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Same diagnosis, different lives. A qualitative study of adults with severe mental illness, in treatment and education

This study focuses on how adults diagnosed with severe and persistent mental illnesses experience their lives and relationships and their own engagement in these relations in two different environmental conditions. Participants include 14 patients in psychiatric treatment in Norway and 15 students at schools for adults with mental illnesses in Denmark. All participants were diagnosed with severe mental disorders persisting for a minimum of two years and with pronounced impact on daily living. Data were collected through qualitative interviews on two occasions 6–8 months apart for most participants. The findings and interpretations showed that the two groups of informants described their lives quite differently. Patients described a focus on receiving treatment for their disease, few stable and mutual relations, and a generally low quality of life, whereas students described a focus on social relations, interests and personal growth. Students also described a higher quality of life, little loneliness and greater satisfaction with life. This suggests that the main problem for many patients struggling with persistent and severe mental illness might not be the illness itself, but a lack of environmental conditions supporting personal development.

Safe Surgery Checklist, Patient Safety, Teamwork, and Responsibility—Coequal Demands? A Focus Group Study:

The use of World Health Organization’s (WHO’s) Safe Surgery checklist is an established practice worldwide and contributes toward ensuring patient safety and collaborative teamwork. The aim of this study was to elucidate operating room nurses’ and operating room nursing students’ experiences and opinions about execution of and compliance with checklists. We chose a qualitative design with semistructured focus group discussions. Qualitative content analysis was conducted. Two main themes were identified; the Safe Surgery checklists have varied influence on teamwork and patient safety, and taking responsibility for executing the checks on the Safe Surgery checklist entails practical and ethical challenges. The experiences and opinions of operating room nurses and their students revealed differences of practices and attitudes toward checklist compliance and the intentions of checklist procedures. These differences are related to cultural and professional distances between team members and their understanding of the Safe Surgery checklists as a tool for patient safety.

Hvorfor skal pasienten medvirke i forskning

User participation was introduced as a key public instrument in Report no. 41 (1987 – 88) to the Storting, Health policy towards the year 2000: National health plan. The health policy goals included increased democratisation, user empowerment and legal safeguards. Questions regarding how services could be developed to meet patients with respect and empathy were highlighted, giving rise to a need to collect user experiences. In turn, this helped acknowledge user experiences as valuable knowledge for the health services, and included the patients’ subjective knowledge, their perspectives and perceptions of reality. In medical and health research, this may help supplement the perspectives of clinicians and researchers. This has led to new forms of knowledge production: participantbased research, user-involving research, co-research, collaborative research, usercontrolled research. Instead of undertaking research on or about patients, research is undertaken jointly with them (1). We feel, however, that there is a need to discuss what this kind of knowledge production implies at the level of philosophy of science. By way of an introduction, we will therefore elucidate some viewpoints regarding where and how such knowledge is produced. We will then proceed to discuss how user participation may affect knowledge production.

How can context and discourse affect teachers’ and mental health professionals’ interactions with adults with mental illness?

ABSTRACT Patients with severe mental illness may have needs different from those of patients with more limited illnesses and might benefit from other types of intervention than traditional treatment. We interviewed health care professionals from two open, short-term psychiatric wards and teachers from two schools for adults with psychiatric diagnoses. The focus was to explore how differences in contextual factors such as time, tasks, and organizational demands might affect the actions and attitudes of health care professionals and teachers, as well as the potential consequences for patients and students. Data were collected through qualitative interviews. Participants included 14 health care professionals and 14 teachers. The informants worked with patients and students with similar diagnoses and illness durations. All interviews were conducted during the informants’ work time. Findings and interpretations showed that both teachers and health care professionals were engaged in their work and in the wellbeing of students and patients. However, they described marked differences in practice, including the amount of time spent with students/patients, the organization of their work, main tasks, amount of control over their tasks, and social structure. These differences seemed to affect relationships with students/patients, attitudes toward students/patients, norms and values, and opportunities for patient empowerment. Our findings suggest that while existing psychiatric health care might be appropriate for limited short-term problems such as single-episode depression, a model with a supportive environment, based on stable relations and possibility for learning, may improve personal development and mental health for persons with severe mental illness and disturbances in self-experience.

Refleksjon over praksis i lys av empowerment – en fokusgruppeundersøkelse Reflections on practice in the light of empowerment – a focus group interview study

The aim of this study was to develop knowledge of health care professionals’ interpretation of and experience of empowerment in psychiatric care. Patient participation is described as a central strategy in the health services according to the Norwegian political health reform White Papers. However, implementing patient participation is complicated especially in psychiatric practice. Twenty-nine health care professionals were selected to participate in four focus group discussions. Qualitative content analysis was used to analyse the transcript data. Two main categories were identified; system based legitimizing and discipline-based legitimizing, that describe two aspects that contribute to patient empowerment according to health care professionals. The complexity regarding practicing empowerment requires further research.

…You are not particularly helpful as a helper when you are helpless” A qualitative study of Public Health Nurses and their professional competence related to suicidal adolescents 2013 2013-03-01 Sjukskoterskornas samarbete i Norden SSN 2764355884 33 1 46 50 11 1 1 Nordic journal of nursing research 2016-06-24 2835843224 23448 Patent ball arranged board body BALL-ARRANGED BOARD BODY 1992 1992-02-26 0 1 1 2018-07-19 2083582688 20854 10.1136/bmj.332.7540.503 Journal cma draws criticism for sacking editors CMA draws criticism for sacking editors 2006 2006-03-04 BMJ Group 192814187 332 7540 503 503 0 6 6 BMJ 2016-06-24 2398061954 22677 Patent chain guard in particular for single track vehicles Chain guard, in particular for single-track vehicles 1988 1988-03-10 0 3 3 2016-06-24 2138074343 30595 10.1111/j.1467-8292.1955.tb02014.x Journal managerial attitudes in private public and co operative enterprise in western europe Managerial Attitudes in Private, Public and Co‐operative Enterprise in Western Europe 1955 1955-08-01 Wiley Blackwell 118812498 26 4 237 242 0 0 0 Annals of Public and Cooperative Economics 2016-06-24 2835843225 25613 Patent automatic nail hammering apparatus AUTOMATIC NAIL HAMMERING APPARATUS 2005 2005-10-06 0 0 0 2018-07-19 2083582689 22336 10.1007/BF00286298 Journal the b chromosome system of the grasshopper eyprepocnemis plorans subsp plorans charpentier The B-chromosome system of the grasshopper Eyprepocnemis plorans subsp. plorans (Charpentier) 1980 1980-09-01 Springer Nature America, Inc 104451582 80 2 163 176 22 52 69 Chromosoma 2016-06-24 2398061955 30130 Journal leptospirosis in swine in portugal Leptospirosis in swine in Portugal 1959 1959-01-03 J Med (Oporto) 2755452707 38 832 24 0 0 0 Jornal do médico 2016-06-24 2138074345 27223 Journal aeromagnetic bouguer gravity and generalized geologic maps of the central part of the little belt mountains montana Aeromagnetic, Bouguer gravity, and generalized geologic maps of the central part of the Little Belt Mountains, Montana 1972 1972-01-01 2764707776 5 2 2 Geophysical Investigation Map 2016-06-24 2835843227 27251 Patent device for pressing in bush like workes DEVICE FOR PRESSING-IN BUSH-LIKE WORKES 1989 1989-08-07 0 0 0 2018-07-19 2083582690 28699 10.7202/002173ar Journal a comparison of translation styles A Comparison of Translation Styles 1972 1972-01-01 Les Presses de l'Université de Montréal 130561736 17 3 160 164 0 0 0 Metamaterials 2016-06-24 2398061958 22088 Patent leg rest with length compensation personal mobility vehicle and method for adapting the length of a leg rest Leg rest with length compensation, personal mobility vehicle and method for adapting the length of a leg rest 2009 2009-05-27 4 2 2 2016-06-24 2138074346 21292 10.1002/tera.1420430307 Journal role of glutathione and hsp 70 in the acquisition of thermotolerance in postimplantation rat embryos Role of glutathione and hsp 70 in the acquisition of thermotolerance in postimplantation rat embryos 1991 1991-03-01 Wiley Subscription Services, Inc., A Wiley Company 23975315 43 3 229 239 40 41 72 Teratology 2016-06-24 2835843228 23961 Patent method for preparing nanocrystalline nb w mo zr alloy powder Method for preparing nanocrystalline Nb-W-Mo-Zr alloy powder 2015 2015-06-17 4 0 0 2018-07-19 2083582697 21394 10.2298/sjee0801049h Journal development of a modular low cost robot for scanning the electromagnetic field within very large arbitrary areas or volumes Development of a Modular Low Cost Robot for Scanning the Electromagnetic Field within Very Large Arbitrary Areas or Volumes 2008 2008-01-01 National Library of Serbia 2764829433 5 1 49 56 0 1 1 Serbian Journal of Electrical Engineering 2016-06-24 2398061966 24837 Journal president s report on process and progress at the mda President's report on process and progress at the MDA. 2012 2012-01-01 Northwest Dent 2755109675 91 1 0 0 0 Northwest dentistry 2016-06-24 2138074350 19477 10.1029/2007JD009064 Journal ice nucleation and overseeding of ice in volcanic clouds Ice nucleation and overseeding of ice in volcanic clouds 2008 2008-05-15 Wiley-Blackwell 207178839 113 74 95 101 Journal of Geophysical Research 2016-06-24 2835843232 23504 Patent cap equipped with louver mechanism CAP EQUIPPED WITH LOUVER MECHANISM 2013 2013-01-31 0 1 1 2018-07-19 2083582698 22565 10.1002/bmb.20342 Journal the protein chart The Protein Chart 2010 2010-03-01 Wiley Subscription Services, Inc., A Wiley Company 105183386 38 2 126 126 0 0 0 Biochemistry and Molecular Biology Education 2016-06-24 2398061969 28925 Journal lumbar pain clinical problem Lumbar pain. Clinical problem 1967 1967-04-14 Prensa Med Argent 2756464912 54 7 326 342 0 0 0 Prensa médica argentina 2016-06-24 2138074354 24794 internetcafeet en trappa upp invigt Internetcaféet En trappa upp" invigt

The aim of this study was to develop knowledge about the significance of the Applied Suicide Intervention Skills Training workshop (equal to “Vivat — Førstehjelp ved selvmordsfare”) to Public Health Nurses ‘practice with suicidal adolescents. Data was gathered through three focus groups, which were interviewed twice. The empirical material was processed using qualitatively content analysis. The main findings and interpretations were that the Public Health Nurses reports that the workshop has increased their professional mastery, their proficiency in actions and their dialogue competency. This has expanded their professional repertoire and probably improved the quality of their care.