PMID- 16336597
OWN - NLM
STAT- MEDLINE
DCOM- 20060223
LR  - 20061115
IS  - 1351-0126 (Print)
IS  - 1351-0126 (Linking)
VI  - 12
IP  - 6
DP  - 2005 Dec
TI  - The impact of nurses' opinion of client behaviour and level of social functioning 
      on the amount of time they spend with clients.
PG  - 719-27
AB  - The impact of nurses' opinion of client behaviour and level of social functioning 
      on the amount of time they spend with clients For people afflicted with different 
      kinds of psychiatric disorder, suffering is a common denominator. The time the 
      nurses spend with psychiatric clients may mirror their attitudes towards and 
      feelings for these clients. The aim of this study was to investigate the 
      connections between the time spent together and the nurses' opinion of client 
      behaviour and social functioning in community-based psychiatry. In this 
      quantitative study, 29 clients were assessed by 30 nurses, who answered the 
      Global Assessment of Functioning Scale (GAF) and the Positive and Negative 
      Syndrome Scale (PANSS). At the same time, 11,200 non-participant observations of 
      clients were registered using the Patient Activity Classification (PAC) to 
      investigate how they spent their time at two psychiatric group dwellings. The PAC 
      instrument revealed that clients spent an average of 60.8% of time alone, while 
      only 20% of their daily time was spent with the nurses. Based on a factor 
      analysis, indices were made by setting cut-off points for the PANSS and the GAF 
      scores, and four small groups of clients were generated: a relatively high level 
      of social functioning and a low degree of psychiatric symptoms (A); a relatively 
      high level of social functioning and a high degree of psychiatric symptoms (B); a 
      low level of social functioning and a low degree of psychiatric symptoms (C); 
      and, finally, a low level of social functioning and a high degree of psychiatric 
      symptoms (D). The clients judged as having a low level of social functioning in 
      combination with high degrees of psychiatric symptoms, that is, the most 
      vulnerable and dependent individuals, receive less staff attention (18%) and are 
      the clients who spend the most time alone (71.4%). It might be possible to 
      interpret the results of this study in the light of a process of dehumanization.
FAU - Kristiansen, L
AU  - Kristiansen L
AD  - Department of Health Sciences, Mid-Sweden University, Sundsvall, Karolinska 
      Institutet, Stockholm, Sweden. lisbeth.kristiansen@muin.se
FAU - Dahl, A
AU  - Dahl A
FAU - Asplund, K
AU  - Asplund K
FAU - Hellzen, O
AU  - Hellzen O
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - J Psychiatr Ment Health Nurs
JT  - Journal of psychiatric and mental health nursing
JID - 9439514
MH  - Adult
MH  - Aged
MH  - *Attitude of Health Personnel
MH  - Female
MH  - Humans
MH  - Male
MH  - Mental Disorders/*nursing
MH  - Middle Aged
MH  - *Nurse's Role
MH  - *Nurse-Patient Relations
MH  - Psychiatric Nursing/*methods
MH  - *Social Behavior
MH  - Time Factors
EDAT- 2005/12/13 09:00
MHDA- 2006/02/24 09:00
CRDT- 2005/12/13 09:00
PHST- 2005/12/13 09:00 [pubmed]
PHST- 2006/02/24 09:00 [medline]
PHST- 2005/12/13 09:00 [entrez]
AID - JPM912 [pii]
AID - 10.1111/j.1365-2850.2005.00912.x [doi]
PST - ppublish
SO  - J Psychiatr Ment Health Nurs. 2005 Dec;12(6):719-27. doi: 
      10.1111/j.1365-2850.2005.00912.x.