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Commentary on: McCluskey A, Watson C, Nugent L, et al. 'Sometimes You Have No Choice but to Give Them Medication': Experiences of Nurses Caring for People With Auditory Hallucinations in an Acute Unit. Int J Ment Health Nurs. 2024 ;33(6):2193-2202. doi: 10.1111/inm.13380.
Implications for practice and research
Nurses require enhanced training in targeted interventions and engagement skills to provide effective, recovery-oriented care for patients experiencing auditory hallucinations.
Organizsational support is crucial for re-envisioning ‘"risk’" beyond patient danger, enabling the implementation of recovery-focused therapeutic interventions in high-risk environments.
Context
Auditory hallucinations, commonly associated with schizophrenia, significantly impact individuals’ emotional well-being. With around 24 million people affected globally and notable rates in Ireland, the prevalence is alarming.1 Despite existing guidelines, Ireland lacks specific policies addressing auditory hallucinations, creating a critical practice gap.2 Nurses, the largest group in mental health services, play a vital role in patient stabilisation in acute units. However, many feel unprepared due to inadequate training and organisational pressures. This study explored nurses’ experiences caring for patients with auditory hallucinations, highlighting the contrast between restrictive practices and emerging approaches from the Hearing Voices Movement and the Maastricht approach. …
Footnotes
X @michellecdanda
Competing interests None declared.
Provenance and peer review Commissioned; internally peer-reviewed.