[Implementation and evaluation of supportive approach of the psychiatric nurse specialist and psychiatric community health nurse. Part III].
The psychiatric community nurse takes on the role of an expert in her interaction with the psychiatric patient and others because she feels unprepared to manage therapeutic interaction. She measures her own abilities against the patient's progress and this makes it important for therapeutic interaction to succeed. This is accomplished when she exercises control over the interaction, manipulates the interaction by describing or reformulating the negative experiences or meanings verbalised by patients. She also distances herself from the psychiatric patient by stigmatising the psychiatric patient or if she feels that she cannot solve the problem, she refers the psychiatric patient to an external resource. The above narration indicates that this action by the psychiatric community nurse is not facilitative for patient interaction. In order to facilitate patient interaction, a supportive approach was generated and described by Van Wyk (1995: 99-116) whereby the advanced psychiatric nurse (a person with a masters degree or an advanced diploma in psychiatric nursing), creates a context where the psychiatric community nurse can sacrifice her objective observing position for an observed position where she forms part of the story of interaction between herself and the psychiatric patient. The objective of this study was to describe the implementation and evaluation of Van Wyk's (1995: 99-116) supportive approach to the psychiatric community nurse in interaction with the psychiatric patient by utilizing multiple descriptive case studies.
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Gmeiner
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D003152:Community Health Nursing / Q000458:organization & administration*; D006801:Humans; D007587:Job Description; D001523:Mental Disorders / Q000451:nursing* / Q000523:psychology*; D009720:Nurse Clinicians / Q000458:organization & administration* / Q000523:psychology*; D009723:Nurse-Patient Relations; D015403:Nursing Evaluation Research; D016730:Program Development; D015397:Program Evaluation; D011568:Psychiatric Nursing / Q000458:organization & administration*; D012944:Social Support