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Left alone - Swedish nurses' and mental health workers' experiences of being care providers in a social psychiatric dwelling context in the post-health-care-restructuring era: A focus-group interview study
Mittuniversitetet; Karolinska institutet.ORCID iD: 0000-0001-7959-606X
Mittuniversitetet.ORCID iD: 0000-0002-1614-7379
Mittuniversitetet.
2010 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 24, no 3, 427-435 p.Article in journal (Refereed) Published
Abstract [en]

The professional role of nurses and mental health workers in social psychiatry is being re-defined towards a recovery, client-focused perspective. Approximately 0.7 percent of the adult population in Sweden suffers from severe mental illness leading to a need for community services. The primary aims of the Mental Health Reform in 1995 in Sweden were to improve the quality of life for people with severe, long-term mental illness and, through normalization and integration, enhancing their opportunities to communicate with and participate in society. This study examines nurses' and mental health workers' views and experiences of being care providers in a municipal psychiatric group dwelling context when caring for clients suffering from severe mental illness. Three focus group interviews were made and thematic content analysis was conducted. Four themes were formulated: 'Being a general human factotum not unlike the role of parents', 'Having a complex and ambiguous view of clients', 'Working in a mainly 'strangled' situation', and 'Feeling overwhelming frustration'. The staff, for instance, experienced a heavy workload that highly involved themselves as persons and restricted organization. The individual relational aspects of the nursing role, the risk of instrumentalizing the staff due to an organizational economical teleopathy (meaning a pathological desire to react goals), and the high societal demands on accomplishing the Mental Health Reform goals are discussed. To redefine the professional role of nurses and mental health workers in the community, in Sweden known as municipality, they need support in the form of continuously education, supervision, and dialogue with politicians as well as the public in general.

Place, publisher, year, edition, pages
2010. Vol. 24, no 3, 427-435 p.
Keyword [en]
Focus groups, Group dwellings, Mental health nurses, Nurse roles, Qualitative approaches, Role- definition, Thematic content analysis
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-5533DOI: 10.1111/j.1471-6712.2009.00732.xISI: 000281000800002PubMedID: 20070597Scopus ID: 2-s2.0-77955766345OAI: oai:DiVA.org:esh-5533DiVA: diva2:1065521
Available from: 2008-12-07 Created: 2016-11-30 Last updated: 2017-03-20Bibliographically approved

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Kristiansen, LisbethHellzén, OveAsplund, Kenneth
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CiteExportLink to record
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