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Reconnecting with oneself while struggling between life and death: The phenomenon of recovery as experienced by persons at risk of suicide
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. (Care, Recovery and Health)ORCID-id: 0000-0002-8306-0521
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. (Care, Recovery and Health)ORCID-id: 0000-0002-3307-6779
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala University, Sweden.
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. UiT-Norges Arktiske Universitet, Norway. (Care, Recovery and Health)ORCID-id: 0000-0002-9714-577X
2017 (engelsk)Inngår i: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 26, nr 2, s. 200-207Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The body of knowledge regarding health and recovery as experienced by patients at risk of suicide is limited. More research is needed into the meaning of recovery and what strengthens the desire to live. The aim of this study was to describe the phenomenon of recovery in a context of nursing care as experienced by persons at risk of suicide. In line with a reflective lifeworld research approach, 14 patients from a psychiatric clinic in Sweden participated in phenomenon-oriented interviews. Data were analyzed to describe the essence of the phenomenon. The results reveal that the phenomenon of recovery means ‘reconnecting with oneself while struggling between life and death’. Three meaning constituents emerged: being in an expressive space and giving voice to oneself, regaining dignity through nurturing connectedness, and finding a balance in the tension between life and death. In conclusion, the meaning of recovery is to experience the ability to manage one's own life. Professional caregivers need to acknowledge patients' lifeworlds, in a way that enable patients to experience themselves as capable of managing their own lives. Professional caregivers should also facilitate the involvement of supportive relatives.

sted, utgiver, år, opplag, sider
2017. Vol. 26, nr 2, s. 200-207
Emneord [en]
attempted suicide, mental health nursing, phenomenology, psychiatry, recovery
HSV kategori
Forskningsprogram
vårdvetenskap
Identifikatorer
URN: urn:nbn:se:mdh:diva-32590DOI: 10.1111/inm.12249ISI: 000398124700011PubMedID: 27417106Scopus ID: 2-s2.0-84994071505OAI: oai:DiVA.org:mdh-32590DiVA, id: diva2:958322
Tilgjengelig fra: 2016-09-06 Laget: 2016-08-19 Sist oppdatert: 2018-10-16bibliografisk 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

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