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Patienter med aggressvt beteende och en förklaringsmodell om vad som kan trigga igång aggressivitet: - En Integrativ litteraturöversikt
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
2017 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Patients with aggressive behavior and an explanatory model of aspects that can trigger aggressiveness : - An integrative litterature overview (English)
Abstract [sv]

Bakgrund: Vårdmiljön inom psykiatrisk heldygnsvård har beskrivits framkalla olika känslor och präglas av en hård miljö där patienter bland annat kan vårdas mot sin vilja och vara utsatta för tvångsåtgärder och restriktioner. Aggressivitet är vanligt förekommande på dessa avdelningar och bedöms vara ett problem. En kunskapslucka finns vad gäller vilka patienter och situationer som ökar risken för aggressivitet inom kontexten psykiatrisk heldygnsvård.

Syfte: Att identifiera karaktäristiska drag hos patienter med aggressivt beteende och identifiera aspekter som påverkar situationer där hot- och våldsincidenter uppstått inom psykiatrisk heldygnsvård samt syntetisera en förklaringsmodell.

Metod: En integrativ litteraturöversikt beståendes av både kvalitativa och kvantitativa artiklar. Materialet analyserades med hjälp av Whittemore och Knafls (2005) arbetsprocess.

Resultat: Resultatet genererade i tre huvudteman och tio underteman. Följande tre huvudteman identifierades: patienten som en trigger, vårdmiljön som en trigger och personalen som en trigger.

Diskussion: Metoden diskuteras utifrån begreppen: trovärdighet, pålitlighet, bekräftelsebarhet och överförbarhet. Resultatets huvudfynd diskuteras med stöd av tidigare forskning och i relation till Phil Barkers teori tidvattenmodellen.

Abstract [en]

Background: The care environment within psychiatric inpatient care has been described to create different emotions and is characterized as a hard environment where patients sometimes are treated against their will and can be exposed to coercive measures and restrictions. Aggressiveness is common at these wards and is considered a problem. There is a knowledge gap when it comes to patients and situations that increase the risk for aggressiveness in the context of psychiatric inpatient care.

Aim: To identify characteristic features of aggressive patients and to identify aspects that effects situations where threats and violence has occurred in psychiatric inpatient care and to synthesise an explanatory model.

Method: An integrative literature overview containing both qualitative and quantitative articles. The data were analysed using Whittemore and Knafl’s (2005) working procedure.

Results: The result generated in three main themes and ten subthemes. Following three main themes were identified: the patient as a trigger, the care environment as a trigger and the staff as a trigger.

Discussion: The method is discussed in relation to these concepts: trustworthiness, dependability, confirmability and transferability. The results are discussed with support of previous research and in relation to Phil Barker's theory the Tidal model.

Place, publisher, year, edition, pages
2017. , 66 p.
Keyword [en]
Aggressiveness, Characteristic features, Contributory aspects, Psychiatric inpatient care, Risks, Triggers
Keyword [sv]
Aggressivitet, Bidragande aspekter, Karaktäristiska drag, Psykiatrisk heldygnsvård, Risker, Triggers
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-6039OAI: oai:DiVA.org:esh-6039DiVA: diva2:1107749
Educational program
Postgraduate Diploma in Specialist Nursing - Mental Health Care 60 ECTS
Uppsok
Medicine
Supervisors
Examiners
Available from: 2017-06-13 Created: 2017-06-10 Last updated: 2017-06-13Bibliographically approved

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