title: Facing the challenges and building solutions in clinical psychiatric nursing in Iran: a qualitative study.
abstract: Psychiatric nurses play an important role in the process of caring for mentally ill patients and are continually faced with the numerous challenges and complex issues related to this field. This study aimed to understand the perspectives of psychiatric nurses regarding the issues they face while providing care and examine the possible solutions for improvement of inpatient care in clinical settings. The study adopted a qualitative approach that utilized a content analysis of audio taped, semi-structured interviews that had been conducted with 24 nurses. Two main themes emerged from the data. The first, Challenges in Providing Care within Psychiatric Wards, had the following subthemes: Politics and Rules of Organization, Safety and Security Issues, Uncertainty about the Role, Lack of Trained Staff, and Sociocultural Issues. The second theme, Solutions for Improving Psychiatric Care, had the subthemes of Empowerment across four domains: Psychiatric Nurses, Mentally Ill Patients and their Families, The Psychiatric Mental Health System, and the Cultural Context. The results indicated that if nurses are expected to provide optimal nursing care within a psychiatric ward, then there is a need for a stable and responsible organizational structure, skilled psychiatric nurses, and community-based care along with an anti-stigma program.
authors.affiliation: Ahvaz Jundishapur University of Medical Sciences, School of Nursing and Midwifery, Ahvaz, Islamic Republic of Iran. [corrected].
authors.forename: Kourosh
authors.initials: K
authors.lastname: Zarea
authors.forename: Alireza
authors.initials: A
authors.lastname: Nikbakht-Nasrabadi
authors.forename: Abbas
authors.initials: A
authors.lastname: Abbaszadeh
authors.forename: Ali
authors.initials: A
authors.lastname: Mohammadpour
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000517:prevention & control*; D005260:Female; D006778:Hospitals, Psychiatric; D006801:Humans; D007492:Iran; D008297:Male; D001523:Mental Disorders / Q000451:nursing*; D033262:Narration; D020380:Needs Assessment; D024802:Nurse's Role; D009741:Nursing Staff, Hospital / Q000458:organization & administration* / Q000523:psychology; D015279:Organizational Culture; D010557:Personnel Administration, Hospital; D011209:Power, Psychological; D011568:Psychiatric Nursing; D036301:Qualitative Research; D017751:Safety Management; D035501:Uncertainty; D016526:Workload