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Händerna som håller - en fenomenologisk studie av hur skötare inom psykiatrin upplever arbetet med tvång och tvångsåtgärder

Krakau, Per LU (2015) PSPT02 20142
Department of Psychology
Abstract
The aim of this master dissertation was to examine coercive care in the line of work, as it was perceived and experienced by enrolled psychiatric nurses. Semi-structured interviews were conducted with five participants who had current experiences of performing coercive acts towards patients. Data was analyzed using Interpretative Phenomenological Analysis (IPA). Results were presented over three major themes: ”Coercion - a complex phenomenon”, ”Dimensions of conflict in the experience of performing coercion” and ”See the human being”. A prominent finding was that the role of coercer was perceived as filled with conflict since the participants were aware that the patient experienced abuse. The approach to coercive measures was marked by... (More)
The aim of this master dissertation was to examine coercive care in the line of work, as it was perceived and experienced by enrolled psychiatric nurses. Semi-structured interviews were conducted with five participants who had current experiences of performing coercive acts towards patients. Data was analyzed using Interpretative Phenomenological Analysis (IPA). Results were presented over three major themes: ”Coercion - a complex phenomenon”, ”Dimensions of conflict in the experience of performing coercion” and ”See the human being”. A prominent finding was that the role of coercer was perceived as filled with conflict since the participants were aware that the patient experienced abuse. The approach to coercive measures was marked by ambivalence, and was seen partly as a failure and partly as a precaution. A strategy to deal with the difficult work of coercion was to strive to prevent dehumanization of the patient. Future studies should continue to examine the experience of coercion from a relational understanding; one that places the phenomenon in an inter-subjective field between staff and patient. Furthermore, the role of the coercer could be explored in relation to the dehumanizing processes in psychiatric organization and linked to the experience of self-determination at work. (Less)
Abstract (Swedish)
Syftet med denna masteruppsats var att undersöka tvångsvård som arbete, såsom det erfors och upplevdes av skötare inom psykiatrin. Semistrukturerade intervjuer genomfördes med fem deltagare med aktuell erfarenhet av att utföra tvångsåtgärder mot patienter. Analys av insamlat material gjordes med en fenomenologisk metod, Interpretative Phenomenological Analysis (IPA). Resultaten presenteras genom tre överordnade teman: ”Tvång - ett komplext fenomen”, ”Konfliktdimensioner i upplevelsen av att utföra tvångsåtgärder” samt ”Att se människan”. Deltagarna upplevde konflikt i förhållande till rollen som betvingare då de var medvetna om att den betvingade patienten upplevde ett övergrepp. Inställningen till tvångsåtgärder präglades av ambivalens... (More)
Syftet med denna masteruppsats var att undersöka tvångsvård som arbete, såsom det erfors och upplevdes av skötare inom psykiatrin. Semistrukturerade intervjuer genomfördes med fem deltagare med aktuell erfarenhet av att utföra tvångsåtgärder mot patienter. Analys av insamlat material gjordes med en fenomenologisk metod, Interpretative Phenomenological Analysis (IPA). Resultaten presenteras genom tre överordnade teman: ”Tvång - ett komplext fenomen”, ”Konfliktdimensioner i upplevelsen av att utföra tvångsåtgärder” samt ”Att se människan”. Deltagarna upplevde konflikt i förhållande till rollen som betvingare då de var medvetna om att den betvingade patienten upplevde ett övergrepp. Inställningen till tvångsåtgärder präglades av ambivalens och sågs dels som ett misslyckande, dels som en säkerhet i svåra situationer. En strategi för att hantera det svåra arbetet med tvång var att sträva efter att se människan och motverka dehumanisering av patienten. Upplevelsen av tvång bör fortsättningsvis utforskas utifrån en relationell förståelse som placerar fenomenet i ett intersubjektivt fält mellan personal och patient. Vidare bör rollen som betvingare utforskas vidare i relation till dehumaniserande processer i psykiatrin som organisation och kopplat till upplevelsen av självbestämmande i arbetet. (Less)
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author
Krakau, Per LU
supervisor
organization
course
PSPT02 20142
year
type
H3 - Professional qualifications (4 Years - )
subject
keywords
Coercion, Psychiatry, Coercive care, Enrolled nurses, IPA, Moral stress, Dehumanization, Autonomy
language
Swedish
id
8146336
date added to LUP
2015-11-10 11:23:00
date last changed
2015-11-10 11:23:00
@misc{8146336,
  abstract     = {The aim of this master dissertation was to examine coercive care in the line of work, as it was perceived and experienced by enrolled psychiatric nurses. Semi-structured interviews were conducted with five participants who had current experiences of performing coercive acts towards patients. Data was analyzed using Interpretative Phenomenological Analysis (IPA). Results were presented over three major themes: ”Coercion - a complex phenomenon”, ”Dimensions of conflict in the experience of performing coercion” and ”See the human being”. A prominent finding was that the role of coercer was perceived as filled with conflict since the participants were aware that the patient experienced abuse. The approach to coercive measures was marked by ambivalence, and was seen partly as a failure and partly as a precaution. A strategy to deal with the difficult work of coercion was to strive to prevent dehumanization of the patient. Future studies should continue to examine the experience of coercion from a relational understanding; one that places the phenomenon in an inter-subjective field between staff and patient. Furthermore, the role of the coercer could be explored in relation to the dehumanizing processes in psychiatric organization and linked to the experience of self-determination at work.},
  author       = {Krakau, Per},
  keyword      = {Coercion,Psychiatry,Coercive care,Enrolled nurses,IPA,Moral stress,Dehumanization,Autonomy},
  language     = {swe},
  note         = {Student Paper},
  title        = {Händerna som håller - en fenomenologisk studie av hur skötare inom psykiatrin upplever arbetet med tvång och tvångsåtgärder},
  year         = {2015},
}