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Storytelling, Safeguarding, Treatment, and Responsibility: attributes of recovery in psychiatric intensive care units

Published online by Cambridge University Press:  19 December 2014

Karleen Gwinner  and
Louise Ward
Karleen Gwinner*
Affiliation:
Children and Youth Research Centre, Queensland University of Technology, Brisbane, Australia
Louise Ward
Affiliation:
School of Nursing, La Trobe University, Melbourne, Australia
*
Correspondence to: Dr Karleen Gwinner, Children and Youth Research Centre, Queensland University of Technology, Victoria Rd L139, Brisbane, Queensland 4059, Australia. E-mail: [email protected]
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Abstract

Background and aim

In recent years, policy in Australia has endorsed recovery-oriented mental health services underpinned by the needs, rights and values of people with lived experience of mental illness. This paper critically reviews the idea of recovery as understood by nurses at the frontline of services for people experiencing acute psychiatric distress.

Method

Data gathered from focus groups held with nurses from two hospitals were used to ascertain their use of terminology, understanding of attributes and current practices that support recovery for people experiencing acute psychiatric distress. A review of literature further examined current nurse-based evidence and nurse knowledge of recovery approaches specific to psychiatric intensive care settings.

Results

Four defining attributes of recovery based on nurses’ perspectives are shared to identify and describe strategies that may help underpin recovery specific to psychiatric intensive care settings.

Conclusion

The four attributes described in this paper provide a pragmatic framework with which nurses can reinforce their clinical decision-making and negotiate the dynamic and often incongruous challenges they experience to embed recovery-oriented culture in acute psychiatric settings.

Keywords

Inpatientnursing practicepsychiatric intensive carerecoveryrecovery-oriented health services
Type
Review Articles
Information
Journal of Psychiatric Intensive Care , Volume 11 , Supplement 2 , August 2015 , pp. 105 - 118
Copyright
© NAPICU 2014 

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