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Journal article
Experiences of Hospitalization of Patients With Psychotic Disorders on Medical-Surgical Units: A Thematic Analysis
JOURNAL OF THE AMERICAN PSYCHIATRIC NURSES ASSOCIATION, v 27(4), pp 306-321
Jul 2021
PMID: 31795792
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
BACKGROUND:Individuals with psychotic disorders are more likely to have nonpsychiatric hospitalizations than the general population. Moreover, they experience worse outcomes in terms of rehospitalization, adverse events, in-hospital mortality, and longer length of stay. AIM: A patient-centered understanding of inpatient medical-surgical hospitalization experiences could shed light on disparities in hospital outcomes among individuals with psychotic disorders. METHOD: This article reports findings from Phase 1 (Qualitative) of a mixed methods, exploratory sequential study of nonpsychiatric hospitalizations of patients with psychotic disorders. Patients on medical-surgical units with diagnosed psychotic disorders (n = 20) were interviewed about their experiences of hospitalization, and a thematic analysis was conducted of transcripts, case notes, and setting notes. RESULTS: Five themes emerged from analysis: (1) managing through hard times (subthemes: intense emotions, medically complex with many symptoms, strategies for self-management), (2) ignored and treated unfairly, (3) actively involved in health (subthemes: seeking health education, suggesting changes), (4) appreciation of caring providers, and (5) violence: expected and enacted. Participants connected the difficult nature of their hospitalization experiences with a variety of sources and outcomes, including strong emotions, variable relationships with providers and a struggle to receive health education. CONCLUSIONS: Nurses who care for patients with psychotic disorders in medical-surgical settings can better meet patients' needs by concentrating on relationship building, especially during initial interactions, and helping patients better manage their medical and psychiatric symptoms through both pharmaceutical and nursing interventions.
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Details
- Title
- Experiences of Hospitalization of Patients With Psychotic Disorders on Medical-Surgical Units: A Thematic Analysis
- Publication Details
- JOURNAL OF THE AMERICAN PSYCHIATRIC NURSES ASSOCIATION, v 27(4), pp 306-321
- Publisher
- SAGE PUBLICATIONS INC; THOUSAND OAKS
- Number of pages
- 15
- Grant note
- The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was made possible by the NINR T-32 Grant on Research on Vulnerable Women, Children and Families (NR007100-20) and the Office of Nursing Research at the University of Pennsylvania.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:000500873700001
- Scopus ID
- 2-s2.0-85077072251
- Other Identifier
- 991021860754504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Nursing
- Psychiatry