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Patients' experienc...
Patients' experiences of isolation in psychiatric inpatient care : Insights from a meta-ethnographic study.
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- Lindgren, Britt-Marie (författare)
- Umeå universitet,Institutionen för omvårdnad,Umeå University, Department of Nursing, Umeå, Sweden
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- Ringnér, Anders (författare)
- Umeå universitet,Institutionen för omvårdnad,Pediatrik,Umeå University, Department of Nursing, Umeå, Sweden. Umeå University, Department of Paediatrics, Umeå, Sweden.
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- Molin, Jenny, 1974- (författare)
- Umeå universitet,Institutionen för omvårdnad,Umeå University, Department of Nursing, Umeå, Sweden
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- Hällgren Graneheim, Ulla, 1947- (författare)
- Umeå universitet,Högskolan Väst,Avdelningen för omvårdnad - avancerad nivå,Umeå University, Department of Nursing, Umeå, Sweden,Institutionen för omvårdnad,Department of Health Sciences, University West,Trollhättan, Sweden
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(creator_code:org_t)
- 2018-07-05
- 2019
- Engelska.
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Ingår i: International Journal of Mental Health Nursing. - : Wiley. - 1445-8330 .- 1447-0349. ; 28:1, s. 7-21
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Historically, people with mental ill-health have been isolated from society. Although mental health care has moved from closed to more open forms of care, in many societies care is still provided in locked wards, and people with mental ill-health are sometimes secluded from their fellow patients, families, friends, and visitors. The aim of this study was to illuminate patients' experiences of isolation in psychiatric inpatient care. A systematic review of qualitative research was conducted, and the key findings were subjected to meta-ethnographic synthesis. The findings were twofold: 'being admitted to prison' and 'having access to shelter'. The experience of isolated care as prison-like symbolizes patients' longing for freedom and feeling restricted and limited by rules, stripped of rights, abandoned, controlled, powerless, and unsupported. In contrast, the experience of isolation as shelter symbolizes safety and the opportunity to regain control over one's own situation. A stigmatizing public view holds that people with mental ill-health are dangerous and unpredictable and, therefore, unsafe to themselves and others. Being placed in isolation because these fears contribute to self-stigma among patients. Promoting a sheltered experience in which isolation is used with respect for patients and the reasons are made explicit may encourage recovery. A shift in emphasis in ward culture from observation to engagement is needed to reduce blame, shift patient experiences from prison to shelter, and to support autonomy as a therapeutic intervention.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- experiences
- isolation
- locked ward
- psychiatric inpatient care
- seclusion
- Vårdvetenskap
- Nursing science
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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