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 language | English |
|---|---|
| Pages (from-to) | 677–687 |
| Journal | Archives of Psychiatric Nursing |
| Volume | 32 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - 2018 |
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Keywords
- Autonomy
- Community
- Guest
- Power relations
- Psychiatric nurses
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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 journal › Article › Academic › peer-review
TY - JOUR
T1 - Perceptions of professional role in community mental health nurses
T2 - the interplay of power relations between nurses and mentally ill individuals
AU - Karanikola, Maria
AU - Kaikoushi, Katerina
AU - Doulougeri, Karolina
AU - Koutrouba, Anna
AU - Papathanassoglou, E.D.E.
PY - 2018
Y1 - 2018
N2 - 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.
AB - 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.
KW - Autonomy
KW - Community
KW - Guest
KW - Power relations
KW - Psychiatric nurses
UR - http://www.scopus.com/inward/record.url?scp=85045200607&partnerID=8YFLogxK
U2 - 10.1016/j.apnu.2018.03.007
DO - 10.1016/j.apnu.2018.03.007
M3 - Article
C2 - 30201195
AN - SCOPUS:85045200607
VL - 32
SP - 677
EP - 687
JO - Archives of Psychiatric Nursing
JF - Archives of Psychiatric Nursing
SN - 0883-9417
IS - 5
ER -