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Hovering between Heaven and Hell: An Observational Study Focusing on the Interactions between One Woman with Schizophrenia, Dementia, and Challenging Behaviour and her Care Providers
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing.
2015 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, Vol. 36, no 7, 543-550 p.Article in journal (Refereed) Published
Abstract [en]

This case study aims to illuminate the interactions between one woman (Alice) with schizophrenia, dementia, and challenging behaviour and her professional caregivers. We performed participant observations of these interactions and conducted informal interviews at the residential home where the woman lived. The transcripts were subjected to qualitative content analysis. The results showed that the interactions between Alice and her caregivers were experienced as hovering between heaven and hell. Alice struggled to bring order into her chaotic life world by splitting herself and others, and her caregivers struggled to protect Alice's and their own dignity by limiting her challenging behaviours. They also strived to understand their own and Alice's behaviour. Current practice in caring for people with challenging behaviour usually focuses on symptom reduction through medication and behavioural modification. Instead, we suggest moving toward an understanding of the experiences behind the challenging behaviours and designing person-centred care based on each patients' reality.

Place, publisher, year, edition, pages
Taylor & Francis, 2015. Vol. 36, no 7, 543-550 p.
National Category
Nursing Psychiatry
URN: urn:nbn:se:umu:diva-109964DOI: 10.3109/01612840.2015.1007540ISI: 000361335900009PubMedID: 26309174OAI: diva2:859976
Available from: 2015-10-09 Created: 2015-10-09 Last updated: 2015-10-09Bibliographically approved

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Hallgren Graneheim, UllaJansson, LilianLindgren, Britt-Marie
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