Advertisement
Research Article| Volume 42, P68-74, February 2023

Download started.

Ok

The lived experience of psychiatric-mental health nurses working with dissociative disorder inpatients: A phenomenological inquiry

Published:December 28, 2022DOI:https://doi.org/10.1016/j.apnu.2022.12.013

      Highlights

      • There is a deficit of literature related to nursing care of dissociative disorders.
      • Participants reported minimal exposure to dissociative disorders while in school.
      • Lack of EBP compels RNs to educate others and combat harmful stigma.
      • Inadequate staffing and workplace support contributed to decreased quality of care.
      • Promoting greater understanding of DD treatment for RNs is essential to improve care.

      Abstract

      Nursing literature about dissociative disorders is lacking, resulting in a deficit of available evidence to drive nursing practice. This study sought to address this scarcity of literature by shedding light on the lived experiences of nurses who directly care or have cared for this population. Participants were individually interviewed along the lines of training, education, and personal experiences, and responses were analyzed to uncover themes found in multiple interviews. The result was a clear emphasis on improving education about the unique needs of individuals with dissociative disorders in order to improve the nursing care of this population.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Archives of Psychiatric Nursing
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • American Nurses Association
        Scope and standards of practice: Psychiatric-mental health nursing.
        (2nd ed.). Author, 2014
        • American Psychiatric Assocation
        What are dissociative disorders?.
        • American Psychiatric Association
        Diagnostic and statistical manual of mental disorders.
        (5th ed.). American Psychiatric Publishing, 2013
        • Antai-Otong D.
        Caring for trauma survivors.
        Nursing Clinics of North America. 2016; 51: 323-333https://doi.org/10.1016/j.cnur.2016.01.014
        • Boyer S.
        • Caplan J.
        • Edwards L.
        Trauma-related dissociation and the dissociative disorders: Neglected symptoms with severe public health consequences.
        Delaware Journal of Public Health. 2022; 8: 78-84https://doi.org/10.32481/djph.2022.05.010
        • Zoom Video Communications I.</c.>
        • Association of Women's Health and Neonatal Nurses, O.
        Clinical & practical resources.
        • Foote B.
        • Smolin Y.
        • Kaplan M.
        • Legatt M.E.
        • Lipschitz D.
        Prevalence of dissociative disorders in psychiatric outpatients.
        The American Journal of Psychiatry. 2006; 163: 623-629https://doi.org/10.1176/appi.ajp.163.4.623
      1. Halter M.J. Varcarolis' Foundations of psychiatric-mental health nursing: A clinical approach. (9th ed.). Elsevier, 2022
        • International Society for the Study of Trauma and Dissociation [ISSTD]
        Guidelines for treating dissociative identity disorder in adults.
        Journal of Trauma & Dissociation. 2011; 12: 115-187
        • International Society for the Study of Trauma and Dissociation [ISSTD]
        • Keltner N.L.
        • Steele D.
        Psychiatric nursing.
        (8th ed.). Elsevier, 2019
        • Loewenstein R.
        • Wait S.
        The trauma disorders unit.
        in: Textbook of Hospital Psychiatry. American Psychiatric Publishing, 2008: 103-118
        • Nester M.S.
        • Boi C.
        • Brand B.L.
        • Schielke H.J.
        The reasons dissociative disorder patients self-injure.
        European Journal of Psychotraumatology. 2022; 13https://doi.org/10.1080/20008198.2022.2026738
        • Panopto
        • Potter M.
        • Moller M.
        Psychiatric-mental health nursing: From suffering to hope.
        (2nd ed.). Pearson, 2019
        • QSR International Pty Ltd
        NVivo (released in march 2020).
        • Smith J.A.
        Evaluating the contribution of interpretative phenomenological analysis.
        Health Psychology Review. 2011; 5: 9-27
        • Smith J.A.
        • Flowers P.
        • Larkin M.
        Interpretative phenomonological analysis: Theory, method and research.
        SAGE, 2009
        • Snyder B.L.
        Recognizing & treating dissociative disorders: The nurse's role in supporting patients and their families.
        American Nurse Journal. 2021; 16: 2-5
        • Townsend M.C.
        • Morgan K.I.
        Davis F.A. Psychiatric mental health nursing: Concepts of care in evidence- based practice. (9th ed.). 2018
        • Treatment of Patients with Dissociative Disorders [TOP DD]