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Stability in intensive psychiatry: a concept analysis
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Sch Hlth & Soc, Dalarna Univ, Falun, Sweden; Dept Acute Psychiat, Div Mental Hlth & Addict, Oslo Univ Hosp, Oslo, Norway.ORCID iD: 0000-0002-2610-8998
2014 (English)In: Perspectives in psychiatric care, ISSN 0031-5990, E-ISSN 1744-6163, Vol. 50, no 2, p. 122-131Article in journal (Refereed) Published
Abstract [en]

PURPOSE: The aim of this concept analysis is to describe, explore, and explain stabilityin the context of mental health nursing in intensive psychiatry.

DESIGN AND METHODS: A modified version of Wilson’s method of conceptanalysis was used.

FINDINGS: Stability is the ability to be resistant to changes. Stability can take differentdirections after a distortion: re-gaining, neo-gaining, and apo-gaining. Stabilitymay also be achieved through active (adding or using power, making adjustments,parrying, and idling) and passive systems (environmental conditions and constituentmaterials).

PRACTICE IMPLICATIONS: This article contributes by providing knowledge and insight for nurses on the roles they play in intensive psychiatry as stabilizers.

Place, publisher, year, edition, pages
2014. Vol. 50, no 2, p. 122-131
Keywords [en]
Concept analysis, intensive psychiatry, mental health nurses, nursing research, psychiatric nurses
National Category
Nursing
Research subject
Caring sciences
Identifiers
URN: urn:nbn:se:oru:diva-30077DOI: 10.1111/ppc.12030ISI: 000333695600007PubMedID: 24689492Scopus ID: 2-s2.0-84929518396OAI: oai:DiVA.org:oru-30077DiVA, id: diva2:638534
Available from: 2013-07-31 Created: 2013-07-31 Last updated: 2018-09-12Bibliographically approved
In thesis
1. Caring in intensive psychiatry: rhythm and movements in a culture of stability
Open this publication in new window or tab >>Caring in intensive psychiatry: rhythm and movements in a culture of stability
2013 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this thesis is to describe and explore the concept of caring in intensive psychiatry. An initial inventory was made of nursing care activities in a PICU, based on an analysis of critical incidents. This inventory resulted in four categories: supporting, protecting and use of the structured environment (Study I). Caring in intensive psychiatry was also studied through ethnographic fieldwork that that led to the conceptualization of the PICU staff as projecting a culture of stability. Within this culture, the overall goal was to prevent, maintain and restore stability as turbulence occurred. Cultural knowing, as expressed through nursing care, was further described in terms of providing surveillance, soothing, being present, trading information, maintaining security, and what has been termed reducing (Study II). A focused approach was applied to study the staff’s different approaches to observing patients in relation to the practice of surveillance in psychiatric nursing care. PICU staff moved flexibly between a latent and a manifest approach to surveillance (Study III). Having conceptualized the culture as one of stability, a concept analysis was conducted upon the concept of stability. The analysis revealed that stability is by no means a static condition; it fluctuates and can be distorted. Intervening with nursing care when turbulence occurs, can involve both the use of active and passive stability systems (Study IV). Further, I argue that caring in intensive psychiatry can be accurately described as the projection of rhythm and movements. Nursing care in terms of movements creates fluctuations in stability as it entails a rhythm of caring in intensive psychiatry. In conclusion, physical boundaries and incorporated control along with tactful sensibility involve rhythm and movements within limited structures and closeness in care. This thesis contributes to articulating advanced nursing practice within intensive psychiatry 

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2013. p. 81
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 47
Keywords
Acute psychiatric care, concept analysis, critical incident technique, ethnography, intensive psychiatry, nursing staff, psychiatric care, psychiatric hospitals, psychiatric nursing
National Category
Nursing
Research subject
Caring Sciences w. Medical Focus
Identifiers
urn:nbn:se:oru:diva-30069 (URN)978-91-7668-956-1 (ISBN)
Public defence
2013-10-03, 09:15
Opponent
Supervisors
Available from: 2013-07-30 Created: 2013-07-30 Last updated: 2017-10-17Bibliographically approved

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