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Locked entrance doors at psychiatric wards: advantages and disadvantages according to voluntarily admitted patients
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. (Caring Sciences)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. (Caring Sciences)
2005 (English)In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 59, no 6, 511-515 p.Article in journal (Refereed) Published
Abstract [en]

Entrance doors at wards where psychiatric care is provided are sometimes locked, which is notthe case at wards where somatic care is provided. How locked entrance doors at psychiatricwards are experienced by patients has been investigated to a very limited extent. The aim was todescribe voluntarily admitted patients’ perceptions of advantages and disadvantages about beingcared for on a psychiatric ward with a locked entrance door. Audio-taped, semi-structuredinterviews were conducted with 20 patients voluntarily admitted at psychiatric wards. Contentanalysis revealed six categories of advantages and 11 categories of disadvantages. Mostadvantages were categorized as ‘‘protects patients and staff against ‘the outside’ ’’, ‘‘providespatients with a secure and efficient care’’ and ‘‘provides staff with a sense of control over thepatients’’. Most disadvantages were categorized as ‘‘makes patients feel confined’’, ‘‘makespatients feel dependent on the staff ’’ and ‘‘makes patients feel worse emotionally’’. Patientsperceive a variety of advantages and disadvantages, for themselves, their visitors and staff,connected to locked entrance doors at psychiatric wards. A locked door may make the wardappear as both a prison and a sanctuary. It is important that staff try to minimize patients’concerns connected to the locked door.

Place, publisher, year, edition, pages
2005. Vol. 59, no 6, 511-515 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-76629DOI: 10.1080/08039480500360781PubMedID: 16316906OAI: oai:DiVA.org:uu-76629DiVA: diva2:104541
Available from: 2006-03-06 Created: 2006-03-06 Last updated: 2011-01-03Bibliographically approved
In thesis
1. Patient and Staff Perceptions of Medication Administration and Locked Entrance Doors at Psychiatric Wards
Open this publication in new window or tab >>Patient and Staff Perceptions of Medication Administration and Locked Entrance Doors at Psychiatric Wards
2005 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The general aim was, within psychiatric inpatient care, to explore patient and staff perceptions with regard to medication administration and locked entrance doors. In Study I, medication administration was illuminated according to a mini-ethnographic approach. Nurses and voluntarily admitted patients were observed and interviewed. Two central categories of patient and nurse experiences were identified, get control and leave control. In Study II, patients and nurses were interviewed about patient experiences of forced medication. Identified experiences were related to the disease, being forcibly medicated, and the drug. In Study III, the frequency of and reasons for locked entrance doors on Swedish psychiatric inpatient wards were investigated. Seventy three per cent of the doors were locked on a specific day. According to ward managers, doors were most often locked in order to prevent patients from escaping, provide security and safety, and because legalisation. In Study IV/V, voluntarily admitted patients/mental nurse assistants and nurses were interviewed about advantages and disadvantages about being cared for/working on a psychiatric inpatient ward with a locked entrance door. Most advantages mentioned by patients and staff were categorised as protection against “the outside”, secure and efficient care, and control over patients. Most disadvantages mentioned by patients were categorised as confinement, dependence on the staff, and emotional problems for patients. Most disadvantages mentioned by staff were categorised as extra work, confinement, dependence on the staff, and a non-caring environment. In conclusion, medication administration and locked entrance doors are perceived as connected with staff’s control and restricted freedom for patients. Increased reflection among staff about how medication administration and locked entrance doors are perceived by patients would increase staff’s possibilities to prevent potential experiences of coercion due to these situations among patients in psychiatric inpatient care.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2005. 52 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 85
Keyword
Nursing, forced medication, locked ward, medication administration, patient, perception, psychiatry, staff, Omvårdnad
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-6133 (URN)91-554-6398-3 (ISBN)
Public defence
2005-12-14, Auditorium Minus, Gustavianum, Akademigatan 3, Uppsala, 09:15 (English)
Opponent
Supervisors
Available from: 2005-11-24 Created: 2005-11-24 Last updated: 2009-06-01Bibliographically approved

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Haglund, Kristinavon Essen, Louise

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