| 1. |
- Nyström, Maria
(författare)
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Att arbeta med psykiskt funktionshindrade personer : Professionella vårdgivares uppfattningar
- 2002
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Ingår i: Vård i Norden. - 0107-4083 .- 1890-4238. ; 22:3, s. 32-38
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Tidskriftsartikel (refereegranskat)abstract
- Different ideological standpoints shape the understanding of severe mental illness and the actions taken in psychiatric care and social services. Decentralised and community-based care is today, after the psychiatric reform in Sweden 1995, replacing the mental hospitals. Deinstitutionalisation has thus caused a larger interest in the issue of knowledge and competence when caring for people with severe mental illness. This study focuses on similarities and differences of opinions and attitudes among professional caregivers. A questionnaire was distributed to 162 professional caregivers, 65 from psychiatric care and 97 from social welfare services. The results indicated that professionals within social welfare service did neither consider their knowledge of severe mental illness adequate, nor did they find their options to get further education and supervision satisfactory. Furthermore they felt they did not receive enough information when taking over responsibility from psychiatric care. When the participants were asked what personal characteristic they find most important in their work with people with severe mental illness, none of the questioned, either within psychiatric care or within social welfare service, made a priority to ”believe what a person with severe mental illness says”. Hence, booth organizations appear to put their confidence in professional knowledge, in favor of experiences expressed by people with severe mental illness.Different ideological standpoints shape the understanding of severe mental illness and the actions taken in psychiatric care and social services. Decentralised and community-based care is today, after the psychiatric reform in Sweden 1995, replacing the mental hospitals. Deinstitutionalisation has thus caused a larger interest in the issue of knowledge and competence when caring for people with severe mental illness. This study focuses on similarities and differences of opinions and attitudes among professional caregivers. A questionnaire was distributed to 162 professional caregivers, 65 from psychiatric care and 97 from social welfare services. The results indicated that professionals within social welfare service did neither consider their knowledge of severe mental illness adequate, nor did they find their options to get further education and supervision satisfactory. Furthermore they felt they did not receive enough information when taking over responsibility from psychiatric care. When the participants were asked what personal characteristic they find most important in their work with people with severe mental illness, none of the questioned, either within psychiatric care or within social welfare service, made a priority to ”believe what a person with severe mental illness says”. Hence, booth organizations appear to put their confidence in professional knowledge, in favor of experiences expressed by people with severe mental illness.
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| 2. |
- Nyström, Maria, et al.
(författare)
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Att dra sig tillbaka från omgivningen : en ond cirkel vid svår psykisk ohälsa
- 2007
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Ingår i: Vård i Norden. - : Sykepleiernes Samarbeid i Norden. - 0107-4083 .- 1890-4238. ; 27:1, s. 31-36
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Tidskriftsartikel (refereegranskat)abstract
- To withdraw – a viscous circle in severe mental illness. The aim of this study has been to analyse and describe circumstances behind and experiences of severely mentally ill persons’ withdrawal. Six persons, two women and four men, aged 31–57, with experiences of withdrawal due to psychosis, were interviewed. Manifest and latent meanings were described. Factors that led to withdrawals were insufficient medication, alcohol and sleeplessness. The meaning of withdrawal was characterized by a viscous circle. The process starts with the necessesity to avoid external and internal stressors. It continues with changed reality and brooding. Senses of being an outsider are enlarged and the viscous circle is completed with further withdrawal. Psychiatric care is reflected upon as an opportunity for the caregivers to step in early and break up the viscous circle.
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| 3. |
- Nyström, Maria
(författare)
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Daily experiences of the long-term mentally ill after de-institutionalization
- 2002
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Ingår i: Vård i Norden. - : Sjuksköterskornas samarbete i Norden. - 0107-4083 .- 1890-4238. ; 22:63, s. 31-36
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Tidskriftsartikel (refereegranskat)abstract
- The first aim of this study was to investigate how long-term mentally ill persons adjusted to life after de-institutionalisation. The second aim was to estimate the relevance of interpretations made previously in a qualitative study, concerning long term mentally ill person’s incapability to benefit from new experiences. A survey was conducted in 1996 and a follow- up was made in 1998. A randomly chosen sample of longterm mentally ill persons replied to questions about their living conditions as well as interpersonal relations, personal experiences and self-esteem. Most of the participants in the study were living alone and their everyday lives seemed lonely and inactive. In spite of decreased psychiatric consultations after the psychiatric de-institutionalisation, they changed neither their external nor their internal world during the two years covered by this study.
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| 4. |
- Nyström, Maria
(författare)
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Reflekterande team : en arbetsmodell för evidensbaserad vård
- 2013
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Ingår i: Vård i Norden. - : Sykepleiernes Samarbeid i Norden. - 0107-4083 .- 1890-4238. ; 33:2, s. 42-44
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Tidskriftsartikel (refereegranskat)abstract
- A reflective team (RT) is working to solve current health care problems in a professional team led by a reflection leader. The goal is that through reflection about the team members’ own caring experiences and scientific research create action plans based in proven experience and scientific evidence. This article describes the idea behind the RT, the first attempt to implement the RT and reflection leaders’ preliminary experiences of managing RT.
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| 5. |
- Nyström, Maria
(författare)
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Vilka önskemål har psykiskt funktionshindrade människor? Professionella vårdgivares skattningar av patienters, vårdtagares och klienters önskemål gällande boende sysselsättning samt vård och omsorg : en jämförande studie
- 2003
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Ingår i: Vård i Norden. - : Sjuksköterskornas samarbete i Norden. - 0107-4083 .- 1890-4238. ; 23:67, s. 10-15
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Tidskriftsartikel (refereegranskat)abstract
- In this study eleven items concerning wants and needs of severely mentally ill persons were compared with estimations of the same items made by professional caregivers in psychiatric care and social welfare services. A questionnaire with ten-point Likert scales was distributed to 205 participants, 65 professionals within psychiatric care, 97 professionals within social welfare services and 43 severely mentally ill persons. The Likert scales dealt with living conditions, daily activities, nursing interventions and social welfare services. The severely mentally ill persons scored their wants and needs and professional caregivers estimated the importance of every item concerning the same issues. Professional caregivers made quite similar estimations irrespective of their professional or organizational belonging. They did, however, differ quite a lot from the wants and needs made by the severe mentally ill persons themselves.
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| 6. |
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