Evidence map›Paper›PMID 33620760›Full record

ArticleNursing open2021

A thematic analysis of care provider experiences of using self-harm abstinence agreements in psychiatric inpatient care.

Jonas Bjärehed, Evelina Ingelsson Lindell, Sofie Westling

Abstract read
In one paragraph

Article in Nursing open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Jonas BjärehedDepartment of Psychology, Lund University, Lund, Sweden.ORCID 0000-0002-2128-6031
Evelina Ingelsson LindellDepartment of Psychology, Lund University, Lund, Sweden.
Sofie WestlingClinical Psychiatric Research Center, Department of Clinical Sciences, Lund, Psychiatry, Lund University, Region Skåne, Lund, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTraditional methods used when managing self-harm in a psychiatric inpatient setting tend to infringe on the autonomy of the individuals receiving treatment and are often experienced as practically and emotionally challenging by care providers. Therefore, we examined care providers' experiences of an alternative method negotiating self-harm abstinence agreements, which can be viewed as a form of positive risk taking.

designA qualitative approach using semi-structured interviews with twelve mental health professionals.

methodsThematic analysis of the interviews.

resultsFive themes emerged; "No-harm agreements versus constant observation and coercion," "No-harm agreements to promote independence and collaboration," "No-harm agreements' effect on ward safety," "Ambiguity surrounding the no-harm agreements" and "Ethical complexities of the no-harm agreements." These indicated perceived positive effects on the therapeutic relationship, the individuals' autonomous functioning and the ward environment, but also practical and ethical difficulties.

Indexed as

InpatientsSelf-Injurious BehaviorAttitude of Health PersonnelCoercionHealth PersonnelHumanspsychiatric nursingself-harm

Identifiers

PMID33620760
PMCPMC8186717

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.