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Självvald inläggning inom den psykiatriska vården : En scoping study / Patient-controlled admission in psychiatry : A scoping studyBerg Ojeda, Gino, Månsson, Ulrika January 2019 (has links)
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. / 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.
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Patients' Expectations and Experiences of a Day Ward Treatment for Eating Disorders.Bonde, Josephine, Härkönen, Laura January 2009 (has links)
<p>The purpose of the present study was to evaluate a day ward treatment program for eating disorders by examining the patients' expectations and experiences of treatment. Previous research suggests that patients' expectations are important variables to be considered in the treatment of eating disorders as they have shown to influence treatment outcome in various ways. The present study included 38 patients who had completed the day ward treatment and fulfilled the criteria for either anorexia nervosa, bulimia nervosa or eating disorder-not otherwise specified. Data was collected using the self report questionnaire Eating Disorder Patients' Expectations and Experiences of Treatment (ED-PEX) which measures patients' expectations prior to treatment as well as their experiences directly after treatment termination. Data was also collected using ten half-structured interviews which were held 3-18 months post treatment. Diagnosis criteria were used to assess the treatment outcome. At treatment termination 23 of 38 patients were diagnosis free. The results indicated that the control-focused interventions were most helpful according to the patients. It was also revealed that the patients desired more specific information about the purpose of the treatment components prior to, as well as during, the treatment process.</p>
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Patients' Expectations and Experiences of a Day Ward Treatment for Eating Disorders.Bonde, Josephine, Härkönen, Laura January 2009 (has links)
The purpose of the present study was to evaluate a day ward treatment program for eating disorders by examining the patients' expectations and experiences of treatment. Previous research suggests that patients' expectations are important variables to be considered in the treatment of eating disorders as they have shown to influence treatment outcome in various ways. The present study included 38 patients who had completed the day ward treatment and fulfilled the criteria for either anorexia nervosa, bulimia nervosa or eating disorder-not otherwise specified. Data was collected using the self report questionnaire Eating Disorder Patients' Expectations and Experiences of Treatment (ED-PEX) which measures patients' expectations prior to treatment as well as their experiences directly after treatment termination. Data was also collected using ten half-structured interviews which were held 3-18 months post treatment. Diagnosis criteria were used to assess the treatment outcome. At treatment termination 23 of 38 patients were diagnosis free. The results indicated that the control-focused interventions were most helpful according to the patients. It was also revealed that the patients desired more specific information about the purpose of the treatment components prior to, as well as during, the treatment process.
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