title: Role changes experienced by clinical staff in relation to clients' recovery from psychosis.
abstract: This study investigates the subjective experiences of staff from many interdisciplinary teams working with clients in the recovery process from psychosis. The clinical staff interviewed in this study included: staff nurses, clinical nurse specialists, occupational therapists, psychologists, social workers, rehabilitation workers, recreation therapists, music therapists, psychiatrists, and lodging home operators. The purpose of this study was to examine the clinical staff's changing roles and relationships with clients recovering from psychosis. The investigation used a naturalistic qualitative design with an ethnographic method of data analysis. The participants were clinical staff working with clients about to commence treatment with clozapine or risperidone. The settings used were a tertiary-care psychiatric hospital and a general hospital. The clinical staff members who participated in the study were interviewed every 3 months. In the initial interview, members of the clinical staff were asked about their knowledge regarding the new medication and their role in the decision to try the new medication. In all the interviews, clinical staff members were asked about how the recovery process was progressing with the client. Data regarding clinical staff fears related to the client's situation, changes in their relationships with the client and the client's family, and what they perceived to be current rehabilitation implications, were collected. Some of the clinical staff roles that evolved during the recovery process were: health teacher; advocate; counsellor; and support person.
authors.affiliation: University of Western Ontario and Lawson Health Research Institute, London Health Sciences Centre, London, Ontario, Canada.
authors.forename: C
authors.initials: C
authors.lastname: Forchuk
authors.forename: J
authors.initials: J
authors.lastname: Jewell
authors.forename: D
authors.initials: D
authors.lastname: Tweedell
authors.forename: L
authors.initials: L
authors.lastname: Steinnagel
mesh_terms: D000328:Adult; D000739:Anecdotes as Topic; D014150:Antipsychotic Agents / Q000008:administration & dosage; D001291:Attitude of Health Personnel; D003024:Clozapine / Q000008:administration & dosage; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D015404:Nursing Methodology Research; D010819:Physician's Role; D010817:Physician-Patient Relations; D011568:Psychiatric Nursing / Q000379:methods*; D011618:Psychotic Disorders / Q000188:drug therapy / Q000451:nursing* / Q000534:rehabilitation*; D018967:Risperidone / Q000008:administration & dosage; D013997:Time Factors; D014481:United States
chemical_list: D014150:Antipsychotic Agents; D003024:Clozapine; D018967:Risperidone