'They all said you could come and speak to us': patients' expectations and experiences of help on an acute psychiatric inpatient ward

Rosie C. Stenhouse

Research output: Contribution to journalArticle

  • 26 Citations

Abstract

Acute psychiatric inpatient care forms an integral part of mental health services. Few studies have focussed on the patient experience of acute care. Research into patient experience is increasingly important to policy and service development processes. Knowledge of patient experiences facilitates the development of nursing practice. The aim of the study was to gain insight into the experience of being a patient on an acute inpatient psychiatric ward. Thirteen participants were recruited from the acute ward. Unstructured interviews were used to gather narrative data of their experiences. Holistic analysis of the narratives was informed by Gee's socio-linguistic theories that meaning is linked to narrative structure. Reading of the holistic analyses yielded themes of help, safety and power running across the participants' experiences. The patient experience was characterized by dissonance between expectation and experience, the search for a nurse–patient relationship and the development of strategies to cope with being on the acute ward. This paper focuses on the theme of ‘Help’ where participants describe their expectation that they will receive help through the development of relationships with the nurses, and their experience of the barriers to this. In response, participants developed strategies to support each other.
Original languageEnglish
Pages (from-to)74-80
Number of pages7
JournalJournal of Psychiatric and Mental Health Nursing
Volume18
Issue number1
DOIs
StatePublished - Feb 2011

Fingerprint

Psychiatry
Inpatients
Nurse-Patient Relations
Policy Making
Mental Health Services
Linguistics
Nursing
Nurses
Interviews
Safety
Power (Psychology)

Cite this

@article{6e6c77df2a6c4cdb836ce373ef5baed0,
title = "'They all said you could come and speak to us': patients' expectations and experiences of help on an acute psychiatric inpatient ward",
abstract = "Acute psychiatric inpatient care forms an integral part of mental health services. Few studies have focussed on the patient experience of acute care. Research into patient experience is increasingly important to policy and service development processes. Knowledge of patient experiences facilitates the development of nursing practice. The aim of the study was to gain insight into the experience of being a patient on an acute inpatient psychiatric ward. Thirteen participants were recruited from the acute ward. Unstructured interviews were used to gather narrative data of their experiences. Holistic analysis of the narratives was informed by Gee's socio-linguistic theories that meaning is linked to narrative structure. Reading of the holistic analyses yielded themes of help, safety and power running across the participants' experiences. The patient experience was characterized by dissonance between expectation and experience, the search for a nurse–patient relationship and the development of strategies to cope with being on the acute ward. This paper focuses on the theme of ‘Help’ where participants describe their expectation that they will receive help through the development of relationships with the nurses, and their experience of the barriers to this. In response, participants developed strategies to support each other.",
author = "Stenhouse, {Rosie C.}",
year = "2011",
month = "2",
doi = "10.1111/j.1365-2850.2010.01645.x",
volume = "18",
pages = "74--80",
journal = "Journal of Psychiatric and Mental Health Nursing",
issn = "1351-0126",
publisher = "Wiley-Blackwell",
number = "1",

}

TY - JOUR

T1 - 'They all said you could come and speak to us': patients' expectations and experiences of help on an acute psychiatric inpatient ward

AU - Stenhouse,Rosie C.

PY - 2011/2

Y1 - 2011/2

N2 - Acute psychiatric inpatient care forms an integral part of mental health services. Few studies have focussed on the patient experience of acute care. Research into patient experience is increasingly important to policy and service development processes. Knowledge of patient experiences facilitates the development of nursing practice. The aim of the study was to gain insight into the experience of being a patient on an acute inpatient psychiatric ward. Thirteen participants were recruited from the acute ward. Unstructured interviews were used to gather narrative data of their experiences. Holistic analysis of the narratives was informed by Gee's socio-linguistic theories that meaning is linked to narrative structure. Reading of the holistic analyses yielded themes of help, safety and power running across the participants' experiences. The patient experience was characterized by dissonance between expectation and experience, the search for a nurse–patient relationship and the development of strategies to cope with being on the acute ward. This paper focuses on the theme of ‘Help’ where participants describe their expectation that they will receive help through the development of relationships with the nurses, and their experience of the barriers to this. In response, participants developed strategies to support each other.

AB - Acute psychiatric inpatient care forms an integral part of mental health services. Few studies have focussed on the patient experience of acute care. Research into patient experience is increasingly important to policy and service development processes. Knowledge of patient experiences facilitates the development of nursing practice. The aim of the study was to gain insight into the experience of being a patient on an acute inpatient psychiatric ward. Thirteen participants were recruited from the acute ward. Unstructured interviews were used to gather narrative data of their experiences. Holistic analysis of the narratives was informed by Gee's socio-linguistic theories that meaning is linked to narrative structure. Reading of the holistic analyses yielded themes of help, safety and power running across the participants' experiences. The patient experience was characterized by dissonance between expectation and experience, the search for a nurse–patient relationship and the development of strategies to cope with being on the acute ward. This paper focuses on the theme of ‘Help’ where participants describe their expectation that they will receive help through the development of relationships with the nurses, and their experience of the barriers to this. In response, participants developed strategies to support each other.

U2 - 10.1111/j.1365-2850.2010.01645.x

DO - 10.1111/j.1365-2850.2010.01645.x

M3 - Article

VL - 18

SP - 74

EP - 80

JO - Journal of Psychiatric and Mental Health Nursing

T2 - Journal of Psychiatric and Mental Health Nursing

JF - Journal of Psychiatric and Mental Health Nursing

SN - 1351-0126

IS - 1

ER -