Perceptions of professional role in community mental health nurses: the interplay of power relations between nurses and mentally ill individuals

Maria Karanikola, Katerina Kaikoushi, Karolina Doulougeri, Anna Koutrouba, E.D.E. Papathanassoglou

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Nurses’ professional role perception is related to the quality and safety of care. Limited data exist regarding professional role perception in community mental health nurses (CMHNs). The aim of the present study was to investigate the living experience of Greek-Cypriot CMHNs of their professional role. A phenomenological approach based on Munhall's methodology was applied. According to purposive sampling, five Greek-Cypriot CMHNs participated, following informed consent. The interplay of power relations between participants and mentally ill individuals during CMHNs’ house calls was revealed as the core theme contributing to the perception of their status within their professional role. Participants’ perception of their status as visitors in patients’ homes rather than authoritative figures, an image held within hospital mental health services, was deemed as the greatest challenge of their professional role. Moreover, the necessity for autonomous and rapid decision-making during home visits was described as an absolute prerequisite for professional effectiveness. Overall, the main themes were grouped as follows: professional role perceptions, perception of self within professional role, feelings and expectations about professional role. Non-power relations between participants and patients, along with efficacy, control and adequate clinical autonomy for effective professional practice were highlighted as major prerequisites during house calls. Interventions towards nurses’ psychosocial and organizational empowerment, as well as strengthening patients’ self-determination are proposed.

Original languageEnglish
Pages (from-to)677–687
JournalArchives of Psychiatric Nursing
Volume32
Issue number5
DOIs
Publication statusPublished - 2018

Fingerprint

Professional Role
Community Health Nurses
Mentally Ill Persons
Mental Health
Nurses
House Calls
Visitors to Patients
Personal Autonomy
Professional Practice
Ego
Power (Psychology)
Nurse's Role
Quality of Health Care
Mental Health Services
Informed Consent
Decision Making
Emotions
Safety

Keywords

  • Autonomy
  • Community
  • Guest
  • Power relations
  • Psychiatric nurses

Cite this

Karanikola, Maria ; Kaikoushi, Katerina ; Doulougeri, Karolina ; Koutrouba, Anna ; Papathanassoglou, E.D.E. / Perceptions of professional role in community mental health nurses : the interplay of power relations between nurses and mentally ill individuals. In: Archives of Psychiatric Nursing. 2018 ; Vol. 32, No. 5. pp. 677–687.
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Perceptions of professional role in community mental health nurses : the interplay of power relations between nurses and mentally ill individuals. / Karanikola, Maria; Kaikoushi, Katerina; Doulougeri, Karolina; Koutrouba, Anna; Papathanassoglou, E.D.E.

In: Archives of Psychiatric Nursing, Vol. 32, No. 5, 2018, p. 677–687.

Research output: Contribution to journalArticleAcademicpeer-review

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