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:: Volume 1, Issue 1 (6-2023) ::
Knowledge of Nursing 2023, 1(1): 74-90 Back to browse issues page
Challenges encountered by nurses in psychiatric wards in Iran: A hermeneutic phenomenological study
Effat Sheikhbahaeddinzadeh , Tahereh Ashktorab *
Department of Nursing Management, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Islamic Azad University, Tehran, Iran , taherehashk@gmail.com
Abstract:   (510 Views)
Background and Aim: Despite the similarities between psychiatric nursing and other nursing specialties, psychiatric nursing is known to be more stressful. To the best of the authors’ knowledge, limited studies are available on psychiatric nursing challenges. This study aimed to address the challenges encountered by nurses in psychiatric wards in Iran.
Materials and Methods: A qualitative phenomenological study was carried out in 2019-2020 in psychiatric hospitals of Tehran and Zahedan. Nine nurses of psychiatric centers as participants were selected by purposeful sampling. Data were collected using semi-structured interviews until data saturation. Data were analyzed by the Van Manen data analysis method.
Results: Out of 226 codes extracted from the interviews, the concepts were categorized into 2 themes: "professional threats" with 2 categories including "nurse harms", and "care and management threats", and "ethical dilemmas" derived from two categories of "unfavorable conditions for patients", and "none-compliance to professional ethics".
Conclusion: Psychiatric nurses in Iran face "professional threats" and "ethical dilemmas" due to "nurse harms", "care and management threats", "unfavorable conditions for patients", and "non-compliance to professional ethics". Also, they are not satisfied with the quality of their services. To keep them healthy, and promote psychiatric nursing care, it is necessary to promote human resources management, and objectively monitor the quality of care and staffs’ health.
 
Keywords: Psychiatric Nursing, Mental Health, Dilemmas, Phenomenology
Full-Text [PDF 360 kb]   (309 Downloads)    
Type of Study: Research | Subject: Special
Received: 2023/05/27 | Accepted: 2023/04/10 | Published: 2023/04/10
References
1. Ghavidel F, Molavynejad SH, Fallahi-Khoshknab M, Zarea K, The Effect of Stressful and Conflictual Healthcare Environment in Nurses' Burnout: Experiences from Iranian Nurses Working in Psychiatric Wards, Pakistan Journal of Medical and Health Sciences,2020, (14). 2, 1320-1324.
2. Aydin Er R, Ersoy N. Ethical Problems Experienced by Nurses Who Work in Psychiatry Clinics in Turkey. Journal of Psychiatric Nursing/Psikiyatri Hemsireleri Dernegi. 2017;1;8(2).77-85. [DOI:10.14744/phd.2017.97720]
3. Joubert PD, Bhagwan R. An empirical study of the challenging roles of psychiatric nurses at in-patient psychiatric facilities and its implications for nursing education. International journal of Africa nursing sciences.2018; 1(9):49-56. [DOI:10.1016/j.ijans.2018.08.001]
4. Ward, L., Mental health nursing and stress: Maintaining balance. International Journal of Mental Health Nursing,2011; 20(2), 77-85. [DOI:10.1111/j.1447-0349.2010.00715.x]
5. Abdalrahim, A., Stress and coping among psychiatric nurses. Middle East Journal of Nursing & Health Sciences,2013; 7(4),30-37. [DOI:10.5742/MEJN.2013.74306]
6. Zarea K, Fereidooni-Moghadam M, Baraz Sh, Tahery N., Challenges encountered by nurses working in acute psychiatric wards: A qualitative study in Iran. Issues in Mental Health Nursing.2018; 39(3):244-50. [DOI:10.1080/01612840.2017.1377327]
7. Zaninotto, L., Rossi, G., Danieli, A., Frasson, A., Meneghetti, L., Zordan, M., Tito P, Salvetti B, Conca A, Ferranti R, Salcuni S., Exploring the relationships among personality traits, burnout dimensions and stigma in a sample of mental health professionals Psychiatry Research,2018; 1(264):327-333. [DOI:10.1016/j.psychres.2018.03.076]
8. Zoelm, A, Reflection on the concept of" Challenge, Zamaneh: Thought and Political History of Contemporary Iran Monthly,2005;4(36): 34-37. [Persian]
9. Rees, C. E., Monrouxe, L. V., McDonald, L. A. Narrative, emotion and action: analysing "most memorable" professionalism dilemmas. Medical Education, 2013;47(1), 80-96. [DOI:10.1111/j.1365-2923.2012.04302.x]
10. Lin, Q.-H., Jiang, C. Q., Lam, T. H., The relationship between occupational stress, burnout, and turnover intention among managerial staff from a Sino-Japanese joint venture in Guangzhou, China. Journal of Occupational Health,2013; 12; 55, 458-467. [DOI:10.1539/joh.12-0287-OA]
11. Jafari manesh H, Ranjbaran M, Vakilian K, Tajik R, Almasi-Hashiani A., Nursing's code of ethics: a survey of respecting the code among nursing students. IJME. 2014; 6 (6) :45-55. [Persian]
12. Meng, R., Luo, Y., Liu, B., Hu, Y., Yu, C, The Nurses' Well-Being Index and factors influencing this index among nurses in Central China: A cross-sectional study. PloS one, 2015;10(12), e0144414. [DOI:10.1371/journal.pone.0144414]
13. Janssen, M., Heerkens, Y., Kuijer, W., Van Der Heijden, B., Engels, J, Effects of Mindfulness-Based Stress Reduction on employees' mental health: A systematic review. PloS one,2018; 13(1). e0191332. [DOI:10.1371/journal.pone.0191332]
14. Beru, M. K., Kylelo, H., Rotich, K. J, Occupational stress and conflict management in organizations: understanding the organizational behaviour. Int. J. Economics. Commerce. Manag,2015; 3(7), 938-958.
15. Ghavidel F, Fallahi-Khoshknab M, Molavynejad S, Zarea K. The role of organizational factors in nurse burnout: Experiences from Iranian nurses working in psychiatric wards. J Family Med Prim Care 2019; 8:3893-9. [DOI:10.4103/jfmpc.jfmpc_615_19]
16. Sargazi, O., Foroughameri, G., Miri, S., Farokhzadian, J, Improving the professional competency of psychiatric nurses: Results of a stress inoculation training program. Psychiatry Research.2018. [DOI:10.1016/j.psychres.2018.10.057]
17. Fabri GM, Loyola CM, Current challenges and needs of psychiatric nursing, Journal of Nursing UFPE/Revista De Enfermagem UFPE, On Line,2014;8(3):695-701.
18. Ahmadi A, Eskandari N, Challenges of nurses working in the psychiatric department: a qualitative study, the second annual congress of Tabari student country and the 22nd annual congress of the student research committee of Mazandaran University of Medical Sciences, 2018. Sari, https://civilica. .com/doc/956625.[Persian]
19. Ramezani T, Fasihi T, Mangali M, Nurses' experiences of occupational aggression in the psychiatric wards: Phenomenology approach, Journal of Fundamentals of Mental Health,2012; 13, 4(52), P. 314-27. [Persian]
20. Shaw, M. K., Chandratilake, M, Ho, M.-J., Rees, C. E., & Monrouxe, L. V. Female victims and female perpetrators: medical students' narratives of gender dynamics and professionalism dilemmas, Advances in Health Sciences Education.2020;25:299-319. [DOI:10.1007/s10459-019-09919-z]
21. Monrouxe, L. V., Rees, C. E., Endacott, R., & Ternan, E, "Even now it makes me angry": health care students' professionalism dilemma narratives. Medical Education, 2014; 48(5), 502-517. [DOI:10.1111/medu.12377]
22. Polit DF, Beck CT., Essentials of nursing research: Apprasing evidence for nursing practice.7th ed, Philadelphia, New york,2010.
23. Ahmadifaraz M, Amini R., Nursing Students' Experiences of Communication with Psychiatric Clients. IJN.2014; 27 (88) :56-65. [Persian] [DOI:10.29252/ijn.27.88.56]
24. Creswell J.W, Research design qualitative, quantitative and mixed methods approaches, SAGE, Los Angeluses,2014; 342-343.
25. Abbasi M, Gaeeni M, Eskandari N., The Lived Experiences of Patients Waiting for Coronary Artery Bypass Grafting: A Hermeneutic Phenomenological Study. Qom Univ Med Sci J.2017; 11 (4) :52-60. [Persian]
26. AdibBagheri M, Parvizi S, Salsali M, Qualitative studies methods, Bushra,8th, Tehran,2015. [Persian]
27. Zarea K, Nikbakht-Nasrabadi A, Abbaszadeh A, Mohammadpour A, Facing the challenges and building solutions in clinical psychiatric nursing in Iran: a qualitative study, Issues in mental health nursing,2012; 33(10):697-706. [DOI:10.3109/01612840.2012.698371]
28. Dargah S, Haghani Zemydani M, Ghamari givi H, Ghalavand M, The relationship between work-family conflict and work ethics with mediating role of job stress in nurses,2017;10(1), 44-54. [Persian]
29. Alhani F, Mahmoodi-Shan GR, Work-family conflict as a stressor in the lifestyle of nurses: A content analysis, Journal of Nursing and Midwifery Sciences,2018; 5(3),79-88. DOI: 10.4103/JNMS.JNMS_26_18 [DOI:10.4103/JNMS.JNMS_26_18]
30. Kelly EL, Moen P, Oakes JM, et al., Changing work and work-family conflict evidence from the work, family, and health network. American Sociological Review.2014; 79(3): 485-516. [DOI:10.1177/0003122414531435]
31. Carnevale FA, confronting moral distress in nursing: recognizing nurses as moral agents, Rev Bras Enferm,2013; 66:33-38. [DOI:10.1590/S0034-71672013000700004]
32. Taghavi Larijani T, Fathi R, Nursing shortage and ethical issues: A narrative review, Iranian Journal of Nursing Research (IJNR),2018; 13(2): 49-57 [Persian]
33. Moradi Y, Baghaei R, Hosseingholipour K, Mollazadeh F, Challenges experienced by ICU nurses throughout the provision of care for COVID-19 patients: A qualitative study, J Nurs Manag, 2021;1:1-10. [DOI:10.1111/jonm.13254]
34. Ghamari-Zare Z, Pourfarzad Z, Vanaki Z, Managerial competencies of charge nurses, Iran Journal of Nursing,2011;23(68).62-54 [Persian]
35. Dehghan Nayeri N, Nazari A A, Selsali M, Ahmadi F. Viewpoints of Nurses about Productivity and the Effects of Current Evaluation Process on it . Yafte 2006; 7 (4) :91-100
36. URL: http://yafte.lums.ac.ir/article-1-1099-fa.html[Persian]
37. Vafaee Najar A, Habashizade A, Karimi H, Ebrahimzade S, the effect of improvement of nursing managers' professional competencies based on performance on their productivity: An interventional, study, Daneshvar Medicine, 2011; 18(94):1-9. [Persian]
38. Shokati Ahmad Abad M, Hasani P, Manoochehri H, The Lived Experiences of Nurses of Comatose Patients: A Hermeneutic Phenomenology Approach. J Qual Res Health Sci.2012; 1 (3) :182-188. [Persian]
39. Bahreini M, Moateri M, Akaberian SH, Mirzaii K., Defining clinical competency of nurses employed at hospitals related to Bushehr medical science university in self-evaluating method. Persian Gulf Med Biol Res,2008; 1:69-75. [Persian]
40. Hosseininejad M. Aminiahidashti, H Montazer, H Elyasi F, Moosazadeh M, Ahmadi, N, Job Burnout among the Emergency Department Nurses of Medical Training Centers Affiliated to Mazandaran University of, Medical Sciences, I E M J,2016(3)4:125-131. [Persian]
41. Imani B, Zandiyeh M, Mahdiyon S, The effect of emotional intelligence on the clinical competency, Iranian Journal of Psychiatric Nursing,2019 (7)3:64-69. [Persian]
42. Sheikhbahaeddinzadeh E, Ashktorab T, Ebadi A. Technical competency required by postgraduate psychiatric nursing students: A qualitative research. J Edu Health Promot [serial online] 2022 [cited 2023 Jan 11]; 11:320. Available from: https://www.jehp.net//text.asp?2022/11/1/320/360001 [DOI:10.4103/jehp.jehp_1479_21]
43. Rashidi K, Ashktorab T, Professional ethics in nursing, Tehran, Heidary Pub. 2017. [Persian]
44. Rainer J, Schneider JK, Lorenz RA, Ethical dilemmas in nursing: An integrative review. J Clin Nurs,2018; 27:3446-3461. [DOI:10.1111/jocn.14542]
45. Epstein, B., Turner M, The nursing code of ethics: its value, its history, OJIN: The Online Journal of Issues in Nursing, 2015; 20(2):1-1. [DOI:10.3912/OJIN.Vol20No02Man04]
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Sheikhbahaeddinzadeh E, Ashktorab T. Challenges encountered by nurses in psychiatric wards in Iran: A hermeneutic phenomenological study. Knowledge of Nursing 2023; 1 (1) :74-90
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