mdh.sePublikasjoner
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Experiences of a Recovery-Oriented Caring Approach to Suicidal Behavior: A single-case study
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.ORCID-id: 0000-0002-8306-0521
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.ORCID-id: 0000-0002-8314-387X
Uppsala Univ, Cty Hosp, Clin Res Ctr, Vasteras, Sweden..
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. UiT Archt Univ Norway, Narvik, Norway.ORCID-id: 0000-0002-9714-577X
2019 (engelsk)Inngår i: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 29, nr 14, s. 2084-2095Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Research considering the basis for mental health nurses wanting to enable recovery among people who suffer from suicidal behavior is sparse. The aim of this study is to explore and evaluate how a new recovery-oriented caring approach (ROCA) was experienced by a suicidal patient in a context of close relatives and nurses. A single-case study with a qual-quan mixed-method design was chosen. Participants were recruited from a psychiatric clinic in Sweden and consisted of one patient, one close relative to the patient, and three nurses. The results reveal that the ROCA enabled the patient to narrate, bear experiences of hopelessness, and ask for support, rather than view suicide as the only possible solution. ROCA has the potential to support patients, relatives, and nurses to develop a common language, considering the patient’s life situation and struggles and to use this as a source for the patient’s individual care planning.

sted, utgiver, år, opplag, sider
2019. Vol. 29, nr 14, s. 2084-2095
HSV kategori
Identifikatorer
URN: urn:nbn:se:mdh:diva-37226DOI: 10.1177/1049732319854229ISI: 000496451300008Scopus ID: 2-s2.0-85067999267OAI: oai:DiVA.org:mdh-37226DiVA, id: diva2:1155734
Tilgjengelig fra: 2017-11-09 Laget: 2017-11-09 Sist oppdatert: 2019-12-12bibliografisk kontrollert
Inngår i avhandling
1. A personal-recovery-oriented caring approach to suicidality
Åpne denne publikasjonen i ny fane eller vindu >>A personal-recovery-oriented caring approach to suicidality
2017 (engelsk)Doktoravhandling, med artikler (Annet vitenskapelig)
Abstract [en]

Persons who are subject to care due to suicidal thoughts and/or acts, are in a vulnerable situation, struggling with issues related to life and death as well as experiences of hopelessness and powerlessness. They may also experience themselves as a burden for their relatives. The relatives’ struggle for contributing to the loved person’s survival, can involve experiences of taking responsibility for things that are outside their control. Although research considering how suicidal persons and their relatives can be supported, when the person receives care in a psychiatric inpatient setting is sparse. There is also a need for research to form the basis for mental health nurses to enable caring interventions, with the potential of acknowledging the uniqueness of each individual person and their experiences. This thesis is based on a perspective of recovery as a process, where the persons experience themselves as capable of managing both challenges and possibilities in life and incorporate meaning into it. Experiences of being capable of managing problems in living are vital for this process. Thus, it is necessary to acknowledge the lifeworld as essential for personal recovery.

The overall aim of this research  was to develop, introduce and evaluate a caring intervention, to support suicidal patients’ recovery and health, and to support patients’ and their relatives’ participation in the caring process. Considering the complexity of such a caring intervention and the importance of recognizing multiple aspects of the phenomenon (i.e., recovery in a suicidal crisis), this research was conducted from a lifeworld perspective based on phenomenological philosophy. Two studies with reflective lifeworld research approach (I, II), a Delphi study (III), and a single case study with QUAL>quan mixed methods research approach (IV) were conducted.

The developed caring intervention is characterized by “communicative togetherness”. This means that the nurse and the patient together explore how the patient’s recovery can be supported, as a way for the patient to reconnect with self and important others, and thereby being strengthened when challenged by problems in living. It was also concluded that it is more appropriate to acknowledge this as a caring approach, rather than describe it as a specific caring intervention. The final description of the findings comprise a preliminary guide to a personal-recovery-oriented caring approach to suicidality (PROCATS). This description highlights six core aspects of the caring approach. The overall aim of the PROCATS is to support suicidal patients’ recovery and health processes, even at the very edge of life. Although the findings indicate that the caring approach has potential to support suicidal patients’ recovery as well as support their relatives’ participation, there is a need for further evaluation of the PROCATS in a wider context.

sted, utgiver, år, opplag, sider
Västerås: Mälardalen University, 2017
Serie
Mälardalen University Press Dissertations, ISSN 1651-4238 ; 245
Emneord
Dialogue, hermeneutics, lifeworld, mental health nursing, participation, patient’s perspective, person-centred care, phenomenology, recovery, reflective lifeworld research, reflective understanding, relative’s perspective, suicidality, suicide prevention
HSV kategori
Forskningsprogram
vårdvetenskap
Identifikatorer
urn:nbn:se:mdh:diva-37213 (URN)978-91-7485-358-2 (ISBN)
Disputas
2017-12-15, Beta, Mälardalens högskola, Västerås, 13:15
Opponent
Veileder
Tilgjengelig fra: 2017-11-06 Laget: 2017-11-05 Sist oppdatert: 2018-01-26bibliografisk kontrollert

Open Access i DiVA

Fulltekst mangler i DiVA

Andre lenker

Forlagets fulltekstScopus

Personposter BETA

Sellin, LindaKumlin, TomasWiklund Gustin, Lena

Søk i DiVA

Av forfatter/redaktør
Sellin, LindaKumlin, TomasWiklund Gustin, Lena
Av organisasjonen
I samme tidsskrift
Qualitative Health Research

Søk utenfor DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric

doi
urn-nbn
Totalt: 321 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf