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Engagement between adults in suicidal crises and nurses in mental health wards : a qualitative study of patients' perspectives

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Abstract
Objective: To understand how patients in suicidal crises perceive their engagement with nurses in mental hospitals. Methods: A qualitative study based on grounded theory was conducted. Semi-structured interviews were used with 11 hospitalised adults living through suicidal crises. The data were analysed by multiple researchers, using the constant comparison method, coding, and memo writing. Findings: The core process was: 'Feeling nurtured through an interpersonal engagement'. This process underpinned two categories: 'Feeling safe and cared for while struggling to trust' and 'Working toward alleviation and change of my suicidal ideation'. The patients valued nurses who integrated caring approaches of building trust, demonstrating compassion, and promoting safety, with healing approaches of helping them to express and explore their suicidal ideations, and develop new insights and ways of coping. This interpersonal engagement could nurture patients' feelings of being accepted and understood, and being hopeful and capable of overcoming their suicidal ideations. Conclusion: The conceptual insights can inform strategies to reframe overly instrumental approaches to prevent suicide and treat suicidal ideation, and instead promote an interpersonal orientation in nursing practice that integrates caring-healing approaches.
Keywords
Pshychiatric Mental Health, Interpersonal relations, Nursing, Mental hospitals, Qualitative research, Suicide, PSYCHIATRIC-NURSES, EXPERIENCES, RISK, INTERVENTION, ATTITUDES, CANADA, SAFETY, MODEL

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MLA
Vandewalle, Joeri, et al. “Engagement between Adults in Suicidal Crises and Nurses in Mental Health Wards : A Qualitative Study of Patients’ Perspectives.” ARCHIVES OF PSYCHIATRIC NURSING, vol. 35, no. 5, 2021, pp. 541–48, doi:10.1016/j.apnu.2021.07.011.
APA
Vandewalle, J., Van Hoe, C., Debyser, B., Deproost, E., & Verhaeghe, S. (2021). Engagement between adults in suicidal crises and nurses in mental health wards : a qualitative study of patients’ perspectives. ARCHIVES OF PSYCHIATRIC NURSING, 35(5), 541–548. https://doi.org/10.1016/j.apnu.2021.07.011
Chicago author-date
Vandewalle, Joeri, Caressa Van Hoe, Bart Debyser, Eddy Deproost, and Sofie Verhaeghe. 2021. “Engagement between Adults in Suicidal Crises and Nurses in Mental Health Wards : A Qualitative Study of Patients’ Perspectives.” ARCHIVES OF PSYCHIATRIC NURSING 35 (5): 541–48. https://doi.org/10.1016/j.apnu.2021.07.011.
Chicago author-date (all authors)
Vandewalle, Joeri, Caressa Van Hoe, Bart Debyser, Eddy Deproost, and Sofie Verhaeghe. 2021. “Engagement between Adults in Suicidal Crises and Nurses in Mental Health Wards : A Qualitative Study of Patients’ Perspectives.” ARCHIVES OF PSYCHIATRIC NURSING 35 (5): 541–548. doi:10.1016/j.apnu.2021.07.011.
Vancouver
1.
Vandewalle J, Van Hoe C, Debyser B, Deproost E, Verhaeghe S. Engagement between adults in suicidal crises and nurses in mental health wards : a qualitative study of patients’ perspectives. ARCHIVES OF PSYCHIATRIC NURSING. 2021;35(5):541–8.
IEEE
[1]
J. Vandewalle, C. Van Hoe, B. Debyser, E. Deproost, and S. Verhaeghe, “Engagement between adults in suicidal crises and nurses in mental health wards : a qualitative study of patients’ perspectives,” ARCHIVES OF PSYCHIATRIC NURSING, vol. 35, no. 5, pp. 541–548, 2021.
@article{8766191,
  abstract     = {{Objective: To understand how patients in suicidal crises perceive their engagement with nurses in mental hospitals.
Methods: A qualitative study based on grounded theory was conducted. Semi-structured interviews were used with 11 hospitalised adults living through suicidal crises. The data were analysed by multiple researchers, using the constant comparison method, coding, and memo writing.
Findings: The core process was: 'Feeling nurtured through an interpersonal engagement'. This process underpinned two categories: 'Feeling safe and cared for while struggling to trust' and 'Working toward alleviation and change of my suicidal ideation'. The patients valued nurses who integrated caring approaches of building trust, demonstrating compassion, and promoting safety, with healing approaches of helping them to express and explore their suicidal ideations, and develop new insights and ways of coping. This interpersonal engagement could nurture patients' feelings of being accepted and understood, and being hopeful and capable of overcoming their suicidal ideations.
Conclusion: The conceptual insights can inform strategies to reframe overly instrumental approaches to prevent suicide and treat suicidal ideation, and instead promote an interpersonal orientation in nursing practice that integrates caring-healing approaches.}},
  author       = {{Vandewalle, Joeri and Van Hoe, Caressa and Debyser, Bart and Deproost, Eddy and Verhaeghe, Sofie}},
  issn         = {{0883-9417}},
  journal      = {{ARCHIVES OF PSYCHIATRIC NURSING}},
  keywords     = {{Pshychiatric Mental Health,Interpersonal relations,Nursing,Mental hospitals,Qualitative research,Suicide,PSYCHIATRIC-NURSES,EXPERIENCES,RISK,INTERVENTION,ATTITUDES,CANADA,SAFETY,MODEL}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{541--548}},
  title        = {{Engagement between adults in suicidal crises and nurses in mental health wards : a qualitative study of patients' perspectives}},
  url          = {{http://doi.org/10.1016/j.apnu.2021.07.011}},
  volume       = {{35}},
  year         = {{2021}},
}

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