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Related Experiment Video

Updated: Jul 14, 2026

Assessment and Communication for People with Disorders of Consciousness
07:37

Assessment and Communication for People with Disorders of Consciousness

Published on: August 1, 2017

Encounters in a locked psychiatric ward environment.

I M Johansson1, I Skärsäter, E Danielson

  • 1The Sahlgrenska Academy at Göteborg University, Institute of Health and Care Sciences, Göteborg, and Skaraborg Hospital, Division of Psychiatry, Falköping, Sweden. inger.x.johansson@vgregion.se

Journal of Psychiatric and Mental Health Nursing
|May 23, 2007
PubMed
Summary

Encounters on locked psychiatric wards range from professional care to social events. Patient-to-patient relationships, often overlooked, significantly impact inpatient care outcomes and warrant further attention.

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Area of Science:

  • Psychiatry
  • Sociology
  • Healthcare Studies

Background:

  • Locked psychiatric wards are environments where patient interactions are crucial for care.
  • Understanding the dynamics of these encounters is essential for improving inpatient experiences.

Purpose of the Study:

  • To describe the nature of encounters within a locked psychiatric ward setting.
  • To explore the spectrum of interactions between patients, staff, and next of kin.

Main Methods:

  • Focused ethnographic study utilizing participant observation and informal interviews.
  • Qualitative content analysis to interpret collected data.

Main Results:

  • The healthcare environment facilitated a range of encounters, from professional to social.
  • Three themes emerged: caring, uncaring, and unrecognized relationships.
  • Caring and uncaring relationships highlighted contrasting staff-patient interactions (respect vs. mistrust).
  • Unrecognized relationships detailed patient-to-patient dynamics, including supportive and intrusive elements.

Conclusions:

  • Patient-to-patient relationships on locked psychiatric wards are significant for care outcomes.
  • These unrecognized relationships require greater attention in inpatient psychiatric settings.