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Nurses' establishment of health promoting relationships: a descriptive synthesis of anorexia nervosa research
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.ORCID iD: 0000-0002-2610-8998
Child and Adolescent Psychiatry Outpatient Clinic, Stockholm County Council, Stockholm, Sweden; Ersta Sköndal University College, Institution for Caring Science, Stockholm, Sweden.
2017 (English)In: Journal of Child and Family Studies, ISSN 1062-1024, E-ISSN 1573-2843, Vol. 26, no 1, 1-13 p.Article, review/survey (Refereed) Published
Abstract [en]

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 study 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 analyzed. 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 study 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.

Place, publisher, year, edition, pages
2017. Vol. 26, no 1, 1-13 p.
Keyword [en]
Anorexia nervosa, Literature review, Psychiatric nursing, Relationship
National Category
URN: urn:nbn:se:hig:diva-22265DOI: 10.1007/s10826-016-0534-2ScopusID: 2-s2.0-84987657394OAI: oai:DiVA.org:hig-22265DiVA: diva2:954300
Available from: 2016-08-22 Created: 2016-08-22 Last updated: 2017-01-12Bibliographically approved

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