A thematic analysis of care provider experiences of using self-harm abstinence agreements in psychiatric inpatient care
Bjärehed, Jonas LU ; Ingelsson Lindell, Evelina and Westling, Sofie LU
(2021)
In Nursing Open
8(4).
p.1660-1667
- Abstract
AIM: Traditional methods used when managing self-harm in a psychiatric inpatient setting tend to infringe on the autonomy of the individuals receiving treatment and are often experienced as practically and emotionally challenging by care providers. Therefore, we examined care providers' experiences of an alternative method negotiating self-harm abstinence agreements, which can be viewed as a form of positive risk taking.
DESIGN: A qualitative approach using semi-structured interviews with twelve mental health professionals.
METHODS: Thematic analysis of the interviews.
RESULTS: Five themes emerged; "No-harm agreements versus constant observation and coercion," "No-harm agreements to promote independence and... (More)
AIM: Traditional methods used when managing self-harm in a psychiatric inpatient setting tend to infringe on the autonomy of the individuals receiving treatment and are often experienced as practically and emotionally challenging by care providers. Therefore, we examined care providers' experiences of an alternative method negotiating self-harm abstinence agreements, which can be viewed as a form of positive risk taking.
DESIGN: A qualitative approach using semi-structured interviews with twelve mental health professionals.
METHODS: Thematic analysis of the interviews.
RESULTS: Five themes emerged; "No-harm agreements versus constant observation and coercion," "No-harm agreements to promote independence and collaboration," "No-harm agreements' effect on ward safety," "Ambiguity surrounding the no-harm agreements" and "Ethical complexities of the no-harm agreements." These indicated perceived positive effects on the therapeutic relationship, the individuals' autonomous functioning and the ward environment, but also practical and ethical difficulties.
(Less)
- author
- Bjärehed, Jonas
LU
; Ingelsson Lindell, Evelina
and Westling, Sofie
LU
- organization
- publishing date
- 2021-07-01
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Nursing Open
- volume
- 8
- issue
- 4
- pages
- 8 pages
- publisher
- Wiley-Blackwell
- external identifiers
-
- pmid:33620760
- scopus:85101264658
- ISSN
- 2054-1058
- DOI
- 10.1002/nop2.795
- project
- Förhållningssätt och åtgärder vid positivt risktagande, inklusive ”nolltolerans”, för individer med självskadebeteende och långvarigt ökad risk för suicid inom den slutna psykiatriska vården. Personal och patienters erfarenheter och upplevelser.
- language
- English
- LU publication?
- yes
- id
- ca02cd3b-2da1-425b-bb97-593169fee62d
- date added to LUP
- 2021-02-28 21:18:47
- date last changed
- 2024-05-30 07:28:38
@article{ca02cd3b-2da1-425b-bb97-593169fee62d,
abstract = {{<p>AIM: Traditional methods used when managing self-harm in a psychiatric inpatient setting tend to infringe on the autonomy of the individuals receiving treatment and are often experienced as practically and emotionally challenging by care providers. Therefore, we examined care providers' experiences of an alternative method negotiating self-harm abstinence agreements, which can be viewed as a form of positive risk taking.</p><p>DESIGN: A qualitative approach using semi-structured interviews with twelve mental health professionals.</p><p>METHODS: Thematic analysis of the interviews.</p><p>RESULTS: Five themes emerged; "No-harm agreements versus constant observation and coercion," "No-harm agreements to promote independence and collaboration," "No-harm agreements' effect on ward safety," "Ambiguity surrounding the no-harm agreements" and "Ethical complexities of the no-harm agreements." These indicated perceived positive effects on the therapeutic relationship, the individuals' autonomous functioning and the ward environment, but also practical and ethical difficulties.</p>}},
author = {{Bjärehed, Jonas and Ingelsson Lindell, Evelina and Westling, Sofie}},
issn = {{2054-1058}},
language = {{eng}},
month = {{07}},
number = {{4}},
pages = {{1660--1667}},
publisher = {{Wiley-Blackwell}},
series = {{Nursing Open}},
title = {{A thematic analysis of care provider experiences of using self-harm abstinence agreements in psychiatric inpatient care}},
url = {{http://dx.doi.org/10.1002/nop2.795}},
doi = {{10.1002/nop2.795}},
volume = {{8}},
year = {{2021}},
}