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Nurses' Perceptions of Patients With Co-Occurring Psychiatric and Substance Use Disorders in Psychiatric Settings: A
Etienne Bertrand1, Jean-Manuel Morvillers2
1Pôle 75G28, GHU Paris Psychiatrie et Neurosciences, Paris, France.
Aim:
To explore psychiatric and mental health nurses' perceptions of patients with co-occurring psychiatric and substance use disorders in psychiatric settings.
Design:
An exploratory qualitative study design based on grounded theory, employing Straussian analytic procedures.
Method:
Semi-structured interviews were conducted with 11 psychiatric and mental health nurses. Participants were recruited at a public psychiatric hospital located in the Paris metropolitan area of France. Face-to-face interviews took place between February 2024 and May 2024. Field notes and interview data were continuously analysed during open, axial and selective coding phases.
Results:
The core category identified was 'waiting for a patient's will to change to emerge' when caring for patients with co-occurring substance use disorders. This active waiting period involved a balancing strategy between two discrete care objectives: stabilising the patient's clinical status and keeping the nurse-patient relationship intact. Identifying a patient's will to change provided an opportunity to reconcile these two aspects of psychiatric nursing through the addition of a collaborative component to the relationship.
Conclusion:
The substantive theory generated by our findings contributes to understanding the interactional and relational processes that occur between nurses and patients presenting with co-occurring substance use disorders in the context of psychiatric care.
Implications For The Profession And/Or Patient Care:
Implications of our study include the need for further emphasis on collaborative approaches that can be applied even in early or pre-contemplative stages of recovery. Organisational policies should systematically include training in the field of addiction care, given the high prevalence of co-occurring substance use disorders in psychiatric settings.
Impact:
Our findings can assist nurses in critically examining the challenges they experience when engaging with patients with co-occurring substance use disorders.
Reporting Method:
This research adheres to the COREQ (COnsolidated criteria for REporting Qualitative research) Checklist.
Patient Or Public Contribution:
No patient or public contribution.
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