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Interventions to improve nurses\u2019 attitudes have had limited success.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Systematic, integrative literature review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Computerised databases were searched from inception to April 2015 for papers describing primary research focused on mental health nurses\u2019 attitudes, behaviour, experience, and knowledge regarding adults diagnosed with borderline personality disorder. Analysis of qualitative studies employed metasynthesis; analysis of quantitative studies was informed by the theory of planned behaviour.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty studies were included. Only one used direct observation of clinical practice. Nurses\u2019 knowledge and experiences vary widely. They find the group very challenging to work with, report having many training needs, and, objectively, their attitudes are poorer than other professionals\u2019 and poorer than towards other diagnostic groups. Nurses say they need a coherent therapeutic framework to guide their practice, and their experience of caregiving seems improved where this exists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Mental health nurses\u2019 responses to people with borderline personality disorder are sometimes counter\u2010therapeutic. As interventions to change them have had limited success there is a need for fresh thinking. Observational research to better understand the link between attitudes and clinical practice is required. Evidence\u2010based education about borderline personality disorder is necessary, but developing nurses to lead in the design, implementation and teaching of coherent therapeutic frameworks may have greater benefits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>There should be greater focus on development and implementation of a team\u2010wide approach, with nurses as equal partners, when working with patients with borderline personality disorder.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.13202","type":"journal-article","created":{"date-parts":[[2016,5,3]],"date-time":"2016-05-03T15:44:22Z","timestamp":1462290262000},"page":"1848-1875","source":"Crossref","is-referenced-by-count":47,"title":["Mental health nurses\u2019 attitudes, behaviour, experience and knowledge regarding adults with a diagnosis of borderline personality disorder: systematic, integrative literature review"],"prefix":"10.1111","volume":"25","author":[{"given":"Geoffrey L","family":"Dickens","sequence":"first","affiliation":[{"name":"Division of Mental Health Nursing and Counselling Abertay University Dundee UK"},{"name":"NHS Fife Research and Development Department Queen Margaret Hospital Dunfermline UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Lamont","sequence":"additional","affiliation":[{"name":"Division of Mental Health Nursing and Counselling Abertay University Dundee UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Gray","sequence":"additional","affiliation":[{"name":"NHS Fife Research and Development Department Queen Margaret Hospital Dunfermline UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,3]]},"reference":[{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-5978(91)90020-T"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-011-0244-9"},{"key":"e_1_2_9_5_1","volume-title":"Nurses\u2019 stereotypically\u2010oriented versus individually\u2010oriented perceptions of and responses to psychiatric patients: Are individual borderline patients stereotyped?","author":"Amey SE","year":"1992"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0920-9964(03)00186-5"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/10673220600975121"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.2005.00769.x"},{"key":"e_1_2_9_9_1","first-page":"245","article-title":"Professional skills and frame of work organization in managing borderline personality disorder: shared philosophy or ambivalence. 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