Patient Perspectives on Solution-Focused Brief Therapy: A Qualitative Study in Nursing Practice

Abstract

Background: Patients with schizophrenia are often characterised for poor adherence to antipsychotic treatment, which leads to a high rate of relapse. Various psychological interventions have been implemented to improve treatment adherence in schizophrenia patients. However, these interventions are typically administered by psychiatrists or psychologists and may not be accessible to patients in the community. Solution-Focused Brief Therapy (SFBT), as a positive, solution-oriented psychological intervention, offers a suitable option due to its simplicity and brevity and can be administered by nurses and general healthcare workers. This study aims to explore the perspectives of schizophrenia patients regarding the implementation of SFBT. Methods: This qualitative study employed with a descriptive phenomenological approach using in-depth interviews with six schizophrenia patients who had experienced Solution-Focused Brief Therapy (SFBT). Data were evaluated using Colaizzi's seven-step method to capture the participants' lived experiences and ensure research rigor and credibility. Results: The findings of this study reveal four themes: (1) The therapy helps to rise again, (2) The therapy opens the heart and mind, (3) Motivation to move forward, (4) Feeling better. Conclusion: The findings of this study can serve as input for nurses to implementing SFBT with schizophrenia patients. SFBT encourages nurses to focus on strengths, appreciate patients' perspectives, respond to their needs and expectations, and view them holistically. Additionally, these findings provide new insights into the concept of “rising again”, which instills hope in overcoming challenges and represents an important area of nursing care in Indonesia and beyond.