a promising tool for supporting people with SMI in redeveloping a multidimensional identity and a renewed sense of purpose.

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Narrative and Meaning of Life: How Mental Health Nurses can Respond

Cited by 2 publications

References 26 publications

Selected aspects of narration in the integrated care of patients diagnosed with schizophrenia

Selected aspects of narration in the integrated care of patients diagnosed with schizophrenia

Targeting Personal Recovery of People With Complex Mental Health Needs: The Development of a Psychosocial Intervention Through User-Centered Design

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