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Clinicians' power in the inpatient care of anorexia nervosa: A qualitative investigation of consumer perspectives.
- Source :
-
International Journal of Mental Health Nursing . Aug2024, Vol. 33 Issue 4, p885-893. 9p. - Publication Year :
- 2024
-
Abstract
- Medically compromised people with anorexia nervosa are cared for in inpatient settings where clinicians closely monitor health and safety. Clinicians are in a position of power, with the capacity to impose mandated weight gain to achieve medical stabilisation. Consumers are in a vulnerable position, compelled to temporarily relinquish autonomy and to accept coercive practices that often diminish the quality of the therapeutic relationship. Clinicians' position of power in mental healthcare has a dual potential for both healing and harm, and limited attention has been given to consumers' views of clinicians' power. The aim of this qualitative descriptive study was to investigate the consumer perspective of clinicians' power in the inpatient care of anorexia nervosa, establishing insight into the beneficence and maleficence of the power asymmetry. Ten women with anorexia nervosa in the community participated in semi‐structured interviews online. The COREQ checklist was used to ensure accuracy and completeness of reporting. Thematic analysis revealed that abuses of power were common in the course of inpatient AN care, however life‐saving measures were regarded as defensible. The perception of clinicians' power was determined by the strength of interpersonal relationships and clinicians' clinical competence. To mitigate the potential for harmful experiences, clinicians' use of power must be exercised with close consideration for consumer perspectives, with the integration of person‐centred care and trauma‐informed care principles. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ANOREXIA nervosa treatment
*POWER (Social sciences)
*MENTAL health services
*QUALITATIVE research
*CONTROL (Psychology)
*RESEARCH funding
*CONSUMER attitudes
*INTERVIEWING
*STATISTICAL sampling
*HOSPITAL care
*PATIENT care
*HOSPITAL patients
*JUDGMENT sampling
*PATERNALISM
*DESCRIPTIVE statistics
*PSYCHIATRIC nurses
*THEMATIC analysis
*RESEARCH methodology
*CLINICAL competence
*PROFESSIONAL employee training
*PSYCHIATRIC nursing
*INTERPERSONAL relations
Subjects
Details
- Language :
- English
- ISSN :
- 14458330
- Volume :
- 33
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- International Journal of Mental Health Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 178532606
- Full Text :
- https://doi.org/10.1111/inm.13287