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Experiences of mental health encounters among Public Health Nurses and patients. In the context of Primary Health Care.

Nilsson, Emmy LU (2023)
Abstract
Background: Mental Health Problems are increasing and there is a general lack of sufficient responses and adequate support from health care. In Sweden, Primary Health Care is the first in line Mental Health Service for patients with Mental Health Problems. The first health professional to encounter patients in need of Primary Health Care is often the Public Health Nurse. Previous research has described their lack of knowledge and low self-esteem, when encountering patients with Mental Health Problems. Research has described patients encounter mental health stigma when in contact with Primary Health Care.
Aim: To develop knowledge and an understanding of public health nurses’ process and patients’ experiences of mental health... (More)
Background: Mental Health Problems are increasing and there is a general lack of sufficient responses and adequate support from health care. In Sweden, Primary Health Care is the first in line Mental Health Service for patients with Mental Health Problems. The first health professional to encounter patients in need of Primary Health Care is often the Public Health Nurse. Previous research has described their lack of knowledge and low self-esteem, when encountering patients with Mental Health Problems. Research has described patients encounter mental health stigma when in contact with Primary Health Care.
Aim: To develop knowledge and an understanding of public health nurses’ process and patients’ experiences of mental health encounters within the context of Primary Health Care.
Method: To explain Public Health Nurse process a constructivist grounded theory was applied, and a descriptive phenomenology design was used to explore patients lived experience of mental health encounters.
Results: The grounded theory resulted in a core category explaining Public Health Nurses as a relationship builder – to initiate the dialogue. The process of Public Health Nurses builds upon three main categories and were decisive for initiating a dialogue, “Being on your own”, “Being on top of things – knowing your limits”, and “Professional comfort zone”. The preliminary results of patients’ lived experience of searching, visiting and/or receiving Primary Health Care resulted in a general construction “Health care is asking too much of them” and builds upon four themes.
Conclusions: This licentiate thesis provided insights of the mental health encounter in the context of PHC. The result explains and describes the mental health encounter without the organisational capacity to deal with them. The experiences of Public Health Nurses and patients can be used for future research initiatives to improve mental health encounters.
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author
supervisor
opponent
  • biträdande professor Janlöv, Ann-Christin, Högskolan i Kristianstad
organization
publishing date
type
Thesis
publication status
published
subject
pages
60 pages
publisher
Lund University, Faculty of Medicine
defense location
Dora Jacobsohn, BMC D15, Klinikgatan 32 i Lund
defense date
2023-08-22 13:00:00
ISBN
978-91-8021-442-1
language
English
LU publication?
yes
id
1bccf2b3-11ec-494d-b7f6-c194ac47d959
date added to LUP
2023-07-31 09:53:29
date last changed
2023-09-29 15:25:27
@misc{1bccf2b3-11ec-494d-b7f6-c194ac47d959,
  abstract     = {{Background: Mental Health Problems are increasing and there is a general lack of sufficient responses and adequate support from health care. In Sweden, Primary Health Care is the first in line Mental Health Service for patients with Mental Health Problems. The first health professional to encounter patients in need of Primary Health Care is often the Public Health Nurse. Previous research has described their lack of knowledge and low self-esteem, when encountering patients with Mental Health Problems. Research has described patients encounter mental health stigma when in contact with Primary Health Care. <br/>Aim: To develop knowledge and an understanding of public health nurses’ process and patients’ experiences of mental health encounters within the context of Primary Health Care. <br/>Method: To explain Public Health Nurse process a constructivist grounded theory was applied, and a descriptive phenomenology design was used to explore patients lived experience of mental health encounters. <br/>Results: The grounded theory resulted in a core category explaining Public Health Nurses as a relationship builder – to initiate the dialogue. The process of Public Health Nurses builds upon three main categories and were decisive for initiating a dialogue, “Being on your own”, “Being on top of things – knowing your limits”, and “Professional comfort zone”. The preliminary results of patients’ lived experience of searching, visiting and/or receiving Primary Health Care resulted in a general construction “Health care is asking too much of them” and builds upon four themes.<br/>Conclusions: This licentiate thesis provided insights of the mental health encounter in the context of PHC. The result explains and describes the mental health encounter without the organisational capacity to deal with them. The experiences of Public Health Nurses and patients can be used for future research initiatives to improve mental health encounters. <br/>}},
  author       = {{Nilsson, Emmy}},
  isbn         = {{978-91-8021-442-1}},
  language     = {{eng}},
  note         = {{Licentiate Thesis}},
  publisher    = {{Lund University, Faculty of Medicine}},
  title        = {{Experiences of mental health encounters among Public Health Nurses and patients. In the context of Primary Health Care.}},
  url          = {{https://lup.lub.lu.se/search/files/153779962/Lic_Avhandling_Emmy_Nilsson.pdf}},
  year         = {{2023}},
}