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Brief admission (BA) for patients with emotional instability and self-harm: nurses’ perspectives - person-centred care in clinical practice
The Swedish Red Cross University College, Department of Health Sciences. Karolinska Institutet, Stockholm County Council.ORCID iD: 0000-0001-8468-6457
Stockholm County Council.ORCID iD: 0000-0002-2635-3459
Hanze University of Applied Sciences, Groningen, Netherlands.ORCID iD: 0000-0003-4911-8547
Karolinska Institutet.ORCID iD: 0000-0003-2680-0340
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2019 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, no 1, article id 1667133Article in journal (Refereed) Published
Abstract [en]

Purpose: Emotional instability and self-harm pose major problems for society and health care. There are effective interventions in outpatient care, but when patients need inpatient care, nurses often struggle meeting their patient’s needs. Brief admission (BA) is a newly implemented crisis intervention and novel form of inpatient care. The aim of this study is to describe nurses’ experiences working with BA related to patients with emotional instability and self-harm.

Methods: Eight nurses were interviewed according to a semi-structured interview guide. The data was analysed using qualitative content analysis.

Results: Four main categories emerged regarding nurses’ experiences with BA: provides security and continuity, fosters caring relationships, shifts focus towards patient’s health and empowers the patient. The nurse’s role shifted from “handling problems” to establishing caring relationships with a focus on the person’s health and possibilities for recovering instead of psychiatric symptoms.

Conclusions: Previous studies on patients’ perspective of BA describe positive experiences such as increased autonomy and participation in the healthcare process. This study supports those findings, albeit from the perspective of nurses. Our findings suggest that BA may reduce work-related stress experienced by nurses while caring for persons with emotional instability and self-harm. BA may also support nurses in their ability to provide more meaningful and constructive psychiatric inpatient care.

Place, publisher, year, edition, pages
Taylor & Francis, 2019. Vol. 14, no 1, article id 1667133
Keywords [en]
Borderline personality disorder, brief admission, crisis intervention, emotional instability, mental health nursing, patient admission, person-centred care, psychiatric nursing, self-harm
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-3043DOI: 10.1080/17482631.2019.1667133OAI: oai:DiVA.org:rkh-3043DiVA, id: diva2:1354304
Available from: 2019-09-24 Created: 2019-09-24 Last updated: 2019-09-27Bibliographically approved

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Perseius, Kent-Inge

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Eckerström, JoachimAllenius, EmelieHelleman, MarjoleinFlyckt, LenaPerseius, Kent-IngeOmerov, Pernilla
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Department of Health SciencesThe Swedish Red Cross University College
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International Journal of Qualitative Studies on Health and Well-being
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