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  • 1.
    Ali, Lilas
    et al.
    Gothenburg University, Sahlgrenska Academy, Institute of Health and Care Sciences.
    Ahlström, Britt Hedman
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Krevers, Barbro
    Linköping University, Department of Medical and Health Sciences.
    Sjöström, Nils
    Sahlgrenska Academy, Institute of Health and Care Sciences.
    Skärsäter, Ingela
    Halmstad University, School of Social and Health Sciences.
    Support for young informal carers of persons with mental illness: A mixed-method study2013Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 34, nr 8, s. 611-618Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to explore how young (16-25 year old) informal carers of a person with a mental illness experience and use support. In a mixed method approach, we interviewed 12 young carers, and 241 completed a self-administered questionnaire. While the young carers strive to maintain control, their main support seems to be others in their lives, who often define the situation differently. The carers said web-support, counseling, and group counseling might be helpful, yet very few had any professional support. Young carers are greatly in need of support and it should be provided.

  • 2.
    Antonsson, Helena
    et al.
    University of Umeå , Department of Nursing , Umeå , Sweden.
    Hällgren Graneheim, Ulla
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. University of Umeå , Department of Nursing , Umeå , Sweden.
    Isaksson, Ulf
    University of Umeå , Department of Nursing , Umeå , Sweden.
    Åström, Sture
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. University of Umeå , Department of Nursing , Umeå , Sweden.
    Lundström, Mats O
    University of Umeå , Department of Nursing , Umeå , Swede.
    Evaluation of a Web-Based Training Program for Professional Carers Working With People With Learning Disabilities and Challenging Behavior: A Pilot Study with SSED-Design.2016Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, nr 10, s. 734-743Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The interaction between people with intellectual disabilities and professional carers is often influenced by communicative difficulties contributing challenging behaviours. The aims of this study were to evaluate to a web-based training program aimed at improving carers' abilities to interact with people with learning disabilities who exhibit challenging behaviours and to explore carers' experiences of participating in such a program. A single-subject experimental design and mixed methods were used to integrate qualitative and quantitative data. Triangulation of questionnaires, interviews with carers, and assessments of one woman's behaviour was performed. The participants were professional carers aged 20 to 55 years. The web-based training program increased carers' abilities to handle challenging behaviours and decreased challenging behaviours in daily care. The program improved the opportunities to offer training to carers who work in community-based accommodations with limited time to receive training.

  • 3.
    Carlbo, Adam
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Claesson, Hanna Persic
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Åström, Sture
    Umeå University, Faculty of Nursing, Umeå, Sweden.
    Nurses' Experiences in using Physical Activity as Complementary Treatment in Patients with Schizophrenia.2018Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 39, nr 7, s. 600-607Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    INTRODUCTION: Schizophrenia is a common disease with a high risk of comorbidity in both psychiatric and somatic diseases. Physical activity is proven effective in reducing symptoms of schizophrenia and increasing overall health. Still it is not used systematically in the care of persons with schizophrenia.

    AIM: The aim of this study is to describe nurses' experience, including personal motivation, in using physical activity as complementary treatment in patients with schizophrenia.

    METHOD: Interviews in three focus groups with 12 participating nurses were conducted. Qualitative content analysis was used to analyze data.

    RESULTS: Physical activity was commonly used. Although several nurses signaled positive patient response, i.e. less anxiety and better quality of sleep, the overall consensus was an uncertainty regarding the benefits. It was perceived as non-evidence based form of intervention.

    CONCLUSION: The uncertainty of the benefits of physical activity is evident in nursing staff and poses a resistance to implement systematic physical activity as a complementary treatment in schizophrenia. A new awareness of evidence based nursing is suggested to promote a wider and more receptive attitude to reduce patient vulnerability in persons with schizophrenia.

  • 4.
    Hedman Ahlström, Britt
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Skärsäter, Ingela
    Sahlgrenska Academy, University of Gothenburg.
    Danielson, Ella
    Department of Health Sciences, Mid Sweden University, Östersund.
    Children's view of a major depression affecting a parent in the family2011Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 32, nr 9, s. 560-567Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study aims to elucidate, from the children's perspective, the meaning for family life of a parent suffering a major depression disorder. Eight children and young adults were interviewed. Phenomenological-hermeneutic analysis generated two themes: (1) "Being a rescuing observer" with the subthemes, "Being attentive" and "Being considerate," and (2) "Being a frustrated observer" with the subthemes, "feeling discomfort" and "being out of it." Children's lives alternate between responsibility and loneliness as they wait for reciprocity in family life to return to normal. Children need support in order to manage their sense of responsibility and loneliness adequately.

  • 5.
    Hedman Ahlström, Britt
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Skärsäter, Ingela
    Institute of Health and Care Sciences, Sahlgrenska Academy at Göteborg University, Göteborg.
    Danielson, Ella B.
    Institute of Health and Care Sciences, Sahlgrenska Academy at Göteborg University, Göteborg.
    Major depression in a family: What happens and how to manage - A case study2007Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 28, nr 7, s. 691-706Artikel i tidskrift (Refereegranskat)
  • 6.
    Holm, Ann Lise
    et al.
    Vestfold University College, Faculty of Health Sciences, Tønsberg, Norway .
    Lyberg, Anne
    Vestfold University College, Faculty of Health Sciences, Tønsberg, Norway .
    Lassenius, Erna
    Vestfold University College, Faculty of Health Sciences, Tønsberg, Norway .
    Severinsson, Elisabeth
    Vestfold University College, Faculty of Health Sciences, Tønsberg, Norway .
    Berggren, Ingela
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Older persons' lived experiences of depression and self-management2013Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 34, nr 10, s. 757-764Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Mental ill-health, such as depression in the elderly, is a complex issue that is influenced by the life-world perspective of older persons. Their self-management ability should be strengthened based on an understanding of their situation, perspectives, and vulnerability. The aim of this study was to explore and increase understanding of old persons' lived experiences of depression and self-management using an interpretative explorative design. Understanding was developed by means of hermeneutic interpretation. One theme, Relationships and Togetherness, and four subthemes, A Sense of Carrying a Shoulder Bag, Walking on Eggshells, Holding the Reins, and Estrangement-a Loss of Togetherness, emerged. A collaborative approach can be important for empowering older persons through self-development and management. Although the findings of the present study cannot be considered conclusive or definitive, they nevertheless contribute new knowledge of older persons' lived experiences of depression in everyday life. © 2013 Informa Healthcare USA, Inc.

  • 7.
    Hällgren Graneheim, Ulla
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Åström, Sture
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Until Death Do Us Part: Adult Relatives' Experiences of Everyday Life Close to Persons with Mental Ill-Health2016Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, nr 8, s. 602-608Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study illuminates adult relatives' experiences of everyday life close to a person with mental ill-health. The study was based on nine diaries and four narrative interviews with relatives of people with mental ill-health. Data were subjected to qualitative content analysis. The participants experienced everyday life as a constant fight, for better and for worse, with psychiatric care. They were fighting for the mentally ill person's right to care; sometimes they felt resigned, but yet they had a confidence in the care. Their mission in life was to sacrifice themselves, meaning that they felt indispensable and became lonely and socially isolated. They considered their mission to last until death set them apart because they were keeping a family secret, and had great worries about the future. We conclude that relatives experience a two-folded stigma in living close to a person with mental ill-health and in becoming lonely and socially isolated.

  • 8.
    Janlöv, Ann-Christin
    et al.
    Kristianstad University, Health and Social Sciences, Kristianstad, Sweden.
    Granskär, Monica
    Kristianstad University, Health and Social Sciences, Kristianstad, Sweden.
    Berg, Agneta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Kristianstad University, Health and Social Sciences, Kristianstad, Sweden.
    Challenges Highlighted During Peer Supervision by Mental Health Nurses and Social Workers Recently Trained as Case Managers in Sweden2015Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 36, nr 10, s. 809-816Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study looked at 13 mental health nurses and social workers who were recently trained as case managers (CMs) and the work-related challenges they faced in community mental health services. Data were collected during ten peer supervisions sessions. Participants expressed pride and enthusiasm about their new function as CMs, but they also acknowledged that their new position meant they had to confront existing systems and posed several challenges, including organizational hindrances, economic prerequisites, nominated administrators, role function, and model fidelity. We conclude that the existing organizations seemed to be unprepared to hold and facilitate more person-centered approaches, such as designating CMs. The model fidelity is important, but has to be flexible according to clients' daily state.

  • 9.
    Jansson, Leila
    et al.
    Umeå University, Department of Nursing , Umeå , Sweden..
    Hällgren Graneheim, Ulla
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Nurses' Experiences of Assessing Suicide Risk in Specialised Mental Health Outpatient Care in Rural Areas2018Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 39, nr 7, s. 554-560Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study describes nurses' experiences of assessing suicide risk in specialised mental health outpatient care in rural areas in Sweden. We used a qualitative, descriptive design based on twelve interviews that were subjected to qualitative content analysis. The results showed that the nurses felt anguish due to a lack of control. They expressed uncertainty and loneliness, and they struggled with ethical issues and organisational challenges. Having the sole responsibility to assess suicide risk can increase a person's emotional vulnerability and moral stress. Consequently, in order to prevent ill health among these nurses, there is a need for a tolerant work climate and an organisation that provides support to its employees. Assessing suicide risk is a demanding task within mental health outpatient care. Further, nurses operating in rural areas have to initiate and conduct assessments on their own, and they are, together with the physician in charge, also held individually responsible for their assessments. Consequently, it is important to describe nurses' experiences of how they deal with questions concerning suicide risk. Their experiences can foster awareness of the responsibility and the ethical standpoints related to assessing suicide risk, can help outline the need for further education and supervision, and can improve support from co-workers and management.

  • 10.
    Lindgren, Britt-Marie
    et al.
    Umeå University, Department of Nursing, Umeå, Sweden.
    Molin, Jenny
    Umeå University, Department of Nursing, Umeå, Sweden; Umeå University, Department of Clinical Sciences, Division of Psychiatry, Umeå, Sweden.
    Hällgren Graneheim, Ulla
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Umeå University, Department of Clinical Sciences, Division of Psychiatry, Umeå, Sweden.
    Balancing between a Person-Centred and a Common Staff Approach: Nursing Staff's Experiences of Good Nursing Practice for Patients Who Self-Harm2021Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 42, nr 6, s. 564-572Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to describe nursing staff's experiences of good nursing practice in psychiatric in-patient care for patients with self-harming behavior. The participants were nine nurses and eight nursing assistants working in two in-patient wards in general psychiatry. Four focus group discussions were held and subjected to qualitative content analysis. The findings showed that good nursing practice balanced a person-centred approach with a common staff approach, allowing people who self-harm and staff to share responsibility for structuring everyday life, keeping to the plan, communicating decisions, and finding individual opportunities for relief. Reflective discussions among the staff concerning prejudice, emotional stress, lack of resources, and shortcomings in care planning could also prevent a stigmatizing culture and organizational deficiencies, which would be beneficial for both the people who self-harm and the staff.

  • 11.
    Lundström, Sofie
    et al.
    Halmstad University , School of Health and Welfare, Halmstad , Sweden.
    Hedman Ahlström, Britt
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Jormfeldt, Henrika
    Halmstad University , School of Health and Welfare, Halmstad , Sweden.
    Eriksson, Helena
    Halmstad University , School of Health and Welfare, Halmstad , Sweden.
    Skärsäter, Ingela
    Halmstad University , School of Health and Welfare, Halmstad , Sweden.
    The Meaning of the Lived Experience of Lifestyle Changes for People with Severe Mental Illness.2017Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 38, nr 9, s. 717-725Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to elucidate the meaning of the lived experience of lifestyle changes as perceived by people with severe mental illness (SMI). People with SMI who have experience in managing lifestyle changes were interviewed (n = 10). The interviews were analyzed with a phenomenological hermeneutic approach. The findings reveal three themes: (1) struggling with inner and outer limitations, (2) on one's own but together with others and (3) longing for living a life in harmony. The meaning of lifestyle changes can be understood as a person's internal and external endeavors to make well-considered decisions about lifestyle changes. Support should focus on strengthening the person's self-efficacy and should be based on the person's experiences.

  • 12.
    Löyttynen, Jenny
    et al.
    Department of Nursing, Umeå University, Umeå (SWE).
    Hällgren Graneheim, Ulla
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Hörnsten, Åsa
    Department of Nursing, Umeå University, Umeå (SWE).
    District Nurses' Experiences of Practice in Caring for People with Mental Ill-Health in Swedish Primary Care.2023Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 44, nr 5, s. 396-405Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Mental ill-health is one of the greatest public health challenges in Sweden, and it is estimated that every third person seeking primary care in the country suffers from mental ill-health. Without proper treatment at an early stage, mental ill-health may lead to long-term illness and have a significant impact on functional ability. As district nurses are specialists in public health nursing, they have been pointed out as having a key role in the prevention and management of mental ill-health. The aim was to explore district nurses' practice in caring for people with mental ill-health within primary health care. Individual semi-structured interviews were conducted with district nurses (n = 18) and the transcribed text was subjected to qualitative content analysis. The result was formulated as several subthemes, eventually developed into three themes: Practicing within an organisation where traditional attitudes are impediments, Perceiving mental healthcare as not being an obvious part of district nursing, Working as fellow human beings rather than "professionals". The findings indicate that district nurses feel uncertainty in their practice in this area. Working independently with mental ill-health was not always considered socially acceptable among district nurses. Despite these challenges they tried to remain involved without becoming emotionally overwhelmed. They also strived to meet the needs of these patients with 'small things', that could be effective and a part of recovery-oriented practice, even if they might be defined as unprofessional, and their efficacy negated.

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  • 13.
    Molin, Jenny
    et al.
    Department of Nursing, Umeå University, Umeå, Sweden;b Department of Clinical Science, Division of Psychiatry, Umeå University, Umeå, (SWE).
    Hällgren Graneheim, Ulla
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Department of Nursing, Umeå University, Umeå, (SWE).
    Participation, Confirmation and Challenges: How Nursing Staff Experience the Daily Conversations Nursing Intervention in Psychiatric Inpatient Care2022Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 43, nr 11, s. 1056-1063Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Mental health nursing focuses on patients’ experiences, accessed through narratives developed in conversations with nursing staff. This study explored nursing staff’s experiences of using the nursing intervention Daily Conversations in psychiatric inpatient care. We used a qualitative questionnaire and received 103 responses. Qualitative content analysis of the data resulted in three themes describing both advantages and obstacles with Daily Conversations: Promotes participation, Contributes to confirming relations and Challenges previous structures. To illuminate the significance of confirming acts and make nursing staff more comfortable, the intervention could benefit from being more flexible and allowing in its structure. For the intervention to succeed, nursing staff need training in conversation, thorough preparation, shared reflections on values in mental health nursing, and structures to maintain its implementation and use.

    Ladda ner fulltext (pdf)
    fulltext
  • 14.
    Molin, Jenny
    et al.
    Umeå University, Department of Nursing, Umeå, Sweden; Umeå University, Division of Psychiatry, Department of Clinical Sciences, Umeå, Sweden.
    Vestberg, Maria
    Umeå University, Department of Nursing, Umeå, Sweden.
    Lövgren, Anna
    Umeå University, Department of Odontology, Umeå, Sweden.
    Ringnér, Anders
    Umeå University, Department of Nursing, Umeå, Sweden.
    Hällgren Graneheim, Ulla
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Umeå University, Department of Nursing, Umeå, Sweden.
    Lindgren, Britt-Marie
    Umeå University, Department of Nursing, Umeå, Sweden.
    Rather a Competent Practitioner than a Compassionate Healer: Patients' Satisfaction with Interactions in Psychiatric Inpatient Care.2021Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 42, nr 6, s. 549-554Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Interactions with staff are important aspects in patients' experiences of psychiatric inpatient care (PIC). This study aimed to evaluate patients' satisfaction with their interactions with PIC staff and whether sociodemographic factors, depression and anxiety symptoms were associated with their perceptions of these interactions. In this cross-sectional study, we collected data from 84 patients receiving inpatient care in three psychiatric settings in Sweden. The patients' perceptions of interactions with staff and self-reported degrees of depression and anxiety were evaluated through questionnaires. Overall, patients were satisfied with the patient-staff interaction. However, significantly higher scores were related to staffs' practical competence than to their compassion. Older patients reported significantly more satisfaction than younger patients with their most recent meeting with staff. Tailored nursing interventions may improve staff's compassionate capacity. Further research in larger samples is needed to improve our understanding of the factors associated with how patients perceive their interactions with staff.

  • 15.
    Nunstedt, Håkan
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Nilsson, Kerstin
    University of Gothenburg, Institute of Health and Care Sciences, The Sahlgrenska Academy.
    Skärsäter, Ingela
    University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden.
    Experiences of Major Depression: Individuals’ Perspectiveson the Ability to Understand and Handle the Illness2012Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, ISSN 0161-2840 print / 1096-4673 online, Vol. 33, nr 5, s. 271-279Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In all social groups, major depression is an increasingly serious

    problem in modern society. Important aspects of a person’s capacity

    for recovery are the person’s own understanding of the illness

    and the ability to use this understanding to manage the illness.

    The aim of this study is to describe how individuals with major

    depression understand their illness and use their understanding to

    handle it. Twenty participants treated in community care formajor

    depression as determined by the Diagnostic and Statistical Manual

    of Mental Disorders were interviewed between February and

    June, 2008. Content analysis of the interviews revealed threemajor

    themes: (1) awakening insight, (2) strategies for understanding and

    managing, and (3) making use of understanding, each with additional

    subthemes. Individual understandings of the illness varied

    and led to differences in the ways participants were able to handle

    their depression. In clinical care it is essential to support an

    individual’s understanding of depression and his or her use of that

    understanding to handle the illness.

1 - 15 av 15
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