Malmö University Publications
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  • 1.
    Glantz, Andreas
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Carl Rogers - relevant för KBT idag?2021In: Sokraten, no 4, p. 12-13Article in journal (Other (popular science, discussion, etc.))
  • 2.
    Glantz, Andreas
    Region Skåne.
    Har du tid med patienter?2020In: Psyche, ISSN 0283-3468, no 1, p. 8-9Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Tiden som sjuksköterskor spenderar tillsammans med patienterna måste ökas för att tillitsfulla terapeutiska relationer skall kunna skapas och underhållas. Andreas Glantz, specialistsjuksköterska i psykiatrisk vård och magister i omvårdnad, verksam inom allmänpsykiatrin Region Skåne, sammanfattar sin studie om hur sjuksköterskor i psykiatrisk heldygnsvård använder sin tid.

  • 3.
    Glantz, Andreas
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Hållbar psykisk hälsa - om bara tiden räckte till!2021Conference paper (Other academic)
    Abstract [sv]

    Bakgrund

    Sjuksköterskor i psykiatrisk vård bör arbeta med att planera vården i samarbete med patienten och spendera tid på att skapa terapeutiska relationer. Samtidigt menar många sjuksköterskor att de saknar den tid som krävs för att samtala med patienterna.

    Syfte

    Aktuell tidsstudie genomfördes för att undersöka hur sjuksköterskor i psykiatrisk heldygnsvård fördelar den tid de har tillgänglig under ett arbetspass.

    Metod

    12 sjuksköterskor på sex vårdavdelningar vid en psykiatrisk klinik i södra Sverige observerades. Totalt utfördes strukturerade observationer under 129 timmar och 23 minuter. Tidfördelning, aktivitetsfrekvens och avbrott registrerades.

    Resultat

    Läkemedelshantering var den största kategorin av den uppmätta tiden (17,5 %), följt av indirekt omvårdnad (16 %). Relativt lite tid lades på direkt omvårdnad, den tredje största kategorin (15,3 %) medan en oväntad stor del av tiden (11,3 %) lades på verksamhetsrelaterade uppgifter. Sjuksköterskor avbröts också vid 75 % av alla tillfällen då de arbetade med läkemedelshantering. Således spenderade sjuksköterskor förhållandevis lite tid på direkt omvårdnad och läkemedelshanteringen avbröts ofta. Det är svårt att bygga terapeutiska relationer med syfte att lägga en grund för hållbar psykiska hälsa om relativt lite tid spenderas tillsammans med patienten. Det är oroande att både patientsäkerhet och sjuksköterskors arbetstillfredsställelse riskeras på detta sätt.

  • 4.
    Glantz, Andreas
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    The time, places and activities of nurses in a psychiatric context: A time and motion study with a time-geographic perspective2022Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Patients and nurses alike claim that they want to spend time together to build relationships that are meaningful. Previous studies have shown that nurses working in psychiatric inpatient care spend less time than desired with patients and there is a need to further investigate the nature of psychiatric and mental health inpatient nursing. This study aimed to explore how nurses in psychiatric inpatient wards spend their time, how activities are distributed over time and with a time-geographic perspective show how these two variables relate to places. In total, 8 structured observations for a total of 30 hours and 47 minutes were carried out. The time and motion capture tool TimeCaT was used to register place, activity, and time, and descriptive statistical analysis was performed. The STROBE checklist for observational research was used. The observations resulted in a constructed time-geographic chart that visually mapped the nurses’ path from 7 am until 9 pm. This chart showed that nurses spend little time in places where the patients are. There was also an overlap where there was a larger staff working but where the staff room and medicine room were still the most common places nurses occupy. There might be capacity, authority and coupling constraints that lead to a path that is problematic if psychiatric and mental health nursing is aiming for person-centred care. Nurses who work in psychiatric inpatient care need to evaluate how and where their time is spent, and organizations need to prioritize interventions that facilitate the nurse-patient relationship.

  • 5.
    Glantz, Andreas
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). Department of nursing, Faculty of Medicine, Umeå University.
    Sunnqvist, Charlotta
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). Committee on Psychiatry, Habilitation and Technical Aids, Lund, Sweden.
    Örmon, Karin
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). Västra Götaland Region Competence Centre on Intimate Partner Violence, Gothenburg, Sweden.
    The time, places, and activities of nurses in a psychiatric inpatient context: A time and motion study with a time-geographic perspective2023In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 44, no 5, p. 387-395Article in journal (Refereed)
    Abstract [en]

    Nurses in psychiatric inpatient care spend less time than desired with patients and investigation of the nature of nursing in this setting is needed. This study explores how nursing activities in psychiatric inpatient wards is distributed over time, and with a time-geographic perspective show how this relates to places. Observations were used to register place, activity, and time. A constructed time-geographic chart mapped the nurses’ path which showed that nurses spent little time in places where patients are. There might be constraints that affect nursing. Nurses need to evaluate where time is spent and interventions that facilitate relationships are needed.

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  • 6.
    Glantz, Andreas
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Örmon, Karin
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sandström, Boel
    “How do we use the time?”: an observational study measuring the task time distribution of nurses in psychiatric care2019In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 18, article id 67Article in journal (Refereed)
    Abstract [en]

    Background: The nurse’s primary task in psychiatric care should be to plan for the patient’s care in cooperation with the patient and spend the time needed to build a relationship. Psychiatric care nurses however claim that they lack the necessary time to communicate with patients. To investigate the validity of such claims, this time-motion study aimed at identifying how nurses working at inpatient psychiatric wards distribute their time between a variety of tasks during a working day. Methods: During the period of December 2015 and February 2016, a total of 129 h and 23 min of structured observations of 12 nurses were carried out at six inpatient wards at one psychiatric clinic in southern Sweden. Time, frequency of tasks and number of interruptions were recorded and analysed using descriptive statistics. Results: Administering drugs or medications accounted for the largest part of the measured time (17.5%) followed by indirect care (16%). Relatively little time was spent on direct care, the third largest category in the study (15.3%), while an unexpectedly high proportion of time (11.3%) was spent on ward related tasks. Nurses were also interrupted in 75% of all medication administering tasks. Conclusions: Nurses working in inpatient psychiatric care spend little time in direct contact with the patients and medication administration is interrupted very often. As a result, it is difficult to establish therapeutic relationships with patients. This is an area of concern for both patient safety and nurses’ job satisfaction.

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  • 7.
    Stigmar, John
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Social Work (SA).
    Glantz, Andreas
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    En personcentrerad och fenomenologisk grund för psykiatrisk omvårdnad2022In: Psyche, ISSN 0283-3468, no 1, p. 4-7Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Carl Rogers (1902–1987) var en framstående amerikansk psykolog som anses vara en av förgrundsgestalterna inom den humanistiska psykologin och grundaren till det som kallas klient- eller personcentrerad psykoterapi. 2022 är det 120 år sedan Carl Rogers föddes. Därmed är det ett lämpligt tillfälle att påminna om hans betydelse för omvårdnad samt hur hans villkor för framgångsrik psykoterapi och hans teorier om självet även kan appliceras på den psykiatriska omvårdnaden. Vi har också försökt anta ett fenomenologiskt perspektiv där det finns beröringspunkter med Rogers teorier. Den fenomenologiska psykologin och den humanistiska utvecklades vid ungefär samma tid och det finns både likheter och skillnader dessa perspektiv emellan. En grundläggande och viktig punkt som gäller för båda är det personcentrerade förhållningssättet med utgångspunkt i den andres förstapersonsperspektiv. En annan är att människan är en intersubjektiv varelse som alltid befinner sig situerad i en värld som delas med andra.  

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    fulltext
  • 8.
    Wangel, Anne-Marie
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). Department of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden.
    Persson, Karin
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Duerlund, Sara
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Fhager, Johan
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Mårdhed, Emma
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sjögran, Lotta
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sjöström, Karin
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Glantz, Andreas
    Department of Nursing, Faculty of Medicine, Umeå University, Umeå, Sweden.
    Örmon, Karin
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). Götaland Region Competence Centre on Intimate Partner Violence, Gothenburg, Sweden.
    Sunnqvist, Charlotta
    The Region Skåne Committee on Psychiatry, Habilitation and Technical Aids, Lund, Sweden;Department of Clinical Sciences Psychiatry, Lund University, Lund, Sweden.
    The Core Elements of Psychiatric and Mental Health Nursing: Time, Honest Engagement, Therapeutic Relations, Professional Nursing and Lifetime-Perspective2024In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, p. 1-10Article, review/survey (Refereed)
    Abstract [en]

    Defining psychiatric and mental health nursing has been a challenge for decades, and it is still difficult to find a comprehensive definition. We have identified a possibility to clarify psychiatric and mental health nursing based on humanistic philosophy in a general psychiatric care context. The aim was therefore to identify and synthesize the theoretical frameworks from which psychiatric and mental health nursing models are developed. We systematically collected and evaluated articles based on Grounded Theory (GT) methodology regarding psychiatric or mental health nursing. The PRISMA statement for systematic reviews was used and the formal process of synthesis, as a three-step process of identifying first -, second - and third-order themes following the examples of Howell Major and Savin-Baden. The synthesis resulted in a model describing five core elements of psychiatric and mental health nursing: 'professional nursing', 'therapeutic relationships' and 'honest engagement', with time as the all-encompassing theme, including the patients' 'lifetime perspective'. Psychiatric and mental health nursing is a caring support towards recovery, where the patient's lifetime perspective must be in focus during the caring process with a relationship built on an honest engagement. Time is therefore essential for psychiatric and mental health nursing.

1 - 8 of 8
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