Professional Responsibility Governed by a Risk‐Oriented Care Logic: Nursing Staff's Experiences of Caring for Persons With Anorexia Nervosa in General Psychiatric Inpatient Care.
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| Title: | Professional Responsibility Governed by a Risk‐Oriented Care Logic: Nursing Staff's Experiences of Caring for Persons With Anorexia Nervosa in General Psychiatric Inpatient Care. |
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| Authors: | Sandsten, Anna (AUTHOR), Strömbäck, Maria (AUTHOR), Gabrielsson, Sebastian (AUTHOR), Looi, Git‐Marie Ejneborn (AUTHOR), Lindgren, Britt‐Marie (AUTHOR) |
| Source: | International Journal of Mental Health Nursing. Jun2026, Vol. 35 Issue 3, p1-9. 9p. |
| Subjects: | Occupational roles, Qualitative research, Control (Psychology), Hospital nursing staff, Hospital care, Interviewing, Content analysis, Sound recordings, Thematic analysis, Anorexia nervosa, Logic, Nursing practice, Nurses' attitudes, Research methodology, Psychiatric nursing |
| Geographic Terms: | Sweden |
| Abstract: | Mental health nursing in inpatient psychiatry is shaped by control and standardisation, yet little is known about how these conditions are sustained in everyday care for persons with anorexia nervosa. This study aimed to explore how nursing staff experience and understand care for persons with anorexia nervosa within general psychiatric inpatient care settings, with particular attention to the conditions shaping what comes to count as legitimate nursing practice. Nine nursing staff with experience caring for persons with anorexia nervosa in general psychiatric inpatient care in Sweden participated in the study. Data were collected in 2025 using semi‐structured qualitative interviews and were subjected to qualitative content analysis with a Foucauldian‐inspired abductive approach. Findings are presented as two themes, Nursing practice governed by a risk‐oriented care logic and Responsibility as a burden and a possibility within nursing practices. Within those themes are five sub‐themes, Making sense of AN through risk and stabilisation; Enacting control through routines and treatment plans; Normalising coercion in everyday care; Navigating responsibility under unstable care conditions and Producing alternative care practices through relational work. Findings suggest that discourses of risk and stabilisation organise nursing practice through a risk‐oriented care logic that shapes what is recognised as legitimate care and professional competence. Within these conditions, relational and individualised nursing practices become difficult to sustain while responsibility and coercive measures are framed as necessary responses to risk. This study is reported in accordance with the COREQ guidelines. [ABSTRACT FROM AUTHOR] |
| Copyright of International Journal of Mental Health Nursing is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 194812346 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Professional Responsibility Governed by a Risk‐Oriented Care Logic: Nursing Staff's Experiences of Caring for Persons With Anorexia Nervosa in General Psychiatric Inpatient Care. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Sandsten%2C+Anna%22">Sandsten, Anna</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Strömbäck%2C+Maria%22">Strömbäck, Maria</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gabrielsson%2C+Sebastian%22">Gabrielsson, Sebastian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Looi%2C+Git‐Marie+Ejneborn%22">Looi, Git‐Marie Ejneborn</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lindgren%2C+Britt‐Marie%22">Lindgren, Britt‐Marie</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Mental+Health+Nursing%22">International Journal of Mental Health Nursing</searchLink>. Jun2026, Vol. 35 Issue 3, p1-9. 9p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Occupational+roles%22">Occupational roles</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Control+%28Psychology%29%22">Control (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+nursing+staff%22">Hospital nursing staff</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+care%22">Hospital care</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Content+analysis%22">Content analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Sound+recordings%22">Sound recordings</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Anorexia+nervosa%22">Anorexia nervosa</searchLink><br /><searchLink fieldCode="DE" term="%22Logic%22">Logic</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+practice%22">Nursing practice</searchLink><br /><searchLink fieldCode="DE" term="%22Nurses'+attitudes%22">Nurses' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+nursing%22">Psychiatric nursing</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Sweden%22">Sweden</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Mental health nursing in inpatient psychiatry is shaped by control and standardisation, yet little is known about how these conditions are sustained in everyday care for persons with anorexia nervosa. This study aimed to explore how nursing staff experience and understand care for persons with anorexia nervosa within general psychiatric inpatient care settings, with particular attention to the conditions shaping what comes to count as legitimate nursing practice. Nine nursing staff with experience caring for persons with anorexia nervosa in general psychiatric inpatient care in Sweden participated in the study. Data were collected in 2025 using semi‐structured qualitative interviews and were subjected to qualitative content analysis with a Foucauldian‐inspired abductive approach. Findings are presented as two themes, Nursing practice governed by a risk‐oriented care logic and Responsibility as a burden and a possibility within nursing practices. Within those themes are five sub‐themes, Making sense of AN through risk and stabilisation; Enacting control through routines and treatment plans; Normalising coercion in everyday care; Navigating responsibility under unstable care conditions and Producing alternative care practices through relational work. Findings suggest that discourses of risk and stabilisation organise nursing practice through a risk‐oriented care logic that shapes what is recognised as legitimate care and professional competence. Within these conditions, relational and individualised nursing practices become difficult to sustain while responsibility and coercive measures are framed as necessary responses to risk. This study is reported in accordance with the COREQ guidelines. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of International Journal of Mental Health Nursing is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/inm.70297 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 1 Subjects: – SubjectFull: Occupational roles Type: general – SubjectFull: Qualitative research Type: general – SubjectFull: Control (Psychology) Type: general – SubjectFull: Hospital nursing staff Type: general – SubjectFull: Hospital care Type: general – SubjectFull: Interviewing Type: general – SubjectFull: Content analysis Type: general – SubjectFull: Sound recordings Type: general – SubjectFull: Thematic analysis Type: general – SubjectFull: Anorexia nervosa Type: general – SubjectFull: Logic Type: general – SubjectFull: Nursing practice Type: general – SubjectFull: Nurses' attitudes Type: general – SubjectFull: Research methodology Type: general – SubjectFull: Psychiatric nursing Type: general – SubjectFull: Sweden Type: general Titles: – TitleFull: Professional Responsibility Governed by a Risk‐Oriented Care Logic: Nursing Staff's Experiences of Caring for Persons With Anorexia Nervosa in General Psychiatric Inpatient Care. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Sandsten, Anna – PersonEntity: Name: NameFull: Strömbäck, Maria – PersonEntity: Name: NameFull: Gabrielsson, Sebastian – PersonEntity: Name: NameFull: Looi, Git‐Marie Ejneborn – PersonEntity: Name: NameFull: Lindgren, Britt‐Marie IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Text: Jun2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 14458330 Numbering: – Type: volume Value: 35 – Type: issue Value: 3 Titles: – TitleFull: International Journal of Mental Health Nursing Type: main |
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