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• W1495018047 abstract "Accessible summary • Acute psychiatric wards, many of which are locked, are challenging work environments. This study explores the experience of health-care staff working on such a ward. • The study shows that the health-care staff have to manage a changing and demanding work environment. A need for security and control is indicated. • Some positive experiences from work are described, such as meaningfulness and personal development, which counterbalance the burden of working in this environment. • The forces that drive health-care staff and their motivation for working on acute psychiatric wards need to be studied further. This study's aim was to elucidate health-care staff experience of working on a locked acute psychiatric ward. In many countries changes in health care has contributed to fewer beds available in inpatient care, and a concentration of patients with severe psychiatric conditions. This implies a changing work environment in acute psychiatric care. Qualitative interviews with health-care staff (n= 10) were carried out on a ward for patients with affective disorder and eating disorder in a Swedish hospital. Qualitative content analysis was used. Four themes were identified from the data: ‘undergoing changes in care delivery’, ‘feeling a need for security and control’, ‘managing the demands at work’ and ‘feeling a sense of responsibility’. This study adds to earlier research into how a sense of responsibility can place a significant burden on health-care staff working on a locked psychiatric ward and also contribute to increased control of patients. This study also shows that relationships and power structures among health-care staff need to be addressed when organizational changes are made in care delivery. Further research is needed to reach a comprehensive understanding of care on locked acute psychiatric wards, including a development of nursing and medicine as knowledge domains in one common context." @default.
• W1495018047 created "2016-06-24" @default.
• W1495018047 creator A5021601784 @default.
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• W1495018047 date "2012-07-29" @default.
• W1495018047 modified "2023-10-12" @default.
• W1495018047 title "The experience of working on a locked acute psychiatric ward" @default.
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• W1495018047 doi "https://doi.org/10.1111/j.1365-2850.2012.01919.x" @default.
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