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Patienters erfarenheter av vårdmiljön inom psykiatrisk heldygnsvård
Umeå University, Faculty of Medicine, Department of Nursing.
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Patientss experiences of ward environment within psychiatric inpatient care (English)
Abstract [en]

Aim: To describe patients experiences of the ward environment within psychiatric inpatient care.

Background: The environment has historically played a major part in psychiatric care and treatment, however that changed towards the end of the twentieth century. The prevalence of psychiatric illness in Sweden is increasing. Patients within psychiatric inpatient care are more often than in the case with somatic inpatients experiencing poor reception, being less informed and to be less included. Earlier research shows that the ward environment plays a significant part in the time the patient spend on the ward and that the patients often can describe how they are not satisfied with the environment they are experiencing at the psychiatric wards.

Method: We used a qualitative method with an inductive approach. Four focus group interviews were conducted at four different psychiatric wards. A total of 11 patients took part as interviewees. The data collection took place between December 2015 and February 2016. The transcribed interviews have been analyzed using qualitative content analysis.

Result: The result showed that the patients often had clear views about what constitutes a good ward environment but that they often were displeased with what actually was case. Three categories were identified: the physical environment sets the frame, relationships are crucial, and activity promotes health. The ward environment was described as a possible obstacle to mental recovery in different ways, the physical environment was negative, lacked space for being by oneself and could make the patients feel trapped. The patients affected each other in both positive and negative ways whilst the staff often were described as being uninterested in the environment of the wards. The patients could describe how they lacked meaningful activities and that the existence of such activities could have played a part in the promotion of their mental health.

Conclusion: Our study shows that patients often carries with them clear views and expectations of what constitutes a good ward environment. As they are admitted as patients these expectations are often not met by the actual environment on the wards. This study can help staff at psychiatric wards to increase their knowledge of the patient experience regarding the care environment of psychiatric wards and therefore can help improve the care within that context. Further research could deal with question of which care type of requirements have to be put on the care environment of psychiatric wards in order to further effectiveness when it comes to mental rehabilitation and in what physical shape it should take place.

Key words:experiences, patients, psychiatric inpatient care, psychiatric nursing, ward environment.

Abstract [sv]

Syfte: Att beskriva patienters erfarenheter av vårdmiljön inom psykiatrisk heldygnsvård. Bakgrund: Historiskt har vårdmiljön spelat en stor roll i den psykiatriska vården men i slutet på 1900-talet förändrades den. Prevalensen av psykisk ohälsa har ökat sedan åttitiotalet i Sverige. Patienter inom psykiatrisk heldygnsvård anser sig bli sämre bemötta, få sämre information och beskriver sig mindre delaktiga än patienter inom somatisk heldygnsvård. Tidigare forskning visar att vårdmiljön spelar en stor roll för patientens vårdtid och att patienter ofta kan beskriva att de inte är nöjda med vårdmiljön de möter inom psykiatrisk heldygnsvård. Metod: För denna studie har vi använt oss av en kvalitativ metod med en induktiv ansats. Fyra fokusgruppsintervjuer genomfördes vid fyra olika psykiatriska avdelningar. Totalt deltog 11 patienter i studien. Datainsamlingen utfördes mellan december 2015 - februari 2016. De transkriberade fokusgrupperna har analyserats med kvalitativ innehållsanalys. Resultat: Tre kategorier identifierades: den fysiska miljön sätter ramen, relationer är avgörande och aktivitet främjar hälsa. Vårdmiljön beskrevs som ett möjligt hinder för psykisk rehabilitering på olika sätt, den fysiska miljön var negativ, saknade avskildhet och fick patienterna att känna sig instängda. Patienterna påverkade varandra både positivt och negativt medan personalen ofta beskrevs oengagerad i hela vårdmiljön. Patienterna kunde även beskriva att de saknade meningsfulla aktiviteter och att sådana kunde ha främjat deras psykiska hälsa. Slutsats: Vår studie har visat att patienter ofta bär med sig tydliga uppfattningar och förväntningar om vad som utgör en god vårdmiljö gällande psykiatrisk heldygnsvård. När de väl blir inskrivna som patienter visar det sig att den faktiska miljön på avdelningarna ofta inte motsvarar förväntningarna. Studien kan öka psykiatripersonals kunskaper om patienternas erfarenheter av vårdmiljön inom psykiatrisk heldygnsvård och därigenom förbättra omvårdnaden i den kontexten. Vidare forskning kan handla om vilken vårdmiljö som är mest effektiv när det kommer

Place, publisher, year, edition, pages
2018.
Keywords [en]
Experiences, patients, psychiatric inpatient care, psychiatric nursing, ward environment.
Keywords [sv]
Erfarenheter, patienter, psykiatrisk heldygnsvård, psykiatrisjuksköterska, vårdmiljö.
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-147525OAI: oai:DiVA.org:umu-147525DiVA, id: diva2:1204075
External cooperation
Maria Strömbäck, Med Dr, specialistfysioterapeut Psykiatricentrum Västerbotten
Educational program
Graduate Programme in Specialist Nursing - Psychiatric Nursing
Supervisors
Available from: 2018-06-27 Created: 2018-05-06 Last updated: 2018-06-27Bibliographically approved

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CiteExportLink to record
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Citation style
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