Olofsson B
Department of Nursing, Umeå University, Umeå, Sweden.
J Psychiatr Ment Health Nurs. 2005 Jun;12(3):259-67. doi: 10.1111/j.1365-2850.2005.00827.x.
Psychiatric staff report that the use of coercion towards patients in psychiatric care engenders feelings of discomfort and conflicts. The aim of this study was to describe psychiatric nurses' experiences of participating in reflection groups focused on the use of coercion, in relation to their views regarding systematic clinical supervision and staff support. Twenty-one nurses who had participated in reflection groups were interviewed retrospectively. The structured interview focused on: (i) their views of clinical supervision and support in general; (ii) their views of clinical supervision and support specifically concerning the use of coercion; and (iii) their experiences of participating in groups reflecting the use of coercion. Nurses were largely positive about participating in reflection groups, as expressed in the subthemes: having time for reflection; being confirmed; gaining new perspectives; sharing fellowship with colleagues; and relating more effectively to patients. Complications concerning participation in the reflection groups and other forms of clinical supervision as reported by nurses were: providing time for participation; having a common aim; being vulnerable in difficult situations; and assuming that the need for supervision and support could indicate that they were not coping with their job.
精神科工作人员报告称，在精神科护理中对患者使用强制手段会引发不适感和冲突。本研究的目的是描述精神科护士参与聚焦于强制手段使用的反思小组的经历，以及他们对系统临床督导和员工支持的看法。对21名参与过反思小组的护士进行了回顾性访谈。结构化访谈聚焦于：（i）他们对一般临床督导和支持的看法；（ii）他们对与强制手段使用具体相关的临床督导和支持的看法；（iii）他们参与反映强制手段使用情况的小组的经历。护士们对参与反思小组大多持积极态度，具体体现在以下子主题中：有时间进行反思；得到认可；获得新观点；与同事分享情谊；以及更有效地与患者相处。护士们报告的参与反思小组及其他形式临床督导的相关问题有：提供参与时间；有共同目标；在困难情况下易受伤害；以及认为需要督导和支持可能表明他们无法胜任工作。
