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Perceptions among psychiatric staff of creating a therapeutic alliance with patients on community treatment orders
Jönköping University, School of Health and Welfare. Linköping University, Psychiatry Section, Department of Medical and Health Sciences, Linköping, Sweden.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
2016 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, no 10, 701-707 p.Article in journal (Refereed) Published
Abstract [en]

A therapeutic alliance with a continuing collaboration between a patient and psychiatric staff is a resource for helping patients cope with the demands of coercive legislation. Knowledge exists describing coercion in inpatient care while the knowledge regarding the perceptions of creating a therapeutic alliance with patients on Community Treatment Orders (CTO) among psychiatric staff is scarce. To describe perceptions among psychiatric staff of creating a therapeutic alliance with patients on CTOs, an exploratory design using a phenomenographic method was employed. Thirteen semi-structured audio-taped interviews were conducted with psychiatric staff responsible for patients on CTOs. The staff worked in five different outpatient clinics and the interviews were conducted at their workplaces. The analysis resulted in in four metaphors: the persevering psychiatric staff, the learning psychiatric staff, the participating psychiatric staff, and the motivating psychiatric staff. Patients on CTOs were more time-consuming for psychiatric staff in care and treatment. Long-term planning is required in which the creation of a therapeutic alliance entails the patient gradually gaining greater self-awareness and wanting to visit the outpatient clinic. The professional–patient relationship is essential and if a therapeutic alliance is not created, the patient's continued care and treatment in the community is vulnerable.

Place, publisher, year, edition, pages
2016. Vol. 37, no 10, 701-707 p.
Keyword [en]
awareness, clinical article, exploratory research, group therapy, human, interview, learning, literature, outpatient department, perception, staff, workplace
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-31561DOI: 10.1080/01612840.2016.1216207ISI: 000388646100002PubMedID: 27532674Scopus ID: 2-s2.0-84982245352OAI: oai:DiVA.org:hj-31561DiVA: diva2:956039
Available from: 2016-08-29 Created: 2016-08-29 Last updated: 2017-01-02Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
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More languages
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