Cosgray R E, Davidhizar R E, Grostefon J D, Powell M, Wringer P H
Logansport State Hospital, IN 46947.
Arch Psychiatr Nurs. 1990 Dec;4(6):354-9. doi: 10.1016/0883-9417(90)90025-g.
The attitudes of hospital staff toward individuals with mental illness have been investigated, described in the literature, and discussed at national conferences. It has been suggested that attitudes are the precursors or determinants of behavior. Although the precise effect of staff attitude on patients is unclear, attitudes of the staff do appear to be related to their behavior and to have an impact on patients and their subsequent recovery. There are few precise answers on how to promote positive attitudes. While hospital policies and procedures can prescribe behaviors of staff, attitude cannot be dictated. Some studies have evaluated the effect of training and participation in milieu programs on the attitude of psychiatric staff. Simulation games recently have been explored as a possible way to influence the attitude of staff toward those with mental illness. This article describes an attempt at one state psychiatric hospital to influence in a positive way the attitude of the staff by using a simulation game called, A Day in the Life of an Inpatient. Adapted from Into Aging by Hoffman and Reif (1978), the game used by the authors provides a microcosmic experience for staff of a hospitalized patient's ward experience.
医院工作人员对患有精神疾病的患者的态度已经得到调查、在文献中有所描述，并在全国性会议上进行了讨论。有人提出，态度是行为的先兆或决定因素。虽然工作人员态度对患者的确切影响尚不清楚，但工作人员的态度似乎确实与他们的行为有关，并对患者及其后续康复产生影响。关于如何促进积极态度，几乎没有确切答案。虽然医院政策和程序可以规定工作人员的行为，但态度是无法强制的。一些研究评估了培训和参与环境项目对精神科工作人员态度的影响。最近，模拟游戏被探索为一种可能影响工作人员对患有精神疾病者态度的方式。本文描述了一家州立精神病医院尝试通过使用一款名为《住院患者的一天》的模拟游戏，以积极方式影响工作人员的态度。该游戏由作者改编自霍夫曼和赖夫（1978年）的《步入老年》，为工作人员提供了一次对住院患者病房体验的微观体验。
