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A qualitative exploration of how health care workers in an inpatient setting in Norway experience working with patients who self-injure

A qualitative exploration of how health care workers in an inpatient setting in Norway experience... This study aimed to explore how health care workers think, feel and act when working with patients who self-injure. Eight health care workers who had extensive experience with patients who self-injure were recruited from a secure ward at a psychiatric hospital in Western Norway. Semi-structured interviews were conducted at the participants' workplace. The interviews were analysed using interpretative phenomenological analysis. Four themes emerged from the analysis: (1) “Before”: the frustration inherent in using coercive strategies; (2) “The Change”: from coercion to alliance; (3) “Now”: the experience of useful ways of working with self-injury; (4) “Thin line between Life and Death”: suicide attempt or self-injury? The first theme describes how the ward used to function before the changes described in the second theme occurred. The third theme and its sub-themes detail how undergoing the change process previously described led to a subjectively better way of working with self-injury. The fourth theme describes a new challenge that arose with the new way of thinking about and working with self-injury. The four themes form a chronological narrative of how the participants' understanding and treatment of self-injury changed with experience, and details the new ways of working with and understanding self-injury. The discussion section explores how the themes relate to each other and explores the findings in the light of psychological literature. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Nordic Psychology Taylor & Francis

A qualitative exploration of how health care workers in an inpatient setting in Norway experience working with patients who self-injure

Lundegaard Mattson, Åse; Binder, Per-Einar
Nordic Psychology , Volume 64 (4): 19 – Dec 1, 2012
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References (36)

Publisher
Taylor & Francis
Copyright
Copyright Nordic Psychology
ISSN
1904-0016
eISSN
1901-2276
DOI
10.1080/19012276.2012.768034
Publisher site
See Article on Publisher Site

Abstract

This study aimed to explore how health care workers think, feel and act when working with patients who self-injure. Eight health care workers who had extensive experience with patients who self-injure were recruited from a secure ward at a psychiatric hospital in Western Norway. Semi-structured interviews were conducted at the participants' workplace. The interviews were analysed using interpretative phenomenological analysis. Four themes emerged from the analysis: (1) “Before”: the frustration inherent in using coercive strategies; (2) “The Change”: from coercion to alliance; (3) “Now”: the experience of useful ways of working with self-injury; (4) “Thin line between Life and Death”: suicide attempt or self-injury? The first theme describes how the ward used to function before the changes described in the second theme occurred. The third theme and its sub-themes detail how undergoing the change process previously described led to a subjectively better way of working with self-injury. The fourth theme describes a new challenge that arose with the new way of thinking about and working with self-injury. The four themes form a chronological narrative of how the participants' understanding and treatment of self-injury changed with experience, and details the new ways of working with and understanding self-injury. The discussion section explores how the themes relate to each other and explores the findings in the light of psychological literature.

Journal

Nordic Psychology – Taylor & Francis

Published: Dec 1, 2012

Keywords: self-injury; qualitative research; inpatient treatment; coercion; alliance

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