Involvement of Expert Nurses during The Hospitalization of Patients Initially Admitted to The psychiatric Ward without Consent

Abstract

This study aimed to clarify the involvement of expert nurses with patients upon their nonconsensual initial admission to the psychiatric ward. We performed a qualitative descriptive analysis and conducted a semi-structured interview on nine nurses who have been involved with patients upon their nonconsensual initial admission to the psychiatric ward and had more than 10 years of experience at the psychiatric ward.

With their involvement with patients upon their nonconsensual initial admission to the psychiatric ward, these expert nurses “relieved the shock upon hospitalization” immediately after their admission. Subsequently, while “keeping pace with patients’ demand,” they “created a point of contact with patients.” After creating a point of contact with patients, while emphasizing on “knowing patients’ experience,” they “provided feedbacks to patients,” “encouraged patients to participate in treatments,” “acted with patients,” and “made use of patients’ strengths.” Moreover, it was revealed that expert nurses “take responsibility for being involved as a nurse” with a sense of responsibility, influencing the patients’ lives through their overall involvement.