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Göteborgs universitets publikationer

The experience of working on a locked acute psychiatric ward.

Författare och institution:
Inger M. Johansson (-); Ingela Skärsäter (Institutionen för vårdvetenskap och hälsa); Ella Danielson (Institutionen för vårdvetenskap och hälsa)
Publicerad i:
Journal of psychiatric and mental health nursing, 20 ( 4 ) s. 321-329
Artikel, refereegranskad vetenskaplig
Sammanfattning (abstract):
ACCESSIBLE SUMMARY: •  Acute psychiatric wards, many of which are locked, are challenging work environments. This study explores the experience of health-care staff working on such a ward. •  The study shows that the health-care staff have to manage a changing and demanding work environment. A need for security and control is indicated. •  Some positive experiences from work are described, such as meaningfulness and personal development, which counterbalance the burden of working in this environment. •  The forces that drive health-care staff and their motivation for working on acute psychiatric wards need to be studied further. ABSTRACT: 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.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Hälsovetenskaper ->
clinical research, mental health, multidisciplinary care, qualitative method, workforce issues
Postens nummer:
Posten skapad:
2013-01-18 11:23
Posten ändrad:
2013-04-25 15:43

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