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Självvald inläggning inom den psykiatriska vården: En scoping study
The Swedish Red Cross University College.
The Swedish Red Cross University College.
2019 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Patient-controlled admission in psychiatry : A scoping study (English)
Abstract [en]

Background: The psychiatric care has changed from an institutionalized care towards a more patient-centered care, were ideas such as autonomy and patient participation are raised. The model of Patient-controlled admission has been developed in line with the development. With a focus on a shift of power in the relations between caregiver and patient, with a patient taking more responsibility.

Aim: The aim of this study is to describe the central components of the care-model of patient-controlled admission through the experiences of patients and caregivers in psychiatry.

Method: A scoping study based on the review of seven scientific articles and three empirical qualitative student essays (master-level).

Result: Our research of the data was synthesized into three main themes: Responsibility, Trust and Empowerment. Each theme had three subthemes. These themes show how the acquired and lost responsibility affects the patient and health professionals and the importance of a safe and trusting ward. Most importantly for the patient was that control and knowledge about one’s health raises confidence and resulted in empowering.

Conclusion: By turning the traditional paradigm around of the caregiver deciding admission in favor of the patient this strengthens autonomy and feelings of empowerment. The availability of a safe space is positive.

Abstract [sv]

Bakgrund: Den psykiatriska vården har ändrats genom åren från ett varaktigt omhändertagande mot en mer personcentrerad vård där tankar kring autonomi och patientdelaktighet lyfts. I linje med utvecklingen så har modellen Självvald inläggning utformats där en maktförskjutning sker i vårdrelationen då patienterna tar mer ansvar i sin vård.

Syfte: Syftet med denna studie är att beskriva de centrala komponenterna i vårdformen Självvald inläggning genom patienter och vårdpersonalens upplevelser inom den psykiatriska vården.

Metod: En scoping study där sju stycken vetenskapliga artiklar och tre empiriska examensarbeten med kvalitativ ansats på D-nivå har granskats

Resultat: Datan sammanställdes i tre teman: Ansvar, Tillit och Egenmakt. Respektive tema hade tre stycken subteman. Dessa teman visar vikten av en trygg och förtroendeingivande avdelning och hur det givna och förlorade ansvaret påverkar patienten och vårdpersonal. Mest återkommande var att kontroll och kunskap kring sin egen hälsa ökade patientens självförtroende och skapade egenmakt.

Slutsats: Genom att vända på det traditionella dörrväktar-perspektivet så stärks patientens autonomi, känsla av egenmakt och trygghet i tillgången till ett andrum.

Place, publisher, year, edition, pages
2019. , p. 29
Keywords [en]
empowerment, in-ward treatment, patient-controlled admission, psychiatry
Keywords [sv]
egenmakt, psykiatri, självvald inläggning, slutenvård
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-2809OAI: oai:DiVA.org:rkh-2809DiVA, id: diva2:1315131
Educational program
Undergraduate Nursing Program
Uppsok
Medicine
Supervisors
Examiners
Available from: 2019-05-13 Created: 2019-05-12 Last updated: 2019-05-13Bibliographically approved

Open Access in DiVA

Berg Ojeda & Månsson (2019)(514 kB)66 downloads
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Type fulltextMimetype application/pdf

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