Department of Sociology, Ghent University, Korte Meer 5, B-9000 Gent, Belgium; Research Foundation (FWO), Flanders, Belgium.
Department of Sociology, Ghent University, Korte Meer 5, B-9000 Gent, Belgium.
Int J Nurs Stud. 2015 Jan;52(1):307-16. doi: 10.1016/j.ijnurstu.2014.07.017. Epub 2014 Aug 6.
Stigma constitutes a threat for professionals who work in mental health care, through their association with mental illness as a discrediting attribute. Together with nurses' unclear self-perception, recent insights suggest that stigma may inform the apparent identity crisis within the mental health nursing profession.
This article explores how stigma may give meaning to mental health nursing identities. The nursing role is built upon official labels, a prime trigger of stigma. Therefore, due to nurses' ambiguous relation with the psychiatric/medical care and their own stigma experiences due to their association with mental health problems, they can be considered as a stigmatizing, de-stigmatizing and stigmatized group. Dynamics which inform this intricate relation between stigma and mental health nursing identity are the focus of this article. Accordingly, this article points to the importance of including stigma in the overall study of mental health nursing identity.
DESIGN, SETTINGS AND PARTICIPANTS: This research uses a qualitative case-study design. Ethnographic data were gathered from 33 nurses in 4 wards in two psychiatric hospitals in the region of Ghent (Belgium).
Participant observation and semi-structured interviews were combined to access the meaning of being a mental health nurse in these specific care contexts and its possible interference with mental health stigma.
The findings suggest that tackling stigma is a particularly important personal motive for nurses to work in mental health care. The meaning of stigma is closely entangled with nurses' troublesome relationship with the medical model of care. Variations between hospitals regarding the extent to which stigma informs the professional role constructs and identity of nurses are found to be related to the degree of formalization of the nursing roles in these different hospitals.
The present study points to the relevance of the integration of stigma in mental health nursing identity research. Furthermore, the focus on stigma may offer an opportunity to link contexts of illness and care, and nurses' identity constructs.
污名对从事精神卫生保健工作的专业人员构成威胁，因为他们与精神疾病有关，被视为一种抹黑的属性。随着护士自我认知的不清晰，最近的研究表明，污名可能会导致精神健康护理专业明显的身份危机。
本文探讨污名如何赋予精神健康护理身份意义。护理角色是建立在官方标签基础上的，而官方标签是污名的主要触发因素。因此，由于护士与精神科/医疗护理的关系模糊，以及他们与精神健康问题的关联所带来的污名体验，他们可以被视为一个污名化、去污名化和被污名化的群体。本文的重点是构成这种污名与精神健康护理身份之间复杂关系的动态。因此，本文指出在精神健康护理身份的整体研究中纳入污名的重要性。
设计、环境和参与者：本研究采用定性案例研究设计。民族志数据来自根特地区（比利时）两家精神病院的 4 个病房的 33 名护士。
参与者观察和半结构化访谈相结合，以了解在这些特定护理环境中作为一名精神健康护士的意义，以及其对精神健康污名的可能干扰。
研究结果表明，解决污名问题是护士选择在精神卫生保健领域工作的一个特别重要的个人动机。污名的意义与护士与医疗护理模式的麻烦关系密切相关。发现医院之间在污名对护士职业角色结构和身份的影响程度上存在差异，这与这些不同医院中护理角色的正式化程度有关。
本研究指出将污名纳入精神健康护理身份研究的相关性。此外，对污名的关注可能为将疾病和护理背景以及护士的身份结构联系起来提供机会。
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