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Features of Swedish Municipal Elderly and Psychiatric Group Dwelling Care After the 1990s Health Care Reformations.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Features of Swedish Municipal Elderly and Psychiatric Group Dwelling Care After the 1990s Health Care Reformations./
作者:	Kristiansen, Lisbeth Porskrog.
面頁冊數:	1 online resource (90 pages)
附註:	Source: Dissertations Abstracts International, Volume: 83-03, Section: B.
Contained By:	Dissertations Abstracts International83-03B.
標題:	Health care policy. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28424529click for full text (PQDT)
ISBN:	9798744433154

Features of Swedish Municipal Elderly and Psychiatric Group Dwelling Care After the 1990s Health Care Reformations.
Kristiansen, Lisbeth Porskrog.

Features of Swedish Municipal Elderly and Psychiatric Group Dwelling Care After the 1990s Health Care Reformations. - 1 online resource (90 pages)

Source: Dissertations Abstracts International, Volume: 83-03, Section: B.

Thesis (Ph.D.)--Karolinska Institutet (Sweden), 2006.

Includes bibliographical references

The over all aim of this thesis, consisting of six studies, was to explore features of the Swedish municipal elderly and psychiatric group dwelling care after the 1990s health care reformation era. Focus is primarily on the municipal psychiatry. The mixed design, used here, employs both quantitative and qualitative methods. In paper I all psychiatric municipal care providers' caring approaches towards a fictitious elderly long-term client with schizophrenia was explored through a questionnaire. Approximately 70 per cent of the nurses had a symptomorientated approach which focuses on correction of disease-related symptoms towards the clients. If the nurses had been working for less than 10 years they tend to have a more personcentred approach, which indicate that long- term job experience might affect the care providers' attitudes towards the clients negatively. In paper II the existence of a visible pattern in care providers' attitudes and their arguments for the preferred approaches towards a fictitious elderly person (Mrs NN) with a diagnosis of long term schizophrenia was investigated. Fourty-eight (73%) of the respondents (n = 66) emphasized the importance of meeting Mrs NN within the framework of reality and the need as a care provider to focus on the present or the 'here and now' when they communicate with her. Twenty-seven per cent stressed the importance of meeting Mrs NN within the framework of a person-focused approach to the same question. The majority was unable to see the client a as anything else than what the diagnosis said. The purpose of paper III was to investigate twenty care providers' experiences of job satisfaction, whose work involves taking care of clients suffering from dementia and elements of 'aggressiveness' and 'psychomotor agitation'. The individual narrative interviews indicated exposure, insufficiency, a feeling of not being valued and doubt, as well as respect and importance and devotion towards the residents. The interpretation of the narrations showed that an ambiguous and complex core-theme: 'job satisfaction as a process moving between breaking down and occasionally building up the working person'. The care providers experienced that they only got support from each other and the positive relationship with colleagues was mentioned as the primary reason for care providers' continuing to work at the group dwellings. The organisation and resident behaviours were seen as very negative. Just a small degree of support was experienced from the side of the organisation. In paper IV the aim was to investigate how clients at two psychiatric group dwellings spend their time using the Patient Activity Classification (PAC). The clients who displayed a predominant picture of negative symptoms were left alone for 84% of the day. Of this 29.5% could be explained by their illness. The results indicated that, even if the dwellings had a creative climate, there was a negative process in terms of care providers' well-being with a moderate degree of emotional exhaustion, depersonalisation, and personal accomplishment.In paper V the aim was to investigate the connections between the time spent together and the care providers' opinion of client behaviour and social functioning in community-based psychiatry.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798744433154Subjects--Topical Terms:

3550686
Health care policy.
Index Terms--Genre/Form:

542853
Electronic books.

Features of Swedish Municipal Elderly and Psychiatric Group Dwelling Care After the 1990s Health Care Reformations.
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