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Using participatory action research to develop a work model that enhances psychiatric nurses' professionalism: the architecture of stability
Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Medicin- och vårdvetenskap. (KAOS)ORCID-id: 0000-0002-2610-8998
2017 (Engelska)Ingår i: Administration and Policy in Mental Health, ISSN 0894-587X, E-ISSN 1573-3289, Vol. 44, nr 6, s. 888-903Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Ward rules in psychiatric care aim to promote safety for both patients and staff. Simultaneously, ward rules are associated with increased patient violence, leading to neither a safe work environment nor a safe caring environment. Although ward rules are routinely used, few studies have explicitly accounted for their impact. To describe the process of a team development project considering ward rule issues, and to develop a working model to empower staff in their daily in-patient psychiatric nursing practices. The design of this study is explorative and descriptive. Participatory action research methodology was applied to understand ward rules. Data consists of audiorecorded group discussions, observations and field notes, together creating a data set of 556 text pages. More than 100 specific ward rules were identified. In this process, the word rules was relinquished in favor of adopting the term principles, since rules are inconsistent with a caring ideology. A linguistic transition led to the development of a framework embracing the (1) Principle of Safety, (2) Principle of Structure and (3) Principle of Interplay. The principles were linked to normative guidelines and applied ethical theories: deontology, consequentialism and ethics of care. The work model reminded staff about the principles, empowered their professional decision-making, decreased collegial conflicts because of increased acceptance for individual decisions, and, in general, improved well-being at work. Furthermore, the work model also empowered staff to find support for their decisions based on principles that are grounded in the ethics of totality.

Ort, förlag, år, upplaga, sidor
2017. Vol. 44, nr 6, s. 888-903
Nyckelord [en]
Action research, Ethics, Nursing, Mental health nursing, Psychiatric ward, Ward rules
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Identifikatorer
URN: urn:nbn:se:hig:diva-24100DOI: 10.1007/s10488-017-0806-1ISI: 000412947700007PubMedID: 28523437Scopus ID: 2-s2.0-85019608957OAI: oai:DiVA.org:hig-24100DiVA, id: diva2:1107199
Tillgänglig från: 2017-06-09 Skapad: 2017-06-09 Senast uppdaterad: 2020-01-31Bibliografiskt granskad

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Salzmann-Erikson, Martin

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