Nurses' dilemmas concerning support of relatives in mental health care.

Nurs Ethics

Department of Research and Development, Division of Mental Health Services, Akershus University Hospital, Lorenskog, Norway.

Published: May 2013

AI Article Synopsis

  • Relatives of individuals with severe mental illness experience significant stress and require support, yet they have often been excluded from mental health care discussions.
  • A study conducted with nurses in Norway aimed to understand their perspectives on how to support these relatives, using focus group interviews and a phenomenographic approach.
  • The nurses primarily focused on the patient’s needs, highlighting a tension between supporting the patient and recognizing the relatives, leading to two distinct approaches: viewing relatives in relation to the patient or as separate individuals.

Article Abstract

Relatives of persons with severe mental illness face a straining life situation and need support. Exclusion of relatives in mental health care has long been reported. The aim of this study was to describe conceptions of nurses in mental health care about supporting relatives of persons with severe mental illness. Focus group interviews with nurses from all levels of mental health care in Norway were performed. A phenomenographic approach was used. The nurses found that their responsibility first and foremost was the patient, especially to develop an alliance with him or her. Additional premises for supporting relatives were the context framing the nursing care, aspects of the actors, and relational concerns between them. Competing or contradictory demands were found within these premises. Two paths were identified concerning the nurses' support of relatives: seeing the relative in the shadow of the patient or as an individual person.

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Source
http://dx.doi.org/10.1177/0969733012462053DOI Listing

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