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Patienters erfarenheter av den egna återhämtningsprocessen vid psykisk ohälsa: En litteraturöversikt med fokus på psykiatriska tillstånd
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
2018 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Patients’ experiences of their own recovering process in relation to mental ill health : A literature review focused on psychiatric conditions (English)
Abstract [sv]

Bakgrund: Återhämtning är ett begrepp som tolkas på olika sätt i den psykiatriska vården eftersom det saknas konsensus i frågan. De flesta definitionerna framhåller patientens egna erfarenheter av vad hen finner hjälpsamt för att skapa en meningsfull tillvaro, även vid kvarvarande psykiska symtom. Återhämtning har beskrivits som ett återtagande av makten över sitt liv. I studien används termen psykiatriska tillstånd vilket innebär diagnostiserade, allvarliga former av psykisk ohälsa.

Syfte: Syftet var att beskriva vuxna patienters erfarenheter av den egna återhämtningsprocessen vid psykiatriska tillstånd.

Metod: Studien är en litteraturöversikt baserad på tio kvalitativa artiklar. Dessa analyserades med hjälp av en konceptuell modell från Phil Barkers tidvattenmodell; de tre domänerna “Självet”, “Världen” och “Andra”. Tidvattenmodellen användes också som teoretisk utgångspunkt i diskussionen.  

Resultat: Patienterna beskrev personliga erfarenheter av återhämtning ur individuella, relationella och samhälleliga perspektiv. Faktorer som främjade återhämtningsprocessen var försoning, kunskap, omtolkning av livsberättelsen, ansvarstagande samt goda relationer till närstående, familj och vårdpersonal. Faktorer som försvårade återhämtningsprocessen var förlust av identitet, stigmatisering samt brist på information och delaktighet.

Diskussion: Utifrån resultatet diskuterades tre teman; “acceptans”, “delaktighet vid beslutsfattande” och “patienters behov av ömsesidiga relationer”. Områdena problematiserades genom att knytas an till tidvattenmodellen samt arbetsmodellen “delat beslutsfattande” (Shared Decision Making, SDM). Dessutom diskuterades det sociala nätverkets betydelse i återhämtningsprocessen.

Abstract [en]

Background: Recovery is a concept that is interpreted differently in psychiatric care since there is no consensus about the issue. Most definitions emphasize the patient's own experiences of what he/she finds helpful in creating a meaningful life, despite any remaining psychological symptoms. Recovery has been described as a reclamation of power over one’s life. This study uses the term psychiatric conditions, which means diagnosed, serious forms of mental illness.

Aim: The aim was to describe adult patients' experiences of their own recovering process in relation to psychiatric conditions.

Method: The study is a literature review based on ten qualitative articles. These were analyzed using a conceptual model from Phil Barker's tidal model; the three domains of "Self", "World" and "Others". The tidal model was also used as a theoretical framework in the discussion.

Results: Patients described personal experiences of recovery from individual, relational and societal perspectives. Factors that promoted the recovery process were reconciliation, knowledge, reinterpretation of one’s life story, responsibility, as well as good relations with close relatives, family and healthcare professionals. Factors that complicated the recovery process were loss of identity, stigmatization and lack of information and participation.

Discussion: Based on the outcome, three themes were discussed; "Acceptance", "participation in decision making" and "patients' need for reciprocity in relationships". These areas were problematized by being linked to the tidal model and the Shared Decision Making (SDM) working model. In addition, the importance of social networking in the recovery process was discussed.

Place, publisher, year, edition, pages
2018. , p. 36
Keywords [en]
Recovery, Psychiatry, Patients’ experiences, Nursing, Literature review
Keywords [sv]
Återhämtning, Psykiatri, Patienters erfarenheter, Omvårdnad, Litteraturöversikt
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-6818OAI: oai:DiVA.org:esh-6818DiVA, id: diva2:1215654
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2018-06-11 Created: 2018-06-08 Last updated: 2018-06-11Bibliographically approved

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