Understanding Family Resistance Toward Long-Term Psychiatric Treatment from the Perspective of Mental Health Nurses

Authors

  • Zaenal Muttaqin Poltekkes Kemenkes Bandung
  • Husnan Poltekkes kemenkes Riau
  • Lina Rahmwati Sekolah Tinggi Ilmu Kesehatan Aksari

DOI:

https://doi.org/10.55927/fjst.v5i3.24

Keywords:

Mental Health Nursing, Family Resistance, Long-Term Psychiatric Treatment, Nurse Perspective, Family-Based Care.

Abstract

Family involvement plays an important role in the success of long-term psychiatric treatment, but family resistance is still a significant challenge in mental health nursing practice and has not been widely studied from a nurse's perspective. This study aims to understand family resistance to long-term psychiatric treatment based on the perspective of mental health nurses. Qualitative research with a phenomenological design was conducted through in-depth semi-structured interviews with mental health nurses. The data was analyzed using thematic analysis. Family resistance is influenced by the stigma of mental disorders, low mental health literacy, treatment exhaustion, economic limitations, and distrust of psychiatric services. Resistance often arises indirectly through inconsistent support and delays in treatment decisions. Family resistance is a multidimensional phenomenon that requires a family-based nursing approach, strengthening psychoeducation, and service system support to improve the sustainability of psychiatric care

References

Awad, A. G., & Voruganti, L. N. P. (2008). The burden of schizophrenia on caregivers: A review. PharmacoEconomics, 26(2), 149–162. https://doi.org/10.2165/00019053-200826020-00005

Bee, P., Price, O., Baker, J., & Lovell, K. (2015). Systematic synthesis of barriers and facilitators to service user-led care planning. British Journal of Psychiatry, 207(2), 104–114. https://doi.org/10.1192/bjp.bp.114.152447

Corrigan, P. W., & Watson, A. C. (2002). Understanding the impact of stigma on people with mental illness. World Psychiatry, 1(1), 16–20.

Corrigan, P. W., Morris, S. B., Michaels, P. J., Rafacz, J. D., & Rüsch, N. (2012). Challenging the public stigma of mental illness: A meta-analysis of outcome studies. Psychiatric Services, 63(10), 963–973. https://doi.org/10.1176/appi.ps.201100529

Cutcliffe, J. R., & Stevenson, C. (2008). Feeling our way in the dark: The psychiatric nursing care of suicidal people. Journal of Psychiatric and Mental Health Nursing, 15(6), 486–494. https://doi.org/10.1111/j.1365-2850.2008.01276.x

Eatough, V., & Smith, J. A. (2017). Interpretative phenomenological analysis. In C. Willig & W. Stainton Rogers (Eds.), The SAGE handbook of qualitative research in psychology (pp. 193–211). SAGE.

Finlay, L. (2002). Negotiating the swamp: The opportunity and challenge of reflexivity in research practice. Qualitative Research, 2(2), 209–230. https://doi.org/10.1177/146879410200200205

Guest, G., Bunce, A., & Johnson, L. (2006). How many interviews are enough? An experiment with data saturation and variability. Field Methods, 18(1), 59–82. https://doi.org/10.1177/1525822X05279903

Happell, B., Platania-Phung, C., & Scott, D. (2019). Mental health nurse consumer advocacy: Contributing to social inclusion. International Journal of Mental Health Nursing, 28(1), 17–26. https://doi.org/10.1111/inm.12524

Kane, J. M., Kishimoto, T., & Correll, C. U. (2019). Non-adherence to medication in patients with psychotic disorders. World Psychiatry, 18(1), 3–15. https://doi.org/10.1002/wps.20611

Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. SAGE.

Magliano, L., Veltro, F., Guarneri, M., & Marasco, C. (2018). Family burden and coping strategies in relatives of patients with schizophrenia. Psychiatry Research, 260, 151–157. https://doi.org/10.1016/j.psychres.2017.11.040

Morse, J. M., Solberg, S. M., Neander, W. L., Bottorff, J. L., & Johnson, J. L. (2012). Concepts of suffering and clinical practice. Journal of Advanced Nursing, 22(6), 1231–1238.

O'Connor, M., & Casey, L. (2015). The Mental Health Literacy Scale (MHLS): A new scale-based measure. Psychiatry Research, 229(1–2), 511–516. https://doi.org/10.1016/j.psychres.2015.05.064

Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.

Saunders, J. C., & Byrne, M. M. (2002). A thematic analysis of families living with schizophrenia. Archives of Psychiatric Nursing, 16(5), 217–223. https://doi.org/10.1053/apnu.2002.36259

Sin, J., Gillard, S., Spain, D., Cornelius, V., Chen, T., & Henderson, C. (2017). Effectiveness of psychoeducational interventions for family carers of people with psychosis: A systematic review. BMC Psychiatry, 17, Article 266. https://doi.org/10.1186/s12888-017-1442-y

Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis: Theory, method and research. SAGE.

Stuart, G. W. (2021). Principles and practice of psychiatric nursing (11th ed.). Elsevier.

Townsend, M. C., & Morgan, K. I. (2021). Psychiatric mental health nursing: Concepts of care in evidence-based practice (10th ed.). F.A. Davis.

van der Voort, T. Y. G., Goossens, P. J. J., & van der Bijl, J. J. (2015). Burden, coping and needs for support of caregivers for patients with a bipolar disorder. Journal of Psychiatric and Mental Health Nursing, 22(9), 679–687. https://doi.org/10.1111/jpm.12239

Videbeck, S. L. (2020). Psychiatric–mental health nursing (8th ed.). Wolters Kluwer.

World Health Organization. (2022). World mental health report: Transforming mental health for all. WHO.

Yusuf, A., Tristiana, R. D., & Nihayati, H. E. (2017). Cultural beliefs and stigma in family caregiving of people with mental illness. Journal of Mental Health, 26(2), 120–126. https://doi.org/10.1080/09638237.2016.1222050

Published

2026-03-30

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Articles