Experiences of ward atmosphere in inpatients with intellectual disability and mental illness: clinical implications for mental health nursing.
| Autor: | Sommerstad HS; Oslo Universitetssykehus, Norway [Proxy]., Kildahl AN; Oslo Universitetssykehus Regional Dep. Mental Health in ID and NevSom - Norwegian Centre of Expertise for Neurodevelopmental Disorders and Hypersomnias| Oslo Universitetssykehus, Norway., Munkhaugen EK; Oslo Universitetssykehus National Advisory Unit on Mental Health in ID| Oslo Universitetssykehus, Norway., Karlsen K; Oslo Universitetssykehus National Advisory Unit on Mental Health in ID| Oslo Universitetssykehus, Norway., Bakken TL; Oslo Universitetssykehus, Norway [Proxy].; Oslo Universitetssykehus National Advisory Unit on Mental Health in ID and Oslo Metropolitan University| Oslo Universitetssykehus, Norway. |
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| Jazyk: | angličtina |
| Zdroj: | International journal of developmental disabilities [Int J Dev Disabil] 2021 Sep 18; Vol. 67 (5), pp. 339-348. Date of Electronic Publication: 2021 Sep 18 (Print Publication: 2021). |
| DOI: | 10.1080/20473869.2021.1900507 |
| Abstrakt: | Background: Patients with intellectual disability in psychiatric services are rarely asked about their experiences when admitted to inpatient units. Aim: To enhance the understanding of ward atmosphere for inpatients with co-occurring intellectual disabilities (ID) and mental illness by exploring patients' experiences from a specialised mental health inpatient unit. Methods: A selected sample of 10 adults with comorbid mental illness and ID were recruited for a qualitative interview study based on Gunderson's conceptualisation of therapeutic components in mental health wards. The patients were interviewed by two experienced clinicians and interviews were analysed using directed content analysis. Results: Patients' experience of their relationships with ward staff seemed central to their experiences of several aspects of mental health nursing. Feeling safe, contained, and validated, were further important aspects. However, the patients seemed to have little influence on treatment choices and did not report participating in shared decision-making. Conclusions: The patients' answers in this study are in line with previous research on ward atmosphere for patients in the general population. However, more research is necessary to inform future mental health nursing for patients with ID, both in inpatient and ambulatory services. Competing Interests: No potential conflict of interest was reported by the authors. (© 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.) |
| Databáze: | MEDLINE |
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