From ideals to resignation: interprofessional teams perspectives on everyday life processes in psychiatric inpatient care
2016 (English)In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 23, no 9-10, 595-604 p.Article in journal (Refereed) Published
Introduction: Patients and ward staff describe psychiatric inpatient care as demanding, characterized by unpredictable events, yet research on interprofessional teams perspectives of everyday life processes in psychiatric inpatient care lacks. Aim: This study aims to explore everyday life processes in psychiatric inpatient care, as reported by staff in interprofessional teams. Method: A grounded theory design was used and 36 participants were interviewed. Results: The analysis resulted in a process-oriented core category From ideals to resignation. Related to this core category were three further categories: Knowing where to go, Walking a path of obstacles and Shifting focus from the patient's best interests to self-survival. The staff had ideals about care and collaboration, but a poor environment, power asymmetry, lacking structure and demands of managing chaos meant that they appeared to resign from putting their ideals into practice. Discussion: Different professions in general describe the same obstacles in everyday life on the wards but there are also profession-specific perspectives on distancing and feelings of abandonment. To our knowledge similar findings have not been reported in the international evidence. Implications: In order to support interprofessional teams to work according to their ideals, interventions such as Protected Engagement Time and reflective dialogues within the teams are suggested.
Place, publisher, year, edition, pages
2016. Vol. 23, no 9-10, 595-604 p.
collaboration, everyday life, experiences, grounded theory, interprofessional teams, psychiatric inpatient care
IdentifiersURN: urn:nbn:se:umu:diva-127166DOI: 10.1111/jpm.12349ISI: 000389034300008PubMedID: 27785861OAI: oai:DiVA.org:umu-127166DiVA: diva2:1043937