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From traditional counselling to health‐promoting conversations? Registered nurses' experiences of providing health counselling to people living with severe mental ill‐health in supported housing
Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.ORCID iD: 0000-0002-9116-5569
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing.ORCID iD: 0000-0001-7762-1591
2023 (English)In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 32, no 3, p. 875-883Article in journal (Refereed) Published
Abstract [en]

People with severe mental ill-health have lower life expectancies than the rest ofthe population, partly due to unhealthy lifestyles. Counselling to help these people improve their health can also be complex, and registered nurses are key to its success.The aim of this study was to elucidate registered nurses' experiences of providing health counselling to people living with severe mental ill-health in supported housing. We conducted eight individual semi-structured interviews with registered nurses working in this context and subjected the responses to qualitative content analysis. The results show that registered nurses who counsel people with severe mental ill-health feel dispirited, but they defend their often fruitless endeavours and strive, through health counselling, to help these people meet healthier lifestyle goals. Shifting the focus from traditional health counselling to person-centred care using health-promoting conversations could strengthen registered nurses in their efforts towards improving lifestyles among people living with severe mental ill-healthin supported housing. Therefore, to facilitate healthier lifestyles among this population, we recommend that community healthcare support registered nurses working in supported housing by educating them in the use of health-promoting conversations, including teach-back techniques.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023. Vol. 32, no 3, p. 875-883
Keywords [en]
counselling, experience, health promotion, lifestyle, mental ill-health, registered nurse
National Category
Nursing Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-205772DOI: 10.1111/inm.13133ISI: 000942417200001PubMedID: 36861747Scopus ID: 2-s2.0-85150221109OAI: oai:DiVA.org:umu-205772DiVA, id: diva2:1744297
Available from: 2023-03-17 Created: 2023-03-17 Last updated: 2023-07-13Bibliographically approved

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Molin, JennyAntonsson, Helena

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