OJN  Vol.3 No.2 , June 2013
The nurses’ voice of working in a newly established community based 24-hour support center for people with psychiatric disabilities
Abstract: This study explores the perceptions of a small group of nurses working at a newly established 24-hour community-based service enter (SC) for users with psychiatric disability using a qualitative approach. Since the mental health reform in Sweden in 1995 where the communities (in Sweden called municipalities) were given the responsibility to establish service and support to people with severe psychiatric disabilities, they have struggled in finding suitable forms of these kinds of areas. In 2010, this led to the creation and development of a new center aiming to provide services and support based on the expressed needs of people with physchiatric disability in a community located in southern Sweden. During 2011, a total of three group interviews were performed to capture the employed nurses’ perceptions of this newly established SC. The interview texts were analyzed by way of qualitative content analysis. A first reading of the interview texts revealed that the nurses’ perceptions of the service center were unwaveringly positive but that their beliefs about who the specific target group were differed. The main finding was summarized by the theme: Making a difference—on an individual, professional, and organizational level. The sub themes were: 24-hour availability, unclear assignment, and preventing mental illness. The findings indicate a need for a community round-the-clock service center in this Swedish community and a more clear definition of the target group.
Cite this paper: Janlöv, A. and Berg, A. (2013) The nurses’ voice of working in a newly established community based 24-hour support center for people with psychiatric disabilities. Open Journal of Nursing, 3, 195-201. doi: 10.4236/ojn.2013.32026.

[1]   Novella, E.J. (2010) Mental health care in the aftermath of deinstitutionalization: A retrospective and prospective view. Health Care Analysis, 18, 222-238. doi:10.1007/s10728-009-0138-8

[2]   Markström, U. (2003) The Swedish mental health reform. Ph.D. Thesis, Umeå University, Umeå.

[3]   Markström, U., Lindqvist, R. and Sandlund, M. (2009) Case management for people with psychiatric disabilites in rural Sweden; experiences from implementation of a national policy. European Journal of Social Work, 12, 495-508. doi:10.1080/13691450902930787

[4]   National Board of Health and Welfare and the County Administrative Board (2005) The contributions of municipalities for persons with mental illnesses. Final Report from a National Supervision. Socialstyrelsen Och Länsstyrelserna, Stockholm.

[5]   SOU (2006) Ambitions and responsibilities. National scheme for development of social contributions to persons with mental illnesses and mental disabilities. Social- styrelsen, Stockholm.

[6]   National Board of Health and Welfare (2011) National Guidelines for Psychosocial Interventions for Schitzofrenia or Schitzofrenia-Type Conditions—Support for Governance and Management. Socialstyrelsen, Stockholm.

[7]   Catty, J.S., Burns, T., Comas, A. and Poole, Z. (2008) Day centres for severe mental illness (review). The cochrane collaboration. The Cochrane Library, 3, 1-16. doi:10.1002/14651858.CD001710

[8]   SFS (1982) Health and medical services act. Hälso-Och Sjukvårdlagen, Stockholm.

[9]   SFS (2001) Social services act. Socialdepartementet, Stockholm.

[10]   SFS (1993) Act of support and service for the disabled. Socialdepartementet, Stockholm.

[11]   Krueger, R.A. and Casey, M.A. (2009) Focus groups. A practical guide for applied research. 4th Edition, Sage Publications, Thousand Oaks.

[12]   Codex (2012) Codex—Rules and guidelines.

[13]   Graneheim, U.H. and Lundman, B. (2004) Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24, 105-112. doi:10.1016/j.nedt.2003.10.001

[14]   Burns, T. and Firn, M. (2005) Socially-based psychiatric care: A guide for practitioners. Studentlitteratur, Lund.

[15]   Nilsson, B., Nåden, D. and Lindström, U.Å. (2008) The tune of want in the loneliness melody—Loneliness experienced by people with serious mental suffering. Scandinavian Journal of Caring Sciences, 22, 161-169. doi:10.1111/j.1471-6712.2007.00508.x

[16]   Cacioppo, J.T., Hawley, L.C., Crawford, L.E., et al. (2002) Loneliness and health: Potential mechanisms. Psychosomatic Medicine, 64, 407-417.

[17]   Rosenberg, D. (2009) Psychiatric disability in the community. Surveying the social landscape in the post-deinstitutional era. Ph.D. Thesis, Umeå University, Umeå.

[18]   Link, B.G. and Phelan, J.C. (2001) Conseptualising stigma. Annual Review of Sociology, 27, 363-385. doi:10.1146/annurev.soc.27.1.363

[19]   National Board of Health and Welfare (2012) Taking stock of needs. An inventory of a group of persons with mental disabilities. Socialstyrelsen, Stockholm.

[20]   Glasberg, A.L., Eriksson, S. and Norberg, A. (2008) Factors associated with “stress of conscience” in healthcare. Scandinavian Journal of Caring Sciences, 22, 249-258. doi:10.1111/j.1471-6712.2007.00522.x

[21]   Glasberg, A.L., Eriksson, S. and Norberg, A. (2006) Burnout and “stress of conscience” among healthcare personnel. Journal of Advanced Nursing, 57, 392-403. doi:10.1111/j.1365-2648.2007.04111.x

[22]   Lilja, L. and Hellzén, O. (2008) Former patients’ experience of psychiatric care: A Qualitative investigation. International Journal of Mental Health Nursing, 17, 279-286. doi:10.1111/j.1447-0349.2008.00544.x

[23]   Hem, M.H. and Heggen K. (2004) Rejection—A neglected phenomenon in psychiatric nursing. Journal of Psychiatric and Mental Health Nursing, 11, 55-63. doi:10.1111/j.1365-2850.2004.00687.x

[24]   Lögstrup, K.E. (1956/1997) The ethical demand. Notre Dame, University of Notre Dame Press, London.

[25]   Lynöe, N., Wessel, M., Olsson, D., Alexandersson, K. and Helgesson, G. (2011) Respectful encounters and return to work: Empirical study of long-term sick-listed patients’ experiences of Swedish health care. BMJ Open, 1, Article ID: e000246. doi:10.1136/bmjopen-2011-000246

[26]   Lincoln, Y.S. and Guba, E.G. (1985) Naturalistic inquiry. Sage Publications, London.

[27]   Patton, M.Q. (2002) Qualitative research & evaluation methods. 3rd Edition, Sage Publications, Thousand Oaks.