Psychiatric nurses' lived experiences of working with inpatient care on a general team psychiatric ward
(2000) In Journal of Psychiatric and Mental Health Nursing 7(4). p.323-333- Abstract
- To reveal the meaning of being a nurse working with inpatient care on a team psychiatric ward in Sweden, 22 psychiatric nurses were interviewed and the transcribed texts were analysed by means of latent content analysis. Three themes emerged from the analysis: developing a working relationship with the patient in everyday caregiving; encountering and handling the unforseeable in daily living; and struggling with professional independence and dependency. Developing a working relationship with the patient in everyday caregiving meant that the nurse-patient relationship was the foundation of the caregiving and included being with, as well as doing for, and with, the patient. Four different approaches in daily caregiving were revealed:... (More)
- To reveal the meaning of being a nurse working with inpatient care on a team psychiatric ward in Sweden, 22 psychiatric nurses were interviewed and the transcribed texts were analysed by means of latent content analysis. Three themes emerged from the analysis: developing a working relationship with the patient in everyday caregiving; encountering and handling the unforseeable in daily living; and struggling with professional independence and dependency. Developing a working relationship with the patient in everyday caregiving meant that the nurse-patient relationship was the foundation of the caregiving and included being with, as well as doing for, and with, the patient. Four different approaches in daily caregiving were revealed: networking, teaching, containing and protecting. The nurses' approaches in the nurse-patient relationship alternated between being an 'expert' and a 'collaborator'. Encountering and handling unforeseeable situations meant that the nurses were exposed to and had to be prepared for unpredictable situations where they were on their own, handling sometimes strong emotional reactions and relying on their own ability to act. Struggling with professional independence and dependency meant that the nurses seemed to lack professional confidence, although they had many responsibilities, but also less authority to decide about overall care planning. Contextual aspects such as organizational hindrance, unsatisfactory work-environment and co-operation difficulties were illuminated. The result indicates the need for a stable and predictable organizational structure if nurses are to manage the demanding nurse-patient relationships that everyday caregiving requires. A question highlighted by this study is whether multidisciplinary team organization has been effectively developed in Sweden, as uncertainty about the roles and responsibilities of nurses was apparent. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1116939
- author
- Berg, A and Rahm Hallberg, Ingalill LU
- organization
- publishing date
- 2000
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- nurse–patient relationship, nurses' lived experiences, psychiatric inpatient care, work organization, work-environment
- in
- Journal of Psychiatric and Mental Health Nursing
- volume
- 7
- issue
- 4
- pages
- 323 - 333
- publisher
- John Wiley & Sons Inc.
- external identifiers
-
- pmid:11933404
- scopus:0034256526
- ISSN
- 1351-0126
- DOI
- 10.1046/j.1365-2850.2000.00307.x
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: The Vårdal Institute (016540000)
- id
- 125da052-0cfd-4c65-9adb-593334e6442a (old id 1116939)
- date added to LUP
- 2016-04-01 16:22:14
- date last changed
- 2022-01-28 19:12:19
@article{125da052-0cfd-4c65-9adb-593334e6442a,
abstract = {{To reveal the meaning of being a nurse working with inpatient care on a team psychiatric ward in Sweden, 22 psychiatric nurses were interviewed and the transcribed texts were analysed by means of latent content analysis. Three themes emerged from the analysis: developing a working relationship with the patient in everyday caregiving; encountering and handling the unforseeable in daily living; and struggling with professional independence and dependency. Developing a working relationship with the patient in everyday caregiving meant that the nurse-patient relationship was the foundation of the caregiving and included being with, as well as doing for, and with, the patient. Four different approaches in daily caregiving were revealed: networking, teaching, containing and protecting. The nurses' approaches in the nurse-patient relationship alternated between being an 'expert' and a 'collaborator'. Encountering and handling unforeseeable situations meant that the nurses were exposed to and had to be prepared for unpredictable situations where they were on their own, handling sometimes strong emotional reactions and relying on their own ability to act. Struggling with professional independence and dependency meant that the nurses seemed to lack professional confidence, although they had many responsibilities, but also less authority to decide about overall care planning. Contextual aspects such as organizational hindrance, unsatisfactory work-environment and co-operation difficulties were illuminated. The result indicates the need for a stable and predictable organizational structure if nurses are to manage the demanding nurse-patient relationships that everyday caregiving requires. A question highlighted by this study is whether multidisciplinary team organization has been effectively developed in Sweden, as uncertainty about the roles and responsibilities of nurses was apparent.}},
author = {{Berg, A and Rahm Hallberg, Ingalill}},
issn = {{1351-0126}},
keywords = {{nurse–patient relationship; nurses' lived experiences; psychiatric inpatient care; work organization; work-environment}},
language = {{eng}},
number = {{4}},
pages = {{323--333}},
publisher = {{John Wiley & Sons Inc.}},
series = {{Journal of Psychiatric and Mental Health Nursing}},
title = {{Psychiatric nurses' lived experiences of working with inpatient care on a general team psychiatric ward}},
url = {{http://dx.doi.org/10.1046/j.1365-2850.2000.00307.x}},
doi = {{10.1046/j.1365-2850.2000.00307.x}},
volume = {{7}},
year = {{2000}},
}