"We Have to Be Satisfied with the Scraps": South African Nurses' Experiences of Care on Adult Psychiatric Intellectual Disability Inpatient Wards

Autor/inn/en	Capri, Charlotte; Buckle, Chanellé
Titel	"We Have to Be Satisfied with the Scraps": South African Nurses' Experiences of Care on Adult Psychiatric Intellectual Disability Inpatient Wards
Quelle	In: Journal of Applied Research in Intellectual Disabilities, 28 (2015) 3, S.167-181 (15 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1360-2322
DOI	10.1111/jar.12118
Schlagwörter	Foreign Countries; Mental Retardation; Psychiatric Hospitals; Nurses; Nursing; Interviews; Personal Narratives; Coping; Fatigue (Biology); Interpersonal Relationship; Labor Turnover; Patients; South Africa + Suchen Sie Ihr Suchwort? Ausland; Geistige Behinderung; Phsychiatric institution; Psychiatrische Einrichtung; Krankenpflege; Interviewing; Interviewtechnik; Erlebniserzählung; Bewältigung; Fatigue; Ermüdung; Interpersonal relation; Interpersonal relations; Interpersonelle Beziehung; Zwischenmenschliche Beziehung; Patient; Südafrika; Süd-Afrika; Republik Südafrika; Südafrikanische Republik
Abstract	Background: Migrating nursing labour inadvertently reinforces South Africa's care drain, contributes to a global care crisis and forces us to reconsider migration motivation. This paper highlights issues that complicate psychiatric intellectual disability nursing care and identifies loci for change in an attempt to redress this care challenge. Method: An exploratory descriptive-interpretivist method investigated nurses' experiences of psychiatric intellectual disability work. Sixteen free association narrative interviews were collected in 2013. Thematic analysis allowed findings to emerge from the data. Results: Findings reflect a number of themes: "relational interaction", "care burden", "system fatigue", "infantilising dynamic of care" and "resources for coping". Conclusion: System fatigue contributes more to negative experiences of providing care than direct patient work, and nurses experience more relational reciprocity from patients than from institutional management. Organizations should meet nurses' needs for burnout prevention, afford them impact in implementing institutional controls, and engage in a non-exploitative and non-exclusionary way. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01