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The Lived Experience of Working with Female Patients in a High Secure Hospital

Rachel Beryl, Jason Davies Orcid Logo, Birgit Vollm

International Journal of Mental Health Nursing, Volume: 27, Issue: 1, Pages: 82 - 91

Swansea University Author: Jason Davies Orcid Logo

DOI (Published version): 10.1111/inm.12297

Abstract

Women’s secure hospitals are often considered to be stressful and demanding places to work, with these environments characterised as challenging and violent. The staff experience of working in this environment is however not well represented in the literature. This study is the first to examine the...

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Published in: International Journal of Mental Health Nursing
Published: Wiley 2018
URI: https://cronfa.swan.ac.uk/Record/cronfa30901
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first_indexed 2016-11-02T14:33:42Z
last_indexed 2020-07-14T18:49:19Z
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spelling 2020-07-14T15:39:22.7657047 v2 30901 2016-11-02 The Lived Experience of Working with Female Patients in a High Secure Hospital b7dab4136f5c9c0614cda9bf2d5910b0 0000-0002-1694-5370 Jason Davies Jason Davies true false 2016-11-02 HPS Women’s secure hospitals are often considered to be stressful and demanding places to work, with these environments characterised as challenging and violent. The staff experience of working in this environment is however not well represented in the literature. This study is the first to examine the ‘lived experience’ of seven nurses working in the National High Secure Healthcare Service for Women. Interview transcripts were analysed with the use of Interpretative Phenomenological Analysis, and the findings presented within four superordinate themes ‘horror’, ‘balancing acts’, ‘emotional hard labour’, and ‘the ward as a community’. These themes all depict the challenges that participants experience in their work, the ways in which they cope with these challenges and how they make sense of these experiences. A meta-theme of ‘making sense by understanding why’ is also presented, which represents the importance for participants to attempt to make sense of the tensions and challenges by formulating a fuller meaning. The findings suggest the importance of workforce development, in terms of allowing sufficient protected time for reflection and formulation (for example within the format of group supervision or reflective practice), and for staff support mechanisms (e.g. clinical supervision, counselling, debriefs) to be inbuilt into the ethos of a service, so as to provide proactive support for staff ‘on the frontline’. Journal Article International Journal of Mental Health Nursing 27 1 82 91 Wiley women&apos;s services, staff, nursing, IPA, forensic services, mental health 31 1 2018 2018-01-31 10.1111/inm.12297 COLLEGE NANME Psychology COLLEGE CODE HPS Swansea University 2020-07-14T15:39:22.7657047 2016-11-02T11:06:24.4412205 Faculty of Medicine, Health and Life Sciences School of Psychology Rachel Beryl 1 Jason Davies 0000-0002-1694-5370 2 Birgit Vollm 3 0030901-13122016190955.pdf Beryl_et_al_author_manuscript_2016.pdf 2016-12-13T19:09:55.8870000 Output 401648 application/pdf Accepted Manuscript true 2017-12-16T00:00:00.0000000 true
title The Lived Experience of Working with Female Patients in a High Secure Hospital
spellingShingle The Lived Experience of Working with Female Patients in a High Secure Hospital
Jason Davies
title_short The Lived Experience of Working with Female Patients in a High Secure Hospital
title_full The Lived Experience of Working with Female Patients in a High Secure Hospital
title_fullStr The Lived Experience of Working with Female Patients in a High Secure Hospital
title_full_unstemmed The Lived Experience of Working with Female Patients in a High Secure Hospital
title_sort The Lived Experience of Working with Female Patients in a High Secure Hospital
author_id_str_mv b7dab4136f5c9c0614cda9bf2d5910b0
author_id_fullname_str_mv b7dab4136f5c9c0614cda9bf2d5910b0_***_Jason Davies
author Jason Davies
author2 Rachel Beryl
Jason Davies
Birgit Vollm
format Journal article
container_title International Journal of Mental Health Nursing
container_volume 27
container_issue 1
container_start_page 82
publishDate 2018
institution Swansea University
doi_str_mv 10.1111/inm.12297
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
document_store_str 1
active_str 0
description Women’s secure hospitals are often considered to be stressful and demanding places to work, with these environments characterised as challenging and violent. The staff experience of working in this environment is however not well represented in the literature. This study is the first to examine the ‘lived experience’ of seven nurses working in the National High Secure Healthcare Service for Women. Interview transcripts were analysed with the use of Interpretative Phenomenological Analysis, and the findings presented within four superordinate themes ‘horror’, ‘balancing acts’, ‘emotional hard labour’, and ‘the ward as a community’. These themes all depict the challenges that participants experience in their work, the ways in which they cope with these challenges and how they make sense of these experiences. A meta-theme of ‘making sense by understanding why’ is also presented, which represents the importance for participants to attempt to make sense of the tensions and challenges by formulating a fuller meaning. The findings suggest the importance of workforce development, in terms of allowing sufficient protected time for reflection and formulation (for example within the format of group supervision or reflective practice), and for staff support mechanisms (e.g. clinical supervision, counselling, debriefs) to be inbuilt into the ethos of a service, so as to provide proactive support for staff ‘on the frontline’.
published_date 2018-01-31T03:37:40Z
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score 11.016593

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