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Published on: February 16, 2011
Nurse-client processes in mental health: recipients' perspectives
R Coatsworth-Puspoky1, C Forchuk, C Ward-Griffin
1Geriatric Psychiatry Regional Mental Health Care-London, St. Joseph's Health Care, 850 Highbury Avenue, London, Ontario N6A 3V9, Canada. robin.coatsworth-pospoky@sjhc.london.on.ca
Journal of Psychiatric and Mental Health Nursing
|June 2, 2006
Summary
Positive nurse interactions foster trust and therapeutic relationships, progressing through distinct phases. Negative experiences erode trust, leading to relationship deterioration and hindering client recovery in mental health care.
Area of Science:
- Nursing
- Mental Health
- Qualitative Research
Background:
- Understanding the nurse-client relationship is crucial in mental health care.
- Client perspectives are vital for evaluating nursing support.
Purpose of the Study:
- To explore and describe nursing support relationships from the client's perspective within the mental health subculture.
- To identify phases in the development and deterioration of nurse-client relationships.
Main Methods:
- An ethnonursing method was employed.
- Data collected through semi-structured interviews (n=14) and field notes.
Main Results:
- Positive nurse interactions (friendly, validating, active listening) led to relationship development through phases: glimmer of help, exploring/problem-solving, and saying goodbye.
- Negative interactions (lack of trust, unexplored feelings) resulted in relationship deterioration through phases: withholding, avoiding/ignoring, and struggling/making sense.
Conclusions:
- Healthcare providers need awareness of factors influencing nurse-client relationship development and deterioration.
- The therapeutic relationship is a key instrument for restoring and promoting client health in mental health settings.
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