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Perceptions of the concept of health among nurses working in mental health services: a phenomenographic study
Department of Health Sciences, Lund University, Lund.ORCID iD: 0000-0001-9753-0988
Department of Health Sciences, Lund University, Lund.ORCID iD: 0000-0003-4438-6673
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
2007 (English)In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 16, no 1, p. 50-56Article in journal (Refereed) Published
Abstract [en]

A new understanding of the concept of health is needed to meet the goal of mental health nursing, which besides reducing disease is to strengthen the patient's health. The aim of the present study was to describe perceptions of the concept of health among nurses working in mental health services. Twelve Swedish nurses working in mental health services were interviewed and data were analysed with a phenomenographic approach. The nurses expressed 10 perceptions, which constituted three description categories: autonomy, process, and participation. The result showed that health was more than absence of disease. Simultaneously, perceptions were expressed indicating that health was viewed as absence of disease, which implies that the concept is not sufficiently defined. The result emphasizes the need to clarify the concept of health if it is to be used as a goal in mental health nursing and to integrate a clarified definition of health at all hierarchical levels in mental health care services.

Place, publisher, year, edition, pages
Oxford: Blackwell Publishing, 2007. Vol. 16, no 1, p. 50-56
Keywords [en]
Health, Nurse, Perception, Phenomenography, Psychiatry, adult, attitude to health, education, female, freedom, health personnel attitude, health status, human, human development, male, mental health, mental health service, middle aged, nurse attitude, nursing methodology research, nursing staff, organization and management, philosophy, psychiatric nursing, psychological aspect, psychological model, qualitative research, questionnaire, self concept, Sweden, trust, Attitude of Health Personnel, Health Knowledge, Attitudes, Practice, Middle Aged, Models, Psychological, Nurse's Role, Nursing Methodology Research, Nursing Staff
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hh:diva-509DOI: 10.1111/j.1447-0349.2006.00444.xISI: 000208492900008PubMedID: 17229275Scopus ID: 2-s2.0-33846233778Local ID: 2082/849OAI: oai:DiVA.org:hh-509DiVA, id: diva2:237688
Available from: 2007-02-13 Created: 2007-02-13 Last updated: 2018-03-23Bibliographically approved
In thesis
1. Dimensions of Health among Patients in Mental Health Services
Open this publication in new window or tab >>Dimensions of Health among Patients in Mental Health Services
2007 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Empirical studies focusing on the subjective experience of health among patients in contact with the mental health services are rare and most questionnaires are based on a medical model that emphasizes objectively observed disease-oriented health indicators. In studies I and II perceptions of the concept of health among patients and nurses in mental health services were explored and described using a phenomenographic approach. The perceptions and description categories that emerged from these studies were transformed into a number of items forming a questionnaire intended to measure subjectively experienced health among patients in mental health services. In study III, a randomly selected sample was used to test the psychometric properties of the new Health Questionnaire. A factor analysis revealed three factors labelled Autonomy, Social Involvement and Comprehensibility. The purpose of study IV was to examine the construct validity of the Health Questionnaire. The hypothesis was that subjectively experienced health would be positively associated to self-esteem, empowerment and quality of life, and negatively associated to psychiatric symptoms, perceived stigmatization experiences and perceived attitudes of devaluation and discrimination. This hypothesis was mainly confirmed insofar that overall health was positively correlated to self-esteem, empowerment and quality of life and negatively correlated to symptoms, attitudes of devaluation and discrimination and rejection experiences. The results of this thesis show that health is more than just an absence of disease and support a focus on health promotion interventions in mental health care.

Place, publisher, year, edition, pages
Lund: Department of Health Sciences, Faculty of Medicine, Lund University, 2007. p. 121
Series
Lund University, Faculty of Medicine doctoral dissertation series, ISSN 1652-8220 ; 2007:79
Keywords
Health, Mental health services, Nurse, Patient, Perceptions, Phenomenography, Questionnaire, Reliability, Subjective experience, Validity
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-16873 (URN)ISBN: 978-91-85559-57-2 (ISBN)
Public defence
2007-05-25, Hörsal 01, Vårdvetenskapens hus, Baravägen 3, Lund, 13:00 (Swedish)
Opponent
Supervisors
Note

Medicine doktorsexamen

Available from: 2012-01-10 Created: 2012-01-08 Last updated: 2016-02-26Bibliographically approved

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Jormfeldt, HenrikaSvedberg, PetraFridlund, BengtArvidsson, Barbro

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