Kränkningar i vuxenpsykiatrin: socialpsykologiska och organisationspsykologiska faktorers inverkan på patientbemötande
(2021) PSPR14 20211Department of Psychology
- Abstract
- Previous research has emphasized the high prevalence and far-reaching consequences of abuse in healthcare, that is violations of ethical principles and other shortcomings in patient care. The purpose of the present study was to investigate staff's experiences of violations in adult psychiatry based on social and organizational psychological factors. The study was conducted as an online survey among 2,023 mental health professionals. Instruments used were Transgressions of Ethical Principles in Health Care Questionnaire, Opening Minds Stigma Scale for Health Care Providers, Maudsley Attitude Questionnaire, Swedish Ethical Climate Questionnaire, Moral Distress Risk Scale and Identification with a Psychological Group Scale. Results showed... (More)
- Previous research has emphasized the high prevalence and far-reaching consequences of abuse in healthcare, that is violations of ethical principles and other shortcomings in patient care. The purpose of the present study was to investigate staff's experiences of violations in adult psychiatry based on social and organizational psychological factors. The study was conducted as an online survey among 2,023 mental health professionals. Instruments used were Transgressions of Ethical Principles in Health Care Questionnaire, Opening Minds Stigma Scale for Health Care Providers, Maudsley Attitude Questionnaire, Swedish Ethical Climate Questionnaire, Moral Distress Risk Scale and Identification with a Psychological Group Scale. Results showed significant differences between the occurrence of observation and self-involvement in abusive events (p <.001, r = .81). Respondents reported 96% observation and 85% self-involvement in at least one abusive event during the past 12 months. These events were considered unethical by 43% upon observation and by 32% upon self-involvement. Linear regression analysis showed that stigmatizing attitudes towards people with mental illness, biological model for mental disorders, ethical climate and autonomy together explained 8.3% of the variance in observation of abusive events (p <.001). Results also revealed a weak positive correlation between self-involvement in abusive events and stigmatizing attitudes towards people with mental illness and a biological model for mental disorders, and a weak negative correlation between self-involvement in abusive events and ethical climate. Findings revealed group differences among professions, which highlights the importance of ethical discussions within multidisciplinary teams to prevent events that may be perceived as abusive. (Less)
- Abstract (Swedish)
- Tidigare forskning har poängterat den höga prevalensen och de långtgående konsekvenserna av kränkningar i vården, det vill säga överträdelser av hälso- och sjukvårdens etiska principer och andra brister i patientbemötande. Syftet med föreliggande studie var att undersöka vårdpersonalens upplevelser av kränkningar i vuxenpsykiatrin utifrån social- och organisationspsykologiska faktorer. Studien genomfördes som en webbaserad enkätundersökning bland 2 023 vårdanställda inom vuxenpsykiatrin. Använda skattningsinstrument var Transgressions of Ethical Principles in Health Care Questionnaire, Opening Minds Stigma Scale for Health Care Providers, Maudsley Attitude Questionnaire, Swedish Ethical Climate Questionnaire, Moral Distress Risk Scale och... (More)
- Tidigare forskning har poängterat den höga prevalensen och de långtgående konsekvenserna av kränkningar i vården, det vill säga överträdelser av hälso- och sjukvårdens etiska principer och andra brister i patientbemötande. Syftet med föreliggande studie var att undersöka vårdpersonalens upplevelser av kränkningar i vuxenpsykiatrin utifrån social- och organisationspsykologiska faktorer. Studien genomfördes som en webbaserad enkätundersökning bland 2 023 vårdanställda inom vuxenpsykiatrin. Använda skattningsinstrument var Transgressions of Ethical Principles in Health Care Questionnaire, Opening Minds Stigma Scale for Health Care Providers, Maudsley Attitude Questionnaire, Swedish Ethical Climate Questionnaire, Moral Distress Risk Scale och Identification with a Psychological Group Scale. Resultatet påvisade en signifikant skillnad mellan förekomst av observation och egen inblandning i kränkande händelser (p < 0,001, r = 0,81). Av studiens deltagare uppgav 96% observation och 85% egen inblandning i minst en kränkande händelse under de senaste 12 månaderna. Händelserna ansågs av 43% någon gång oetiska vid observation och av 32% vid egen inblandning. Linjär regressionsanalys visade att attityd mot personer med psykisk sjukdom, biologisk förklaringsmodell till psykisk sjukdom, etiskt klimat samt autonomi tillsammans förklarade 8,3% av variansen i observation av kränkande händelser (p < 0,001). Resultatet visade även på svaga positiva samband mellan egen inblandning i kränkande händelser och attityd till personer med psykisk sjukdom respektive biologisk förklaringsmodell till psykisk sjukdom, samt ett svagt negativt samband mellan egen inblandning i kränkande händelser och etiskt klimat. Vidare framkom skattningsskillnader mellan olika professioner, vilket belyser vikten av etiska diskussioner inom tvärfunktionella team för att förhindra händelser som kan upplevas som kränkande. (Less)
Please use this url to cite or link to this publication:
http://lup.lub.lu.se/student-papers/record/9048229
- author
- Straht, Maja LU and Fredriksson Tham, Katarina LU
- supervisor
- organization
- alternative title
- Abuse in adult psychiatry: staff's experiences of violations based on social and organizational psychological factors
- course
- PSPR14 20211
- year
- 2021
- type
- H3 - Professional qualifications (4 Years - )
- subject
- keywords
- kränkningar i vården, vuxenpsykiatri, stigmatiserande attityder, ontologisk förklaringsmodell, etiskt klimat, abuse in healthcar, adult psychiatry, stigmatizing attitudes, ontological assumptions, ethical climate
- language
- Swedish
- id
- 9048229
- date added to LUP
- 2021-06-07 08:19:35
- date last changed
- 2021-06-07 08:19:35
@misc{9048229,
abstract = {{Previous research has emphasized the high prevalence and far-reaching consequences of abuse in healthcare, that is violations of ethical principles and other shortcomings in patient care. The purpose of the present study was to investigate staff's experiences of violations in adult psychiatry based on social and organizational psychological factors. The study was conducted as an online survey among 2,023 mental health professionals. Instruments used were Transgressions of Ethical Principles in Health Care Questionnaire, Opening Minds Stigma Scale for Health Care Providers, Maudsley Attitude Questionnaire, Swedish Ethical Climate Questionnaire, Moral Distress Risk Scale and Identification with a Psychological Group Scale. Results showed significant differences between the occurrence of observation and self-involvement in abusive events (p <.001, r = .81). Respondents reported 96% observation and 85% self-involvement in at least one abusive event during the past 12 months. These events were considered unethical by 43% upon observation and by 32% upon self-involvement. Linear regression analysis showed that stigmatizing attitudes towards people with mental illness, biological model for mental disorders, ethical climate and autonomy together explained 8.3% of the variance in observation of abusive events (p <.001). Results also revealed a weak positive correlation between self-involvement in abusive events and stigmatizing attitudes towards people with mental illness and a biological model for mental disorders, and a weak negative correlation between self-involvement in abusive events and ethical climate. Findings revealed group differences among professions, which highlights the importance of ethical discussions within multidisciplinary teams to prevent events that may be perceived as abusive.}},
author = {{Straht, Maja and Fredriksson Tham, Katarina}},
language = {{swe}},
note = {{Student Paper}},
title = {{Kränkningar i vuxenpsykiatrin: socialpsykologiska och organisationspsykologiska faktorers inverkan på patientbemötande}},
year = {{2021}},
}