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Author |
Dearden, G. |
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Title |
When things go wrong: The experiences of mental health nurses who have had a patient die through suicide |
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Year  |
2004 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Mental health; Psychiatric Nursing; Nurse-patient relations; Case studies; Suicide |
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Abstract |
This thesis discusses the findings of a research study, informed by the work of van Manen (1997b), which explored the lived experiences of five mental health nurses who have had a patient die through suicide. Narrative was used as a method in interviews to uncover the essence of their lived experiences. Five interwoven themes uncovered in each of the interviews were: impact, support, feelings, closure and paradox. All of the nurses interviewed experienced a wide range of feelings about their patient's suicides, ranging from shock to guilt, to anger and sadness, and described their patient's suicide as having a significant impact on them. Support received by the nurses following their patient's suicide was variable, and they were often in the difficult position of trying to offer support to the patient's family. Common to all of the nurses was the lack of closure following the suicide. Paradox was found to be the overall essence of the experience of the mental health nurses interviewed. Three main paradoxical themes or statements were identified that are in many respects a summary of all of the themes that emerged. These were: unavoidable – responsible; inevitable – unprepared; duty of care – respect for patient's decision to end their life. The author suggests that the ability of the nurses interviewed to accept and reconcile the paradoxical issues that arise in relation to patient suicide, and accept the lack of closure they experience, is a fundamental element in their ability to continue to work in the mental health setting, despite the significant impact their patient's suicide has had on them. Four recommendations are made based on the insights gained from this research. These are: that every mental health service should have a suicide response policy; that undergraduate nursing education includes the impact of patient suicide; the development of policies which promote dialogue about suicide within the community; and the need for further research in this topic. |
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Call Number |
NRSNZNO @ research @ |
Serial |
602 |
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Author |
Booher, J. |
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Title |
Care of the patient following coronary artery grafts |
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Journal Article |
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Year |
2003 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
Available online from the Eastern Institute of Technology website |
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Volume |
10 |
Issue |
16 |
Pages |
15-18 |
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Keywords |
Surgery; Nursing; Case studies; Oncology; Cancer |
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Abstract |
This case study outlines the care of Mr. M, a sixty-six year old ventilated patient admitted to an Intensive Care Unit for management following coronary artery grafts. Mr. M's health history and risk factors are explored, in particular how they contributed to his presentation. Mr. M's post operative problems are identified and the rationale for his management is discussed with emphasis on the nursing care provided. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1298 |
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Author |
Ellis, T. |
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Title |
A multidimensional approach to caring for a patient with breast cancer: A case study |
Type |
Journal Article |
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Year |
2003 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
Available online from Eastern Institute of Technology |
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Volume |
11 |
Issue |
17 |
Pages |
15-19 |
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Keywords |
Case studies; Breast cancer; Nursing; Cancer; Oncology |
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Abstract |
This story follows the nursing care of a woman in her mid forties, diagnosed with breast cancer. The case study follows her from the diagnosis and decision to undergo a mastectomy, and the requirements of nursing care through that process. It discusses the emotional and physical preparation necessary for surgery, perioperative care, multidisciplinary care, and issues around body image post-mastectomy. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1301 |
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| Permanent link to this record |
