Achieving Equilibrium within a Culture of Stability—Cultural Knowing in Nursing Care on Psychiatric Intensive Care Units

Salzmann‐Erikson, Martin; Lützén, Kim; Ivarsson, Ann‐Britt; Eriksson, Henrik

doi:10.3109/01612840.2010.549603

Cited by 22 publications

(28 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This becomes evident when nurses try to motivate patients in a way that could be perceived as giving an ultimatum, or that gives patients the impression of having a choice, whereas the only possible choice is to adjust to the demands of the nurse and conform to the culture. Even though this could be understood as nurses striving to keep order in the unit (Bowen & Mason 2012) and obtain equilibrium within a turbulent environment (Salzmann-Eriksson et al 2011), it could also be a threat to patients' dignity. Thus, if normality is defined from the perspective of the staff (Gildberg et al 2012), nurses' intentions to do good might hurt the patient.…”

Section: Discussionmentioning

confidence: 99%

To do good might hurt bad: Exploring nurses' understanding and approach to suffering in forensic psychiatric settings

Vincze¹,

Fredriksson

Gustin

2015

Int J Mental Health Nurs

View full text Add to dashboard Cite

Patients in forensic psychiatric settings are likely to suffer not only from their mental illness but also from memories of criminal activities and, furthermore, from being involuntarily hospitalized. The aim of this study was to explore how nurses in forensic psychiatric care understand and approach patients' suffering. Data was generated by semi-structured interviews with psychiatric nurses from two different forensic psychiatric care units in Ascribing meaning to suffering, and 4) Being present in suffering. To engage in alleviating suffering is a struggle that demands courage and the strength to reflect on its character and consequences. To encounter suffering patients means that nurses are confronted with patients' suffering as well as their own reactions while being present for those patients. If suffering is not seen or encountered, there is a risk that even actions taken with the best of intentions will hurt the patient.

show abstract

Section: Discussionmentioning

confidence: 99%

To do good might hurt bad: Exploring nurses' understanding and approach to suffering in forensic psychiatric settings

Vincze¹,

Fredriksson

Gustin

2015

Int J Mental Health Nurs

View full text Add to dashboard Cite

show abstract

“…Strategierna kan snarare syfta till att föra en dialog med varandra inom personalgruppen i syfte att skapa en god omvårdnad där patientens perspektiv premieras. Vi kan förstå den interna kommunikationen som en vårdaktivitet vilket uppmärksammades i en studie av Salzmann-Erikson med kollegor (28). I studien benämns ett kulturspecifikt kunnande bland annat i termer av att flöda information.…”

Section: Diskussionunclassified

“…Vårdaktiviteten inbegriper att information om patienterna ständigt flödar inom personalgruppen i syfte att skapa stabilitet. Baserat på Salzmann-Eriksons teoretiska modell drar vi också paralleller till den rättspsykiatriska vårdkontexten där vi argumenterar för vikten att skapa stabilitet (28). I intervjuerna framkom att det fanns ett behov vägledning för att förstärka och förbättra kvaliteten i det dagliga omvårdnadsarbetet.…”

Section: Diskussionunclassified

De ropar efter hjälp, vi är vanmäktiga: Tt vårda patienter med självskadebeteende i rättspsykiatrisk vård

Salzmann‐Erikson¹,

Persson²,

Fallqvist³

2014

Nordic Journal of Nursing Research

Self Cite

View full text Add to dashboard Cite

De ropar efter hjälp, vi är vanmäktiga: att vårda patienter med självskadebeteende i rättspsykiatrisk vård Martin Salzmann-Erikson, specialistsjuksköterska i psykiatrisk vård och doktor i vårdvetenskap. Jennifer N Persson, specialistsjuksköterska i psykiatrisk vård och magister i vårdvetenskap. Carolina Fallqvist, specialistsjuksköterska i psykiatrisk vård och magister i vårdvetenskap ABSTRACT Introduction: This study addresses self-injury among patients receiving care in forensic psychiatry. Background: Self-injury is common among patients diagnosed with borderline personality disorder, bipolar disorder with elements of depression and schizophrenia. Self-injury affects both the patient as well as their surroundings. Objective: To describe nurses' experiences of caring for patients with self-injurious behavior in forensic psychiatric care. Method: A qualitative approach was applied. Data were collected through semi-structured interviews with eight nurses. The data were thereafter analysed with an inductive and manifest content analysis. Results: The results are presented according to two categories: 'caring that evokes emotions' and 'caring that requires teamwork'. Discussion: In the present study, we demonstrate a duplicitous problem in which carers are divided over what is expected of them as responsible and professional caregivers and their perceived lack of skills and their frustration. Conclusion: Viewing self-injury as a complex expression of mental illness, we recommend that further research is needed in this area -especially in the forensic psychiatric care context, where long term health care relationships are involved.

show abstract

“…Another possibility for the mystery is that few people have access to these heavily‐controlled spaces, and therefore, PICU discourage external scrutiny (Salzmann‐Erikson et al . ).…”

Section: Introductionmentioning

confidence: 97%

Virtual communication about psychiatric intensive care units: Social actor representatives claim space on Twitter

Salzmann‐Erikson

2016

Int J Mental Health Nurs

Self Cite

View full text Add to dashboard Cite

Psychiatric intensive care units (PICU) provide care for those with the worst phases of mental illness. What defines a PICU is often decided locally at hospitals. The aim of the present study was to explore and describe a contemporary discourse on how PICU are socially constructed from virtual discussions. An explorative and descriptive study design was applied for this qualitative inquiry using discourse methodology. The data were collected in Twitter's search string and consists of 215 Twitter postings. A framework of social actor representatives that form the discourse was established and presented in three categories: (i) hospital and agencies communicating about PICU; (ii) health-care professionals communicating about PICU; and (iii) service users and relatives communicating about PICU. Hospitals, agencies, and health-care professionals hold great power and responsibility for informing the public about PICU. Transparent and informative tweets could turn the mystery of PICU into more specific, positive portrayals.

show abstract

Achieving Equilibrium within a Culture of Stability—Cultural Knowing in Nursing Care on Psychiatric Intensive Care Units

Cited by 22 publications

References 32 publications

To do good might hurt bad: Exploring nurses' understanding and approach to suffering in forensic psychiatric settings

To do good might hurt bad: Exploring nurses' understanding and approach to suffering in forensic psychiatric settings

De ropar efter hjälp, vi är vanmäktiga: Tt vårda patienter med självskadebeteende i rättspsykiatrisk vård

Virtual communication about psychiatric intensive care units: Social actor representatives claim space on Twitter

Contact Info

Product

Resources

About