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Investigation of psychiatric nurses' views on psychotherapy implementation processes: a qualitative study
Halil İbrahim Bilkay1, Ceyda Öztürk Akdeniz2, Burak Şirin3
1Department of Nursing, KTO Karatay University, Konya, Türkiye. halil.bilkay@karatay.edu.tr.
Background:
The views of psychiatric nurses on the practice of psychotherapy are multifaceted and profoundly influenced by their professional experience, educational background, and the therapeutic environment in which they work. This study aims to describe the views of psychiatric nurses regarding their psychotherapy implementation processes.
Methods:
A descriptive phenomenological design, one of the qualitative research methods, was adopted. The study sample consisted of 37 psychiatric nurses working in inpatient psychiatric units of hospitals in Türkiye. Data collection process was carried out through semi-structured, in-depth individual interviews. Participants were selected using the maximum variation sampling method. The data obtained were analyzed using thematic analysis.
Results:
As a result of the thematic analysis, three main themes and twenty-nine sub-themes were identified. Among the factors facilitating psychiatric nurses' psychotherapy implementation processes, participants emphasized long-term patient interaction, patient observation skills, and the holistic perspective of psychiatric nurses. However, they indicated that excessive workload, insufficient nursing staff, perceived lack of support, and acute clinical processes were among the inhibiting factors. Participants also made recommendations regarding the need to expand psychotherapy training, increase awareness, strengthen professional support mechanisms, and update legal regulations.
Conclusion:
This study highlights both the enablers and barriers to psychotherapy implementation by psychiatric nurses in Türkiye. While prolonged patient interaction and observation skills facilitate practice, excessive workload, limited staffing, and lack of legal recognition hinder it. To advance psychotherapy in nursing, practice-based training programs, institutional support mechanisms, and regulatory updates are essential. These steps can empower nurses to provide psychotherapeutic care and enhance mental health service delivery.
Clinical Trial Number:
Not applicable.
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