Dynamics of nurses’ authority in the inpatient care of adolescent consumers with anorexia nervosa : A qualitative study of nursing perspectives

Journal article


Zugai, Joel Sebastian, Stein-Parbury, Jane and Roche, Michael. (2019). Dynamics of nurses’ authority in the inpatient care of adolescent consumers with anorexia nervosa : A qualitative study of nursing perspectives. International Journal of Mental Health Nursing. 28(4), pp. 940-949. https://doi.org/10.1111/inm.12595
AuthorsZugai, Joel Sebastian, Stein-Parbury, Jane and Roche, Michael
Abstract

Nurses caring for adolescent consumers with anorexia nervosa in the inpatient setting are challenged in a unique way, in that they are caring for people with whom they do not have a mutually held concept of well‐being. Their efforts to ensure weight gain are frequently against the wishes of the consumer. This dissonance results in challenging interactions, where nursing care and authority may be undermined. This study investigated the dynamics of nurses’ authority within this context. Interviews with nurses (n = 10) were conducted and analysed through thematic analysis. Nurses reported that consumers, compelled by the psychopathology of anorexia nervosa, often sought to challenge or undermine their authority. Some nurses experienced the opposition and conflict as demoralizing, whereas others were able to maintain confidence in the therapeutic merit of their care. Younger, inexperienced nurses in this study were particularly vulnerable to interactions that mitigated their authority, due to their tendency to engage in friend‐like relationships. Nurses caring for adolescents with anorexia nervosa should be prepared to be confronted by interactions that overtly and surreptitiously undermine their capacity to exercise professional authority. It is important that nurses recognize the importance of maintaining their authority, and how it can be threatened in subtle and unexpected ways.

Keywordsanorexia nervosa; conflict; inpatients; power; psychiatric nursing
Year2019
JournalInternational Journal of Mental Health Nursing
Journal citation28 (4), pp. 940-949
PublisherWiley-Blackwell Publishing Asia
ISSN1445-8330
Digital Object Identifier (DOI)https://doi.org/10.1111/inm.12595
Scopus EID2-s2.0-85063629163
Research or scholarlyResearch
Page range940-949
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online31 Mar 2019
Publication process dates
Accepted15 Mar 2019
Deposited16 May 2021
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