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Patients' experiences of isolation in psychiatric inpatient care: Insights from a meta-ethnographic study.
Umeå University, Department of Nursing, Umeå, Sweden.
Umeå University, Department of Nursing, Umeå, Sweden. Umeå University, Department of Paediatrics, Umeå, Sweden..
Umeå University, Department of Nursing, Umeå, Sweden.
Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Umeå University, Department of Nursing, Umeå, Sweden.ORCID-id: 0000-0003-0208-4343
2019 (engelsk)Inngår i: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 28, nr 1, s. 7-21Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Historically, people with mental ill-health have been isolated from society. Although mental health care has moved from closed to more open forms of care, in many societies care is still provided in locked wards, and people with mental ill-health are sometimes secluded from their fellow patients, families, friends, and visitors. The aim of this study was to illuminate patients' experiences of isolation in psychiatric inpatient care. A systematic review of qualitative research was conducted, and the key findings were subjected to meta-ethnographic synthesis. The findings were twofold: 'being admitted to prison' and 'having access to shelter'. The experience of isolated care as prison-like symbolizes patients' longing for freedom and feeling restricted and limited by rules, stripped of rights, abandoned, controlled, powerless, and unsupported. In contrast, the experience of isolation as shelter symbolizes safety and the opportunity to regain control over one's own situation. A stigmatizing public view holds that people with mental ill-health are dangerous and unpredictable and, therefore, unsafe to themselves and others. Being placed in isolation because these fears contribute to self-stigma among patients. Promoting a sheltered experience in which isolation is used with respect for patients and the reasons are made explicit may encourage recovery. A shift in emphasis in ward culture from observation to engagement is needed to reduce blame, shift patient experiences from prison to shelter, and to support autonomy as a therapeutic intervention.

sted, utgiver, år, opplag, sider
2019. Vol. 28, nr 1, s. 7-21
Emneord [en]
experiences, isolation, locked ward, psychiatric inpatient care, seclusion
HSV kategori
Forskningsprogram
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
URN: urn:nbn:se:hv:diva-12945DOI: 10.1111/inm.12519ISI: 000459619300002PubMedID: 29975446Scopus ID: 2-s2.0-85054632749OAI: oai:DiVA.org:hv-12945DiVA, id: diva2:1251688
Merknad

First published online: 05 July 2018

Tilgjengelig fra: 2018-09-27 Laget: 2018-09-27 Sist oppdatert: 2019-11-25bibliografisk kontrollert

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