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Capturing the Unsaid: Nurses’ Experiences of Identifying Mental Ill-Health in Older Men in Primary Care—A Qualitative Study of Narratives

1
Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institute, Stockholm Health Care Services, SE 113 64 Stockholm, Sweden
2
School of Health, Care and Social Welfare, Malardalen University, SE-722 18 Vasteras, Sweden
3
School of Education, Health and Social Studies, Dalarna University, SE-791 31 Falun, Sweden
4
Department of Neurobiology, Care Sciences and Society, Karolinska Institute, SE-141 83 Huddinge, Sweden
*
Authors to whom correspondence should be addressed.
Received: 4 January 2021 / Revised: 19 February 2021 / Accepted: 24 February 2021 / Published: 4 March 2021
This study describes nurses’ experiences in identifying mental ill-health in older men in primary care. The aging population is growing in Sweden and life expectancy is increasing. Age is a risk factor for mental ill-health. Older men are over-represented in deaths from suicide. When older men seek primary care, it is often because of somatic symptoms and rarely for mental health issues. A questionnaire with five open questions was answered by 39 nurses from 10 primary care centres and subjected to inductive qualitative content analysis. The results revealed a main theme—capturing the unsaid—and two categories: (1) feeling secure in the role, with three subcategories (building trust, daring to ask and interpreting signs); and (2) the need for resources, with two subcategories (time and continuity, and finding support in collaboration). The results confirm that nurses in primary care play a key role in identifying mental ill-health in older men. There is a need for resources in the form of time, competence and collaboration with other professionals and patients’ relatives. This strategy will establish best practice and provide evidence-based care to facilitate improvements in older men’s mental health and prevent suicide. View Full-Text
Keywords: content analysis; experiences; men; mental ill-health; nurses; older people; primary healthcare; suicide content analysis; experiences; men; mental ill-health; nurses; older people; primary healthcare; suicide
MDPI and ACS Style

Karlsson, J.; Hammar, L.M.; Kerstis, B. Capturing the Unsaid: Nurses’ Experiences of Identifying Mental Ill-Health in Older Men in Primary Care—A Qualitative Study of Narratives. Nurs. Rep. 2021, 11, 152-163. https://0-doi-org.brum.beds.ac.uk/10.3390/nursrep11010015

AMA Style

Karlsson J, Hammar LM, Kerstis B. Capturing the Unsaid: Nurses’ Experiences of Identifying Mental Ill-Health in Older Men in Primary Care—A Qualitative Study of Narratives. Nursing Reports. 2021; 11(1):152-163. https://0-doi-org.brum.beds.ac.uk/10.3390/nursrep11010015

Chicago/Turabian Style

Karlsson, Jenny, Lena M. Hammar, and Birgitta Kerstis. 2021. "Capturing the Unsaid: Nurses’ Experiences of Identifying Mental Ill-Health in Older Men in Primary Care—A Qualitative Study of Narratives" Nursing Reports 11, no. 1: 152-163. https://0-doi-org.brum.beds.ac.uk/10.3390/nursrep11010015

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