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International Journal of Nursing & Clinical Practices Volume 3 (2016), Article ID 3:IJNCP-179, 10 pages
http://dx.doi.org/10.15344/2394-4978/2016/179
Research Article
"I Want to Go Home, but I Need to Stay": The Transition to become Ready for Discharge from Acute Psychiatric Wards, as Narrated by Persons Who Experienced Acute Psychotic Illness

Karina Sebergsen1,2*, Astrid Norberg2 and Anne-Grethe Talseth1

1Department of Health and Care Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, N-9037 Tromsø, Norway.
2Division of Mental Health and Substance Abuse, University Hospital of North Norway, N-9291 Tromsø, Norway
3Department of Nursing, Umea University, SE-90187 Umea, Sweden. Palliative Research Center, Ersta Sköndal University College, SE-10061 Stockholm, Sweden
Karina Sebergsen, Department of Health and Care Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, N-9037 Tromso, Norway; E-mail: karina.sebergsen@unn.no
09 February 2016; 09 April 2016; 11 April 2016
Sebergsen K, Norberg A, Talseth AG (2016) "I Want to Go Home, but I Need to Stay": The Transition to become Ready for Discharge from Acute Psychiatric Wards, as Narrated by Persons Who Experienced Acute Psychotic Illness. Int J Nurs Clin Pract 3: 179. doi: http://dx.doi.org/10.15344/2394-4978/2016/179
The Northern Norway Regional Health Authority funded this study. Scholarship is received from The Norwegian Nurses Organisation.
The financial sources had no influence of the conduct of the study.

Abstract

Background: Discharge planning for persons with psychotic illness who are admitted to acute psychiatric wards is critical for decreasing the well-known risk of new phases of psychosis and early readmissions after discharge from the ward. There is limited knowledge about admitted persons’ experience of their readiness for discharge from acute psychiatric wards. This study aims to describe and understand how persons with psychotic illness experience to become ready for discharge during their stay on an acute psychiatric ward.
Method: During their hospital stay, 12 persons who recently had acute psychotic illness were interviewed about their experiences related to their upcoming discharge. The recorded interviews were transcribed and content analysed.
Results: The results describe the participants experienced three phases of transition to become ready for discharge after their acute psychosis had decreased: 1)Being affected by wounds following acute psychotic illness, 2) Being in need for strength to feel better before discharge, and 3)Being ready for discharge.
Conclusion: This experiential knowledge informs the transitional care that mental health nurses provide to persons during the discharge process. In addition to developing plans for discharge and for further mental health care in the community together with persons in care, nurses must seriously consider persons’ mental health care needs following psychosis to support the best of outcome of the transition to become ready for discharge.