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Selvmordsproblemer og psykiatrisk sykepleie - argumenter for skriftlig kontrakt som et terapeutisk verktöy
Engelsk titel: Suicidal problems and psychiatric nursing - arguments for contract as a therapeutic tool Läs online Författare: Vatne M Språk: Nor Antal referenser: 22 Dokumenttyp: Artikel UI-nummer: 02013573

Tidskrift

Vård i Norden 2001;21(4)32-7 ISSN 0107-4083 E-ISSN 1890-4238 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Psychiatric nurses need different methods to meet suicidal problems in a professional way. They frequently use no-suicide or suicide-preventive contracts when dealing with suicidal patients, but there are few empirical studies about this method. One study (9) has explored why psychiatric nurses use contracts as a therapeutic tool. The aim of this article is to discuss some results from that study after a broader analysis of the patterns in the empirical material. Data were collected through qualitative in-depth interviews. Four psychiatric nurses were strategically selected for this purpose. Kvale’s principles have guided the interviews, analysis and interpretation. Four patterns emerged from the empirical data: Contracts are seen as (1) a framework for the actions of patients and nurses; (2) a tool for assessing suicidal risk; (3) a tool for establishing the therapeutic alliance; (4) a way to increase awareness of the suicidal problem, but also of life and opportunities, an aspect less emphasised in the literature. Working professionally with suicide-prevention contracts in clinical nursing requires knowledge, working with attitudes, formal training and guidance. The ability of the patients to work with a contract and their experience of working with one must also be evaluated.