PPH 2010; 16(6): 313-320
DOI: 10.1055/s-0030-1268791
Aus der Praxis
© Georg Thieme Verlag KG Stuttgart · New York

Bulldozer und Balletttänzer [¹ ]

A. Björkdahl, T. Palmstierna, G. Hansebo
Further Information

Publication History

Publication Date:
30 November 2010 (online)

Zusammenfassung

Durch die schwierigen Umstände auf psychiatrischen Akutstationen ist eine gute Pflege der Patienten für die Pflegekräfte oft sehr schwierig. Interviews mit Pflegekräften zeigten, dass sie unterschiedliche Herangehensweisen an die Patienten haben. Die einen bauen Beziehungen auf, während andere die Stationen sicher und ordentlich halten wollen. Im letztgenannten Fall besteht die Gefahr, dass die Pflegekraft bei den Patienten Misstrauen und ein Gefühl der Verlorenheit erzeugt. Pflegekräfte sollten sich dieses Risikos bewusst sein und versuchen, sich stärker der Pflege zu widmen und trotzdem Sicherheit und Ordnung auf Station aufrechtzuerhalten.

01 Der Artikel ist zuerst erschienen im „Journal of Psychiatric and Mental Health Nursing” 2010, 17. Jg. S. 510–518. Der Abdruck erfolgt mit freundlicher Genehmigung des Verlages Blackwell Publishing Ltd. (DOI: 10.1111/j.1365-2850.2010.01548.x).

Literatur

  • 01 Alexander J . Patients‘ feelings about ward nursing regimes and involvement in rule construction.  Journal of Psychiatric and Mental Health Nursing. 2006;  13 543-553
  • 02 Berg A  , Hallberg I R. Psychiatric nurses‘ lived experiences of working with inpatient care on a general team psychiatric ward.  Journal of Psychiatric and Mental Health Nursing. 2000;  7 323-333
  • 03 Bigwood S , Crowe M . It‘s part of the Job, but it spoils the Job‘: a phenomenological study of physical restraint.  International Journal of Mental Health Nursing. 2008;  17 215-222
  • 04 Birkler J . Philosophy and Nursing. In Swe: Filosofi och Omvårdnad. Liber AB; Stockholm; 2007
  • 05 Bowers L , Simpson A , Alexander J  et al.. The nature and purpose of acute psychiatric wards: the Tompkins Acute Ward Study.  Journal of Mental Health. 2005;  14 625-635
  • 06 Bowers L , Jeffery D , Bilgin H  et al.. Psychiatric intensive care units: a literature review.  The International Journal of Social Psychiatry. 2008;  54 56-68
  • 07 Bowles A . Therapeutic nursing care in acute psychiatric wards: engagement over control.  Journal of Psychiatric and Mental Health Nursing. 2000;  7 179-184
  • 08 Carlsson G , Dahlberg K , Ekebergh M  et al.. Patients longing for authentic personal care: a phenomenological study of violent encounters in psychiatric settings.  Issues in Mental Health Nursing. 2006;  27 287-305
  • 09 Cleary M , Edwards C . Something always comes up‘: nurse-patient interaction in an acute psychiatric setting.  Journal of Psychiatric and Mental Health Nursing. 1999;  6 469-477
  • 10 Covington H . Caring presence: delineation of a concept for holistic nursing.  Journal of Holistic Nursing. 2003;  21 301-317
  • 11 Currid T J. The lived experience and meaning of stress in acute mental health nurses.  British Journal of Nursing. 2008;  17 880-884
  • 12 Deacon M , Warne T , McAndrew S . Closeness, chaos and crisis: the attractions of working in acute mental health care.  Journal of Psychiatric and Mental Health Nursing. 2006;  13 750-757
  • 13 Delaney K R, Johnson M E. Inpatient psychiatric nursing: why safety must be the key deliverable.  Archives of Psychiatric Nursing. 2008;  22 386-388
  • 14 Duxbury J . An evaluation of staff and patient views of and strategies employed to manage inpatient aggression and violence on one mental health unit: a pluralistic design.  Journal of Psychiatric and Mental Health Nursing. 2002;  9 325-337
  • 15 Edvardsson D . Atmosphere in care settings. Towards a broader understanding of the phenomenon. Doctoral dissertation. Department of Nursing. Umeå, Umeå University; 2005
  • 16 Forchuk C , Westwell J , Martin M  et al.. The developing nurse-client relationship: nurses‘ perspectives.  Journal of the American Psychiatric Nurses Association. 2000;  6 3-10
  • 17 Halldorsdottir S . Caring and uncaring encounters in nursing and health care - developing a theory.  Doctoral dissertation. Department of Caring Sciences, Faculty of Health Sciences. Linköping, Linköping University; 1996
  • 18 Halldorsdottir S . The dynamics of the nurse-patient relationship: introduction of a synthesized theory from the patient‘s perspective.  Scandinavian Journal of Caring Sciences. 2008;  22 643-652
  • 19 Hellzen O , Asplund K , Sandman P O et al.. The meaning of caring as described by nurses caring for a person who acts provokingly: an interview study.  Scandinavian Journal of Caring Sciences. 2004;  18 3-11
  • 20 Hummelvoll J K, Severinsson E I. Imperative ideals and the strenuous reality: focusing on acute psychiatry.  Journal of Psychiatric and Mental Health Nursing. 2001;  8 17-24
  • 21 Hunt M R. Strengths and challenges in the use of interpretive description: reflections arising from a study of the moral experience of health Professionals in humanitarian work.  Qualitative Health Research. 2009;  19 1284-1292
  • 22 Johansson I M, Skarsater I , Danielson E . The Healthcare environment on a locked psychiatric ward: an ethnographic study.  International Journal of Mental Health Nursing. 2006;  15 242-250
  • 23 Johansson I M, Skarsater I , Danielson E . Encounters in a locked psychiatric ward environment.  Journal of Psychiatric and Mental Health Nursing. 2007;  14 366-372
  • 24 Lelliott P , Quirk A . What is life like on acute psychiatric wards?.  Current Opinion in Psychiatry. 2004;  17 297-301
  • 25 Lilja L , Hellzen O . Former patients‘ experience of psychiatric care: a qualitative investigation.  International Journal o f Mental Health Nursing. 2008;  17 279-286
  • 26 Lloyd M . Empowerment in the interpersonal field: discourses of acute mental health nurses.  Journal of Psychiatric and Mental Health Nursing. 2007;  14 485-494
  • 27 Mellesdal L . Aggression on a psychiatric acute ward: a three-year prospective study.  Psychological Reports. 2003;  92 1229-1248
  • 28 Morrison E F. The tradition of toughness: a study of nonprofessional nursing care in psychiatric settings.  Image – the Journal of Nursing Scholarship. 1990;  22 32-38
  • 29 Patton M Q. Qualitative Research and Evaluation Methods. Sage Publications; Thousand Oaks, CA; 2002
  • 30 Price B . Laddered questions and qualitative data research Interviews.  Journal of Advanced Nursing. 2002;  37 273-281
  • 31 Richter D , Whittington R  eds. Violence in Mental Health Settings: Causes, Consequences, Management. Springer; New York; 2006
  • 32 Rogers C . On Becoming A Person: A Therapist‘s View of Psychotherapy. Constable; London; 1961
  • 33 Salzmann-Erikson M , Lutzen K , Ivarsson A B et al.. The core characteristics and nursing care activities in psychiatric intensive care units in Sweden.  International Journal of Mental Health Nursing. 2008;  17 98-107
  • 34 Sandelowski M . Writing a good read: strategies for representing qualitative data.  Research in Nursing & Health. 1998;  21 375-382
  • 35 Sandelowski M , Barroso J . Finding the findings in qualitative studies.  Journal of Nursing Scolarship. 2002;  34 213-219
  • 36 Secker J , Benson A , Balfe E  et al.. Understanding the social context of violent and aggressive incidents on an inpatient unit.  Journal of Psychiatric and Mental Health Nursing. 2004;  11 172-178
  • 37 Shattell M M, Starr S S, Thomas S P. ‘Take my hand, help me out’: mental health service recipients‘ experience of the therapeutic relationship.  International Journal of Mental Health Nursing. 2007;  16 274-284
  • 38 Shattell M M, Andes M , Thomas S P. How patients and nurses experience the acute care psychiatric environment.  Nursing Inquiry. 2008;  15 242-250
  • 39 Slater L . Person-centeredness: a concept analysis.  Contemporary Nurse. 2006;  23 135-144
  • 40 Thorne S . Interpretive Description. Left Coast Press; Walnut Creek, CA; 2008
  • 41 Thorne S , Kirkham S R, MacDonald-Emes J . Interpretive description: a noncategorical qualitative alternative for developing nursing knowledge.  Research in Nursing & Health. 1997;  20 169-177
  • 42 Thorne S , Kirkham S , O‘Flynn-Magee K . The analytic challenge in interpretive description.  International Journal of Qualitative Methods. 2004;  3 1-11
  • 43 Vatne S , Fagermoen M S. To correct and to acknowledge: two simultaneous and conflicting perspectives of limit-setting in mental health nursing.  Journal of Psychiatric and Mental Health Nursing. 2007;  14 41-48
  • 44 Vatne S , Holmes C . Limit setting in mental health: historical factors and suggestions as to its rationale.  Journal of Psychiatric and Mental Health Nursing. 2006;  13 588-597
  • 45 Walsh J , Boyle J . Improving acute psychiatric hospital services according to inpatient experiences. A user-led piece of research as a means to empowerment.  Issues in Mental Health Nursing. 2009;  3Q 31-38
  • 46 Winship G . Further thoughts on the process of restraint.  Journal of Psychiatric and Mental Health Nursing. 2006;  13 55-60

01 Der Artikel ist zuerst erschienen im „Journal of Psychiatric and Mental Health Nursing” 2010, 17. Jg. S. 510–518. Der Abdruck erfolgt mit freundlicher Genehmigung des Verlages Blackwell Publishing Ltd. (DOI: 10.1111/j.1365-2850.2010.01548.x).

A Björkdahl

SLSO Box 179 14

SE-118 95 Stockholm/Schweden

Email: anna.bjorkdahl@sll.se

    >