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Publications (10 of 17) Show all publications
Kumpula, E. & Ekstrand, P. (2019). Maktordningar som möjligheter eller hinder inom psykiatrisk vård (3ed.). In: Lena Wiklund Gustin (Ed.), Vårdande vid psykisk ohälsa: på avancerad nivå (pp. 135-151). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Maktordningar som möjligheter eller hinder inom psykiatrisk vård
2019 (Swedish)In: Vårdande vid psykisk ohälsa: på avancerad nivå / [ed] Lena Wiklund Gustin, Lund: Studentlitteratur AB, 2019, 3, p. 135-151Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2019 Edition: 3
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-3087 (URN)9789144123684 (ISBN)
Available from: 2019-11-22 Created: 2019-11-22 Last updated: 2019-12-13Bibliographically approved
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
Open this publication in new window or tab >>Nursing Staff Talk: Resource or Obstacle for Forensic Psychiatric Patient Care?
2019 (English)In: Journal of Forensic Nursing, ISSN 1939-3938, E-ISSN 1556-3693, Vol. 15, no 1, p. 52-59Article in journal (Refereed) 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.

National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-2739 (URN)10.1097/JFN.0000000000000227 (DOI)30640200 (PubMedID)
Available from: 2019-01-18 Created: 2019-01-18 Last updated: 2019-03-25Bibliographically approved
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
Open this publication in new window or tab >>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 (English)In: Journal of Forensic Nursing, ISSN 1939-3938, E-ISSN 1556-3693, Vol. 14, no 4, p. 230-237Article in journal (Refereed) 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.

National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-2612 (URN)10.1097/JFN.0000000000000210 (DOI)30080709 (PubMedID)
Available from: 2018-08-30 Created: 2018-08-30 Last updated: 2019-06-24Bibliographically approved
Ekstrand, P. (2017). Att  vara  eller  arbeta som  sjuksköterska: ett gränsöverskridande yrke (3ed.). In: Helén Strömberg och Henrik Eriksson (Ed.), Genusperspektiv på vård och omvårdnad: (pp. 87-105). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Att  vara  eller  arbeta som  sjuksköterska: ett gränsöverskridande yrke
2017 (Swedish)In: Genusperspektiv på vård och omvårdnad / [ed] Helén Strömberg och Henrik Eriksson, Lund: Studentlitteratur AB, 2017, 3, p. 87-105Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2017 Edition: 3
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-3088 (URN)9789144115788 (ISBN)
Available from: 2019-11-22 Created: 2019-11-22 Last updated: 2019-11-22Bibliographically approved
Ekstrand, P. & Saarnio, L. (2017). Makt och vanmakt hos patienter med svår sjukdom (3ed.). In: Helén Strömberg och Henrik Eriksson (Ed.), Genusperspektiv på vård och omvårdnad: (pp. 169-184). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Makt och vanmakt hos patienter med svår sjukdom
2017 (Swedish)In: Genusperspektiv på vård och omvårdnad / [ed] Helén Strömberg och Henrik Eriksson, Lund: Studentlitteratur AB, 2017, 3, p. 169-184Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2017 Edition: 3
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-3089 (URN)9789144115788 (ISBN)
Available from: 2019-11-22 Created: 2019-11-22 Last updated: 2019-11-22Bibliographically approved
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
Open this publication in new window or tab >>Challenges and Possibilities for Understanding Men's Health in Twenty-First Century Forensic Psychiatric Care
2014 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 35, no 8, p. 613-9Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Informa Healthcare, 2014
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-896 (URN)10.3109/01612840.2014.881441 (DOI)25072214 (PubMedID)
Available from: 2014-08-06 Created: 2014-08-06 Last updated: 2017-12-05Bibliographically approved
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
Open this publication in new window or tab >>Maktordningar som utmaningar i omvårdnaden för patienter inom psykiatrisk vård
2014 (Swedish)In: Vårdande vid psykisk ohälsa: på avancerad nivå / [ed] Lena Wiklund Gustin, Studentlitteratur AB, 2014, 2, p. 289-306Chapter in book (Other academic)
Place, publisher, year, edition, pages
Studentlitteratur AB, 2014 Edition: 2
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-1040 (URN)9789144095394 (ISBN)
Available from: 2014-09-16 Created: 2014-09-16 Last updated: 2015-10-14Bibliographically approved
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
Open this publication in new window or tab >>Doing things together: male caregivers’ experiences of giving care to patients in forensic psychiatric care
2013 (English)In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 20, no 1, p. 64-70Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2013
Keywords
forensic psychiatric care, interviews, latent content analysis, male caregivers, masculinities, men
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-384 (URN)10.1111/j.1365-2850.2012.01887.x (DOI)22364523 (PubMedID)
Available from: 2012-09-26 Created: 2012-09-26 Last updated: 2017-12-07Bibliographically approved
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
Open this publication in new window or tab >>Power relations in patient′s experiences of suffering during treatment for cancer
2012 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 68, no 2, p. 271-279Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2012
Keywords
cancer patients, oncologic care, suffering
National Category
Nursing Medical and Health Sciences
Identifiers
urn:nbn:se:rkh:diva-383 (URN)10.1111/j.1365-2648.2011.05731.x (DOI)21668482 (PubMedID)
Available from: 2012-09-26 Created: 2012-09-26 Last updated: 2017-12-07Bibliographically approved
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
Open this publication in new window or tab >>Att vara eller arbeta som manlig sjuksköterska?
2010 (Swedish)In: Genusperspektiv på vård och omvårdnad / [ed] Helén Strömberg & Henrik Eriksson, Lund: Studentlitteratur, 2010, 2. utök. uppl., p. 93-110Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2010 Edition: 2. utök. uppl.
Keywords
sjuksköterskor, män, vårdyrket
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-386 (URN)978-91-44-05702-6 (ISBN)
Available from: 2012-09-27 Created: 2012-09-27 Last updated: 2015-10-14Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-7807-0584

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