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  • 1.
    Carlsson, Gunilla
    et al.
    University of Borås, School of Health Science.
    Dahlberg, Karin
    Drew, N
    Nyström, Maria
    University of Borås, School of Health Science.
    Violent encounters in psychiatric care: a phenomenological study of embodied caring knowledge2004In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 25, no 2, p. 191-217Article in journal (Refereed)
    Abstract [en]

    This article focuses on encounters that become violent, a problem in health care that has been the issue of many debates but is still not fully understood. Violent encounters refer to events where the patient expresses an aggressive and hostile attitude toward the caregiver. This study is part of a bigger project that aims to elucidate violent encounters from the caregivers' as well as the patients' perspectives. The purpose of this particular study was to describe the essence of violent encounters from the caregivers' perspective. Guided by a phenomenological method, data were analyzed within a reflective lifeworld approach. The essence of a violent encounter between caregivers and patients, as experienced by the caregivers, is a critical moment characterized by a tension between presence and distance, a moment where everything is happening at the same time. There are important meaning differences in relation to the violent encounter being viewed as positive rather than negative, based on the caregivers' ability to be present and their capacity in these trying situations to manage their fear. The findings also make explicit the particular knowledge that is needed for the caregiver to manage the threat of violence in a creative way.

  • 2.
    Carlsson, Gunilla
    et al.
    University of Borås, School of Health Science.
    Dahlberg, Karin
    Drew, Nancy
    Encountering Violence and Aggression in Mental Health Nursing: A Phenomenological Study of Tacit Caring Knowledge2000In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 21, no 5, p. 533-545Article in journal (Refereed)
    Abstract [en]

    Violence is a growing psychosocial problem in the health care working environment. Literature shows that nurses are physically assaulted, threatened, and verbally abused more often than other professionals. However, some nurses are able to relate to clients in a way that produces positive resolution. This study explored the phenomenon of positive encounters with aggressive and violent clients. Guided by a phenomenological method, data were analyzed within a lifeworld perspective. The essential meaning of the phenomenon of caregivers' experiences of encountering violent clients is described as an "embodied moment," which is explicated by seven themes of meaning, "respecting one's fear and respecting the client," "touch," "dialogue," "situated knowledge," "stability," "mutual regard," and "pliability." The authors discuss the meaning of the outcome and propose both theory and praxis-oriented activities toward decreasing aggression and violence in health care.

  • 3.
    Nyström, Maria
    et al.
    University of Borås, School of Health Science.
    Dahlberg, Karin
    Segesten, Kerstin
    University of Borås, School of Health Science.
    The Enigma of Severe Mental Illness: a Swedish perspective2001In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 23, no 2, p. 121-134Article in journal (Refereed)
    Abstract [en]

    Today mental health professionals are challenged in supporting people with severe mental illness that live within their communities. The community treatment is, however, characterized by an uncertainty about how to best support them in their everyday lives, and professionals from different disciplines often have divergent opinions about the care. The aim of this study is to explicate the existential meaning of living with severe mental illness. Interviews with persons who relocated from an institutional setting to a community placement were analyzed within an interpretive approach. The results of the study found that people with severe mental illness experience an existential loneliness due to difficulties in changing previous suppositions about human relationships. They do not develop connections through shared new experiences with other people in their lives. One central implication of the findings is that because people with severe mental illness seem unable to benefit from new experiences, mental health nurses should consider relational aspects when planning, implementing, and evaluating nursing care.

  • 4.
    Nyström, Maria
    et al.
    University of Borås, School of Health Science.
    Svensson, H
    Lived Experiences of Being a Father of an Adult Child with Schizophrenia2004In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 25, no 4, p. 363-380Article in journal (Refereed)
    Abstract [en]

    The aim of this study is to analyze and describe lived experiences of being a father of an adult child with schizophrenia. Interpretations of interviews with seven Swedish fathers of sons or daughters with schizophrenia revealed a pattern of gradually changing existential consequences. After an initial period of shock when receiving the diagnosis, a long struggle to regain control follows. The findings are presented in a structure based on eight different aspects of this struggle, which seems to be characterized by a balance between grieving and adaptation. An important conclusion is that the fathers' life-world must be attended to in professional family interventions.

  • 5.
    Rusner, Marie
    et al.
    University of Borås, School of Health Science.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Brunt, David
    Nyström, Maria
    University of Borås, School of Health Science.
    The Paradox of Being Both Needed and Rejected: The Existential Meaning of Being Closely Related to a Person with Bipolar Disorder2012In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, ISSN 0161-2840, Vol. 33, no 4, p. 200-208Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to elucidate the existential meaning of being closely related to a person with bipolar disorder. A qualitative, descriptive, and explorative design with a phenomenological meaning-oriented analysis was used. The findings reveal a paradoxical, existential exposure of close relatives to a person with bipolar disorder, being both needed and rejected whilst being overshadowed by the specific changeable nature of bipolar disorder. Psychiatric health care services are recommended to consider changes in attitudes and structures that may facilitate close relatives’ participation in the care and treatment of persons with bipolar disorder.

  • 6. Stigsdotter Nyström, M
    et al.
    Nyström, Maria
    University of Borås, School of Health Science.
    Patients' experiences of recurrent depression2007In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 28, no 7, p. 673-690Article in journal (Refereed)
1 - 6 of 6
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