Psychiatric nurse practitioners' experiences of working with mental health care users presenting with acute symptoms.

Psychiatric nurse practitioners (PNPs) working with mental health care users presenting with acute symptoms work in a complex environment. This environment is characterised by mental health care users who may present with a history of violence, sexual assault and substance misuse. The objectives of...

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Publicado en:Curationis Vol. 35; no. 1; pp. 1 - 10
Autores principales: Ngako, Jacobs K., Van Rensburg, Elsie S. J., Mataboge, Sanah M. L.
Formato: research tables/charts Journal Article
Publicado: African Online Scientific Information System PTY LTD Sep2012
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2012
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        atl: Psychiatric nurse practitioners' experiences of working with mental health care users presenting with acute symptoms.
      aug:
        au:
          Ngako, Jacobs K.
          Van Rensburg, Elsie S. J.
          Mataboge, Sanah M. L.
        affil: Department of Nursing Science, University of Pretoria, South Africa
      sug:
        subj:
          Advanced Practice Registered Nursing South Africa
          Nurse Practitioners South Africa
          Psychiatric Nursing South Africa
          Acute Disease
          Behavior
          Beneficence
          Coding
          Descriptive Research
          Drawing
          Education, Nursing
          Emotions
          Exploratory Research
          Fear
          Field Notes
          Focus Groups
          Human
          Human Dignity
          Interviews
          Nurse Attitudes
          Nursing Shortage
          Nursing Skills
          Public Sector
          Purposive Sample
          Qualitative Studies
          Quality of Nursing Care
          Research, Nursing
          South Africa
          Stress, Occupational
          Triangulation
          Work Environment
          Work Experiences
      ab: Psychiatric nurse practitioners (PNPs) working with mental health care users presenting with acute symptoms work in a complex environment. This environment is characterised by mental health care users who may present with a history of violence, sexual assault and substance misuse. The objectives of this study were twofold: firstly, to explore and describe the experiences of PNPs working with mental health care users (MHCUs) presenting with acute symptoms; and secondly, to make recommendations for the advanced PNPs to facilitate promotion of the mental health of PNPs with reference to nursing practice, research and education. A qualitative, explorative, descriptive and contextual design was used. The target population was PNPs working with MHCUs presenting with acute symptoms in a public mental health care institution in Gauteng. Data were collected by means of four focus group interviews involving 21 PNPs. The researcher made use of drawings, naïve sketches and field notes for the purpose of data triangulation. Data were analysed in accordance with Tesch's method of open coding. The three themes that emerged were: PNPs experienced working with these MHCUs as entering an unsafe world where care became a burden; they experienced negative emotional reactions and attitudes towards these MHCUs that compromised quality nursing care; and they made a plea for a nurturing environment that would enhance quality nursing care. The PNPs suggest skills and competency development, organisational support, and a need for external resources. Creation of a positive environment and mobilisation of resources as well as the identification and bridging of obstacles are essential in the promotion of the overall wellbeing and mental health of PNPs.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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