An observation to a premise
Author
Arnold, Lawrence Edward
Term
4. term
Education
Publication year
2020
Submitted on
2020-06-02
Abstract
Denne afhandling undersøger, hvordan fagprofessionelle på danske psykiatriske afdelinger interagerer med indlagte patienter med henblik på at forstå og håndtere medvirkende årsager til indlæggelse, herunder sociale og personlige problemer. Baggrunden er stigende genindlæggelser og tegn på utilstrækkelig forberedelse til tiden efter udskrivelse, hvilket udfordrer både patientforløb og kapacitet i psykiatrien. Studiet er kvalitativt og blev gennemført under COVID-19-nedlukningen, hvilket betød, at dataindsamlingen primært fokuserede på interviews med professionelle frem for tidligere patienter. Analysen er forankret i en hermeneutisk tilgang, herunder dobbelt hermeneutik, og trækker på Robert K. Mertons ”The Focused Interview” samt Erving Goffmans symbolske interaktionisme og begreber om præsentation af selvet til at forstå mønstre i møderne mellem personale og patienter. På tværs af de professionelle stemmer fremkom en grundlæggende konsensus om, at behandling bør omfatte både personlige og sociale forhold, når det er relevant for patientens situation. Afhandlingen peger desuden på et uudnyttet potentiale i at integrere socialfaglige elementer eller social orientering i planlagte behandlingsforløb under indlæggelse og i at styrke overgangen til støtte i almen praksis efter udskrivelse. Fundene skal ses i lyset af studiets begrænsninger under pandemien og peger på behov for yderligere undersøgelser.
This thesis explores how professionals on Danish psychiatric wards interact with inpatients to understand and address the contributing causes of hospitalization, including social and personal problems. The study is motivated by rising readmission rates and indications that many patients are insufficiently prepared for life after discharge, which strain care pathways and capacity. Conducted during the COVID-19 lockdown, the qualitative design shifted to focus primarily on interviews with professionals rather than former patients. The analysis is grounded in a hermeneutic approach, including double hermeneutics, and draws on Robert K. Merton’s “The Focused Interview” and Erving Goffman’s symbolic interactionism and presentation-of-self concepts to interpret patterns in staff–patient interactions. Across professional perspectives, there was a basic consensus that effective treatment should, when relevant, address both personal and social issues alongside clinical care. The thesis also highlights untapped potential in integrating social work or social orientation into planned inpatient treatment and in leveraging general practice to support continuity after discharge. These findings are presented with the study’s pandemic-related limitations in mind and point to the need for further research.
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