title: The experience of working on a locked acute psychiatric ward.
abstract: 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.
authors: School of Health Sciences Jönköping University Box 1026 SE-551 11, Jönköping, Sweden. ingerxj@hotmail.se
authors: I M
authors: IM
authors: Johansson
authors: I
authors: I
authors: Skärsäter
authors: E
authors: E
authors: Danielson
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D005555:Forensic Psychiatry / Q000592:standards; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011567:Psychiatric Department, Hospital / Q000331:legislation & jurisprudence / Q000592:standards*; D013548:Sweden