Self-determination theory : A framework well suited to informing research of adverse inpatient mental health experiences

Journal article


Raeburn, Toby, Chang, Claire R., Kuek, Jonathan Han Loong and Ndwiga, Dorothy W.. (2024). Self-determination theory : A framework well suited to informing research of adverse inpatient mental health experiences. Issues in Mental Health Nursing. pp. 1046-1053. https://doi.org/10.1080/01612840.2024.2385566
AuthorsRaeburn, Toby, Chang, Claire R., Kuek, Jonathan Han Loong and Ndwiga, Dorothy W.
Abstract

Contrary to the expectations and intentions of inpatient mental healthcare, reports of adverse experiences by people admitted to inpatient settings are common and on the rise. Such experiences negatively impact individuals’ mental health and recovery and incur costs to their networks, mental health providers, the healthcare system, and society at large. Research indicates ongoing challenges in understanding and addressing the complex interplay of factors that contribute to a diverse range of adverse experiences, from seclusion, restraint, and coercion, to boredom, loneliness, and lack of therapeutic relationships. There is a pressing need to better understand the mechanisms of adverse inpatient mental health experiences and identify frameworks to aid in more efficient and effective translation of knowledge into practice. This paper proposes self-determination theory (SDT) as a framework that can assist nurse researchers and practitioners elucidate the nature of adverse experiences and guide developments to mitigate adverse outcomes. Critically, SDT prioritises human psychological needs and wellbeing, and thus has potential to inform rights-based, person-centred, recovery-oriented research and development. This paper provides an overview of recent literature on adverse experiences before introducing SDT. It then considers adverse inpatient mental health experiences through the lens of SDT, providing actionable guidance for nursing research and development.

Year2024
JournalIssues in Mental Health Nursing
Journal citationpp. 1046-1053
PublisherTaylor & Francis
ISSN0161-2840
Digital Object Identifier (DOI)https://doi.org/10.1080/01612840.2024.2385566
PubMed ID39173121
Scopus EID2-s2.0-85201803756
Open accessPublished as ‘gold’ (paid) open access
Page range1046-1053
Publisher's version
License
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Open
Output statusPublished
Publication dates
Online22 Aug 2024
Publication process dates
Deposited06 May 2025
Additional information

© 21024 The Author(s). Published with license by Taylor & Francis Group, LLC.

This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.

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