The health-care environment on a locked psychiatric ward: An ethnographic study

International Journal of Mental Health Nursing

Volumn 15, Issue 4, 2006, Pages 242-250

  Johansson, Inger M ^a,b,d   Skärsäter, Ingela ^a,c   Danielson, Ella ^a  

^a UNIVERSITY OF GOTHENBURG   (Sweden)

^b SKARABORG HOSPITAL   (Sweden)

^c The Psychiatric Services   (Sweden)

^d SKARABORG HOSPITAL   (Sweden)

Author keywords

Control; Ethnographic method; Health care environment; Power; Psychiatric care

Indexed keywords

ADAPTIVE BEHAVIOR; ARTICLE; ATTITUDE TO HEALTH; BEHAVIOR; CONTROL; CULTURAL ANTHROPOLOGY; FREEDOM; GENERAL HOSPITAL; HEALTH CARE FACILITY; HEALTH PERSONNEL ATTITUDE; HOSPITAL ADMISSION; HOSPITAL SUBDIVISIONS AND COMPONENTS; HUMAN; INTERPERSONAL COMMUNICATION; LENGTH OF STAY; MENTAL DISEASE; NURSE ATTITUDE; NURSE PATIENT RELATIONSHIP; NURSING; NURSING METHODOLOGY RESEARCH; NURSING STAFF; ORGANIZATION AND MANAGEMENT; PSYCHIATRIC NURSING; PSYCHOLOGICAL ASPECT; QUALITATIVE RESEARCH; STATISTICS; SWEDEN;

ADAPTATION, PSYCHOLOGICAL; ANTHROPOLOGY, CULTURAL; ATTITUDE OF HEALTH PERSONNEL; ATTITUDE TO HEALTH; COMMUNICATION; FREEDOM; HEALTH FACILITY ENVIRONMENT; HOSPITAL UNITS; HOSPITALS, GENERAL; HUMANS; INTERNAL-EXTERNAL CONTROL; LENGTH OF STAY; MENTAL DISORDERS; NURSE'S ROLE; NURSE-PATIENT RELATIONS; NURSING METHODOLOGY RESEARCH; NURSING STAFF, HOSPITAL; PATIENT ADMISSION; POWER (PSYCHOLOGY); PSYCHIATRIC NURSING; QUALITATIVE RESEARCH; SWEDEN;

EID: 33750486531     PISSN: 14458330     EISSN: 14470349     Source Type: Journal    
DOI: 10.1111/j.1447-0349.2006.00430.x     Document Type: Article

References (42)

1. Anthony, P. & Crawford, P. (2000). Service user involvement in care planning: The mental health nurse's perspective. Journal of Psychiatric and Mental Health Nursing, 7, 425-434.
2. Beech, P. & Norman, I. J. (1995). Patients' perceptions of the quality of psychiatric nursing care: Findings from a small-scale descriptive study. Journal of Clinical Nursing, 4, 117-123.
3. Berg, A. & Hallberg, I. R. (2000). Psychiatric nurses' lived experiences of working with inpatient care on a general team psychiatric ward. Journal of Psychiatric and Mental Health Nursing, 7, 323-333.
4. Bloor, M. (2001). The ethnography of health and medicine. In: P. Atkinson, A. Coffey, S. Delamont, J. Lofland & L. Lofland (Eds). Handbook of Ethnography (pp. 177-187). London: Sage.
5. Bowers, L., Jarrett, M., Clark, N., Kiyimba, F. & McFarlane, L. (1999). 2. Absconding: How and when patients leave the ward. Journal of Psychiatric and Mental Health Nursing, 6, 207-211.
6. Breeze, J. A. & Repper, J. (1998). Struggling for control: The care experiences of 'difficult' patients in mental health services. Journal of Advanced Nursing, 28, 1301-1311.
7. Clark, N., Kiyimba, F., Bowers, L., Jarrett, M. & McFarlane, L. (1999). 4. Absconding: Nurses views and reactions. Journal of Psychiatric and Mental Health Nursing, 6, 219-224.
8. Cleary, M. (2003). The challenges of mental health reform for contemporary mental health nursing practice: Relationships, power and control. International Journal of Mental Health Nursing, 12, 139-147.
9. Cleary, M. (2004). The realities of mental health nursing in acute inpatient environments. International Journal of Mental Health Nursing, 13, 53-60.
10. Eklund, M. & Hansson, L. (2001). Ward atmosphere, client satisfaction, and client motivation in a psychiatric work rehabilitation unit. Community Mental Health Journal, 37, 169-177.
11. Emerson, R. E., Fretz, R. I. & Shaw, L. L. (2001). Participant observation and fieldnotes. In: P. Atkinson, A. Coffey, S. Delamont, J. Lofland & L. Lofland (Eds). Handbook of Ethnography (pp. 352-368). London: Sage.
12. Friis, S. (1986). Characteristics of a good ward atmosphere. Acta Psychiatrica Scandinavica, 74, 469-473.
13. Hoge, S. K., Lidz, W. C., Eisenberg, M. et al. (1997). Perceptions of coercion in the admission of voluntary and involuntary psychiatric patients. International Journal of Law and Psychiatry, 20, 167-181.
14. Howard, P. B., Clark, J. J., Rayens, M. K., Hines-Martin, V., Weaver, P. & Littrell, R. (2001). Consumer satisfaction with services in a regional psychiatric hospital: A collaborative research project in Kentucky. Archives of Psychiatric Nursing, 15, 10-23.
15. Hummelvoll, J. K. & Severinsson, E. (2001a). Coping with everyday reality: Mental health professionals' reflections on the care provided in an acute psychiatric ward. Australian and New Zealand Journal of Mental Health Nursing, 10, 156-166.
16. Hummelvoll, J. K. & Severinsson, E. (2001b). Imperative ideals and the strenuous reality: Focusing on acute psychiatry. Journal of Psychiatric and Mental Health Nursing, 8, 17-24.
17. Jenkins, R. & Elliott, P. (2004). Stressors, burnout and social support: Nurses in acute mental health settings. Journal of Advanced Nursing, 48, 622-631.
18. Johansson, I. M. & Lundman, B. (2002). Patients' experience of involuntary psychiatric care: Good opportunities and great losses. Journal of Psychiatric and Mental Health Nursing, 9, 639-647.
19. Johnson, B., Martin, M. L., Guha, M. & Montgomery, P. (1997). The experience of thought-disordered individuals preceding an aggressive incident. Journal of Psychiatric and Mental Health Nursing, 4, 213-220.
20. Krippendorff, K. (2004). Content Analysis: An Introduction to Its Methodology, 2nd edn. Thousand Oaks, CA: Sage.
21. Lanza, M. L., Kayne, H. L., Hicks, C. & Milner, J. (1994). Environment characteristics related to patient assault. Issues in Mental Health Nursing, 15, 319-335.
22. Lützén, K. (1998). Subtle coercion in psychiatric practice. Journal of Psychiatric and Mental Health Nursing, 5, 101-107.
23. Main, S., McBride, A. B. & Austin, K. (1991). Patient and staff perceptions of a psychiatric ward environment. Issues in Mental Health Nursing, 12, 149-157.
24. Middelboe, T., Schjodt, T., Byrsting, K. & Gjerris, A. (2001). Ward atmosphere in acute psychiatric in-patient care: Patients' perceptions, ideals and satisfaction. Acta Psychiatrica Scandinavica, 103, 212-219.
25. Monahan, J., Hoge, S. K., Lidz, C. et al. (1995). Coercion and commitment: Understanding involuntary mental hospital admission. International Journal of Law and Psychiatry, 18, 249-263.
26. Moos, R. H. (1973). Changing the social milieus of psychiatric treatment settings. Journal of Applied Behavioural Science, 9, 575-593.
27. Müller, M. J., Schlösser, R., Kapp-Steen, G., Schanz, B. & Benkert, O. (2002). Patients' satisfaction with psychiatric treatment: Comparison between an open and a closed ward. Psychiatric Quarterly, 73, 93-107.
28. Patton, M. Q. (2002). Qualitative Research and Evaluation Methods, 3rd edn. Thousand Oaks, CA: Sage.
29. Poulsen, H. D. (1999). Perceived coercion among committed, detained and voluntary patients. International Journal of Law and Psychiatry, 22, 167-175.
30. Quirk, A., Lelliott, P. & Seale, C. (2004). Service users' strategies for managing risk in the volatile environment of an acute psychiatric ward. Social Science and Medicine, 59, 2573-2583.
31. Quirk, A., Lelliott, P. & Seale, C. (2005). Risk management by patients on psychiatric wards in London: An ethnographic study. Health, Risk and Society, 7, 85-91.
32. Rittmannsberger, H., Sartorius, N., Brad, M. et al. (2004). Changing aspects of psychiatric inpatient treatment. European Psychiatry, 19, 483-488.
33. Rossberg, J. I. & Friis, S. (2004). Patients' and staff's perceptions of the psychiatric ward environment. Psychiatric Services, 55, 798-803.
34. SFS 1991:1128. Lag om psykiatrisk tvångsvård [The Compulsory Mental Care Act]. Stockholm: Socialstyrelsen [National Board of Health and Welfare].
35. SFS 1991:1129. Lag om rättspsykiatrisk vård [The Forensic Mental Care Act]. Stockholm: Socialstyrelsen [National Board of Health and Welfare].
36. Socialstyrelsen (1997). God psykiatrisk vård på lika villkor? [Good Psychiatric Care on Equal Terms?]. Stockholm: Socialstyrelsen [National Board of Health and Welfare].
37. Socialstyrelsen (2001). Hälso- och sjukvårdsstatistisk årsbok 2001 [Yearbook of Health and Medical Care 2001]. Stockholm: Socialstyrelsen [National Board of Health and Welfare].
38. Socialstyrelsen (2004). Hälso- och sjukvårdens verksamhet [Health and Medical Care Performances]. Stockholm: Socialstyrelsen [The National Board of Health and Welfare].
39. Steinholtz Ekecrantz, L. (1995). Patienternas psykiatri, en studie i institutionella erfarenheter (Swe) [Psychiatry: The inmates' experiences] (Dissertation). Department of Health and Society, Linköping University, Linköping. Stockholm: Lena Steinholtz Ekecrantz and Carlssons Bokförlag.
40. Taylor, S. J. & Bogdan, R. (1998). Introduction to Qualitative Research Methods, 3rd edn. New York: John Wiley & Sons.
41. Wallace, T., Robertson, E., Millar, C. & Frisch, S. R. (1999). Perceptions of care and services by the clients and families: A personal experience. Journal of Advanced Nursing, 29, 1144-1153.
42. Wallsten, T. & Kjellin, L. (2004). Involuntarily and voluntarily admitted patients' experiences of psychiatric admission and treatment - a comparison before and after changed legislation in Sweden. European Psychiatry, 19, 464-468.