Psychosocial rehabilitation (PSR) is a community-based service that addresses the challenges faced by people diagnosed as having psychiatric disabilities. While working with co workers and clients, PSR workers may harbor perceptions that could lower the effectiveness of their work and hinder recovery by their clients. Although cognitive-behavioral theory has suggested an association, research has not yet connected PSR worker attitudes about psychiatric situations to their feelings and behavior. In this nonexperimental factorial design, 196 PSR workers were surveyed about the frustrations presented by stressful interpersonal job situations using the Psychiatric Situations Scale to identify whether occupation (case workers, residential workers, day program workers, and vocational workers), years of experience (low: less than 5 years, medium: between 5 and 10 years, high: more than 10 years), and gender were associated with significant attitude differences. The most interesting research question was whether there were differences in the levels of frustration experienced by persons in different PSR occupations. The data were analyzed using ANOVA. No significant main effects or simple effects were revealed. This likely occurred because PSR socializes workers into their mission and values leaving similar attitudes across groups, and also because the sample was homogeneous. Social change implications include the addition of new data to the research, thus enabling researchers to more efficiently identify significant differences among PSR workers. Such results should improve PSR through training targeted toward groups at-risk for the development of burnout and client secondary gain. PSR might be improved by future research that uses an increased sample size to obtain a heterogenous sample, uses other variables, or uses the qualitative method to categorize data.

Dorothy Smith (1987) says investigations often begin with ‘a feeling of uneasiness’. Smith’s insistence of the importance of starting with women’s standpoint, to redress the way in which women’s lives have been negated or neglected in research, informs the methodological premise of this inquiry. The unease that prompted this project emerged in conversations I had with women diagnosed with a psychiatric disorder whilst working as a practitioner at a women’s health centre. The frequency with which the discourses of biomedicine figured in these women’s narrated experiences engendered a collective commitment to make problematic ‘living with a label’. Loosely connected as mental health service recipients, the women I researched with are often positioned as ‘subject’ to an objective medical gaze. Disrupting dichotomies that these women are accustomed to in clinical settings, and destabilising notions of neutral and detached research, our investigations were contingent, reflexive and relational. Recognising that all were intrinsic to the knowledge production processes, this project was cast in the feminist ‘with’, rather than the ‘on’. Together we explored how women read and respond to a psychiatric diagnosis in their daily lives, to generate understandings that can be used by the women who joined this project. This included close consideration of social relations shaping the lived actualities these women described, and their agency in sustaining and unsettling these. / Acknowledging these women’s capacity to have expertise not only as reporters, but as theorists too, experience and analysis were conflated in our explorations of ‘living with a label’. Congruent with feminist philosophy, our methodology had a praxis orientation as well, ‘to produce different knowledge and to produce knowledge differently’ as Patti Lather (2001) suggests. The attendant opportunities to research the process of researching and contemplate how we might participate in change-oriented activities were thus integral to this project. Our experience of researching together, and allowing the ‘researched’ room to know and act, produced possibilities, and also created conundrums, perhaps less frequently encountered in more conventional research – all of which gave rise to celebration!

<p>Syftet med studien var att undersöka psykiatrisjuksköterskans självrapporterade utförda arbetsuppgifter och självupplevda kompetens. Studien bygger på individuellt genomförda intervjuer med 19 psykiatrisjuksköterskor verksamma inom den psykiatriska slutenvården. Författarna har använd ett proportionellt stratifierat urval. Resultatet presenteras i fem kategorier; psykiatrisjuksköterskans kompetensområde, specifika arbetsuppgifter i kompetensområdet, arbetsuppgifter utanför kompetensområdet, arbetsuppgifter som psykiatrisjuksköterskan saknar samt rollkonflikter med tillhörande subkategorier. I psykiatrisjuksköterskans kompetensområde ingår arbetsuppgifter som arbetsledare och omvårdnadsansvarig att planera fördela arbetet på avdelningen, vårdplanera, dokumentera samt läkemedelsadministration. Det specifika i kompetensområdet visade sig vara bland annat vara stöd samtal, motiverande samtal och undervisning. Sjuksköterskorna skulle också ha en övergripande helhetssyn samt göra observationer. Arbetsuppgifter utanför kompetensområdet visade att de hjälper doktorerna med olika administrativa uppgifter samt en del kuratorsarbete. Arbetsuppgifter som sjuksköterskorna saknar främst; är mer aktiviteter för patienterna, mer patientkontakt, bättre samarbete med vårdgrannar och anhöriga samt en ökad etisk medvetenhet i omvårdnads och dokumentationsarbetet. Sjuksköterskorna upplevde även rollkonflikter i sitt arbete som mest berodde på olika otydligheter inom arbetsgruppen. Författarna anser att en tydligare arbetsbeskrivning, bättre ansvarsfördelning mellan de olika yrkesgrupperna samt en mer strukturerad vård av patienterna skulle minska otydligheten och osäkerheten för psykiatrisjuksköterskorna.</p><p> </p> / <p>The purpose of the study was to examine self-reported psychiatric nurse performed tasks and self-perceived competence. The study is based on individually conducted interviews with 19 psychiatric nurses working in psychiatric inpatient ward. The authors have used a proportional stratified sample. The results are presented in five categories; psychiatric nurse competence, specific tasks in the areas of competence, work outside the areas of competence, tasks psychiatric nurse lack and role conflicts and related subcategories. In psychiatry nurse competence includes duties as supervisor and nursing manager to plan the work in the department, care planning, documenting, and pharmaceutical administration. The specific competence in the field proved to be, inter alia, support calls, motivational talks and teaching. The nurses would also have a comprehensive approach and make observations. Tasks outside the competence demonstrated that they are helping the doctors with various administrative tasks, and some counselors work. Tasks that nurse do mainly lack; are more activities for patients, more patients, better cooperation with neighbors and family care, and increased ethical awareness in the nursing care and documentation work. The nurses also experienced role conflict in their work as most were due to various ambiguities in the working group. The authors conclude that a better working instruction, better division of responsibilities between the different professions and a more structured care of patients would reduce the lack of clarity and uncertainty of psychiatry nurses.</p><p> </p><p> </p>

The purpose of this thesis is to describe and analyse the institutionalized Swedish Psychiatric practice during the period 1850 and 1970 - the era of the large mental hospitals - in terms of a modem disciplinary project. Point of departure relates to the meeting between the admitted patient and the educational work of the mental hospital and its everyday practice. The main sources of information for this study consists among other things of case sheets and texts closely related to the work of the mental hospitals. The study has two important aspects. The first deals with the normalized procedures in the practice of mental care, and draws the attention to the relation between social and cultural standards and the way the mental hospitals reviews, treats and handles the patient. The second aspect deals with the actual administration and the techniques of the hospital to correct the patient and his/her actions in a desirable direction. An overarching discussion deals with the relation between liberating and Controlling practitioners, and how the Controlling power of the hospital relates to the modem society's conception of a independent man. At the same time as the physical coercion of the mental hospital diminished, controlling methods were required which were not merely based on obedience and Submission, but also on the participation and will of the patient. Informal system of rewards, confession-techniques as well as various forms of a conditionalised and regulated freedom is combined with a more concealed potential of coercion of the institution. The compulsory work is being analysed as the most important educational therapy - both socially and ethically. Work is being described as a liberal Controlling technique. By connecting work to the system of rewards as well as increased physical freedom enables the hospital to exercise control and predictability without resorting to coercion. How the hospital looked upon and handled the sexual body, and how cultural conceptions regarding sexual normality dominated the practical care-taking is being analysed with the starting point in case sheets. The sexual behaviour, especially concerning women, resulted in a meeting of different opinions between restraining and testing practitioners where moral reliability was a condition for physical freedom. The thesis describes a movement over time towards increased physical freedoms for the patients of the mental hospitals. This did not imply that the control or the normalization decreased in intensity. But rather that the forms and the conditions for these processes changed. The freedom that was placed in sight was always connected with the well behaviour of the patient. / digitalisering@umu

<p>Much evidence exists that nurses are leaving the public health sector for the private sector, or leaving the country to seek better working conditions and higher salaries. Studies conducted on the job satisfaction of nurses are proof that there is a need to know more about the factors that influence their sense of job satisfaction. Most of these studies focus on the general nursing context. Due to its unique circumstances, many studies abroad have identified the field of psychiatric mental health nursing to investigate job satisfaction of nurses. The minithesis is an attempt to fill the gap that exists in job satisfaction studies in South Africa of nurses in a provincial psychiatric hospital. The study was a cross sectional, correlational, survey design study. The instrument was a self-administered questionnaire, combining a quantitative questionnaire with one qualitative open-ended question. The study was conducted on nurses of all categories in a provincial psychiatric hospital in the Western Cape. Sixty- eight nurses participated in the study. The data was analyzed statistically using the SAS v9 statistical software and Statistical Package for Social Sciences (SPSS). The open-ended question was analyzed qualitatively. The results revealed that the participating nurses were dissatisfied with remuneration, recognition and appreciation, training and development, as well as benefits and incentives. Nurses were most satisfied with supervision and support, interpersonal relationships, and rendering patient care. The study identified the factors influencing job satisfaction and job dissatisfaction of nurses in a provincial psychiatric hospital. Recommendations were made based on the results of the research.</p>

Syftet med studien var att undersöka psykiatrisjuksköterskans självrapporterade utförda arbetsuppgifter och självupplevda kompetens. Studien bygger på individuellt genomförda intervjuer med 19 psykiatrisjuksköterskor verksamma inom den psykiatriska slutenvården. Författarna har använd ett proportionellt stratifierat urval. Resultatet presenteras i fem kategorier; psykiatrisjuksköterskans kompetensområde, specifika arbetsuppgifter i kompetensområdet, arbetsuppgifter utanför kompetensområdet, arbetsuppgifter som psykiatrisjuksköterskan saknar samt rollkonflikter med tillhörande subkategorier. I psykiatrisjuksköterskans kompetensområde ingår arbetsuppgifter som arbetsledare och omvårdnadsansvarig att planera fördela arbetet på avdelningen, vårdplanera, dokumentera samt läkemedelsadministration. Det specifika i kompetensområdet visade sig vara bland annat vara stöd samtal, motiverande samtal och undervisning. Sjuksköterskorna skulle också ha en övergripande helhetssyn samt göra observationer. Arbetsuppgifter utanför kompetensområdet visade att de hjälper doktorerna med olika administrativa uppgifter samt en del kuratorsarbete. Arbetsuppgifter som sjuksköterskorna saknar främst; är mer aktiviteter för patienterna, mer patientkontakt, bättre samarbete med vårdgrannar och anhöriga samt en ökad etisk medvetenhet i omvårdnads och dokumentationsarbetet. Sjuksköterskorna upplevde även rollkonflikter i sitt arbete som mest berodde på olika otydligheter inom arbetsgruppen. Författarna anser att en tydligare arbetsbeskrivning, bättre ansvarsfördelning mellan de olika yrkesgrupperna samt en mer strukturerad vård av patienterna skulle minska otydligheten och osäkerheten för psykiatrisjuksköterskorna. / The purpose of the study was to examine self-reported psychiatric nurse performed tasks and self-perceived competence. The study is based on individually conducted interviews with 19 psychiatric nurses working in psychiatric inpatient ward. The authors have used a proportional stratified sample. The results are presented in five categories; psychiatric nurse competence, specific tasks in the areas of competence, work outside the areas of competence, tasks psychiatric nurse lack and role conflicts and related subcategories. In psychiatry nurse competence includes duties as supervisor and nursing manager to plan the work in the department, care planning, documenting, and pharmaceutical administration. The specific competence in the field proved to be, inter alia, support calls, motivational talks and teaching. The nurses would also have a comprehensive approach and make observations. Tasks outside the competence demonstrated that they are helping the doctors with various administrative tasks, and some counselors work. Tasks that nurse do mainly lack; are more activities for patients, more patients, better cooperation with neighbors and family care, and increased ethical awareness in the nursing care and documentation work. The nurses also experienced role conflict in their work as most were due to various ambiguities in the working group. The authors conclude that a better working instruction, better division of responsibilities between the different professions and a more structured care of patients would reduce the lack of clarity and uncertainty of psychiatry nurses.

No description available.

Thesis (Ph .D.)--York University, 1998. Graduate Programme in History. / Typescript. Includes bibliographical references (leaves 376-384). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://wwwlib.umi.com/cr/yorku/fullcit?pNQ27309.

Thesis (M.S.W.)--University of Hong Kong, 1982.

Thesis (M.S.W.)--University of Hong Kong, 1976. / Typewritten.