Evidence map›Paper›PMID 39552585›Full record

ArticleJournal of psychiatric and mental health nursing2025

Barriers Experienced by Psychiatric Nurses to Facilitate Therapeutic Relationships With Mental Healthcare Users With Dual Diagnosis in a Psychiatric Hospital in South Africa.

Thomas Mathebula, Anna Elizabeth van der Wath, Thifhelimbilu Irene Ramavhoya

Abstract read
In one paragraph

Article in Journal of psychiatric and mental health nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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.

Thomas MathebulaDepartment of Nursing Science, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Anna Elizabeth van der WathDepartment of Nursing Science, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.ORCID https://orcid.org/0000-0001-5117-9272
Thifhelimbilu Irene RamavhoyaDepartment of Nursing Science, Faculty of Health Sciences, University of Limpopo, Mankweng, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPsychiatric nurses are in a unique position to build therapeutic relationships with mental healthcare users with dual diagnoses to foster trust and recovery. However, a dual diagnosis poses barriers to establishing and maintaining a therapeutic nurse-patient relationship.

aimThe overall aim of this study was to explore and describe barriers experienced by psychiatric nurses to facilitate therapeutic relationships with mental healthcare users with dual diagnosis in a psychiatric hospital in Limpopo province, South Africa.

designA qualitative, explorative, descriptive and contextual design was followed.

methodSemi-structured interviews were conducted with 12 purposively selected participants who cared for mental healthcare users with dual diagnoses. Tech's method of open coding was used to analyse the data.

findingsDisruptive and disrespectful behaviour and mental healthcare users' substance use during hospitalisation resulted in nurses harbouring ambivalent feelings that impaired therapeutic nurse-patient relationships.

conclusionThe barriers affecting therapeutic relationships with mental healthcare users with dual diagnosis should be addressed to enhance recovery and treatment compliance. RECOMMENDATIONS: An integrated approach with the involvement of the interprofessional team, debriefing and training for nurses may help to foster therapeutic nurse-patient relationships, empower nurses and enhance the recovery of mental healthcare users with dual diagnosis.

Indexed as

Attitude of Health PersonnelMental DisordersNurse-Patient RelationsNursing Staff, HospitalPsychiatric NursingAdultDiagnosis, Dual (Psychiatry)FemaleHospitals, PsychiatricHumansMaleMiddle AgedQualitative ResearchSouth Africadual diagnosismental healthcare userspsychiatric nursessubstance use disorders

Identifiers

PMID39552585
PMCPMC12056470

What OpenQuestion holds

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LicenceCC BY
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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.