4.5 Article

Exploring the experience of acute inpatient mental health care from the perspective of family and carers of people experiencing psychosis: A qualitative thematic analysis study conducted during the COVID-19 pandemic

Journal

INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING
Volume 30, Issue 6, Pages 1620-1629

Publisher

WILEY
DOI: 10.1111/inm.12915

Keywords

psychosis; carer; family; inpatient mental health; qualitative; semi-structured interview

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Family and carers play a crucial role in supporting individuals in acute mental health inpatient care, but often feel excluded and face challenges in communication and visiting their loved ones. Inpatient care needs to be more inclusive and consider the needs of family and carers throughout the admission process.
Family and carers play an important role in supporting service users who are in receipt of acute mental health inpatient care, but they can also be significantly emotionally and physically impacted. The aim of this study was to examine their needs and priorities during this time. Fourteen family and carers of inpatients experiencing psychosis completed semi-structured interviews examining their experiences of inpatient care during the COVID-19 pandemic. Thematic analysis was used to analyse data. Four key themes were identified: 'A turbulent journey to hospital admission', 'I need information and support', 'Maintaining my relationship with my loved one' and 'Inpatient care is a mixed bag'. Each theme comprised four or five subthemes. The findings demonstrated that family and carers feel excluded from inpatient care and struggled to maintain contact with their loved ones, which was exacerbated by COVID-19 related restrictions. Communication and being regularly informed about their loved one's care, as well as visiting loved ones, was particularly problematic. Inpatient care needs to be more inclusive of family and carers and ensure they are kept in mind at every stage of the admission.

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