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The experience of working on a locked acute psychiatric ward
Jönköping University, School of Health Sciences, Jönköping, Sweden.
The Sahlgrenska Academy at the University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
2013 (English)In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 20, no 4, 321-329 p.Article in journal (Refereed) Published
Abstract [en]

This study's aim was to elucidate health-care staff experience of working on a locked acute psychiatric ward. In many countries changes in health care has contributed to fewer beds available in inpatient care, and a concentration of patients with severe psychiatric conditions. This implies a changing work environment in acute psychiatric care. Qualitative interviews with health-care staff (n= 10) were carried out on a ward for patients with affective disorder and eating disorder in a Swedish hospital. Qualitative content analysis was used. Four themes were identified from the data: 'undergoing changes in care delivery', 'feeling a need for security and control', 'managing the demands at work' and 'feeling a sense of responsibility'. This study adds to earlier research into how a sense of responsibility can place a significant burden on health-care staff working on a locked psychiatric ward and also contribute to increased control of patients. This study also shows that relationships and power structures among health-care staff need to be addressed when organizational changes are made in care delivery. Further research is needed to reach a comprehensive understanding of care on locked acute psychiatric wards, including a development of nursing and medicine as knowledge domains in one common context. © 2012 Blackwell Publishing.

Place, publisher, year, edition, pages
2013. Vol. 20, no 4, 321-329 p.
Keyword [en]
Clinical research, Mental health, Multidisciplinary care, Qualitative method, Workforce issues
National Category
Nursing Psychiatry
Identifiers
URN: urn:nbn:se:miun:diva-18680DOI: 10.1111/j.1365-2850.2012.01919.xISI: 000316319200007Scopus ID: 2-s2.0-84875262798OAI: oai:DiVA.org:miun-18680DiVA: diva2:614166
Note

CODEN: JPMNE

Available from: 2013-04-03 Created: 2013-04-03 Last updated: 2013-04-18Bibliographically approved

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Danielson, Ella

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CiteExportLink to record
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