| 11. |
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| 12. |
- Hultsjö, Sally, 1973-, et al.
(författare)
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Perceptions of psychiatric care among foreign- and Swedish-born people with psychotic disorders
- 2007
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Ingår i: Journal of Advanced Nursing. - : Wiley. - 0309-2402 .- 1365-2648. ; 60:3, s. 279-288
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Tidskriftsartikel (refereegranskat)abstract
- AIM: This paper is a report of a study to explore different perceptions of psychiatric care among foreign- and Swedish-born people with psychotic disorders. BACKGROUND: Research from different countries reports a high-incidence of psychosis among migrants. The risk-factors discussed are social disadvantages in the new country. To understand and meet the needs of people from different countries, their perspective of psychiatric care must be illuminated and taken into consideration. METHOD: A phenomenographic study was conducted in 2005-2006 using semi-structured interviews with a convenience sample of 12 foreign-born people and 10 Swedish-born people with psychosis. FINDINGS: Three categories were identified: personal and family involvement in care; relating to healthcare staff; and managing illness and everyday life. Foreign-born people differed from Swedish-born people in that they struggled to attain an everyday life in Sweden, relied on healthcare staff as experts in making decisions, and had religious beliefs about mental illness. Among Swedish-born people, the need for more support to relatives and help to perform recreational activities was important. CONCLUSION: It is important to identify individual perceptions and needs, which may be influenced by cultural origins, when caring for patients with psychosis. Previous experience of care, different ways of relating to staff, and individual needs should be identified and met with respect. Social needs should not be medicalized but taken into consideration when planning care, which illustrates the importance of multi-professional co-operation.
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| 13. |
- Hultsjö, Sally, 1973-, et al.
(författare)
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The borderline between life and death : Mental healthcare professionals' experience of why patients commit suicide during ongoing care
- 2019
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Ingår i: Journal of Clinical Nursing. - : John Wiley & Sons. - 0962-1067 .- 1365-2702. ; 28:9-10, s. 1623-1632
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Tidskriftsartikel (refereegranskat)abstract
- AIMS AND OBJECTIVES: To explore mental health professionals' experiences in regard to circumstances that cause the patient to take their own life during ongoing care.BACKGROUND: Suicide is a worldwide health problem, and of those who take their own life, nearly 20% have had contact with a psychiatric unit. Mental health professionals may have extended intuitive knowledge that has not been made visible. Mental health professionals' experiences can contribute knowledge that can complement suicide risk assessments and can be helpful in developing approaches and strategies where the hope is to identify and draw attention to people at risk of taking their own life.DESIGN: A reflective lifeworld research.METHODS: Twelve interviews with mental health professionals with experience of working in caring relationships with patients that had taken their life during the period of care. The study was performed in accordance with COREQ (see Supporting Information Data S1).RESULTS: Mental health professionals' experiences regarding circumstances that cause the patient to take their own life are related to the patient's life circumstances that led to a loss of dignity, and finally beyond retrieval. Mental health professionals share patients' struggle to choose between life and death, the darkness of their life and their hopeless situation. This shared experience also makes the mental health professionals wish to relieve patient's suffering but also gives them an understanding of why patients take their own life.CONCLUSIONS: The mental health professionals experience how the patient loses the possibility of living a worthwhile life, recognise darkness within the patient and see how the patient's life is fragile. Suicide described as logical and expected, based on their life and life circumstances, has not been found in previous research. Bearing this in mind, should psychiatric care focus on a proactive approach and act when these circumstances are identified?RELEVANCE TO CLINICAL PRACTICE: The Mental health professionals' tacit knowledge may be used to strengthen uncertain suicide assessments.
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| 14. |
- Ovox, Säidi M., et al.
(författare)
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Trajectory of suicide as a transformation in obscurity-As told by the deceased's next of kin.
- 2024
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Ingår i: International Journal of Mental Health Nursing. - : John Wiley & Sons. - 1445-8330 .- 1447-0349. ; 33:1, s. 104-113
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Tidskriftsartikel (refereegranskat)abstract
- There is a collective call from the field of suicide research for studies on the individual dynamics of suicidality in order to understand the deadliness of the suicidal process. This study examines the deceased next of kin's ('survivor's) experience of the suicidal process in order to gain perspectives that can be used in the preventive care of suicidal patients. The aim of this study was to explore the suicide process through the suicide survivor's experience. The study is designed and conducted through a phenomenological, reflective lifeworld approach. Twelve in-depth interviews concerning lived experiences of a suicide were conducted. The suicide process is described as the emerging of an obscured transformation of self, and an aligning to this changing understanding of self that forms a unique suicidal death course. This death course contains the co-occurrence of life and death orientations. Survivors' collected knowledge of a suicidal trajectory helps us understand the life conditions of a suicidal person that has ended their life. Life orientation and experiences of self-governance are critical parts of a suicidal trajectory and can have great preventive potential for care and assessments during suicidality. The Consolidated Criteria for Reporting Qualitative Research (COREQ) were used for the reporting structure of this article.
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| 15. |
- Persson, Susanne, et al.
(författare)
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Att främja en hälsosam livsstil hos personer med psykisk funktionsnedsättning
- 2014
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Vid en kartläggning, som genomfördes i Jönköpings län (2012) om det somatiska hälsoarbetet inom olika psykiatriska organisationer, framkom att det finns en efterfrågan av kunskap i hur man förebygger somatisk ohälsa hos personer med psykisk funktionsnedsättning. Det finns en önskan om rutiner för hur man ska jobba strukturerat med livsstilsfrågor i samverkan mellan olika aktörer. Kartläggningen har legat till grund för framtagandet av detta utbildningsmaterial.Syftet med utbildningsmaterialet är att hos personalen i de olika organisationerna öka kunskapen om vad som kan försvåra en hälsosam livsstil för personer med psykisk funktionsnedsättning och att förstå vikten av arbetet med livsstilsfrämjande insatser, för att förebygga somatisk ohälsa i målgruppen.Utbildningsmaterialet hoppas vi ska kunna användas på varje arbetsplats, som ett diskussionsunderlag i till exempel workshops eller på utbildningsdagar och vara ett stöd i hur man kan jobba hälsofrämjande i det dagliga arbetet. Vi hoppas också att utbildningsmaterialet kan öka intresset och motivationen hos personal att jobba med dessa frågor.I detta utbildningsmaterial innefattar psykisk funktionsnedsättning personer som har en allvarlig psykisk sjukdom så som; bipolär sjukdom, Schizofreni eller annan psykotisk sjukdom (Svenska psykiatriska föreningen 2010).Psykiatrisk vård innefattar både insatser från socialtjänsten och specialiserad psykiatrisk sluten- och öppenvård. Somatisk vård innefattar både primärvård och landstingstyrd sluten och öppenvård.Vårdpersonal innefattar personal från socialtjänsten, primärvård och specialiserad psykiatrisk sluten- och öppenvård.
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| 16. |
- Wärdig, Rikard, 1979-, et al.
(författare)
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Nurses Experiences of Suicide Prevention in Primary Health Care (PHC) - A Qualitative Interview Study
- 2022
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Ingår i: Issues in Mental Health Nursing. - : Taylor & Francis Inc. - 0161-2840 .- 1096-4673. ; 43:10, s. 903-912
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Tidskriftsartikel (refereegranskat)abstract
- Aim The purpose was to describe nurses experiences of suicide prevention work in primary health care (PHC). Background Suicide is the tenth most common cause of death among adults. PHC has an important role in suicide prevention work, as patients often had contact with PHC before their suicide rather than with specialist psychiatric care. Nurses often have the first contact with the patient and are responsible for triage and assessment, making them important in suicide prevention work. Previous studies shed light on suicide prevention in a primary care context, but the nurses voices are missing. Methods Fifteen qualitative interviews were conducted with nurses in primary health care. Data was analyzed according to conventional content analysis techniques. Findings Nurses may avoid asking questions about suicidality for fear of what to do with the answer. To support the nurses ability in suicide prevention work, both educational and practical experience are fundamental. There was a lack of clarity about who is carrying responsibility for the patient, and it turned out to be difficult to help the patient move further to the next care institution. There was a need for guidelines as well as routines for collaboration with other care actors in suicide prevention work. Conclusion The PHC organization does not support nurses in suicide prevention, therefore they need the right conditions for their work. Suicide prevention needs to be given greater focus and space within education as well as training in the ongoing clinical work, which can be performed with less extensive efforts.
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