Perceptions of psychiatric care among foreign- and Swedish-born people with psychotic disorders
Article first published online: 6 SEP 2007
Journal of Advanced Nursing
Volume 60, Issue 3, pages 279–288, November 2007
How to Cite
Hultsjö, S., Berterö, C. and Hjelm, K. (2007), Perceptions of psychiatric care among foreign- and Swedish-born people with psychotic disorders. Journal of Advanced Nursing, 60: 279–288. doi: 10.1111/j.1365-2648.2007.04391.x
- Issue published online: 28 SEP 2007
- Article first published online: 6 SEP 2007
- Accepted for publication 15 June 2007
- patients’ perceptions;
- psychiatric nursing;
- psychotic disorder
Title. Perceptions of psychiatric care among foreign- and Swedish-born people with psychotic disorders
Aim. This paper is a report of a study to explore different perceptions of psychiatric care among foreign- and Swedish-born people with psychotic disorders.
Background. Research from different countries reports a high-incidence of psychosis among migrants. The risk-factors discussed are social disadvantages in the new country. To understand and meet the needs of people from different countries, their perspective of psychiatric care must be illuminated and taken into consideration.
Method. A phenomenographic study was conducted in 2005–2006 using semi-structured interviews with a convenience sample of 12 foreign-born people and 10 Swedish-born people with psychosis.
Findings. Three categories were identified: personal and family involvement in care; relating to healthcare staff; and managing illness and everyday life. Foreign-born people differed from Swedish-born people in that they struggled to attain an everyday life in Sweden, relied on healthcare staff as experts in making decisions, and had religious beliefs about mental illness. Among Swedish-born people, the need for more support to relatives and help to perform recreational activities was important.
Conclusion. It is important to identify individual perceptions and needs, which may be influenced by cultural origins, when caring for patients with psychosis. Previous experience of care, different ways of relating to staff, and individual needs should be identified and met with respect. Social needs should not be medicalized but taken into consideration when planning care, which illustrates the importance of multi-professional co-operation.