Contradictions between ideals and reality: Swedish registered nurses' experiences of dialogues with inpatients in psychiatric care.
This study explored ten registered nurses' experiences of dialogues with inpatients in psychiatric care. Data were collected through four focus group discussions, and two individual interviews. The nurses described contradictions between their nursing ideals about dialogues and the reality faced in psychiatric inpatient care, resulting in an unsatisfactory work situation and feelings of insufficiency. We conclude that in order to improve quality of care and increase well-being for both patients and health care workers, nursing interventions, such as dialogues and meaningful activities, need to be offered to patients. A management that is visible and present on-site should encourage and facilitate health care workers' participation in clinical supervision.
Umeå University, Department of Nursing, Umeå, Sweden.
Ulla Hällgren
UH
Graneheim
Anna
A
Slotte
Helena Markström
HM
Säfsten
Britt-Marie
BM
Lindgren
D000328:Adult; D001291:Attitude of Health Personnel; D003866:Depressive Disorder / Q000451:nursing / Q000523:psychology; D005260:Female; D017144:Focus Groups; D006778:Hospitals, Psychiatric; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D009723:Nurse-Patient Relations; D009726:Nurses / Q000523:psychology*; D009742:Nursing Theory; D017060:Patient Satisfaction; D011785:Quality Assurance, Health Care; D011936:Reality Testing; D013548:Sweden