title: Solving the staff's problem or meeting the patients' needs: staff members' reasoning about choice of action in challenging situations in psychiatric inpatient care.
abstract: Coercion in challenging situations is often seen as a necessary component of psychiatric care. This study aims to describe staff members' reasoning about their choice of action in challenging situations in inpatient psychiatric care. Focus group interviews with 26 staff members were analyzed using qualitative content analysis. The results provide an overview of the integrated structure of participants' reasoning and suggest that staff members' reasoning about choice of action can be described as a matter of either solving the staff's problems or meeting the patients' needs. These results can be of use in further research, educational interventions, and staff development activities.
authors.affiliation: Luleå University of Technology, Department of Health Sciences, Luleå, Sweden.
authors.forename: Git-Marie Ejneborn
authors.initials: GM
authors.lastname: Looi Rpn
authors.forename: Sebastian
authors.initials: S
authors.lastname: Gabrielsson
authors.forename: Stefan
authors.initials: S
authors.lastname: Sävenstedt
authors.forename: Karin
authors.initials: K
authors.lastname: Zingmark
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D003068:Coercion; D003299:Cooperative Behavior; D003657:Decision Making; D005260:Female; D017144:Focus Groups; D006301:Health Services Needs and Demand; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D001523:Mental Disorders / Q000451:nursing* / Q000523:psychology*; D008875:Middle Aged; D009723:Nurse-Patient Relations; D009741:Nursing Staff, Hospital / Q000523:psychology*; D010348:Patient Care Team; D011340:Problem Solving; D011567:Psychiatric Department, Hospital; D011568:Psychiatric Nursing