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dc.contributor.authorMathisen, Vår
dc.contributor.authorObstfelder, Aud
dc.contributor.authorLorem, Geir F.
dc.contributor.authorMåseide, Per
dc.date.accessioned2016-10-19T10:17:42Z
dc.date.available2016-10-19T10:17:42Z
dc.date.issued2016
dc.identifier.citationMathisen, V., Obstfelder, A., Lorem, G., & Måseide, P. (2016). User participation in district psychiatry. The social construction of ‘users’ in handovers and meetings. Nursing Inquiry, 23(2), 169-177.
dc.identifier.urihttp://hdl.handle.net/11250/2416332
dc.description.abstractAn ideal in mental health care is user participation. This implies inclusion and facilitation by clinicians to enable users to participate in decisions about themselves and in the design of suitable treatment. However, much of the work of clinicians consists of handovers and other meetings where patients are not present. It is therefore interesting to study how the patient perspective is handled in such meetings and whether it forms a basis for user participation. We conducted fieldwork in three different inpatient wards in Norwegian District Psychiatric Centres. We used an interactional perspective in our analysis, where speech acts, framing and footing were key concepts. The findings show that the talk in the handovers and meetings contained five main themes and that there was a clear correlation between what was said and how it was said, and whether clinicians related to the content in a decisive, person-centred or indecisive manner. We discuss potential participation statuses for patients and their limited opportunity to influence the talk and possible decisions about themselves. Our conclusion is that handover meetings primarily function as an aid in organising clinicians' work and could ultimately be seen as counteracting user participation.nb_NO
dc.language.isoengnb_NO
dc.publisherNursing Inquiry
dc.titleUser participation in district psychiatry. The social construction of ‘users’ in handovers and meetingsnb_NO
dc.typeJournal articlenb_NO
dc.source.journalNursing Inquiry
dc.identifier.doi10.1111/nin.12127


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