Nurses' Perspectives on Fostering Therapeutic Relationships While Working With Clients Who Display Conflict Behaviour.

Autor: Overpelt N; Centre for Intensive Treatment, Parnassia Group, The Hague, The Netherlands., Kool-Goudzwaard N; Centre for Intensive Treatment, Parnassia Group, The Hague, The Netherlands., Stringer B; Centre for Consultation and Expertise, Gouda, The Netherlands., van Meijel B; Department of Psychiatry, Amsterdam University Medical Centre, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.; Inholland University of Applied Sciences, Amsterdam, The Netherlands.; Parnassia Psychiatric Institute, The Hague, The Netherlands.
Jazyk: angličtina
Zdroj: International journal of mental health nursing [Int J Ment Health Nurs] 2024 Sep 27. Date of Electronic Publication: 2024 Sep 27.
DOI: 10.1111/inm.13441
Abstrakt: Therapeutic relationships are critical in the treatment of mental health disorders. Some clients experiencing mental health disorders display conflict behaviour-for example, suicidal or self-harming behaviour, threats of or actual aggression, and various psychotic behaviours-which presents significant challenges for care professionals. In inpatient mental health units, where interactions with mental health nurses are frequent, managing conflict behaviour is crucial to maintaining care quality and fostering therapeutic progress. This study aims to describe nurses' perspectives on fostering therapeutic relationships while working with clients who display conflict behaviour. Qualitative research was conducted in a specialised treatment setting for such clients by means of individual semi-structured interviews and a focus group interview with nurses. The results show that the nurses' primary focus is on cooperating with clients and colleagues. Regardless of conflict behaviour, nurses consistently invite clients to cooperate. To do so, they must manage their own emotions and expectations, emphasise the clients' responsibility and reduce the opportunities for conflict behaviour. The unit structure helps nurses by reducing ambiguity regarding treatment policies and inconsistencies in nurse-client interactions and allows nurses and clients to experience feelings of safety. To work with conflict behaviour, nurses need to feel valued and supported by their colleagues and have adequate time and resources. In conclusion, this study shows how nurses foster therapeutic relationships with clients who display conflict behaviour by focusing on cooperation, structure and safety.
(© 2024 John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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