Personers upplevelse av bemötande från vården vid självdestruktivt beteende : en litteraturstudie

Sammanfattning: IntroductionSelf-destructive behavior is categorized as mental illness and refers to when a person injureshimself without suicidal motives. Mental illness is a widespread public health disease that isoften hidden and taboo. There is a general increase in self-destructive behavior among theSwedish population. Nurses describe their experienced lack of knowledge about meeting andcaring for these people. Nurses and other healthcare staff are responsible for giving people theopportunity to improve, maintain or regain good health and alleviate suffering. AimThe aim was to describe how people with self-destructive behavior experience the treatmentwhen in contact with healthcare. MethodA literature study with descriptive design and qualitative approach. Quality review wascarried out based on SBU's template. The result analysis of ten qualitative articles was carriedout according to Friberg's analysis model. ResultsThe results showed that when people with self-destructive behavior sought care, they felt thatthey were deprived of their autonomy and met with a negative attitude from the care staff.Lack of time was considered a contributing factor to the experience. The care staff'sknowledge and competence regarding the behavior was perceived to be lacking and that thecare was rarely individually adapted. Some felt they were treated with care and participation.When the people shared what they believed would promote good treatment, openness,understanding, commitment and empathy were desired. The work resulted in five categories;experiences of feeling diminished, the importance of specialized care and the importance oftime constraints, experiences of feeling important, the staff's knowledge and competence, andthe conditions for a good care meeting. ConclusionPeople with self-destructive behavior experienced that healthcare professionals treated themwith a negative attitude. They felt minimized and not taken seriously. The experience was alack of knowledge and competence on the part of the nursing staff. There were experiences ofpositive treatment, but the negative treatment was predominant. Further education of healthcare is suggested for the development of treatment and nursing.