Swipe om te navigeren naar een ander artikel
Qualitative values that address personal and interpersonal dimensions are often overlooked in research that examines mental well-being among young patients with anorexia nervosa. The aim of this review was to identify and describe factors that promote and impede the relationships between nurses and the children, adolescents and young adults who are diagnosed with anorexia nervosa and also to explore and describe how those relationships benefit the patients’ processes toward increased health and well-being. A descriptive literature synthesis was conducted following the four steps as described by Evans. The three databases CINAHL, PsycINFO and PubMed were used to search for qualitative articles. Fourteen articles met the criteria for inclusion and were analysed. Key findings were identified, and categories and themes were formulated and compared across the studies. Four themes are presented in the results: (1) The essentials in a relationship; (2) The person at the centre; (3) The nurses’ attitudes; and (4) Knowledge. In addition to the contribution to the knowledge of how anorexia is manifested, our findings demonstrate the necessity for nurses to be person-centred in their relationships with patients and to have attitudes characterised by presence, genuine commitment and motivation. Nurses are more likely to convey a sense of trust and safety when they communicate with openness and honesty. Our review suggests that the motivation for patients to adhere to treatment is likely to increase when nurses approach patients with these characteristics and attitudes. We argue that the findings are relevant for nurses in their everyday practices.
American Psychiatric Association. (2013). Desk Reference to the Diagnostic Criteria from DSM-5. Arlington, VA: American Psychiatric Association.
Bakker, R., van Meijel, B., Beukers, L., van Ommen, J., Meerwijk, E., & van Elburg, A. (2011). Recovery of normal body weight in adolescents with anorexia nervosa: The nurses’ perspective on effective interventions. Journal of Child and Adolescent Psychiatric Nursing, 24, 16–22. doi: 10.1111/j.1744-6171.2010.00263.x. PubMedCrossRef
Barker, P., & Buchanan-Barker, P. (2005). The tidal model: A guide for mental health professionals. London/New York: Routledge. CrossRef
Björck, C. (2006). Self-image and eating disorders. Unpublished doctoral thesis. Stockholm: Karolinska Institutet. Retrieved from: http://hdl.handle.net/10616/38122.
Bourion-Bedes, S., Baumann, C., Kermarrec, S., Lignier, F., Feillet, F., Bonnemains, C., Guillemin, F., & Kabuth, B. (2013). Prognostic value of early therapeutic alliance in weight recovery: A prospective cohort of 108 adolescents with anorexia nervosa. Journal of Adolescent Health, 52(3), 344–350. doi: 10.1016/j.jadohealth.2012.06.017. PubMedCrossRef
Creswell, J. W. (2007). Qualitative inquiry and research design: Choosing among five approaches. 2nd ed. Thousand Oaks, CA: Sage.
Dahlberg, K., & Segesten, K. (2010). Hälsa och vårdande i teori och praxis [Health and caring theory in praxis]. Stockholm: Natur & Kultur.
Evans, D. (2002). Systematic reviews of interpretive research: interpretive data synthesis of processed data. Australian Journal of Advanced Nursing, 20(2), 22–26. PubMed
Forsberg, C., & Wengström, Y. (2013). Att göra systematiska litteraturstudier [To conduct systematic literature reviews]. Stockholm: Natur & Kultur.
Franko, D. L., Keshaviah, A., Eddy, K. T., Krishna, M., Davis, M. C., Keel, P. K., & Herzog, D. B. (2013). A longitudinal investigation of mortality in anorexia nervosa and bulimia nervosa. American Journal of Psychiatry, 170(8), 917–925. doi: 10.1176/appi.ajp.2013.12070868. PubMedPubMedCentralCrossRef
Hällström, T. (2010). Ätstörningar [Eating Disorders]. In J. Herlofson, L. Ekselius, L-G. Lundh, A. Lundin, B. Mårtensson & M. Åsberg (Eds.), Psykiatri [Psychiatry] (pp. 423–433). Lund: Studentlitteratur.
Kiesler, D. J. (Ed.). (1996). Contemporary interpersonal theory and research. New York: John Wiley & Sons, Inc.
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Beverly Hills: Sage.
Marzola, E., Trunko, M. E., Grenesko-Stevens, E., & Kaye W. H. (2012). Anorexia and bulimia nervosa. In C. B. Nemeroff (Ed.), Management of treatment-resistant major psychiatric disorders (pp. 197–224). New York, NY: Oxford University Press.
Palmer, R. L. (2000). Helping people with eating disorders: a clinical guide to assessment and treatment. Chichester: John Wiley & Sons.
Palmer, R. L. (2002). Clinical assessment of patients with eating disorders. In C. G. Fairburn, & K. D., Brownell (Eds.), Eating Disorders and Obesity. A comprehensive handbook (2nd ed., pp. 293–301). New York: The Guilford Press.
Paulson Karlsson, G. (2012). Anorexia nervosa: Treatment expectations, outcome and satisfaction. (Doctoral thesis. Örebro: Örebro University). Retrieved from: http://oru.divaportal.org/smash/get/diva2:559498/FULLTEXT02.
Peplau, H. (1991). Interpersonal relations in nursing: A conceptual framework of reference for psychodynamic nursing. New York, USA: Springer Publishing.
Plummer, K. (1979). Misunderstanding labelling perspectives. In: D. Downes and P. Rock (Eds.), Deviant Interpretations. Oxford: Oxford University Press.
Russell, G. F. M. (2006). Anorexia nervosa of early onset and its impact on puberty. In: P. J. Cooper & A. Stein (Eds.), Childhood feeding problems and adolescent eating disorders (pp. 160–187). London and New York: Routledge.
Safran, J. D., & Muran, J. C. (2000). Negotiating the therapeutic alliance. A relational treatment guide. New York: The Guilford Press.
Sly, R., Morgan, J. F., Mountford, V. A., Sawer, F., Evans, C., & Lacey, J. H. (2014). Rules of engagement: Qualitative experiences of therapeutic alliance when receiving in-patient treatment for anorexia nervosa. International Journal of Eating Disorders, 22(3), 233–243. doi: 10.1080/10640266.2013.867742. CrossRef
Treasure, J., Katzman, M., Schmidt, U., Troop, N., & de Silva, P. (1999). Engagement and outcome in treatment of bulimia nervosa: First phase of a sequential design comparing motivation enhancement therapy and cognitive behavioural therapy. Behavioural Research and Therapy, 37(5), 405–418. doi: 10.1016/S0005-7967(98)00149-1. CrossRef
Willman, A., Stolz, P., & Bathsevani, C. (2006). Evidensbaserad omvårdnad: En bro mellan forskning och klinisk verksamhet [Evidence-based nursing: A bridge between research and clinical practice]. Lund: Studentlitteratur.
Zugai, J., Stein-Parbury, J., & Roche, M. (2012). Effective nursing care of adolescents with anorexia nervosa: A consumer perspective. Journal of Clinical Nursing, 22(13–14), 2020–2029. doi: 10.1111/jocn.12182.
- Nurses’ Establishment of Health Promoting Relationships: A Descriptive Synthesis of Anorexia Nervosa Research
- Springer US