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'What matters to me': A multi-method qualitative study exploring service users’, carers’ and clinicians’ needs and experiences of therapeutic engagement on acute mental health wards

Research output: Contribution to journalArticlepeer-review

Original languageEnglish
Pages (from-to)703-714
Number of pages12
JournalInternational Journal Of Mental Health Nursing
Volume30
Issue number3
Early online date18 Jan 2021
DOIs
Accepted/In press17 Dec 2020
E-pub ahead of print18 Jan 2021
PublishedJun 2021

Bibliographical note

Funding Information: This report is independent research supported by the National Institute for Health Research (HEE/NIHR ICA Programme Clinical Doctoral Research Fellowship, Ms Sarah McAllister, ICA-CDRF2017-03-034). The views expressed in this publication are those of the author(s) and not necessarily those of the NHS, the National Institute for Health Research, or the Department of Health and Social Care. The authors thank all the service users, carers, and clinicians that gave their time to be interviewed for this study. We would also like to thank Iain Ryrie, publication coach at King?s College London, for his assistance with early drafts of this paper. Funding Information: This report is independent research supported by the National Institute for Health Research (HEE/NIHR ICA Programme Clinical Doctoral Research Fellowship, Ms Sarah McAllister, ICA‐CDRF2017‐03‐034). The views expressed in this publication are those of the author(s) and not necessarily those of the NHS, the National Institute for Health Research, or the Department of Health and Social Care. Publisher Copyright: © 2021 The Authors. International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

Documents

  • Full_Manuscript_V2

    Full_Manuscript_V2.docx, 53.6 KB, application/vnd.openxmlformats-officedocument.wordprocessingml.document

    Uploaded date:19 Dec 2020

    Version:Accepted author manuscript

  • Mcallisterwhatmatters2021

    Mcallisterwhatmatters2021.pdf, 255 KB, application/pdf

    Uploaded date:18 Jan 2021

    Version:Final published version

King's Authors

Abstract

Nurse–patient therapeutic engagement on acute mental health wards is beneficial to service users’ outcomes and nurses’ job satisfaction. However, engagement is not always fulfilled in practice and interventions to improve engagement are sparse and ineffective. We explored the experiences of service users, carers, and clinicians drawing from 80 hours of non-participant observations in an acute mental health ward and semi-structured interviews with 14 service users, two carers, and 12 clinicians. Analysis of these data resulted in 28 touchpoints (emotionally significant moments) and eight overarching themes. Service users, carers, and clinicians identified a lack of high-quality, person-centred, collaborative engagement and recognized and supported efforts to improve engagement in practice. Potential solutions to inform future intervention development were identified. Our findings align with previous research highlighting negative experiences and support the need to develop multicomponent interventions through participatory methods.

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