Ändra sökning
Länk till posten
Permanent länk

Direktlänk
BETA
Publikationer (10 of 14) Visa alla publikationer
Kumpula, E., Gustafsson, L.-K. & Ekstrand, P. (2019). Nursing Staff Talk: Resource or Obstacle for Forensic Psychiatric Patient Care?. Journal of Forensic Nursing, 15(1), 52-59
Öppna denna publikation i ny flik eller fönster >>Nursing Staff Talk: Resource or Obstacle for Forensic Psychiatric Patient Care?
2019 (Engelska)Ingår i: Journal of Forensic Nursing, ISSN 1939-3938, E-ISSN 1556-3693, Vol. 15, nr 1, s. 52-59Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Although forensic psychiatric care is located at the intersection of health care and the Swedish legal system, nursing research has not yet evaluated how language is context bound or its consequences for understanding patient care. The aim of this study was to explore how nursing staff talk about patient care in Swedish forensic psychiatric care and the implications for the care given to patients. The theoretical framework is based on social constructionism and sheds light on how language use can be understood as a social action. Twelve interviews were conducted with nursing staff working in forensic psychiatric settings. The questions focused on patient care in relation to activities, security, relationships with patients, and rules and routines. The results show that nursing staff assignments are encouraging them to use various interpretative repertoires to make meaning about their practice. The three interpretative repertoires were "taking responsibility for correcting patients' behavior," "justifying patient care as contradictory practice," and "patients as unpredictable." However, although forensic psychiatric care emphasizes both security and care, nursing staff's use of these interpretative repertoires provided multiple interpretations that lead to contradictory ways of understanding patient care. These findings show that talk itself can be understood as problematic in various situations. A possible implication for clinical forensic nursing practice might be that the nurse-patient relationship does not support patients' best interests. For example, when language endows the patient with certain characteristics, this talk is justified and given meaning by its context and thus has an influence on a patient's individual need for care.

Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:rkh:diva-2739 (URN)10.1097/JFN.0000000000000227 (DOI)30640200 (PubMedID)
Tillgänglig från: 2019-01-18 Skapad: 2019-01-18 Senast uppdaterad: 2019-03-25Bibliografiskt granskad
Pollak, C., Palmstierna, T., Kald, M. & Ekstrand, P. (2018). It Had Only Been a Matter of Time Before I Had Relapsed Into Crime: Aspects of Care and Personal Recovery in Forensic Mental Health. Journal of Forensic Nursing, 14(4), 230-237
Öppna denna publikation i ny flik eller fönster >>It Had Only Been a Matter of Time Before I Had Relapsed Into Crime: Aspects of Care and Personal Recovery in Forensic Mental Health
2018 (Engelska)Ingår i: Journal of Forensic Nursing, ISSN 1939-3938, E-ISSN 1556-3693, Vol. 14, nr 4, s. 230-237Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

INTRODUCTION: Forensic psychiatry has the dual task of focusing on the prevention of reoffending as well as maintaining psychiatric rehabilitation. No previous studies addressing the patients' own views on reducing their risk of serious reoffending were found.

AIM: This study describes forensic psychiatric inpatients' own views on what aspects of care and personal recovery are important in reducing their risk of serious reoffending.

METHODS: A structured qualitative approach was used. Data were collected from semistructured interviews and analyzed with a systematic qualitative content analysis.

RESULTS: The results highlight aspects of care and personal recovery. Four themes emerged: "time: opportunity for change," "trust: creating a context with meaningful relations," "hope: to reach a future goal," and "toolbox: tools needed for recovery."

DISCUSSION: The themes present with a continuum. At one end, there are patients who appreciated possibilities to participate actively in care and treatment. At the other end, patients felt they had no use for their care. Interestingly, although patients in our study were asked for their opinion on how they could reduce their dangerousness, all themes fit into established personal recovery processes found in general psychiatric populations. The theme "time: opportunity for change" seems to have an overarching importance.

IMPLICATIONS FOR PRACTICE: By understanding the specific content along these themes, relevant to the individual patient, carers may be able to better support their personal recovery journey. Because time spent as inpatients in forensic psychiatry is an overarching issue, carers need to be persistent over time.

Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:rkh:diva-2612 (URN)10.1097/JFN.0000000000000210 (DOI)30080709 (PubMedID)
Tillgänglig från: 2018-08-30 Skapad: 2018-08-30 Senast uppdaterad: 2019-06-24Bibliografiskt granskad
Kumpula, E. & Ekstrand, P. (2014). Challenges and Possibilities for Understanding Men's Health in Twenty-First Century Forensic Psychiatric Care. Issues in Mental Health Nursing, 35(8), 613-9
Öppna denna publikation i ny flik eller fönster >>Challenges and Possibilities for Understanding Men's Health in Twenty-First Century Forensic Psychiatric Care
2014 (Engelska)Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 35, nr 8, s. 613-9Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Forensic psychiatric care in Sweden constitutes a specific institutional environment in health care in terms of gender and power relationships. This context emphasizes safety and protection in an environment where men constitute a majority of the patients and staff. It involves relationships among men's health, constructions of masculinities, and issues regarding equality between women's and men's caring work. The aim of this theoretical article is to problematize men's health in relation to constructions of masculinities. Our analysis shows how the perception of health is involved in the construction of masculinities and how this plays out in daily interactions between caregivers and patients.

Ort, förlag, år, upplaga, sidor
Informa Healthcare, 2014
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:rkh:diva-896 (URN)10.3109/01612840.2014.881441 (DOI)25072214 (PubMedID)
Tillgänglig från: 2014-08-06 Skapad: 2014-08-06 Senast uppdaterad: 2017-12-05Bibliografiskt granskad
Kumpula, E. & Ekstrand, P. (2014). Maktordningar som utmaningar i omvårdnaden för patienter inom psykiatrisk vård (2ed.). In: Lena Wiklund Gustin (Ed.), Vårdande vid psykisk ohälsa: på avancerad nivå (pp. 289-306). Studentlitteratur AB
Öppna denna publikation i ny flik eller fönster >>Maktordningar som utmaningar i omvårdnaden för patienter inom psykiatrisk vård
2014 (Svenska)Ingår i: Vårdande vid psykisk ohälsa: på avancerad nivå / [ed] Lena Wiklund Gustin, Studentlitteratur AB, 2014, 2, s. 289-306Kapitel i bok, del av antologi (Övrigt vetenskapligt)
Ort, förlag, år, upplaga, sidor
Studentlitteratur AB, 2014 Upplaga: 2
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:rkh:diva-1040 (URN)9789144095394 (ISBN)
Tillgänglig från: 2014-09-16 Skapad: 2014-09-16 Senast uppdaterad: 2015-10-14Bibliografiskt granskad
Kumpula, E. & Ekstrand, P. (2013). Doing things together: male caregivers’ experiences of giving care to patients in forensic psychiatric care. Journal of Psychiatric and Mental Health Nursing, 20(1), 64-70
Öppna denna publikation i ny flik eller fönster >>Doing things together: male caregivers’ experiences of giving care to patients in forensic psychiatric care
2013 (Engelska)Ingår i: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 20, nr 1, s. 64-70Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Studies into work carried out by male caregivers in a care environment in which male patients and male caregivers constitute a majority are lacking. The purpose of this study was to illuminate the experiences of male caregivers in providing care for patients in forensic psychiatric care. The study has a qualitative design and data were constituted by interviews with six male caregivers at a clinic of forensic psychiatry in a town in central Sweden. The method of analysis chosen was latent content analysis. The results consist of four themes: Activities as a component of care, Social training as the basis of care, Feelings of powerlessness and Seeing the complete person. The experience that comes out most distinctly in the descriptions given by caregivers involves performing activities together with the patients. The activities had different significances and these contribute to creating a more secure care relationship, in which the boundaries between personnel and patients become less clear. Physical activities contribute to recreating the patient's health. Social training appears as a component of the care in which the significance of rules and routines in the operations was integrated. Feelings of powerlessness arise when the caregivers do not experience that the care given on the ward contributes to recreating health for the patients. Seeing the complete person behind the crime constitutes the themes that can be said to summarize the meaning of the work carried out by male caregivers.

Ort, förlag, år, upplaga, sidor
Wiley-Blackwell, 2013
Nyckelord
forensic psychiatric care, interviews, latent content analysis, male caregivers, masculinities, men
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:rkh:diva-384 (URN)10.1111/j.1365-2850.2012.01887.x (DOI)22364523 (PubMedID)
Tillgänglig från: 2012-09-26 Skapad: 2012-09-26 Senast uppdaterad: 2017-12-07Bibliografiskt granskad
Saarnio, L., Arman, M. & Ekstrand, P. (2012). Power relations in patient′s experiences of suffering during treatment for cancer. Journal of Advanced Nursing, 68(2), 271-279
Öppna denna publikation i ny flik eller fönster >>Power relations in patient′s experiences of suffering during treatment for cancer
2012 (Engelska)Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 68, nr 2, s. 271-279Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim. This paper is a report of how patients who have cancer experience suffering in the context of power relations. Background. Many studies in Sweden and in other countries have detected inequality in healthcare use and resources, including unseen influences that can be connected to gender and distribution of resources. Few studies have examined how multiple relations of power - such as gender, ethnicity, age and education - influence how people with cancer experience suffering during treatment. Method. A hermeneutic design was used. Qualitative interviews were conducted with 12 women and 14 men receiving treatment for a variety of cancer diagnoses. The data collection was done at two hospitals in Sweden during 2008-2009. The interpretation of data was based on two theoretical perspectives - suffering and intersectionality. Results. The results highlight patients suffering where two or more positions of power relations interacted with each other. Three main themes were identified: the complexity of control, the vulnerable effects of body changes, and the internal battle of survival. Conclusion. A vulnerable social situation for people with cancer concretely increased their suffering. Social inequalities, seemingly linked to social hierarchy, increased the suffering of people with cancer. For example, women with cancer with a low education belonging to an ethnic minority suffered more than highly educated patients belonging to the ethnic majority.

Ort, förlag, år, upplaga, sidor
Wiley-Blackwell, 2012
Nyckelord
cancer patients, oncologic care, suffering
Nationell ämneskategori
Omvårdnad Medicin och hälsovetenskap
Identifikatorer
urn:nbn:se:rkh:diva-383 (URN)10.1111/j.1365-2648.2011.05731.x (DOI)21668482 (PubMedID)
Tillgänglig från: 2012-09-26 Skapad: 2012-09-26 Senast uppdaterad: 2017-12-07Bibliografiskt granskad
Ekstrand, P. (2010). Att vara eller arbeta som manlig sjuksköterska? (2. utök. uppl.ed.). In: Helén Strömberg & Henrik Eriksson (Ed.), Genusperspektiv på vård och omvårdnad: (pp. 93-110). Lund: Studentlitteratur
Öppna denna publikation i ny flik eller fönster >>Att vara eller arbeta som manlig sjuksköterska?
2010 (Svenska)Ingår i: Genusperspektiv på vård och omvårdnad / [ed] Helén Strömberg & Henrik Eriksson, Lund: Studentlitteratur, 2010, 2. utök. uppl., s. 93-110Kapitel i bok, del av antologi (Övrigt vetenskapligt)
Ort, förlag, år, upplaga, sidor
Lund: Studentlitteratur, 2010 Upplaga: 2. utök. uppl.
Nyckelord
sjuksköterskor, män, vårdyrket
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:rkh:diva-386 (URN)978-91-44-05702-6 (ISBN)
Tillgänglig från: 2012-09-27 Skapad: 2012-09-27 Senast uppdaterad: 2015-10-14Bibliografiskt granskad
Ekstrand, P. (2010). Genus- och mångfaldsperspektiv i hälso- och sjukvården. In: Sonia Bentling & Bosse Jonsson (Ed.), Vårdpedagogiska utmaningar: (pp. 156-185). Stockholm: Liber
Öppna denna publikation i ny flik eller fönster >>Genus- och mångfaldsperspektiv i hälso- och sjukvården
2010 (Svenska)Ingår i: Vårdpedagogiska utmaningar / [ed] Sonia Bentling & Bosse Jonsson, Stockholm: Liber, 2010, s. 156-185Kapitel i bok, del av antologi (Övrigt vetenskapligt)
Ort, förlag, år, upplaga, sidor
Stockholm: Liber, 2010
Nyckelord
genus, mångfald, heteronorm, samkönade relationer
Nationell ämneskategori
Pedagogik
Identifikatorer
urn:nbn:se:rkh:diva-381 (URN)978-91-47-08470-8 (ISBN)
Tillgänglig från: 2012-09-26 Skapad: 2012-09-26 Senast uppdaterad: 2015-10-14Bibliografiskt granskad
Ekstrand, P. & Kumpula, E. (2010). Om sportens betydelse för manliga relationer i vården. Norma, 5(1), 60-73
Öppna denna publikation i ny flik eller fönster >>Om sportens betydelse för manliga relationer i vården
2010 (Svenska)Ingår i: Norma, ISSN 1890-2138, E-ISSN 1890-2146, ISSN 1890-2138, Vol. 5, nr 1, s. 60-73Artikel i tidskrift (Refereegranskat) Published
Ort, förlag, år, upplaga, sidor
Oslo: Universitetsförlaget, 2010
Nyckelord
male nurses, sport, male bodies, intimacy, relations, health care, masculinities
Nationell ämneskategori
Sociologi
Identifikatorer
urn:nbn:se:rkh:diva-382 (URN)
Tillgänglig från: 2012-09-26 Skapad: 2012-09-26 Senast uppdaterad: 2017-12-07Bibliografiskt granskad
Ekstrand, P. & Saarnio, L. (2010). Patientens makt och vanmakt i vården (2ed.). In: Helén Strömberg och Henrik Eriksson (Ed.), Genusperspektiv på vård och omvårdnad: . Lund: Studentlitteratur
Öppna denna publikation i ny flik eller fönster >>Patientens makt och vanmakt i vården
2010 (Svenska)Ingår i: Genusperspektiv på vård och omvårdnad / [ed] Helén Strömberg och Henrik Eriksson, Lund: Studentlitteratur , 2010, 2Kapitel i bok, del av antologi (Övrigt vetenskapligt)
Ort, förlag, år, upplaga, sidor
Lund: Studentlitteratur, 2010 Upplaga: 2
Nyckelord
vård, patient, makt
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:rkh:diva-380 (URN)91-44-05702-4 (ISBN)
Tillgänglig från: 2012-09-26 Skapad: 2012-09-26 Senast uppdaterad: 2015-10-14Bibliografiskt granskad
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0001-7807-0584

Sök vidare i DiVA

Visa alla publikationer