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Police referrals to a psychiatric hospital: Experiences of nurses caring for police‐referred admissions
Author(s) -
Maharaj Reshin,
O'Brien Louise,
Gillies Donna,
Andrew Sharon
Publication year - 2013
Publication title -
international journal of mental health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.911
H-Index - 54
eISSN - 1447-0349
pISSN - 1445-8330
DOI - 10.1111/j.1447-0349.2012.00881.x
Subject(s) - legislation , referral , nursing , medicine , mental health , psychology , psychiatry , political science , law
Police are a major source of referral to psychiatric hospitals in industrialized countries with mental health legislation. However, little attention has been paid to nurses' experience of caring for police‐referred patients to psychiatric hospitals. This study utilized a H eideggerian phenomenological framework to explore the experiences of nine nurses caring for patients referred by the police, through semistructured interviews. Two major themes emerged from the hermeneutic analyses of interviews conducted with nurse participants: (i) ‘expecting “the worst” ’; and (ii) ‘balancing therapeutic care and forced treatment’. Expecting ‘the worst’ related to the perceptions nurse participants had about patients referred by the police. This included two sub‐themes: (i) ‘we are here to care for whoever they bring in’; and (ii) ‘but who deserves care?’ The second theme balancing therapeutic care and forced treatment included the sub‐themes: (i) ‘taking control, taking care’; and (ii) ‘managing power’. The study raises ethical and skill challenges for nursing including struggling with the notion of who deserves care, and balancing the imperatives of legislation with the need to work within a therapeutic framework.