Rose D, Evans J, Laker C, Wykes T
Service User Research Enterprise, Institute of Psychiatry, King's College London,UK.
Department of Psychology,Institute of Psychiatry, King's College London,UK.
Epidemiol Psychiatr Sci. 2015 Feb;24(1):90-6. doi: 10.1017/S2045796013000693. Epub 2013 Dec 16.
Background. Acute psychiatric provision in the UK today as well as globally has many critics including service users and nurses. Method. Four focus groups, each meeting twice, were held separately for service users and nurses. The analysis was not purely inductive but driven by concerns with the social position of marginalised groups - both patients and staff. Results. The main themes were nurse/patient interaction and coercion. Service users and nurses conceptualised these differently. Service users found nurses inaccessible and uncaring, whereas nurses also felt powerless because their working life was dominated by administration. Nurses saw coercive situations as a reasonable response to factors 'internal' to the patient whereas for service users they were driven to extreme behaviour by the environment of the ward and coercive interventions were unnecessary and heavy handed. Conclusion. This study sheds new light on living and working in acute mental health settings today by comparing the perceptions of service users and nurses and deploying service user and nurse researchers. The intention is to promote better practice by providing a window on the perceptions of both groups.
背景。如今在英国乃至全球，急性精神科服务饱受诸多批评，包括服务使用者和护士在内。方法。分别为服务使用者和护士各举办了四个焦点小组，每个小组会面两次。分析并非纯粹归纳性的，而是由对边缘化群体（包括患者和工作人员）社会地位的关注所驱动。结果。主要主题是护士/患者互动和强制手段。服务使用者和护士对这些的概念理解不同。服务使用者觉得护士难以接近且冷漠，而护士也感到无力，因为他们的工作生活被行政管理主导。护士将强制情况视为对患者“内在”因素的合理反应，而对服务使用者来说，他们是被病房环境逼至极端行为，强制干预既无必要又过于严厉。结论。本研究通过比较服务使用者和护士的看法，并部署服务使用者和护士研究人员，为当今急性心理健康环境中的生活和工作提供了新的视角。目的是通过提供一个了解两组看法的窗口来促进更好的实践。
