Lived experiences of mental health nurses who care for clients who are parents: An approximation of Tronto's definition of care.

Journal: Journal of psychiatric and mental health nursing

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Affiliated Institutions:  Departament d'Infermeria, Grup de Recerca Avançada en Infermeria, Facultat d'Infermeria, Universitat Rovira i Virgili, Tarragona, Spain. Departament d'Infermeria, Grup de Recerca GAP, Hospital Universitari Institut Pere Mata, CIBERSAM, Universitat Rovira i Virgili, Tarragona, Spain.

Abstract summary 

Adult psychiatric services typically focus on the mental health needs of the client but they do not support his or her parenting role. Many authors highlight the importance of a non-judgmental approach when providing support and care to clients with mental illness who are parents. Assessments frequently focus on the negative aspects while the strengths of these families were often overlooked. There is a lack of scientific literature exploring nurses' experiences when caring for parents with mental illness and their families.Trust is the basis that helps clients to be open to receiving care and answering parenting-related questions. Therefore, without adequate professional-client trust, some care and interventions addressed to parents with mental illness could be poorly received by the client. Tronto's phases of care facilitated the collection of data and exploration of mental health nurses' experiences of care.Mental health nurses should be aware of the potential needs of these families, as described in the scientific literature, so they can include them in their assessments. They also should consider the need to individualize each care since each situation of a family with parental mental illness is unique. Mental health nurses must take the person's environment into account (family, social and political aspects and different forms of stigma) since all these factors may influence how parents with mental illness receive and provide care.Introduction Many authors highlight the importance of a non-judgmental approach when providing care to parents with mental illness. However, assessments frequently focus on the negative aspects while the strengths of such families were often overlooked. Aim To explore the lived experiences of mental health nurses who care for clients who are parents. Method We conducted a qualitative phenomenological study. The main data collection technique was in-depth interviews. Data were analysed according to Colaizzi model, subsequently, the main categories that arised were compared and related to the five phases of Tronto's care. Results The main categories identified from the analysis of the interviews were: (1) individualized care, (2) continuity of care, (3) psychoeducation and counselling, (4) trust and (5) context of the client. Discussion Trust is the basis that helps parents with mental illness to be open to receiving care and answering parenting-related questions. Without trust, some interventions could be poorly received by the client. Implications for Practice Mental health nurses should be aware of the potential needs of these families, so they can include them in their assessments. They also should consider the need to individualize each care since each situation of a family with parental mental illness is unique.

Authors & Co-authors:  Vives-Espelta Ortega-Sanz Ferré-Grau Burjalés-Martí

Study Outcome 

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Statistics
Citations :  Blundell, J., Wittkowski, A., Wieck, A., & Hare, D. J. (2012). Using the repertory grid technique to examine nursing staff's construal of mothers with mental health problems. Clinical Psychology & Psychotherapy, 19(3), 260-269. https://doi.org/10.1002/cpp.747
Authors :  4
Identifiers
Doi : 10.1111/jpm.13041
SSN : 1365-2850
Study Population
Male,Female
Mesh Terms
Other Terms
family-focused practice;mental health nurses;mothers;parental mental disorder;parental mental illness;paternity;qualitative research
Study Design
Phenomenological Study
Study Approach
Qualitative
Country of Study
Publication Country
England