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Despite this, patients often experience lengthy hospitalizations, limited access to treatment, and poor outcomes. This paper describes the experiences of psychiatric nurses working with people diagnosed with BPD in acute mental health in\u2010patient settings in Ireland. Seven nurses were interviewed, and the transcripts were analysed using a reflective and inductive approach. Overall, the nurses did not feel confident that their interventions were effective or valued by the wider service or patients. The nurses articulated their invidious professional circumstances, whereby they were required to act in ways, which ran counter to their vision of therapeutic or recovery\u2010focused work. These views and perceptions that in\u2010patient care is often ineffectual are widely echoed in the literature. We contend that the effect of this circumstance for these nurses approaches moral distress. The nurses were aware of more effective methods of care and treatment for BPD but perceived that they were unable to influence the culture of in\u2010patient care.<\/jats:p>","DOI":"10.1111\/inm.12935","type":"journal-article","created":{"date-parts":[[2021,9,25]],"date-time":"2021-09-25T10:10:40Z","timestamp":1632564640000},"page":"83-90","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Nursing people diagnosed with Borderline Personality Disorder: \u2018We all need to be on the same hymn sheet\u2019"],"prefix":"10.1111","volume":"31","author":[{"given":"Claire","family":"McCarrick","sequence":"first","affiliation":[{"name":"Liaison Psychiatry Connolly Hospital Dublin 15 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9255-4574","authenticated-orcid":false,"given":"Kate","family":"Irving","sequence":"additional","affiliation":[{"name":"School of Nursing, 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