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  • 1.
    Björkdahl, Anna
    et al.
    Karolinska institutet.
    Heilig, Markus
    Palmstierna, Tom
    Hansebo, Görel
    Ersta Sköndal University College, Department of Health Care Sciences.
    Changes in the occurrences of coercive interventions and staff injuries on a psychiatric intensive care unit.2007In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 21, no 5, p. 270-7Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to compare the occurrences of coercive interventions and violence-related staff injuries before and after a 2-year violence prevention intervention on a psychiatric intensive care unit. The intervention aimed to improve nursing care by addressing patient violence from multiple perspectives. During the study, the unit was reorganized toward a higher concentration of severely disturbed patients. The results showed an increased proportion of coercive interventions without a corresponding increase in staff injuries. Use of coercive interventions is discussed in relation to a safe environment for both patients and staff.

  • 2.
    Johansson, Anita
    et al.
    Skaraborgs sjukhus.
    Anderzén-Carlsson, Agneta
    Örebro universitet.
    Ewertzon, Mats
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Parents of adult children with long-term mental disorder: Their experiences of the mental health professionals' approach and feelings of alienation - A cross sectional study.2019In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 33, no 6, p. 129-137Article in journal (Refereed)
    Abstract [en]

    The aim was to describe how parents of adult children suffering from long-term mental disorder experience the mental health professionals' approach and any feelings of alienation regarding the provision of care. A further aim was to investigate any differences according to the parents' gender or the child's age. 93 mothers and 37 fathers participated. A majority experienced the mental health professionals' approach toward them as being negative and they felt alienated from the professional care. Regardless of the age of the children, parents have a considerable need for a positive approach from the professionals that can enable them to choose how they should act and what they should do, in order to help and support their adult child.

  • 3.
    Johansson, Anita
    et al.
    Örebro universitet; Skaraborg sjukhus; Skövde.
    Ewertzon, Mats
    Ersta Sköndal University College, Department of Health Care Sciences. Swedish National Family Care Competence Centre, Kalmar, Sweden.
    Andershed, Birgitta
    Ersta Sköndal University College, Palliative Research Centre, PRC. Gjøvik University College, Gjøvik, Norway.
    Anderzen-Carlsson, Agneta
    Örebro universitet, Centre for Health Care Sciences, Örebro, Sweden.
    Nasic, Salmir
    Skaraborg sjukhus, Skövde.
    Ahlin, Arne
    National Board of Institutional Care, SiS Ungdomshem Margretelund, Lidkoping, Sweden.
    Health-Related Quality of Life: From the Perspekctive of Mothers and Fathers of Adult Children Suffering From Long-Term Mental Disorders2015In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 29, no 3, p. 180-185Article in journal (Refereed)
    Abstract [en]

    There is a lack of studies on mothers' and fathers' experiences of Health-Related Quality of Life (HRQOL) associated with caregiving of adult children suffering from mental disorder. A cross-sectional study was therefore carried out with 108 mothers and 43 fathers. Data were collected by means of the Short Form Health Survey (SF-36), the Hospital Anxiety and Depression Scale (HADS), the Family Involvement and Alienation Questionnaire (FIAQ) and the Burden Assessment Scale (BAS). Mothers' HRQOL was affected more than fathers' and lower compared to Swedish age related norms. HRQOL was predominantly related to ratings on HADS and BAS.

  • 4.
    Larsson (Omerov), Pernilla
    et al.
    Karolinska institutet.
    Nilsson, Sonia
    Runeson, Bo
    Gustafsson, Barbro
    Psychiatric nursing care of suicidal patients described by the Sympathy-Acceptance-Understanding-Competence model for confirming nursing2007In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 21, no 4, p. 222-232Article in journal (Refereed)
    Abstract [en]

    Our aim was to describe psychiatric nursing care of suicidal patients from an action-theoretical and confirmatory perspective using the Sympathy-Acceptance-Understanding-Competence (SAUC) model for confirming nursing. Twenty-nine nurses were interviewed and asked to answer a questionnaire. The interview results showed that the nurses' care consisted of 83% of person support, 16% of self-support, and less than 1% of self-perspective support. However, the questionnaire responses showed that the nurses regarded all levels of support as equally important. Theoretical frameworks, such as the SAUC model, facilitate descriptions of nursing and may be used to improve the care of suicidal patients by making it deliberate and possible to evaluate.

  • 5.
    Olsson, Helen
    et al.
    Mittuniversitetet.
    Strand, Susanne
    Mittuniversitetet; Rättspsykiatriska regionkliniken i Sundsvall.
    Kristiansen, Lisbeth
    Mittuniversitetet.
    Sjöling, Mats
    Mittuniversitetet, Avdelningen för omvårdnad.
    Asplund, Kenneth
    Mittuniversitetet.
    Decreased risk for violence in patients admitted to forensic care, measured with the HCR-202013In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 27, no 4, p. 191-197Article in journal (Refereed)
    Abstract [en]

    Aim: To explore if patients admitted to forensic psychiatric care decreased their assessed risk for violence over time, to identify patients who decreased their assessed risk for violence exceptionally well (30% or more) on the Clinical (C) and Risk management (R) scales in the (HCR-20), and to compare them in terms of demographic data.

    Methods: The HCR-20 risk assessment instrument was used to assess the risk for violence in 267 patients admitted to a Swedish forensic psychiatric clinic between 1997 and 2010. Their assessments at admission were compared with a second, and most recent, risk assessment.

    Results: The risk for violence decreased over time. Demographic criteria had no impact on differences on decreased risk. Only two factors, namely gender and psychopathy showed a difference. Risk factors associated with stress and lack of personal support were the items that turned out to be the most difficult to reduce.

    Conclusion: The results show that risk prevention in forensic care does work and it is important to continue to work with risk management. The study highlights the importance of a careful analysis of the patient's risk for violence in order to work with the patient's specific risk factors to reduce the risk.

  • 6. Perseius, Kent-Inge
    et al.
    Ekdahl, Susanne
    Asberg, Marie
    Samuelsson, Mats
    To tame a volcano: patients with borderline personality disorder and their perceptions of suffering.2005In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 19, no 4, p. 160-8Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to investigate life situations, suffering, and perceptions of encounter with psychiatric care among 10 patients with borderline personality disorder. The results are based on a hermeneutic interpretation of narrative interviews in addition to biographical material (diary excerpts and poems). The interpretation revealed three comprehensive theme areas: life on the edge , the struggle for health and dignity-a balance act on a slack wire over a volcano , and the good and the bad act of psychiatric care in the drama of suffering . These theme areas form a movement back and forth-from despair and unendurable suffering to struggle for health and dignity and a life worth living. Common beliefs regarding these patients among personnel and implications for psychiatric care are discussed in relation to the results.

  • 7. Perseius, Kent-Inge
    et al.
    Ojehagen, Agneta
    Ekdahl, Susanne
    Asberg, Marie
    Samuelsson, Mats
    Treatment of suicidal and deliberate self-harming patients with borderline personality disorder using dialectical behavioral therapy: the patients' and the therapists' perceptions.2003In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 17, no 5, p. 218-27Article in journal (Refereed)
    Abstract [en]

    The aim was to investigate patients and therapists perception of receiving and giving dialectical behavioral therapy (DBT). Ten deliberate self-harm patients with borderline personality disorder and four DBT-therapists were interviewed. The interviews were analyzed with qualitative content analysis. The patients unanimously regard the DBT-therapy as life saving and something that has given them a bearable life situation. The patients and the therapists are concordant on the effective components of the therapy: the understanding, respect, and confirmation in combination with the cognitive and behavioral skills. The experienced effectiveness of DBT is contrasted by the patient's pronouncedly negative experiences from psychiatric care before entering DBT.

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