Barriers experienced by nurses working in psychiatric wards in caring for patients with mental disorders: A qualitative study.

Background & Aim: Providing quality care to hospitalized psychiatric patients is vital, but many barriers hinder it. This study aimed to identify the barriers faced by nurses working in psychiatric wards in providing care for inpatients with mental disorders. Methods & Materials: This qualitative st...

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Publicado en:Nursing Practice Today Vol. 12; no. 3; pp. 304 - 316
Autores principales: Keykha, Roghaieh, Seyedfatemi, Naima, Mousavizadeh, Seyedeh Narjes, Vasli, Parvaneh
Formato: research tables/charts Journal Article
Publicado: Tehran University of Medical Sciences 2025
Acceso en línea:Ver este registro en EBSCOhost
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        10.18502/npt.v12i3.18979
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        atl: Barriers experienced by nurses working in psychiatric wards in caring for patients with mental disorders: A qualitative study.
      aug:
        au:
          Keykha, Roghaieh
          Seyedfatemi, Naima
          Mousavizadeh, Seyedeh Narjes
          Vasli, Parvaneh
        affil: Department of Psychiatric Nursing and Management, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
      sug:
        subj:
          Mental Disorders Nursing
          Psychiatric Nurses
          Psychiatric Units
          Needs Assessment
          Quality of Nursing Care
          Culture
          Nurse Attitudes
          Organizational Culture
          Human
          Male
          Female
          Adult
          Middle Age
          Qualitative Studies
          Content Analysis
          Hospitals, Psychiatric
          Iran
          Purposive Sample
          Semi-Structured Interview
          Data Analysis Software
          Family Attitudes
          Mental Fatigue
          Nursing Shortage
          Workload
          Sociodemographic Factors
          Socioeconomic Factors
          Age Factors
          Sex Factors
          Educational Status
          Job Experience
          Practice Guidelines
          Work Environment
          Health Services Accessibility
          Checklists
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background & Aim: Providing quality care to hospitalized psychiatric patients is vital, but many barriers hinder it. This study aimed to identify the barriers faced by nurses working in psychiatric wards in providing care for inpatients with mental disorders. Methods & Materials: This qualitative study used a conventional content analysis approach and was conducted from July 2023 to September 2024 in three hospitals in Iran. Twenty psychiatric nurses with at least six months of experience were selected through purposive sampling. Data were collected through 20 semi-structured interviews (about 45 minutes each) and analyzed using conventional content analysiswith MAXQDA software (Version 10). Results:The findings revealed two main categories of barriers that psychiatric nurses face. The first, individual-social-professional factors, include nurses' inappropriate perceptions and actions, societal and family misconceptions about psychiatric care, and mental fatigue. The second, organizational-managerial factors, include staff shortages in both quantity and quality, excessive workload, management misunderstandings about psychiatric care, lack of organizational support, lack of effective guidelines, unfavourable physical environment, inadequate healthcare and recreational facilities, and lack of financial support for nurses. In particular, lack of knowledge about mental disorders and perceived institutional neglect emerged as major barriers that significantly reduced nurses' motivation and compromised the overall quality of psychiatric care. Conclusion: This study highlights the complex barriers to optimal psychiatric care. Overcoming these challenges through targeted interventions, such as enhancing professional support systems and organizational reforms, is essential to fostering a more conducive care environment. These measures can improve psychiatric care quality.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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