'Acknowledge me as a capable person': How people with mental ill health describe their experiences with general emergency care staff - A qualitative interview study.
emergency care
encounter
experiences
mental ill health
qualitative research
recovery
Journal
International journal of mental health nursing
ISSN: 1447-0349
Titre abrégé: Int J Ment Health Nurs
Pays: Australia
ID NLM: 101140527
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
revised:
07
06
2021
received:
05
03
2021
accepted:
15
06
2021
pubmed:
2
7
2021
medline:
5
11
2021
entrez:
1
7
2021
Statut:
ppublish
Résumé
People with mental ill health attend general emergency care more often than others for physical and psychiatric care needs. Staff in general emergency care report they lack knowledge and strategies to meet with and care for people with mental ill health. This study aimed to describe how people with mental ill health experience encounters with staff in general emergency care. We conducted individual semi-structured interviews with 11 people with mental ill health about their experiences in general emergency care and subjected the interview data to qualitative content analysis. Our results show the importance to people with mental ill health of being acknowledged as capable persons, and how this relates to their experiences of being recognized, ignored, or dismissed by staff in general emergency care. Even small, ordinary aspects of staff/patient interactions can have major impacts on a person's recovery and well-being. The study is reported according to the consolidated criteria for reporting qualitative research (COREQ) guidelines.
Types de publication
Journal Article
Langues
eng
Pagination
1539-1549Subventions
Organisme : Kempestiftelserna
Organisme : Swedish Association of Psychiatric and Mental Health Nurses
Informations de copyright
© 2021 The Authors. International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.
Références
Anthony, W.A. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16 (4), 11-23. https://doi.org/10.1037/h0095655.
Australian Government: The Department of Health (2010). Principles of recovery oriented mental health practice. [Cited 9 February 2021]. Available from: URL: https://www1.health.gov.au/internet/publications/publishing.nsf/Content/mental-pubs-i-nongov-toc~mental-pubs-i-nongov-priAccessed
Barker, P. & Buchanan-Barker, P. (2005). The Tidal Model: A Guide for Mental Health Professionals. http://193.137.135.181/BiblioNET/Upload/Tidal%20Model.pdf
Biddle, L., Cooper, J., Owen-Smith, A. et al. (2013). Qualitative interviewing with vulnerable populations: Individuals’ experiences of participating in suicide and self-harm based research. Journal of Affective Disorders, 145 (3), 356-362. https://doi.org/10.1016/j.jad.2012.08.024.
Bird, V., Leamy, M., Tew, J., Le Boutillier, C., Williams, J. & Slade, M. (2014). Fit for purpose? Validation of a conceptual framework for personal recovery with current mental health consumers. Australian and New Zealand Journal of Psychiatry, 48 (7), 644-653. https://doi.org/10.1177/0004867413520046.
Borg, M. & Kristiansen, K. (2004). Recovery-oriented professionals: Helping relationships in mental health services. Journal of Mental Health, 13 (5), 493-505. https://doi.org/10.1080/09638230400006809.
Brinkmann, S. & Kvale, S. (2014). Interviews: Learning the craft of qualitative research interviewing, 3rd edn. Thousand Oaks, CA: SAGE Publications.
Broadbent, M., Moxham, L. & Dwyer, T. (2014). Implications of the emergency department triage environment on triage practice for clients with a mental illness at triage in an Australian context. Australasian Emergency Nursing Journal, 17 (1), 23-29. https://doi.org/10.1016/j.aenj.2013.11.002.
Chapman, R. & Martin, C. (2014). Perceptions of Australian emergency staff towards patients presenting with deliberate self-poisoning: A qualitative perspective. International Emergency Nursing, 22 (3), 140-145. https://doi.org/10.1016/j.ienj.2014.03.002.
Cisna, K.L. & Sieburg, E. (1981). Patterns of interactional confirmation and disconfirmation. In: C. Wilder-Mott & J.H. Weakland (Eds). Rigor & imagination: Essays from the legacy of Gregory Bateson (pp. 253-282). New York: Praeger Publishers.
Clarke, D.E., Dusome, D. & Hughes, L. (2007). Emergency department from the mental health client’s perspective. International Journal of Mental Health Nursing, 16 (2), 126-131. https://doi.org/10.1111/j.1447-0349.2007.00455.x.
Davidson, L. & Roe, D. (2007). Recovery from versus recovery in serious mental illness: One strategy for lessening confusion plaguing recovery. Journal of Mental Health, 16 (4), 459-470. https://doi.org/10.1080/09638230701482394.
Digel Vandyk, A., Young, L., MacPhee, C. & Gillis, K. (2018). Exploring the experiences of people who frequently visit the emergency department for mental health-related reasons. Qualitative Health Research, 28 (4), 587-599. https://doi.org/10.1177/1049732317746382.
Graneheim, U.H., Lindgren, B.-M. & Lundman, B. (2017). Methodological challenges in qualitative content analysis: A discussion paper. Nurse Education Today, 56, 29-34. https://doi.org/10.1016/j.nedt.2017.06.002.
Graneheim, U.H. & Lundman, B. (2004). Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24 (2), 105-112. https://doi.org/10.1016/j.nedt.2003.10.001.
Grant, V.J. & Briscoe, J. (2002). Everyday ethics in an acute psychiatric unit. Journal of Medical Ethics, 28 (3), 173-176. https://doi.org/10.1136/jme.28.3.173.
Happell, B., Ewart, S.B., Bocking, J., Platania-Phung, C. & Stanton, R. (2016). “That red flag on your file”: misinterpreting physical symptoms as mental illness. Journal of Clinical Nursing, 25 (19-20), 2933-2942. https://doi.org/10.1111/jocn.13355.
Harris, B., Beurmann, R., Fagien, S. & Shattell, M.M. (2016). Patients’ experiences of psychiatric care in emergency departments: A secondary analysis. International Emergency Nursing, 26, 14-19. https://doi.org/10.1016/j.ienj.2015.09.004.
Holmberg, F. & Fagerberg, I. (2010). The encounter with the unknown: Nurses lived experiences of their responsibility for the care of the patient in the Swedish ambulance service. International Journal of Qualitative Studies on Health and Well-being, 5 (2), 5098. https://doi.org/10.3402/qhw.v5i2.5098.
Holmberg, M., Hammarbäck, S. & Andersson, H. (2020). Registered nurses’ experiences of assessing patients with mental illness in emergency care: A qualitative descriptive study. Nordic Journal of Nursing Research, 40 (3), 151-161. https://doi.org/10.1177/2057158520941753.
Jelinek, G.A., Weiland, T.J., Mackinlay, C., Gerdtz, M. & Hill, N. (2013). Knowledge and confidence of Australian emergency department clinicians in managing patients with mental health-related presentations: findings from a national qualitative study. International Journal of Emergency Medicine, 6 (2), 2-7. https://doi.org/10.1186/1865-1380-6-2.
Kagan, P. (2008). Listening: Selected perspectives in theory and research. Nursing Science Quarterly, 21 (2), 105-110. https://doi.org/10.1177/0894318408315027.
Koning, K.L., McNaught, A. & Tuffin, K. (2018). Emergency department staff beliefs about self-harm: A thematic framework analysis. Community Mental Health Journal., 54 (6), 814-822. https://doi.org/10.1007/s10597-017-0178-8.
Krippendorff, K. (2013). Content analysis: An introduction to its methodology, 3rd edn. Thousand Oaks, CA: SAGE Publications.
Lea Gaydos, H. (2005). Understanding personal narratives: An approach to practice. Journal of Advanced Nursing, 49 (3), 254-259. https://doi.org/10.1111/j.1365-2648.2004.03284.x.
Lindgren, B.-M., Lundman, B. & Graneheim, U.H. (2020). Abstraction and interpretation during the qualitative content analysis process. International Journal of Nursing Studies, 108, https://doi.org/10.1016/j.ijnurstu.2020.103632 103632.
Lindgren, B.-M., Svedin, C.G. & Werkö, S. (2018). A systematic literature review of experiences of professional care and support among people who self-harm. Archives of Suicide Research, 22 (2), 173-192. https://doi.org/10.1080/13811118.2017.1319309.
Marynowski-Traczyk, D. & Broadbent, M. (2011). What are the experiences of emergency department nurses in caring for clients with a mental illness in the emergency department? Australasian Emergency Nursing Journal, 14 (3), 172-179. https://doi.org/10.1016/j.aenj.2011.05.003.
Meehan, T., Baker, D., Blyth, D. & Stedman, T. (2020). Repeat presentations to the emergency department for non-fatal suicidal behaviour: Perceptions of patients. International Journal of Mental Health Nursing, 30 (1), 200-207. https://doi.org/10.1111/inm.12773.
Morphet, J., Innes, K., Munro, I. et al. (2012). Managing people with mental health presentations in emergency departments - A service exploration of the issues surrounding responsiveness from a mental healthcare consumer and carer perspective. Australasian Emergency Nursing Journal, 15 (3), 148-155. https://doi.org/10.1016/j.aenj.2012.05.003.
Owens, C., Hansford, L., Sharkey, S. & Ford, T. (2016). Needs and fears of young people presenting at accident and emergency department following an act of self-harm: Secondary analysis of qualitative data. The British Journal of Psychiatry, 208, 286-291. https://doi.org/10.1192/bjp.bp.113.141242.
Plant, L.D. & White, J.H. (2013). Emergency room psychiatric services: A qualitative study of nurses’ experiences. Issues in Mental Health Nursing, 34 (4), 240-248. https://doi.org/10.3109/01612840.2012.718045.
Rayner, G., Blackburn, J., Edward, K.-L., Stephenson, J. & Ousey, K. (2019). Emergency department nurse’s attitudes towards patients who self-harm: A meta-analysis. International Journal of Mental Health Nursing, 28 (1), 40-53. https://doi.org/10.1111/inm.12550.
Rees, N., Rapport, F., Thomas, G., John, A. & Snooks, H. (2014). Perceptions of paramedic and emergency care workers of those who self-harm: A systematic review of the quantitative literature. Journal of Psychosomatic Research., 77 (6), 449-456. https://doi.org/10.1016/j.jpsychores.2014.09.006.
Ryan, A., Herrera, S. & Patel, M. (2021). Emergency nurses’ experiences in treating patients with mental illness: A qualitative, interpretive metasynthesis. Journal of Emergency Nursing, https://doi.org/10.1016/j.jen.2021.03.010.
Schmidt, M. & Umans, T. (2020). Experiences of acute care by persons with mental health problems: An integrative literature review. Journal of Psychiatric and Mental Health Nursing, 27 (6), 789-806. https://doi.org/10.1111/jpm.12624.
Shipley, S.D. (2010). Listening: A concept analysis. Nursing Forum, 45 (2), 125-134. https://doi.org/10.1111/j.1744-6198.2010.00174.x.
Skorpen, F., Rehnsfeldt, A. & Thorsen, A.A. (2015). The significance of small things for dignity in psychiatric care. Nursing Ethics., 22 (7), 754-764. https://doi.org/10.1177/0969733014551376.
Slade, M. (2013). 100 Ways to Support Recovery. London: Rethink Mental Illness. [Cited 9 February 2021]. Available from: URL: https://www.rethink.org/advice-and-information/living-with-mental-illness/treatment-and-support/100-ways-to-support-recovery/
Australasian College for Emergency Medicine (2018). The long wait: An analysis of mental health presentations to Australian emergency departments. Melbourne: Australasian College for Emergency Medicine. Available from: URL: https://acem.org.au/getmedia/60763b10-1bf5-4fbc-a7e2-9fd58620d2cf/ACEM_report_41018
Tong, S., Sainsbury, P. & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19 (6), 349-357. https://doi.org/10.1093/intqhc/mzm042.
Topor, A., Bøe, T.D. & Larsen, I.B. (2018). Small things, micro-affirmations and helpful professionals’ everyday recovery-orientated practices according to persons with mental health problems. Community Mental Health Journal, 54, 1212-1220. https://doi.org/10.1007/s10597-018-0245-9.
European Commission. (2005). Green paper. Improving the mental health of the population: Towards a strategy on mental health for the European Union. Brussels: European Commission. [Cited 9 February 2021]. Available from: URL: https://ec.europa.eu/health/ph_determinants/life_style/mental/green_paper/mental_gp_en.pdf
Vandyk, A., Bentz, A., Bissonette, S. & Cater, C. (2019). Why go to the emergency department? Perspectives from persons with borderline personality disorder. International Journal of Mental Health Nursing, 28 (3), 757-765. https://doi.org/10.1111/inm.12580.
Waldemar, A.K., Esbensen, B.A., Korsbek, L., Petersen, L. & Arnfred, S. (2019). Recovery oriented practice: Participant observations of the interactions between patients and health professionals in mental health inpatient settings. International Journal of Mental Health Nursing, 28 (1), 318-329. https://doi.org/10.1111/inm.12537.
Wallström, R., Lindgren, E. & Gabrielsson, S. (2020). ‘Don’t abandon me’: Young people’s experiences of child and adolescent psychiatric inpatient care supporting recovery described in blogs. International Journal of Mental Health Nursing, 30 (1), 117-125. https://doi.org/10.1111/inm.12787.
Weiland, T.J., Mackinlay, C., Hill, N., Gerdtz, M.F. & Jelinek, G.A. (2011). Optimal management of mental health patients in Australian emergency departments: Barriers and solutions. Emergency Medicine Australasia, 23 (6), 677-688. https://doi.org/10.1111/j.1742-6723.2011.01467.x.
Wise-Harris, D., Pauly, D., Kahan, D., Tan de Bibiana, J., Hwang, S.W. & Stergiopoulos, V. (2017). “Hospital was the only option”: Experiences of frequent emergency department users in mental health. Administration and Policy in Mental Health and Mental Health Services Research, 44, 405-412. https://doi.org/10.1007/s10488-016-0728-3.
World Medical Association (2013). Declaration of Helsinki. Ethical principles for medical research involving human subjects. World Medical Association. https://www.wma.net/what-we-do/medical-ethics/declaration-of-helsinki/