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Nursing Ethics
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Mediating Consolation With Suicidal Patients

Fredricka Gilje

University of Alaska Anchorage, School of Nursing, 3211 Providence Drive, Anchorage, AK 99508-4614, USA, afflg{at}uaa.alaska.edu

Anne-Grethe Talseth

Tromsø University College, Tromsø, Norway?

Psychiatric nurses frequently encounter suicidal patients. Caring for such patients often raises ethical questions and dilemmas. The research question for this study was: 'What understandings are revealed in texts about consolation and psychiatric nurses' responses to suicidal patients?' A Gadamerian approach guided re-interpretation of published texts. Through synthesizing four interpretive phases, a comprehensive interpretation emerged. This revealed being 'at home' with self, or an ethical way of being, as a hermeneutic understanding of a way to become ready to mediate consolation with suicidal patients. Trustworthiness was addressed by means of the qualities of auditability, credibility and confirmability. This re-interpretation adds to nursing knowledge, enhances understanding of previous research findings, provides pre-understanding for further research and reveals the value of hermeneutic inquiry in nursing. It also deepens understanding of a published model of consolation. These understandings may help to guide nurses who are struggling with suicidal patients.

Key Words: consolation model • ethics • hermeneutic • psychiatric nurses • struggling • suffering

Nursing Ethics, Vol. 14, No. 4, 546-557 (2007)
DOI: 10.1177/0969733007077889
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