'Throw me a life buoy, please': A systematic review and thematic synthesis of qualitative evidence regarding nurses' experiences of caring for inpatients with borderline personality disorder and/or non‐suicidal self‐injury.

Introduction: Non‐suicidal self‐injury (NSSI) is prevalent in individuals diagnosed with borderline personality disorder (BPD), particularly in inpatient settings. This poses challenges, leading to frustration and powerlessness among healthcare professionals. This, in turn, puts mental health nurses...

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Publicado en:Journal of Psychiatric & Mental Health Nursing (John Wiley & Sons, Inc.) Vol. 31; no. 6; pp. 1216 - 1230
Autores principales: Nordkamp, Annika, Roed, Kickan, Videbech, Poul, Midtgaard, Julie
Formato: research systematic review tables/charts meta synthesis Journal Article
Publicado: John Wiley & Sons, Inc. Dec2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2024
      vid: 31
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      pub: John Wiley & Sons, Inc.
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        10.1111/jpm.13077
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        atl: 'Throw me a life buoy, please': A systematic review and thematic synthesis of qualitative evidence regarding nurses' experiences of caring for inpatients with borderline personality disorder and/or non‐suicidal self‐injury.
      aug:
        au:
          Nordkamp, Annika
          Roed, Kickan
          Videbech, Poul
          Midtgaard, Julie
        affil: Centre for Applied Research in Mental Health Care (CARMEN), Mental Health Centre Glostrup, Glostrup, Denmark
      sug:
        subj:
          Nursing Staff, Hospital Psychosocial Factors
          Borderline Personality Disorder Nursing
          Self-Injurious Behavior Nursing
          Injuries, Self-Inflicted Nursing
          Psychiatric Nurses
          Nurse Attitudes Evaluation
          Compassion Fatigue Prevention and Control
          Human
          Systematic Review
          Meta Synthesis
          Inpatients
          Medline
          CINAHL Database
          Psycinfo
          Checklists
          Nursing Staff, Hospital Education
          Skill Acquisition
          Patient Centered Care
          Quality of Health Care
          Outcomes (Health Care) Evaluation
          PubMed
          Emotions
          Aggression
          Nursing Role
          Nurse-Patient Relations
          Peer Group
          Support, Psychosocial
          Personnel Shortage
          Nursing Knowledge
          Powerlessness
          Individualized Medicine
          Patient Handling
      ab: Introduction: Non‐suicidal self‐injury (NSSI) is prevalent in individuals diagnosed with borderline personality disorder (BPD), particularly in inpatient settings. This poses challenges, leading to frustration and powerlessness among healthcare professionals. This, in turn, puts mental health nurses at risk of compassion fatigue (CF), impacting treatment quality. Aim: We conducted a systematic review and meta‐synthesis to investigate the experiences of mental health nurses caring for people with BPD and/or NSSI in inpatient settings. Method: Literature search was performed in MEDLINE, CINAHL, PsychINFO and Web of Science. The Critical Appraisal Skills Programme (CASP) was used to critically appraise each study. For synthesis of findings from original studies, Thomas and Harden's thematic synthesis was used. Results: In total 1492 studies were screened of which seven met the inclusion criteria. We identified four main analytical themes: 'Notions on nursing', 'Reality calls', 'Fall of ideals' and 'Throw me a lifebuoy, please', with each two subthemes included. Discussion: Despite nurses' strong motivations for positive change and assistance, unexpected demands lead to emotional exhaustion, affecting their care provision. Implications for Practice: The study underscores the necessity of addressing nurses' emotional strain through education and skill‐oriented training, enhancing their resilience and reducing CF risk, ultimately securing adequate care, and improving patient outcomes.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        meta synthesis
        Journal Article
      ougenre: Article
    language: English
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