Background: Homeless persons who suffer of mental illness are one group which is marginalized worldwide. Homeless people have a fragmentary contact with healthcare and many of those who have drug abuse problems and mental illness are still undiagnosed. Still, this is not their only issue when various state agencies argue about who will take responsibility for this persons. Aim: To describe the factors that are perceived supportive or restrictive by homeless people with mental illness. Method: The material has been gathered via systematic and unsystematic searches and the study was designed as a literature review. The articles which responded to the aim of this study were included and it resulted in twelve articles. Results: The approach and attitudes of the healthcare workers is experienced negatively by the homeless persons because of their discrimination and stigmatization. Experiences suck as lack of coordination and cooperation between healthcare, lack of health insurance, social isolation and poor paid jobs or no jobs at all are also common. Still, there were some positive experience such as healthcare workers and staff who listened, care and implicated themselves in the homeless person’s problems and situation, they gave them presents or made jokes. Conclusion: The healthcare workers needs knowledge about homeless people’s experience of various factors that promote or sets limits in promoting health. This knowledge is needed in order to improve the healthcare workers approach.

Bakgrund: Självskadebeteende är ett samhällsproblem som ökar. Personer med självskadebeteende kan ofta uppleva att de inte bemötts på ett bra sätt av vårdpersonal. Beteendet kan vara svårt att begripa och provocerande för omgivningen. Personer som skadar sig själv gör det i syfte att lindra ångest och smärta. Syfte: Syftet var att belysa sjuksköterskors upplevelser i bemötandet av personer med självskadebeteende. Metod: En allmän litteraturstudie har gjorts. Sökord som tilltalade syftet identifierades. Litteratursökningen genomfördes i olika databaser. Resultat: Resultatet framkom ur vetenskapliga artiklar (n=11) som granskades. Resultatet presenterades i fyra subteman: upplevelser av förståelse i bemötandet, upplevelser av ansvar i bemötandet, upplevelser av rädsla och frustration i bemötandet och upplevelser av kunskapsbrist och stress i bemötandet. Resultatet visar att sjuksköterskor upplever personer med självskadebeteende som en ansträngande patientgrupp. Faktorer som utbildning, tidspress och stöd från medarbetare upplevdes som betydelsefullt i vården med personer som skadar sig själv. Diskussion: Genom utbildning och handledning skulle sjuksköterskor kunna bli mer professionella i bemötandet med personer som skadar sig själv. Slutsats: Sjuksköterskor behöver mer utbildning, handledning och kunskap för att bemöta personer som skadar sig själv på ett professionellt sätt. / Background: Self-injury is a social problem that is increasing. People with self-injury can often feel that they have not been treated in a good way of nursing staff. People who harm themselves do it in order to relieve anxiety and pain. The behavior can be difficult to comprehend and provocative for the environment. Aim: The aim was to illuminate nurses’ experiences in the treatment of people with self-injury. Method: A literature review search has been made. Keywords that appealed to the purpose identified. The literature search was conducted in different databases. Results: The results emerged from scientific articles (n = 11) that were reviewed. The results were presented in four sub themes: experiences of understanding in the treatment, experiences of responsibility in the treatment, experiences of fear and frustration in the treatment and experiences of lack of understanding and stress in the treatment. Factors as education, time pressure and support from colleagues were seen as important in the care of people who self-injure. Discussion: Through training and mentoring nurses would be more professional when dealing with people who hurt themselves. Conclusion: Nurses need more education, mentoring and knowledge to deal with people who hurt themselves in a professional manner.