Bakgrund: Sjuksköterskeutbildningen är treårig. I den ingår teoretisk och verksamhetsförlagd utbildning inom psykiatrisk vård. Studenter behöver förberedas med att träna för att få förmågan att möta och hantera patienter med psykisk ohälsa. Syfte: Syftet med studien var att undersöka hur sjuksköterskestudenter uppfattar akuta omhändertaganden av patienter på psykiatriska akuta vårdavdelningar. Metod: En kvalitativ induktiv metod valdes. Tio intervjuer med semistrukturerade intervjufrågor genomfördes med studenter under termin tre på sjuksköterskeprogram i Mellansverige. Datamaterialet analyserades med manifest innehållsanalys enligt Graneheim och Lundman (2004). Resultat: Ur analysen framkom två kategorier: sjuksköterskans arbetssituation och studentens reflektion över patientens situation. Vidare framkom fem subkategorier: speciellt att sätta gränser och vårda inom akut psykiatrisk vård, anpassa stöd och samtal, använda sig själv som ett redskap, etiska reflektioner och olika perspektiv. Konklusion: Studien visar att studenterna inte har tillräcklig teoretisk eller erfarenhetsmässig kompetens i rollen som sjuksköterskestudent på en psykaitrisk akutavdelning när de ska utföra VFU. Med  anledning av avdelningsinriktning, kort placering och akuta situationer de möts av inom psykiatrisk verksamhet, finns behov för studenterna att få mer psykiatrikunskap innan den kliniska praktiken utförs. Akuta omhändertaganden i psykiatriska situationer uppfattas därför mer sensitivt, svårförstådda och svåra att hantera av studenterna. / Background: Training to become a nurse is three years and includes theoretical and clinical training in psychiatric care. Students need to be prepared to practice to get the ability to meet and manage patients with mental illness. Objective: The aim of this study was to examine how nursing students perceive the emergency care order of patients in acute psychiatric wards. Method: A qualitative inductive method was chosen and ten interviews with semi-structured interview questions were conducted with students during the third semester in nursing programs in central Sweden. The data were analyzed by content analysis according Graneheim and Lundman (2004). Results: From the analysis revealed two categories: Nurses work situation and student reflection on the patient's situation. It was also found five subcategories: especially to set limits and take care in emergency psychiatric care, customize support and conversation, using her own as a tool, students' ethical reflections and different perspectives. Conclusion: The study shows that students do not have sufficient theoretical or experiential expertise in the role of a nursing student, in a psychiatric emergency department. The study shows that students do not have sufficient theoretical or experiential expertise in the role of a nurse, in a psychiatric emergency department. Because of the departments focus, where students are located and emergency situations they encounter in psychiatry, there is a need for students to gain more knowledge before psychiatry clinical practice is carried out. Acute psychiatric nursing care in situations perceived therefore more sensitive, difficult to understand and difficult to manage by the students.

In this paper the authors are focusing on people that work in psychiatric acute care. How do they identify the individual that is in most need of acute care? How do they judge in this kind of cases?    The foundation in this study is in the qualitative method. The material to this study has been collected by doing qualitative interviews with six people in different professions and positions in psychiatric acute care.    The material that we collected from these six qualitative interviews has been analysed with help from Sherif’s and Hovland’s (1961) Social judgement theory. The theory describes people’s judgement based on certain criterions and how it affects them.     It has been noticed that the individuals who asses first acute care are usually the ones that has a suicidal behavior. The resources are decreasing while the need for psychiatric acute care is increasing. The personell have to make decisions about which individual that are in most need of acute care. Their judgments are very important for the indiviuals in need of immediate care. This judgement can be depending on which individual who is doing the judgemet. This paper has given us comprehension for the immortance of good individual properties for doing judgements, and that they are made in several positions.

<p>In this paper the authors are focusing on people that work in psychiatric acute care. How do they identify the individual that is in most need of acute care? How do they judge in this kind of cases? <strong></strong></p><p>   The foundation in this study is in the qualitative method. The material to this study has been collected by doing qualitative interviews with six people in different professions and positions in psychiatric acute care.</p><p>   The material that we collected from these six qualitative interviews has been analysed with help from Sherif’s and Hovland’s (1961) Social judgement theory. The theory describes people’s judgement based on certain criterions and how it affects them. </p><p>   It has been noticed that the individuals who asses first acute care are usually the ones that has a suicidal behavior. The resources are decreasing while the need for psychiatric acute care is increasing. The personell have to make decisions about which individual that are in most need of acute care<strong>. </strong>Their judgments are very important for the indiviuals in need of immediate care. This judgement can be depending on which individual who is doing the judgemet. This paper has given us comprehension for the immortance of good individual properties for doing judgements, and that they are made in several positions.</p>