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Perceptions of the concept of health among patients in mental health nursing
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).ORCID iD: 0000-0003-4438-6673
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).ORCID iD: 0000-0001-9753-0988
Halmstad University, School of Social and Health Sciences (HOS).
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
2004 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 25, no 7, p. 723-736Article in journal (Refereed) Published
Abstract [en]

Health has been a central concept in nursing science since the 18th century but the holistic concept of health that includes both the body and the soul, still has to be clarified. The concept of health is often unclear and represents an unreachable ideal state that can be hard to use as a realistic goal in nursing care. The aim of this study was to describe how the patient perceives the concept of health in mental health nursing. Twelve patients with experience of mental health nursing were interviewed and the data were analyzed with a phenomenographic approach. The patients described nine different perceptions that were divided into three descriptive categories: autonomy, meaningfulness, and community. All of these are important to achieve health. There is ambiguity about the possibility to influence the concept of health. Health is described, on the one, hand as a prerequisite to experiencing freedom and finding meaning in life and, on the other hand, it is believed that the search for meaning and the courage to fight and try in spite of the disease is what leads to health. The patients' descriptions are mostly about things that they need in the present time to achieve health, but health as a process with growth and potential for development does not appear that clearly. One conclusion is that mental health nursing must deliver a more process-focused nursing care where the concept of health is visibly used as a goal for all nursing interventions.

Place, publisher, year, edition, pages
Philadelphia: Taylor & Francis, 2004. Vol. 25, no 7, p. 723-736
Keywords [en]
Attitude to Health, Mental Health
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:hh:diva-2727DOI: 10.1080/01612840490486791PubMedID: 15371139Scopus ID: 2-s2.0-4644307696Local ID: 2082/3129OAI: oai:DiVA.org:hh-2727DiVA, id: diva2:239945
Available from: 2009-08-12 Created: 2009-08-12 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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Svedberg, PetraJormfeldt, HenrikaArvidsson, Barbro

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