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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Recovery-oriented practice: Participant observations of the interactions between patients and health professionals in mental health inpatient settings

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DOI

  1. Recovery orientation in mental health inpatient settings: Inpatient experiences?

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Experiences of wake and light therapy in patients with depression: A qualitative study

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Despite an increasing attention towards recovery orientation in the mental health services, the provision of recovery-oriented practice is challenged in the inpatient wards. Moreover, the existing research within this area is modest and we currently have limited knowledge of how recovery-oriented practice is integrated into inpatient settings. A cornerstone of recovery-oriented practice is the collaboration, patient involvement, and choices, particularly when deciding and planning treatment options. Thus, this ethnographic study aimed to explore how recovery-oriented practice is reflected in the interactions between patients and health professionals around treatment in two mental health inpatient wards in Denmark. Participant observations were conducted in two mental health inpatient wards from November 2014 to January 2015. The Recovery Self-Assessment scale inspired the observation guide and the initial data analysis. Field notes were analysed deductively and inductively using qualitative content analysis. One theme with four subthemes emerged showing that interactions were characterized by an ‘as-if collaboration’ where ‘negotiating on limited grounds’ was an important feature of interactions, in which health professionals seemed to have superiority, acting on behalf of ‘competing demands’. Patients had to navigate in a field of ‘inconsistent guidance and postponed decisions’ and faced tendencies of ‘control and condescending communication’. The results suggest that recovery oriented values such as equal collaboration, choice and patients’ personal preferences are reflected rhetorically in the interactions between patients and health professionals. However, they are negotiated within organizational logics and often overruled by competing demands.

Original languageEnglish
JournalInternational Journal of Mental Health Nursing
Volume28
Issue number1
Pages (from-to)318-329
Number of pages12
ISSN1445-8330
DOIs
Publication statusPublished - 2019

Bibliographical note

© 2018 Australian College of Mental Health Nurses Inc.

    Research areas

  • ethnography, inpatient care, mental health, qualitative research, recovery, Decision Making, Humans, Physician-Patient Relations, Mental Disorders/therapy, Psychiatric Department, Hospital, Remission Induction/methods, Adult, Interviews as Topic, Personnel, Hospital, Qualitative Research

ID: 55409235