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  • 1.
    Engqvist, Inger
    et al.
    University of Skövde, School of Life Sciences.
    Ferszt, Ginette
    College of Nursing, University of Rhode Island, Kingston, RI, United States.
    Åhlin, Arne
    Skaraborg Hospital, Skövde, Sweden / Clinical Neuroscience, Section of Psychiatry, Karolinska Institute, Solna, Sweden.
    Nilsson, Kerstin
    University of Skövde, School of Life Sciences.
    Psychiatric Nurses' Descriptions of Women with Postpartum Psychosis and Nurses' Responses: An Exploratory Study in Sweden2009In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 30, no 1, p. 23-30Article in journal (Refereed)
    Abstract [en]

     Postpartum psychosis is the most serious type of psychiatric illness related to childbirth. This interview study with nine psychiatric nurses in Sweden explored psychiatric nurses’ descriptions of women with psychosis occurring in the postpartum period and nurses’ responses when providing care to these women. Content analysis was used to analyze the data. The nurses described delusions, disconnection, aggression, changed personality, self-absorption, insomnia, chaos, quietness, suicidal ideation, and ‘strange eyes.’ The description of strange eyes noted by the nurses has not been found in the literature, warranting further investigation. When providing care, the nurses responded with sadness, sympathy, empathy and compassion, discomfort, anger, anxiety, and happiness. These findings underscore the importance of nurses recognizing their negatively charged emotions which could interfere with providing compassionate and effective nursing care to this population.

     

  • 2.
    Engqvist, Inger
    et al.
    University of Skövde, School of Life Sciences.
    Nilsson, Kerstin
    Institute of Health and Caring Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg , Sweden.
    Experiences of the first days of postpartum psychosis: An interview study with women and next of Kin in Sweden2013In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 34, no 2, p. 82-89Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore accounts of the first days of postpartum psychosis from different perspectives, that is, that of the women and their next of kin. Interviews were conducted with seven women with postpartum psychosis and six interviews were done with the next of kin. The overall theme was Shades of Black with A Ray of Light, revealing a difficult experience of darkness, despair, and suffering. For the women, the experience cannot be shared fully other than with those who have lived through it themselves. For the next of kin, the illness is incomprehensible and it proved difficult to express in words what these relatives believe the women were going through. The women and their next of kin spoke about loss of sleep, being in an unreal world, thoughts that moved from having a wanted to an unwanted baby, being infanticidal, and having suicidal ideation. The women and their next of kin described the situations in different ways. The women gave an account of their illness in the strongest of terms, while the language used by the next of kin was much milder. The findings underscore the importance of recognizing the next of kin as key sources in early recognition of the disorder, which would make early treatment possible and support recovery. © 2013 Informa Healthcare USA, Inc.

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