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"Sista utvägen": Sjuksköterskors erfarenheter av hot och våld inom sluten psykiatrisk vård
University West, Department of Health Sciences, Section for nursing - graduate level.
University West, Department of Health Sciences, Section for nursing - graduate level.
2018 (Swedish)Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
"Last way out" : Nurses' experiences of threats and violence in the field of psychiatric in-patient care (English)
Abstract [en]

Background: A serious problem in the work environment are threats and violence. This is a growing problem in health care. Workplaces providing mental health care is one of the workplaces that is at risk of exposure. Nurses may suffer from severe psychological and physical consequences afterwards.

Aim: The aim of the study was to describe nurses' experiences of threats and violence in the field of mental health care.

Method: The study was conducted at a hospital in southern Sweden. Ten nurses were interviewed for 30-60 minutes. The interviews were recorded in order to be written down later. The material was subjected to qualitative content analysis.

Results: The processed material was subdivided into four categories: The view on threats and violence, approach to threats and violence over time, reactions on threats and violence and safety-creating factors. Everyone in the study had been exposed to threats and violence at work. Nurses described that with growing work experience, their approach to meet threats and violence changed. They were not as much affected as they were in the beginning of their work, and rather stood back instead of entering into confrontation with the patients. Experienced staff, education and secure premises are some of the factors to increase safety to staff.

Conclusion: Working within psychiatric in-patient care department inevitably entails coming into contact with threats and / or violence at some point. Patients with a variety of psychiatric disorders may have difficulties expressing their needs in an appropriate manner. One last resort, when a patient is lacking a feeling of being understood, can be to communicate his needs through threats and violence. Linking a patient's behavior to his illness often helps nurses to gain a better understanding of why the patient is acting out.

Place, publisher, year, edition, pages
2018. , p. 27
Keywords [en]
In-patient care, nurse, mental health care, threat, violence
National Category
Nursing
Identifiers
URN: urn:nbn:se:hv:diva-12405Local ID: EXS801OAI: oai:DiVA.org:hv-12405DiVA, id: diva2:1211851
Subject / course
Nursing science
Educational program
Specialist nursing programme
Supervisors
Examiners
Available from: 2018-05-31 Created: 2018-05-31 Last updated: 2018-05-31Bibliographically approved

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File name FULLTEXT01.pdfFile size 370 kBChecksum SHA-512
8e2adaa6e74fa6fd9282a03a9bdd399224acd5f8bd91a0da105d74ce70633461c42bf7b5f7673210ab23c2f5099a827bc2c52f57effda4e6345147fbc1022e8a
Type fulltextMimetype application/pdf

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CiteExportLink to record
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Citation style
  • apa
  • ieee
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  • nn-NB
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  • Other locale
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Output format
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