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234 Uppsatser om Psychiatric nurs* - Sida 5 av 16

Vårdrelationens innebörd för patienter inom psykiatrisk tvångsvård : en litteraturstudie

Det är sjuksköterskans ansvar att etablera en vårdrelation där patienten känner sig trygg, därför var det viktigt att belysa patientens egen uppfattning om vårdrelationens innebörd och vad det kan ha för betydelse för omvårdnaden. Syftet med studien var att undersöka vårdrelationens innebörd för vuxna patienter inom psykiatrisk tvångsvård. Studien är litteraturstudie med kvalitativ och deskriptiv design. Det gjordes en artikelsökning i Cinahl och PubMed med sökorden psychiatric care, caring relationship, coercion samt patients experiences. Artiklarna som valdes ut kvalitetsgranskades och sedan gjordes en manifest innehållsanalys.

Åt var och en efter behov? Kriminalitet som markör för olika behandlingsalternativ

The aim of this study was to, using previously collected data from self-declared antisocial behaviour questionnaires, examine if the crime frequency has been different between adolescents that have either been referred to two different forms of open care in social service, child and youth psychiatric inpatient care or have been sent to Homes for Specialised Supervision. The criminality frequency and the most common crimes committed were compared between the study groups and further between genders in each particular study group. Statistical significance testing was used and the results of the survey revealed that juvenile delinquents that had committed severe criminal acts were represented in all four groups. The study group with adolescents in national care was the most different from other groups. These youths seemed to have had a lower crime frequency than the other groups with the exception assault and robbery.

Sjuksköterskors erfarenheter av att uppmärksamma, bedöma och hantera somatiska symtom och problem i det psykiatriska omvårdnadsarbetet

Background:Patients with mental disabilities are more prone to somatic illnesses than the general public. Unhealthier lifestyles and side effects of medication might be causes of conditions that lead to diabetes, cardiovascular diseases and premature death. According to the Social Board patients with mental disabilities receive poorer treatment than patients with only somatic diagnosis.Aim:The aim of the study was to describe nurses' experiences to identify, assess and manage somatic symptoms and problems within the psychiatric care.Method:The study is based on interviews with 12 nurses working in psychiatric outpatient and inpatient care. A qualitative content analysis was chosen.Result:The nurses performed nursing through talking, blood sampling and measuring for example blood pressure. They followed up side effects of medication.

Minimizing acts of violence through telephone-linked care: an
automated telephone system for outpatients in forensic
psychiatric care

Achievements within the fields of computer- and telecommunication technology have led to a revolution when it comes to managing information. These achievements have made it possible to offer new services in healthcare, especially in telemedicine. New technology has become a complement to traditional care, thus partly compensating for insufficient time and resources. Telephone Linked Care (TLC) is a telecommunication technology that enables automated dialog counselling and monitoring of patients in their homes. During the last two decades numerous randomized controlled studies with TLC have demonstrated improvement among outpatients with chronic and health behaviour disorders.

Om detta är en psykiskt funktionshindrad. : - Diskurs, makt och subjekt i psykiatrireformen 1995

This study aims to investigate the political reformation of the psychiatric care in Sweden, that took place 1995. The main purpose is to illuminate the transformation of subjectivity for mentally ill people after the reform 1995. The group of people which are present in the study are those who former were subjects of care in psychiatric hospitals, but with regarding to the reform have moved out from the institutions and instead become clients for community care. This new group of mentally ill people became, in connection with the reform, subjects for a new concept psykiskt funktionshinder. This new label and concept, that were attached to the present group, is the main concept for the investigation in the present study. The method, that was used in the study, develops a textual based analysis of the official documents, that were produced in connection with the political decision to reform the care of mentally ill people. With a theoretical conceptuality taken from Michel Foucault, with concepts such as discourse, power, and subjectivity, are the documents analysed in order to illuminate how the new subjectivity, under the concept of psykiskt funktionshinder arise.

Faktorer som kan påverka livskvaliteten hos personer med diagnosen multipel skleros. En litteraturstudie.

Multiple sclerosis is a disease whose course is capricious and unprediactable and the exact cause of the disease is still unclear. The purpose of this literature review was to describe factors that can effect quality of life of people with diagnosis multiple sclerosis. The results shows ten different factors that effect quality of life of people with MS: fatigue, activities in daily life, position of dependence, limits of the functional abilities, sense of guilt and shame, comunicationdifficulty, social network, emootional factors, depression and degree of difficulty of the symtomes. Work has been shown to bee a major factor that can make people with MS feel worthy and experience quality of life. Nurs is an important keystone in care of people with diagnosis multiple sclerosis..

Att ställa frågan om våld i nära relation vid inskrivningssamtalet på en psykiatrisk avdelning : - ett kvalitetssäkringsarbete

Background: Intimate relationship violence is physical, psychological or sexual violence that a person is exposed to in a relationship. There is a strong correlation between intimate relationship violence and mental health problems. A psychiatric ward at a hospital in Sweden, is working with a new routine. According to this routine every new patient should be asked about intmate relationship violence as a part of the admission interview.Objective: The objective of this study was to study how the healthcare personnel is working with the routine, and also to study response rate, interventions and how the work has developed over time.Method: A quantitative study with a retrospective and descriptive studydesign. One hundred and two medical records were reviewed.

Transkulturell omvårdnad-erfarenheter hos specialistutbildadesjuksköterskor inom psykiatrisk vård. : En kvalitativ intervjustudie

Syftet: Syftet med studien var att belysa specialistutbildade sjuksköterskors erfarenheter av transkulturell omvårdnad inom psykiatrisk vård. Metod: Studien genomfördes med en kvalitativ metod med enskilda semistrukturerade intervjuer. Specialistutbildade sjuksköterskor som arbetat inom psykiatrisk vård minst ett år fick berätta om sina erfarenheter av transkulturell omvårdnad.  Resultat: I resultatet framkom det att specialistutbildade sjuksköterskor inompsykiatrisk vård upplever språket som ett hinder för omvårdnaden eftersom språket är så centralt inom psykiatrisk vård då samtal utgör en stor del under vårdtiden. Det visar också att religiösa och kulturella seder kan ha betydelse i möten med patienter från olika kulturer.

Erfarenheter bland omvårdnadspersonal av att bemöta personer med missbruks- eller beroendeproblem på en akutmottagning : En intervjustudie

The number of persons with problems of abuse or addiction seeking care has increased during the last years in Sweden. Recent international studies show stigmatizing attitudes among nursing staff, which affect the treatment and care negatively. The purpose of this study was to describe experiences among nursing staff of treating persons with problems of abuse or addiction at an emergency department. The participants were six nurses and one assistant nurse who worked at an emergency department. The interviews were analyzed through qualitative content analysis.

Furunäset och mentalsjukvården : en studie i en institutions kontroll över patienters livsvillkor

The Swedish mental hospitals existed for about one hundred years, the period around 1880-1980. The research is intended to be from a local setting perspective to study the local approach used to meet requirements from Furunäsets mental hospital principals 1960 - 1972, the effect this had on the care and treatment of mentally ill patients and how Swedish society's changing approach to mental health influenced the process. The results of the research showed that Furunäset searched for ways to meet the principals' requirements which often went against the patients? personal best. Furunäsets mental hospital strove to fulfill its institutional goals in them selves rather than giving patients the care and treatment they needed.

Psykiatrisjuksköterskans arbetsuppgifter och kompetensområde inom den slutna vården. : - Intervjustudie inom den slutna psykiatriska akutsjukvården.

Syftet med studien var att undersöka psykiatrisjuksköterskans självrapporterade utförda arbetsuppgifter och självupplevda kompetens. Studien bygger på individuellt genomförda intervjuer med 19 psykiatrisjuksköterskor verksamma inom den psykiatriska slutenvården. Författarna har använd ett proportionellt stratifierat urval. Resultatet presenteras i fem kategorier; psykiatrisjuksköterskans kompetensområde, specifika arbetsuppgifter i kompetensområdet, arbetsuppgifter utanför kompetensområdet, arbetsuppgifter som psykiatrisjuksköterskan saknar samt rollkonflikter med tillhörande subkategorier. I psykiatrisjuksköterskans kompetensområde ingår arbetsuppgifter som arbetsledare och omvårdnadsansvarig att planera fördela arbetet på avdelningen, vårdplanera, dokumentera samt läkemedelsadministration.

Att v?rda under hot och v?ld - sjuksk?terskors upplevelser inom psykiatrisk v?rd : En litteratur?versikt

Bakgrund Hot och v?ld ?r vanligt f?rekommande inom psykiatrisk v?rd, vilket p?verkar sjuksk?terskors psykiska h?lsa, trygghet och omv?rdnadskvalitet. Enligt Arbetsmilj?lagen (1977:1160) ?r v?rdgivaren skyldig att f?rebygga risker i arbetsmilj?n och skapa en s?ker arbetsplats fri fr?n oh?lsa och olycksh?ndelser. Trots detta framkommer det att m?nga sjuksk?terskor upplever bristande st?d och otydliga rutiner, vilket g?r att hot och v?ld ofta ses som en naturlig del av arbetet.

Att söka en medaktör i lidandets drama : Om patienter med dubbeldiagnos och derasupplevelse av bemötande inom den psykiatriska vården

Bakgrund: Patienter som återfinns inom den psykiatriska vårdkontexten och som lider av samtidig psykisk ohälsa och substansbrukssyndrom, eller dubbeldiagnos, riskerar att mötas av stigmatiserande förhållningssätt på grund av okunskap och förutfattade meningar. Syfte: Syftet med denna studie var att, genom att intervjua patienter med dubbeldiagnos, belysa deras upplevelser av vårdares bemötande inom den psykiatriska vården. Metod: För att få en djupare förståelse av fenomenet bemötande användes en fenomenologisk-hermeneutisk metod efter inspiration av Lindseth och Norberg (2004). Tre forskningspersoner intervjuades om sina upplevelser av bemötande inom psykiatrisk vård. Resultat: I resultatet framträdde fyra teman; att vara i underläge; att bli medveten om sitt sammanhang; att bli väl mottagen och att bli sedd som en person.

FRÅN ÖPPENHET OCH NÄRVARO-TILL DISTANS OCH KONTROLL : Att medicineras och att administrera ur ett patient- och sjuksköterskeperspektiv

Title: From openness and presence to distance and control: to be medicated and to administrate from a patient and nurse perspective.Background: Within forensic psychiatric care the patients are admitted against their will, under heavy security with long term treatments. Self-care seems, based on scientific studies, to be dependent on what the nurses involved can provide. Emphasis should focus on a humane and respectful approach when the patient is exposed to coercive measures.Aim: From a patient and nurse perspective describe experiences of beeing medicated with and to administrate antipsychotic drugs within the psychiatric inpatient care.Method: Interviews with patients and nurses, which were analyzed using qualitative content analysis with an inductive approach.Results: Patients experience frustration over not beeing able to participate in or influence descisions made regarding their neuroleptic treatment. The neuroleptic treatment is described as a coercive measure and is characterized as an experience of losing control and independence. Nurses? experiences of administering antipsychotics were described as having to do what is needed for the long term benefit of patients? well-being.

Att vara ung och leva med diagnosen ADHD. En kvalitativ intervjustudie med fokus på sociala och existentiella aspekter

Today many children and youths are allocated to ?The Swedish Authority of Child and Youth Psychiatry (BUP) for the sake of being investigated by means of a neuropsychiatric inquire and many of which are assigned the diagnosis ADHD. During recent years ?The Swedish National Board of Health and Welfare? has declared, in it?s annual account of the current psychiatric state of Swedish Children and Youths, that the healthcare provided for those with neuropsychiatric diagnoses ? such as Asperger syndrome and ADHD, has increased.ADHD is short for Attention deficit hyperactivity disorder, which implies neuropsychiatric impediments i.e. hyper activity, inadvertence and an inability to control impulses.The aim of the Study is to describe and analyze how youth, in the age range of sixteen to eighteen years of age, diagnosed with ADHD define themselves, their daily life, their social state, their next to kin relationships and, finally, their concept of their future.The Study is qualitative.

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