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A constructivist grounded theory of generalist health professionals and their mental health work

Journal Article


Abstract


  • Generalist health professionals, often without formal mental health training, provide treatment and care to people with serious mental illness who present with physical health problems in general hospital settings. This article will present findings from a constructivist grounded theory study of the work delivered by generalist health staff to consumers with mental illness on the general medical/surgical wards of two metropolitan hospitals in Sydney, Australia. The results analysed included three participant observations, two focus groups, and 21 interviews and hospital policy and protocol documents. A substantive theory of mental health work in general hospital settings is illustrated which conceptualizes the following categories: (i) the experience: conflicting realities and ideals; (ii) The Context: facilitating social distancing; and (iii) the social processes: invisibility affecting confidence. The categories are understood through the theoretical lens of symbolic interactionism with the theory providing insights into how the generalist health professionals understand their sense of self or identity.

Publication Date


  • 2018

Citation


  • Brunero, S., Ramjan, L. M., Salamonson, Y., & Nicholls, D. (2018). A constructivist grounded theory of generalist health professionals and their mental health work. International Journal of Mental Health Nursing, 27(6), 1816-1825. doi:10.1111/inm.12489

Scopus Eid


  • 2-s2.0-85047837424

Start Page


  • 1816

End Page


  • 1825

Volume


  • 27

Issue


  • 6

Place Of Publication


Abstract


  • Generalist health professionals, often without formal mental health training, provide treatment and care to people with serious mental illness who present with physical health problems in general hospital settings. This article will present findings from a constructivist grounded theory study of the work delivered by generalist health staff to consumers with mental illness on the general medical/surgical wards of two metropolitan hospitals in Sydney, Australia. The results analysed included three participant observations, two focus groups, and 21 interviews and hospital policy and protocol documents. A substantive theory of mental health work in general hospital settings is illustrated which conceptualizes the following categories: (i) the experience: conflicting realities and ideals; (ii) The Context: facilitating social distancing; and (iii) the social processes: invisibility affecting confidence. The categories are understood through the theoretical lens of symbolic interactionism with the theory providing insights into how the generalist health professionals understand their sense of self or identity.

Publication Date


  • 2018

Citation


  • Brunero, S., Ramjan, L. M., Salamonson, Y., & Nicholls, D. (2018). A constructivist grounded theory of generalist health professionals and their mental health work. International Journal of Mental Health Nursing, 27(6), 1816-1825. doi:10.1111/inm.12489

Scopus Eid


  • 2-s2.0-85047837424

Start Page


  • 1816

End Page


  • 1825

Volume


  • 27

Issue


  • 6

Place Of Publication