Glantz Andreas, Wiklund Gustin Lena, Nilsson Ingeborg, Westerlund Anna, Molin Jenny
Department of Nursing, Umeå University, Umeå, Sweden.
Mälardalen University, Västerås, Sweden.
Int J Ment Health Nurs. 2025 Feb;34(1):e13431. doi: 10.1111/inm.13431. Epub 2024 Sep 20.
Forming therapeutic relationships is considered important within psychiatric and mental health nursing. One way of achieving this is through social interaction when engaging in joint activities. However, introducing and using nursing interventions based on joint activities in psychiatric inpatient care has proven challenging. Since staff motivation is important, researching the meaning of engaging in joint activities from the nursing professional's point of view can provide information that is relevant in this area. This study aims to illuminate the meaning of participating in joint activities with patients as narrated by nursing professionals in psychiatric inpatient care. Narrative interviews with 14 nursing professionals with experience from psychiatric inpatient care were conducted. Data were analysed using phenomenological hermeneutics and reported following the consolidated criteria for reporting qualitative research (COREQ) guidelines. Results illuminate that engaging in joint activities means being open to a process of learning. Four themes contributed to this understanding: Struggling with uncertainty, discovering aspects of the other, unfolding paths to self-fulfilment and sharing personhood. Being open to a process of learning means being willing to face uncertainty when engaging in activities as well as being open to learning about oneself as well as the other. Through openness to this process of learning, a sharing of personhood can be achieved, where the nursing professional and the patient approach becoming two persons. Illuminating the meaning of joint activities from the nursing professionals' perspective may provide valuable insights related to introducing and using interventions focusing on joint activities.
在精神科和心理健康护理中，建立治疗关系被认为是很重要的。实现这一点的一种方法是在参与联合活动时进行社交互动。然而，事实证明，在精神科住院护理中引入并运用基于联合活动的护理干预具有挑战性。由于员工积极性很重要，从护理专业人员的角度研究参与联合活动的意义可以提供该领域相关的信息。本研究旨在阐明精神科住院护理中的护理专业人员所讲述的与患者参与联合活动的意义。对14名有精神科住院护理经验的护理专业人员进行了叙事访谈。使用现象学诠释学对数据进行了分析，并按照定性研究报告统一标准（COREQ）指南进行了报告。结果表明，参与联合活动意味着对学习过程持开放态度。有四个主题促成了这一理解：与不确定性作斗争、发现对方的各个方面、展现自我实现的途径以及分享人格。对学习过程持开放态度意味着在参与活动时愿意面对不确定性，并且愿意了解自己和他人。通过对这一学习过程持开放态度，可以实现人格的分享，在这种情况下，护理专业人员和患者逐渐成为两个平等的个体。从护理专业人员的角度阐明联合活动的意义，可能会为引入和运用侧重于联合活动的干预措施提供有价值的见解。
