Det minst dåliga: En kvalitativ studie av personals erfarenheter och upplevelser av positivt risktagande i form av ”nolltolerans” gentemot självskadebeteende inom psykiatrisk heldygnsvård
(2019) PSPR14 20182Department of Psychology
- Abstract (Swedish)
- Syftet med denna studie var att undersöka hur ”nolltolerans” gentemot självskadebeteende tillämpas inom den psykiatriska heldygnsvården och hur personalen upplever arbetet med metoden. Tolv anställda på en psykiatrisk klinik i Region Skåne intervjuades varpå en tematisk analys genomfördes. Detta resulterade i en beskrivning av arbetssättet samt fem teman baserade i respondenternas subjektiva upplevelser av arbetet med metoden: ”Nolltolerans” som alternativ till tillsyn och tvång, ”Nolltolerans” som ett sätt att främja ansvarstagande och samarbete, ”Nolltolerans” och upplevelsen av trygghet på avdelningen, Otydlighet i överenskommelsen om ”nolltolerans” samt ”Nolltoleransens” etiska komplexitet. Metoden tillämpades med patienter med... (More)
- Syftet med denna studie var att undersöka hur ”nolltolerans” gentemot självskadebeteende tillämpas inom den psykiatriska heldygnsvården och hur personalen upplever arbetet med metoden. Tolv anställda på en psykiatrisk klinik i Region Skåne intervjuades varpå en tematisk analys genomfördes. Detta resulterade i en beskrivning av arbetssättet samt fem teman baserade i respondenternas subjektiva upplevelser av arbetet med metoden: ”Nolltolerans” som alternativ till tillsyn och tvång, ”Nolltolerans” som ett sätt att främja ansvarstagande och samarbete, ”Nolltolerans” och upplevelsen av trygghet på avdelningen, Otydlighet i överenskommelsen om ”nolltolerans” samt ”Nolltoleransens” etiska komplexitet. Metoden tillämpades med patienter med långvarigt och svårbehandlat självskadebeteende utifrån ordination av läkare, och innebar att patienterna blev utskrivna om de självskadade under vårdtiden utan att först ha bett personalen om hjälp. Flera av respondenterna upplevde att många patienter blev hjälpta av att ha ”nolltolerans” och att deras arbete blev mer givande eftersom de fick samarbeta med patienterna istället för att använda sig av traditionella riskhanteringsåtgärder. Samtidigt uppkom otydligheter angående reglerna för ”nolltoleransen”, praktiska begränsningar och etiska dilemman i utövandet av metoden, och en del respondenter gav uttryck för en mer kritisk hållning. Det beskrevs även patientfall där inga åtgärder upplevdes fungera väl men ”nolltolerans” upplevdes som minst destruktivt för patienterna. (Less)
- Abstract
- The purpose of this study was to explore how “zero tolerance” towards self-injurious behaviour is practised in psychiatric inpatient care and how staff experience working with the method. Twelve employees at a psychiatric clinic were interviewed and a thematic analysis was conducted. This resulted in a description of the method and five themes based on the subjective experiences of the respondents: “Zero tolerance” as an alternative to observation and coercion, “Zero tolerance” as a way of promoting responsibility and collaboration, “Zero tolerance” and the sense of safety on the ward, Ambiguity in the “zero tolerance” agreement and The ethical complexity of “zero tolerance”. “Zero tolerance” for self-injurious behaviour was prescribed by... (More)
- The purpose of this study was to explore how “zero tolerance” towards self-injurious behaviour is practised in psychiatric inpatient care and how staff experience working with the method. Twelve employees at a psychiatric clinic were interviewed and a thematic analysis was conducted. This resulted in a description of the method and five themes based on the subjective experiences of the respondents: “Zero tolerance” as an alternative to observation and coercion, “Zero tolerance” as a way of promoting responsibility and collaboration, “Zero tolerance” and the sense of safety on the ward, Ambiguity in the “zero tolerance” agreement and The ethical complexity of “zero tolerance”. “Zero tolerance” for self-injurious behaviour was prescribed by doctors for patients whose self-injurious behaviour was enduring and difficult to treat. The patients agreed to ask staff for help before self-injuring, or otherwise be discharged. Several respondents experienced the method as being beneficial for many patients and making their work more rewarding compared to traditional risk-management strategies. Other respondents were more critical. Ambiguities, practical limitations and ethical dilemmas emerged when “zero tolerance” was practised. Cases were also described where no interventions worked particularly well, but “zero tolerance” was experienced as being the least destructive for the patient. (Less)
Please use this url to cite or link to this publication:
http://lup.lub.lu.se/student-papers/record/8969462
- author
- Ingelsson Lindell, Evelina LU
- supervisor
- organization
- course
- PSPR14 20182
- year
- 2019
- type
- H3 - Professional qualifications (4 Years - )
- subject
- keywords
- nolltolerans, positivt risktagande, självskadebeteende, psykiatrisk heldygnsvård, upplevd självförmåga, kontroll-lokus, autonomi, zero tolerance, positive risk-taking, self-injurious behaviour, psychiatric inpatient care, self-efficacy, locus of control, autonomy
- language
- Swedish
- id
- 8969462
- date added to LUP
- 2019-02-06 09:18:17
- date last changed
- 2019-02-19 16:51:07
@misc{8969462,
abstract = {{The purpose of this study was to explore how “zero tolerance” towards self-injurious behaviour is practised in psychiatric inpatient care and how staff experience working with the method. Twelve employees at a psychiatric clinic were interviewed and a thematic analysis was conducted. This resulted in a description of the method and five themes based on the subjective experiences of the respondents: “Zero tolerance” as an alternative to observation and coercion, “Zero tolerance” as a way of promoting responsibility and collaboration, “Zero tolerance” and the sense of safety on the ward, Ambiguity in the “zero tolerance” agreement and The ethical complexity of “zero tolerance”. “Zero tolerance” for self-injurious behaviour was prescribed by doctors for patients whose self-injurious behaviour was enduring and difficult to treat. The patients agreed to ask staff for help before self-injuring, or otherwise be discharged. Several respondents experienced the method as being beneficial for many patients and making their work more rewarding compared to traditional risk-management strategies. Other respondents were more critical. Ambiguities, practical limitations and ethical dilemmas emerged when “zero tolerance” was practised. Cases were also described where no interventions worked particularly well, but “zero tolerance” was experienced as being the least destructive for the patient.}},
author = {{Ingelsson Lindell, Evelina}},
language = {{swe}},
note = {{Student Paper}},
title = {{Det minst dåliga: En kvalitativ studie av personals erfarenheter och upplevelser av positivt risktagande i form av ”nolltolerans” gentemot självskadebeteende inom psykiatrisk heldygnsvård}},
year = {{2019}},
}