Catherine Pugnaire Gros1, Ciara Parr2, David K Wright3, Marjorie Montreuil4, Julie Frechette5. 1. Catherine Pugnaire Gros, RN, MSc(A), is Assistant Professor, Ingram School of Nursing, McGill University and Clinical Nurse Specialist, Douglas Mental Health University Institute, Montreal, Quebec, Canada. 2. Ciara Parr, RN, MSc(A), is a Registered Nurse, Toronto, Ontario, Canada and Graduate, Direct-Entry Program, Ingram School of Nursing, McGill University, Montreal, Quebec, Canada. 3. David K Wright, RN, PhD, is Assistant Professor, University of Ottawa School of Nursing, Ottawa, Ontario, Canada. 4. Marjorie Montreuil, RN, MSc(A), is PhD Candidate, Ingram School of Nursing, McGill University, Montreal, Quebec, Canada. 5. Julie Frechette, RN, MSc(HR), CHRP, CEC, is PhD Candidate and Research Assistant, Ingram School of Nursing, McGill University, Montreal, Quebec, Canada.
Abstract
BACKGROUND: Rules and regulations represent an aspect of psychiatric hospitalization about which little is known. STUDY PURPOSE: To explore the perceptions of rules from the perspective of youth receiving hospital-based psychiatric services. DESIGN: Qualitative descriptive. METHODS: Perceptions of rules were elicited through semi-structured interviews with a convenience sample of six youth. RESULTS: Rules were perceived as governing virtually all aspects of everyday living in the hospital environment. Rules were used to structure daily activities, routines, and social interactions, and were embedded within clinical protocols and treatment plans. For each participant, "making sense" or "not making sense" were central themes through which rules were interpreted as being either therapeutic or oppressive. Rules that made "no sense" negatively affected youth mood, behavior, treatment adherence, and engagement in a collaborative relationship. CONCLUSION: Working in partnership with youth in psychiatric care to establish, implement, and evaluate rules that "make sense" can promote positive health outcomes and prevent negative, unintended consequences.
BACKGROUND: Rules and regulations represent an aspect of psychiatric hospitalization about which little is known. STUDY PURPOSE: To explore the perceptions of rules from the perspective of youth receiving hospital-based psychiatric services. DESIGN: Qualitative descriptive. METHODS: Perceptions of rules were elicited through semi-structured interviews with a convenience sample of six youth. RESULTS: Rules were perceived as governing virtually all aspects of everyday living in the hospital environment. Rules were used to structure daily activities, routines, and social interactions, and were embedded within clinical protocols and treatment plans. For each participant, "making sense" or "not making sense" were central themes through which rules were interpreted as being either therapeutic or oppressive. Rules that made "no sense" negatively affected youth mood, behavior, treatment adherence, and engagement in a collaborative relationship. CONCLUSION: Working in partnership with youth in psychiatric care to establish, implement, and evaluate rules that "make sense" can promote positive health outcomes and prevent negative, unintended consequences.
Authors: Siri Saugestad Helland; A V Mellblom; J Kjøbli; T Wentzel-Larsen; K Espenes; T Engell; B Kirkøen Journal: Adm Policy Ment Health Date: 2022-08-20