Stuck between a rock and an unnecessarily hard place-a qualitative interview study of experiences of psychiatric inpatient care among persons with severe dissociative states.
Persons with severe dissociative states constitute a vulnerable group in psychiatric inpatient care and are at risk of being misunderstood and mistreated. The aim was to describe experiences of psychiatric inpatient care among persons living with severe dissociative states.
Sixteen persons with lived experience of severe dissociative states and previous contact with psychiatric inpatient care participated in semi-structured interviews that were analyzed using qualitative content analysis. This study is reported in accordance with the COREQ guidelines.
Participants' experiences are described in one theme, Stuck between a rock and an unnecessarily hard place, and three subthemes. At the mercy of others in a place intended to provide support, Distrusted and rejected in a place intended to allow existence and Lacking control in a place intended to be safe.
The results suggest a gap in understanding of trauma dynamics in psychiatric inpatient care, implying a need for increased trauma awareness. Mental health nurses should lead the promotion of safe, person-centred and trauma-informed psychiatric inpatient care for persons with severe dissociative states, requiring authority, education, support, supervision and resources.
Sixteen persons with lived experience of severe dissociative states and previous contact with psychiatric inpatient care participated in semi-structured interviews that were analyzed using qualitative content analysis. This study is reported in accordance with the COREQ guidelines.
Participants' experiences are described in one theme, Stuck between a rock and an unnecessarily hard place, and three subthemes. At the mercy of others in a place intended to provide support, Distrusted and rejected in a place intended to allow existence and Lacking control in a place intended to be safe.
The results suggest a gap in understanding of trauma dynamics in psychiatric inpatient care, implying a need for increased trauma awareness. Mental health nurses should lead the promotion of safe, person-centred and trauma-informed psychiatric inpatient care for persons with severe dissociative states, requiring authority, education, support, supervision and resources.
Authors
Söderberg Söderberg, Ejneborn Looi Ejneborn Looi, Lindgren Lindgren, BÀckström BÀckström, Gabrielsson Gabrielsson
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