Goodwin Val, Happell Brenda
Centre for Psychiatric Nursing Research and Practice, School of Nursing, University of Melbourne, Melbourne, Victoria, Australia.
Int J Ment Health Nurs. 2006 Jun;15(2):135-43. doi: 10.1111/j.1447-0349.2006.00413.x.
Increasingly, Australian government policy advances an expectation that consumer and carer participation will be present in all aspects of mental health service delivery. A review of the literature suggests that consumers and carers actively seek the opportunity to participate but are frequently hampered by barriers. However, government policy documents tend to discuss consumers and carers with regards to participation as though their needs and desires are essentially similar. This paper presents the findings of a qualitative research project involving in-depth interviews with carers and mental health nurses. The issue of conflict between the issues for consumers and carers emerged as a major theme. This issue is explored and discussed in light of the goals of current mental health policy. It is concluded that conflicting agendas are apparent and must be addressed if genuine participation in service delivery is possible for both consumers and carers.
澳大利亚政府政策越来越期望消费者和护理者参与能体现在心理健康服务提供的各个方面。文献综述表明,消费者和护理者积极寻求参与机会,但常常受到障碍的阻碍。然而,政府政策文件在讨论消费者和护理者的参与时,似乎认为他们的需求和愿望基本相似。本文介绍了一项定性研究项目的结果,该项目涉及对护理者和心理健康护士进行深入访谈。消费者和护理者之间问题的冲突成为一个主要主题。本文根据当前心理健康政策的目标对这一问题进行了探讨和讨论。得出的结论是,冲突的议程很明显,如果消费者和护理者要真正参与服务提供,就必须加以解决。