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The meaning of care on a locked acute psychiatric ward: Patients' experiences
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
2009 (English)In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 63, no 6, p. 501-507Article in journal (Refereed) Published
Abstract [en]

Background: The deinstitutionalization of psychiatric care has led to a

concentration of patients to fewer wards. This leads to difficulties in

separating voluntarily and involuntarily admitted patients, and there

is a risk that the interest in safeguarding patients' autonomy will

decrease. Aims: The aim of this study was to elucidate the meaning care

has to patients on a locked acute psychiatric ward. The study was

performed on a ward for patients with affective and eating disorders

who were admitted both voluntarily and involuntarily. Methods:

Interviews were conducted and analysed using qualitative content

analysis. Results: The results show that to the patients, care had

contradictory qualities some alleviated their suffering while others

contributed to stress. The alleviation from suffering originated from

the experiences of strengthened integrity and self-determination, from

being supported, and having a place of refuge on the ward. In contrast

to this, there were experiences of being dependent and trapped because

of lack of influence and choice, and being controlled. Conclusions: In

conclusion, this qualitative study shows that to the patients, care can

mean being disciplined in a way that risks undermining the alleviation

of suffering that care can provide. It is thus important to be

observant when it comes to manifestations of control in care. The study

also shows that the support of fellow patients has a value as a

complement to the care given by staff members and next of kin,

something that needs to be further investigated.

 

Place, publisher, year, edition, pages
2009. Vol. 63, no 6, p. 501-507
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-10950DOI: 10.3109/08039480903118208ISI: 000272730500010OAI: oai:DiVA.org:miun-10950DiVA, id: diva2:285011
Available from: 2010-01-10 Created: 2010-01-10 Last updated: 2017-12-12Bibliographically approved

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Danielson, Ella

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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
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Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
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